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Cognitive-Behavioral Therapy for Relationship Distress: Meta-analysis of RCTs with Social Work Implications
Journal of Evidence-Based Social Work Pub Date : 2020-08-18 , DOI: 10.1080/26408066.2020.1806164
Virgil L Gregory 1
Affiliation  

ABSTRACT

Purpose

The purpose of the present meta-analysis is twofold: 1) determine the aggregated statistical effect of cognitive-behavioral couples therapy (CBCT) for relationship distress in randomized controlled trials and 2) use the findings to inform clinical social work practice and research.

Methods

A systematic review was conducted using electronic databases and the reference lists of included studies. The random effects model meta-analysis used a hedges’ g effect size.

Results

After the removal of an outlier, a homogeneous (Q = 16.66, df = 12, p = .16, I 2 = 27.96), significant, moderate effect favoring CBCT (Hedges’ g summary effect = .421, Z = 4.51, p < .0001, 95% confidence interval: 0.238 to 0.604, standard error = .093, variance = .009, k = 13) was obtained.

Discussion

It is anticipated that cognitive-behavioral/evidence-based social work clinicians and researchers will use the findings to support their clinical practice and advance their clinical research, respectively.



中文翻译:

关系困扰的认知行为疗法:具有社会工作影响的随机对照试验的元分析

摘要

目的

本荟萃分析的目的有两个:1) 在随机对照试验中确定认知行为夫妻疗法 (CBCT) 对关系困扰的总体统计效果,以及 2) 使用这些发现为临床社会工作实践和研究提供信息。

方法

使用电子数据库和纳入研究的参考文献列表进行了系统评价。随机效应模型荟萃分析使用对冲的 g 效应大小。

结果

去除异常值后,同质 ( Q = 16.66, df  = 12, p = .16, I 2  = 27.96) 显着、中等效应有利于 CBCT(Hedges' g 汇总效应 = .421, Z = 4.51, p < .0001,95% 置信区间:0.238 到 0.604,标准误差 = .093,方差 = .009,k = 13)。

讨论

预计基于认知行为/证据的社会工作临床医生和研究人员将分别使用这些发现来支持他们的临床实践并推进他们的临床研究。

更新日期:2020-08-18
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