| خلاصه مقاله | Abstract: 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. |