The effect of cognitive behavior therapy on body image and self-esteem in female adolescents: a systematic review and meta-analysis
| Autor: | Mojgan Mirghafourvand, Robab Hassanzadeh, Mahin Kamalifard, Nasrin Zamiri-Miandoab |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Counseling
050103 clinical psychology medicine.medical_specialty Adolescent media_common.quotation_subject Subgroup analysis Cochrane Library Body Image medicine Humans 0501 psychology and cognitive sciences Grading (education) media_common Cognitive Behavioral Therapy business.industry 05 social sciences Public Health Environmental and Occupational Health Self-esteem Cognition Self Concept Quality of evidence Strictly standardized mean difference Meta-analysis Pediatrics Perinatology and Child Health Physical therapy Female business 050104 developmental & child psychology |
| Zdroj: | International Journal of Adolescent Medicine and Health. 33:323-332 |
| ISSN: | 2191-0278 |
| DOI: | 10.1515/ijamh-2021-0029 |
| Popis: | Low self-esteem and negative body image expose girls to many risks and damages. Cognitive-behavior counseling is one of the ways of improving body image and self-esteem. The aim of this systematic review was to determine the effects of cognitive-behavior therapy on body image and self-esteem of adolescent girls. The English (Cochrane library, Web of sciences, EBSCO, PubMed, Google Scholar) and Persian (SID, MagIran) databases were searched without any time limit. The quality of included studies in terms of risk of bias was assessed using Cochran handbook and the quality of evidence was evaluated through Grading of Recommendations Assessment, Development and Evaluation (GRADE). Meta-analysis was performed using RevMan software. Heterogeneity of studies was analyzed by index I 2. Subgroup analysis was performed on the basis of outcome evaluation intervals (after intervention, one month and two months later). A total of 2,664 articles were accessed in different databases of which 2,655 articles were excluded and finally nine studies were systematically reviewed. Meta-analysis results on seven studies (228 participants) showed that the group receiving cognitive-behavior counseling was significantly better than the control group regarding body image (Standardized Mean Difference [SMD]: 13.01; 95% CI: 10.68 to 15.34; I²=26.1%). Likewise, meta-analysis results on two studies (50 participants) showed that self-esteem was not significantly different between the group receiving cognitive-behavior counseling and the control group (SMD: 1.13; 95% CI: −0.7 to 2.32, I²=73%). Meta-analysis results of this study represent effectiveness of cognitive-behavior therapy on body image of adolescent girls; however, since the number of studies in the field of self-esteem is low, more trials in this field with stronger designs are suggested. |
| Databáze: | OpenAIRE |
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