The Effectiveness of Integrative Treatment Approaches on Depression in Iranian Researches

Every year, in Iran and the world, many researches are conducted in the field of stress, anxiety and depression, especially in the field of treatment, and on the other hand, the lives of people who are involved with these problems are greatly disturbed and the inefficiencies caused by these problems make their lives miserable. It seriously affects and in general due to the very high prevalence of these disorders, huge time, energy and costs are imposed on individuals and governments every year, both in the field of treatment and in the field of research. Mental disorders have gained special importance due to the current tense world, which among mental disorders, anxiety, stress and depression have a long history and high prevalence and have attracted the attention of researchers. Anxiety, stress and depression have been considered throughout the history of psychology due to their unfortunate consequences and high prevalence. Knowing the causes of these disorders and effective treatment solutions for these disorders have always been considered, and therefore, many researches have been conducted in this field and a large amount of financial and human resources have been allocated to them. Although a lot of money has been spent on these issues, the results of the conducted research are not consistent and even sometimes contradictory results are obtained in the research. Therefore, the application of contradictory research results, publication, interpretation, evaluation and recognition of their weak points requires a solution based on the correct review and analysis of the research background, the use of conflicting evidence and the use of a combined method. For this reason, we take help from meta-analysis for this matter. In fact, meta-analysis is a method that can be used to infer the differences in the conducted research and to combine the results of various and numerous researches and extract new and coherent results and remove what causes bias in the final results and to solve problems and reach it contributes to more accurate results. The result of the research that has been done in order to present and improve the treatment methods is a very high volume of studies that have contradictory and scattered results. Therefore, this issue makes it difficult for researchers and therapists to draw conclusions and provide treatment services. Therefore, the application and use of meta-analysis research method can play a significant role in organizing the scattered results and resolve the contradictions in the data. Statistically, meta-analysis discovers the relationships between characteristics and research findings by converting the results of previous research into a common scale. The necessity of this research and meta-analysis research in general is due to the low sample size studied in intervention studies. The results of such studies are estimated to be biased compared to studies with larger samples. In these cases, the meta-analysis method by combining related studies and calculating the effect size of the investigated hypotheses is actually evaluated with larger samples. The findings of this type of research will be fruitful both in the field of science and research development and in the field of application and treatment and will bring many advantages. Researchers, professors and students can use the information and results of the research to choose the exact and correct area of their research, in other words, by determining the areas that need more research, it becomes possible to expand the theoretical area, also if the results are, show the ineffectiveness of treatment, a research field will be provided so that those interested in that field of treatment can review and make effective changes in the treatment protocol and in future research, they can improve and improve treatment methods. Therefore, the aim of the current research is to analyze the results of the research conducted in the field of the effectiveness of integrative treatment approaches on the occurrence of depression symptoms by using the meta-analysis technique.

The study method was meta-analysis, and its statistical population included Persian studies, which were searched for Persian language articles in the databases of specialized Persian journals with keywords integrative, integrative approach, integrative treatment, integrative therapeutic approaches, integrative group therapy, integrative positive psychotherapy and Depression, separately and in combination, were searched. As a result of the search process, 16 articles related to the topic were obtained and after the process of removing studies based on inclusion and exclusion criteria, 7 articles were removed and 9 articles were found suitable for this meta-analysis. CMA2 software was used for data analysis.

Examining the questions showed that the effect size of integrative treatment approaches on depression is equal to 62.3%.

In general, it can be said that this research can greatly help therapists in the field of depression, and therapists using the results can make their patients' recovery more effective and efficient by choosing the correct method of treatment and implementing it effectively. Accelerate the treatment process and reduce the suffering of their patients. In the above explanation, it can be said that depressed people also suppress positive emotions. Strengthening the capabilities of gratitude, hope and vitality probably play a role in increasing positive emotions. It can be said that in the etiology of depression, the reduction of positive emotions indirectly helps the occurrence of depression symptoms through the increase of negative emotions. In this way, in addition to increasing positive emotions, strengthening the mentioned capabilities is also effective in regulating negative emotions. On the other hand, the increase in personality abilities may lead to the improvement of coping strategies in depressed people. Depressed people generally suffer from a sense of emptiness and meaninglessness in life. In the integrative therapeutic approach, various strategies are used to strengthen emotional regulation. For example, to strengthen the ability to forgive, the therapist helps clients identify negative emotions such as anger and hatred and express them during the therapy session. Also, in these meetings, clients face painful events from the past and reframe them if necessary. In the critical thinking sessions, ineffective cognitions related to negative emotions are identified and replaced with efficient cognitions. In this way, the client can better accept his inner experiences such as negative thoughts, anger and hatred. It can be said that by relying on an integrated program of treatment and introducing emotions to people, tracking mood and activity level, familiarizing with creating small behavioral changes and evaluating them, teaching common mental traps, preparing a list of pleasurable activities and other stages and steps presented in the research; There was a significant difference in the depression of people before and after the implementation and it has been effective in reducing depression. Also, with the effort that takes place in the integrative treatment approach for behavioral acceptance of the existing situation, and in practice, more patience and tolerance occurs in the relationship between the patient and his spouse, the platform for positive social exchange is provided, which is one of the platforms and areas for strengthening social capital.