섭식장애에 대한 심리사회적 중재의 효과 : 메타분석
The Effects of Psychosocial Interventions For eating disorders in Korea : a Meta-Analysis
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초록
본 연구는 국내 섭식장애에 대한 심리사회적 중재의 효과를 파악하기 위하여 시행된 메타분석연구이다. 분석 대상 논문은 국내 석사, 박사 학위 논문 및 학술지 논문을 국내 데이터베이스와 수기검색을 통해 수집하여 선별기준과 배제기준에 따라 선별하였다. 그 결과 총 10편의 논문이 선정되었으며, RevMan(Review Manager, Version) 5 program, CMA(Comprehensive Meta Analysis Version) V3을 사용하여 효과크기, 이질성, 그리고 출판편향을 분석하였다. 전체 평균효과크기는 Hedges’g=1.73으로 큰 효과크기를 보였으며, 중간정도의 이질성(I2=36%)을 보였다. 하부 그룹 분석결과 정신치료(g=2.82), 인지행동치료(g=1.72), 마음챙김 기반 중재(g=1.28) 순으로 통계적으로 유의미하게 효과가 큰 것으로 나타났다. 중재신간은 1000분 이상(g=1.62) 보다 1000분미만(g=1.76)에서 더 큰 효과를 보였다. 마지막으로 분석 논문은 심각한 출판 편향을 보이지 않았다(Fail-safe N=245). 본 연구 결과 국내에서 시행된 섭식장애 대상자를 위한 심리사회적 중재는 효과적인 것으로 나타났다. 본 연구결과는 섭식장애 예방 및 치료를 위한 중재 프로그램 개발의 근거 자료로 활용될 수 있을 것이다.
Abstract
Purpose: This study was a meta-analysis planned to exam effects of psychosocial interventions for eating disorders in Korea. Methods: Search for relevant articles included several electronic databases and hand-search from article references. Ten studies met inclusion criteria from 2,504 studies. Comprehensive Meta-Analysis(version 3) and Review Manager(version 5) were used to analyze effect sizes, investigate possible causes of heterogeneity and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of eating disorders interventions were high(Hedges’g=1.73) and medium heterogeneity(I²=36%). Subgroup analysis was performed to estimate causes of heterogeneity. The effect size for diagnosed eating disorder populations(g=1.94) was larger than for risk populations(g=1.78). It appeared high in the order of PT(g=2.82), CBT(g=1.72), MBI(g=1.28). Interventions with under 1,000 minutes(g=1.76) had significantly higher effect than interventions with over 1,000 minutes(g=1.62). This study found no significant publication bias. Conclusion: Based on current findings, there is obvious evidence that psychosocial interventions for eating disorders have significant effects in decreasing symptoms of eating disorders in Korea.
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