فراتحلیل اثربخشی مداخلات مبتنی بر بازی‌درمانی شناختی بر حافظه کاری دانش‌آموزان دارای اختلال یادگیری

نوع مقاله : پژوهشی

نویسندگان

1 دانشیار، گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ارومیه، ارومیه، ایران.

2 دانشجوی دکتری روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ارومیه، ارومیه، ایران.

چکیده

هدف پژوهش حاضر، انجام یک فراتحلیل به‌منظور برآورد اندازه اثر کلی، تعیین میزان ناهمگنی نتایج، ارزیابی پایداری یافته‌ها و قابلیت تعمیم اثربخشی مداخلات مبتنی بر بازی‌درمانی شناختی بر حافظه کاری دانش‌آموزان دارای اختلال یادگیری بود. با توجه به ناهمخوانی نتایج پژوهش‌های پیشین، در این مطالعه تلاش شد با ترکیب نظام‌مند یافته‌های تجربی موجود، برآوردی جامع و دقیق از اندازه اثر این مداخلات ارائه گردد. جامعه آماری شامل پژوهش‌های انجام‌شده طی بیست سال گذشته (1384 تا 1404 در ایران و 2005 تا 2025 در سطح بین‌المللی) بود که به لحاظ روش‌شناسی شامل شرایط لازم بودند. بر اساس ملاک‌های ورود و خروج تعیین‌شده، مطالعات واجد شرایط انتخاب و داده‌های آن‌ها استخراج گردید. برای ترکیب نتایج و محاسبه اندازه اثر از نرم‌افزار CMA2 و شاخص g هجز استفاده شد. نتایج نشان داد که مداخلات مبتنی بر بازی‌درمانی شناختی تأثیر معناداری بر بهبود حافظه کاری دانش‌آموزان دارای اختلال یادگیری دارند؛ به‌طوری‌که اندازه اثر ترکیبی در مدل تصادفی در دامنه متوسط تا بزرگ گزارش شد و در مدل ثابت نیز اندازه اثر مثبت و معنادار بود. نتایج تحلیل حساسیت، سوگیری انتشار و نمودار قیفی نیز بیانگر پایداری و قابلیت اعتماد یافته‌ها بودند. بر این اساس می‌توان نتیجه گرفت که مداخلات مبتنی بر بازی‌درمانی شناختی، به‌طور معناداری موجب بهبود حافظه کاری دانش‌آموزان دارای اختلال یادگیری می‌شوند. این یافته‌ها نشان می‌دهد که بازی‌درمانی شناختی می‌تواند به‌عنوان یک رویکرد مؤثر و مبتنی بر شواهد، به‌طور هدفمند در آموزش و توان‌بخشی شناختی دانش‌آموزان دارای اختلال یادگیری استفاده شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Meta-Analysis of the Effectiveness of Cognitive Game-Based Interventions on the Working Memory of Students with Learning Disabilities

نویسندگان [English]

  • Esmaeil Soleimani 1
  • Mahdi Chitsaz 2
1 Associate Professor, Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran.
2 Ph.D. Student in Psychology, Faculty of Faculty of Literature and Humanities, Urmia University, Urmia, Iran.
چکیده [English]

The present study aimed to conduct a meta-analysis to estimate the overall effect size, determine the degree of heterogeneity among results, and evaluate the robustness and generalizability of cognitive play therapy–based interventions on the working memory of students with learning disabilities. Given inconsistencies observed in previous research findings, this study sought to provide a comprehensive and precise estimation of the effect size by systematically synthesizing existing empirical evidence. The statistical population consisted of studies conducted over the past twenty years (from 2005 to 2025 internationally and from 1384 to 1404 in Iran) meeting the required methodological criteria. Based on predefined inclusion and exclusion criteria, eligible studies selected and their data extracted for analysis. The Comprehensive Meta-Analysis (CMA) version 2 software and Hedges’ g index used to combine results and calculate effect sizes. The findings indicated that cognitive play therapy–based interventions have a significant effect on improving the working memory of students with learning disabilities. Specifically, the pooled effect size in the random-effects model reported to be in the moderate to large range, while the fixed-effects model also demonstrated a positive and statistically significant effect. Furthermore, the results of sensitivity analyses, publication bias assessments, and funnel plot inspections supported the stability and reliability of the findings. Overall, the results indicate that cognitive play therapy–based interventions significantly enhance working memory in students with learning disabilities. These findings suggest that cognitive play therapy is an effective, evidence-based approach in educational and cognitive rehabilitation settings

کلیدواژه‌ها [English]

  • Meta-Analysis
  • Cognitive Game-Based Therapy
  • Working Memory
  • Learning Disabilities
Abutorabi, K., & Sobhi, A. (2025). Effectiveness of cognitive–behavioral play therapy on working memory, creative thinking, and cognitive emotion regulation in female students with intellectual disability in Zanjan. Journal of Health Promotion Management, 3(14), 27–43. [In Persian]
Aquil, A., Mustafidin, A., Ratnawati, S., & Latifah, K. (2025). Motivation of students with learning disorders in memorizing alfiyah ibn malik at imadutthulabah islamic boarding school. Jurnal Ilmu Pendidikan dan Sains Islam Interdisipliner, 92-98.
Azizi, A., Mir-Derikvand, F. A., & Sepahvandi, M. A. (2021). Comparison of the effects of cognitive rehabilitation, neurofeedback, and cognitive–behavioral play therapy on working memory in elementary students with specific learning disorder. Knowledge & Research in Applied Psychology, 21(79), 31–41. [In Persian]
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to Meta- Analysis. John Wiley & Sons, Ltd, UK.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.
Crisci, G., Caviola, S., Cardillo, R., & Mammarella, I. C. (2021). Executive functions in neurodevelopmental disorders: Comorbidity overlaps between attention deficit and hyperactivity disorder and specific learning disorders. Frontiers in human neuroscience, 15, 594234.
Dumitru, C. (2025). Assistive technology and alternative and augmentative communication options in the language skills development of students with specific learning disorders. Education Sciences, 15(2), 170.
Egeland, J., Lund, O., & Raudeberg, R. (2025). Measuring working memory span with WAIS-IV: Digit sequence is the superior span test. Applied Neuropsychology: Adult, 1-8.
Elahi, M. (2022). Investigating the effectiveness of play on working memory and learning in students with learning disorders. In Proceedings of the 3rd National Conference on Management, Psychology, and Behavioral Sciences. [In Persian]
Esmaili, S. K., Shafaroodi, N., Mehraban, A. H., Parand, A., Zarei, M., & Akbari-Zardkhaneh, S. (2017). Effect of play-based therapy on meta-cognitive and behavioral aspects of executive function: a randomized, controlled, clinical trial on the students with learning disabilities. Basic and Clinical Neuroscience, 8(3), 203.‏
Esmaili, S. K., Shafaroodi, N., Mehraban, A. H., Parand, A., Zarei, M., & Akbari-Zardkhaneh, S. (2017). Effect of play-based therapy on meta-cognitive and behavioral aspects of executive function: a randomized, controlled, clinical trial on the students with learning disabilities. Basic and Clinical Neuroscience, 8(3), 203.
Etemadzadeh, M., Hooman, F., & Makvandi, B. (2023). The effectiveness of play therapy in improving attention and working memory in students with specific learning disorders. International Journal of School Health, 10(1), 26-33.‏
Farid, A., Habibi-Kalibar, R., & Moshtari-Sahneh, B. (2021). Comparison of the effectiveness of play therapy and neurofeedback on executive functions of elementary school girls with learning disorders. Psychology of Exceptional Individuals, 11(43), 175–206. [In Persian]
Fath-Abadi, R., Bakhtiarvand, M., & Haji-Ali, P. (2017). Effectiveness of computerized cognitive games on working memory in children with high-functioning autism. Educational Technologies in Learning, 3(10), 113–124. [In Persian]
Fattahi-Andabil, A., Saberi, H., & Kazemi-Kavaki, A. (2018). Effectiveness of group cognitive–behavioral play therapy and transcranial electrical stimulation on executive functions, working memory, and response inhibition in children with ADHD. Neuropsychology, 4(14), 73–90. [In Persian]
Fazel-Kalkhoran, J., Shariati, A., & Bahrami, H. (2017). The effect of play therapy on short-term memory in educable children with intellectual disability. Motor Behavior, 9(28), 73–88. [In Persian]
Firdaus, T., Nuryanti, E., Adawiyah, N. R., Sari, D. I., & Rahmah, F. (2025). Research trends in mental health and the effect on students’ learning disorder. Journal of Education and Learning Reviews, 2(1), 1-20.
Ghazali, F., & Atashafrouz, A. (2024). Comparison of the effects of cognitive–behavioral play therapy and attention-based training on selective attention and working memory in slow-learning first-grade elementary children. Quarterly Journal of Exceptional Children, 24(3), 78–90. [In Persian]
Grissom, R.J., Kim, J. J. (2005). Effect sizes for research. A broad practical approach, Mahwah, NJErlbaum.
Hamidi, F., Dazi, S., & Lotfi, S. (2021). Application of memory- and attention-based play therapy to improve numerical combination skills in students with mathematical learning disorder. Learning Disabilities, 9(3), 32–51. [In Persian]
Heidari-Farsani, K., Ahmadi, R., & Sharifi, T. (2024). Comparison of the effectiveness of cognitive play therapy and computerized working memory training on impulsivity in children with ADHD in Farsan. Journal of Scientific Researchers, 22(4), 313–322. [In Persian]
Higgins, J. P. T., & Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions.
Jafari, M., Mashayekh, M., & Khanmohammadi, A. (2024). A comparative study of the effectiveness of cognitive rehabilitation training and sensory integration on executive functions and memory in students with ADHD referred to educational and clinical centers in District 5 of Isfahan. Journal of Mashhad University of Medical Sciences, 67(3). [In Persian]
Jafari, N., Roshani, T., & Shahbazi, G. (2022). Effectiveness of cognitive-behavioral play therapy on reducing written handwriting and math problems in students with specific learning disabilities. Research in School and Virtual Learning, 9(3), 93-100. doi: 10.30473/etl.2022.61408.3652 [In Persian]
Karamalian, M., Haghayegh, A., & Rahimi-Pardanjani, S. (2019). Effectiveness of child-centered play therapy on working memory and processing speed in children with learning disorders. Learning Disabilities, 9(2), 95–115. [In Persian]
Kazemi, N., Koushki, S., & Emami-Pour, S. (2022). Comparison of mindfulness-based cognitive therapy and cognitive–behavioral play therapy on sustained attention and working memory in children with ADHD. Journal of Mashhad University of Medical Sciences, 65(1). [In Persian]
Mehrafza, M., Nokhostin-Goldoust, A., & Kiamrathi, A. (2022). Effectiveness of cognitive–behavioral play therapy training on attention, concentration, and social adjustment in students with intellectual disability. Scientific Journal of Education and Evaluation, 15(58), 67–87. [In Persian]
Mirzakhani, N., Pourjabar, M., Rezaei, P., Dibajnia, P., & Akbarzadeh-Baghban, A. (2015). The effect of structured play on executive functioning of children with high-functioning autism (5–12 years). Journal of Rehabilitation Medicine, 5(3), 35–47. [In Persian]
Moradi, P., Masjedi, A., & Jafari, M. (2021). The effect of computerized games on improvement of working memory, visual memory, and executive control in older adults in Tehran. Iranian Journal of Psychiatry and Clinical Psychology, 27(3), 302–317. [In Persian]
Naghipour, M. Z., & Pali, S. (2024). Effectiveness of cognitive–behavioral play therapy on working memory, sustained attention, impulse control, and aggression in adolescents with ADHD. Rooyesh-e-Ravanshenasi, 13(11), 125–134. [In Persian]
Najarian, Z., Vahedi, S., Hashemi, T., & Badri-Gargari, R. (2022). A meta-analysis of the effectiveness of working memory–based cognitive training on executive functions in children with specific learning disorder with mathematical impairment. Journal of Educational Psychology, 18(64), 55–83. [In Persian]
Narimani, M., Soleimani, A., Zahed-Babalan, A., & Abolghasemi, A. (2013). Comparison of the effectiveness of executive function training and play therapy on working memory, attention maintenance, and academic achievement in students with math learning difficulties. Clinical Psychology, 5(4), 1–16. [In Persian]
Nazariyeh, A., & Niknam, M. (2023). Working memory in children with ADHD: A comparison of computerized cognitive games and cognitive rehabilitation–based play therapy. Psychological Studies, 19(1), 79–92. [In Persian]
Norouzi-Homayoun, M., Hataminejad, M., & Sadri-Damirchi, A. (2024). Effectiveness of group psychodrama therapy and cognitive–behavioral play therapy on executive functions in male students with social anxiety disorder. Neuropsychology, 9(35), 1–17. [In Persian]
Nourkajouri, F., Pourtaleb, N., & Mousanejad, A. (2024). Effectiveness of executive-function–based play therapy on attention deficit and impulsivity in students with ADHD. Psychology of Exceptional Individuals, 14(54), 169–203. [In Persian]
Pirabbasi, Z., & Safarzadeh, S. (2018). Effectiveness of group play therapy on behavioral problems and memory performance of elementary school girls with specific learning disorder. Journal of Psychiatric Nursing, 6(2), 61–71. [In Persian]
Rezaeisharif, A., Noroozi Homayoon, M., & Almasi, M. (2022). Effectiveness of Neurofeedback and Cognitive-Behavioral Play Therapy and the Combination of thease Methods on Working Memory of Children with Specific Learning Disabilities. Journal of Learning Disabilities, 12(1), 47-61.‏
Roghani, F., Jadidi, M., & Peymani, J. (2022). The Effectiveness of Floortime Play Therapy on Improving Executive Functions and Cognitive Emotion Regulation in Children with Attention Deficit/Hyperactivity Disorder (ADHD). International Journal of Education and Cognitive Sciences, 2(4), 30-44.‏
Saeed, N., & Ahmadi Deh Ghotboddini, M. (2021). Meta-analysis of the application of cognitive sciences in blended learning. Research in School and Virtual Learning, 8(3), 21-34. doi: 10.30473/etl.2021.42083.2795 [In Persian]
Salamat, M., Moghtadaei, K., Kafi, M., Abedi, A. R., & Hossein-Khanzadeh, A. A. (2013). Effectiveness of cognitive–behavioral play therapy on memory and social skills of children with spelling learning disabilities. Behavioral Sciences Research, 11(6), 556–566. [In Persian]
Seif, E., Basharpour, S., Narimani, M., & Heydari, F. (2022). The effectiveness of executive functions-based cognitive rehabilitation on improving cognitive deficits in children with dyslexia. Research in School and Virtual Learning, 9(3), 101-111. doi: 10.30473/etl.2022.54387.3286 [In Persian]
Shaban, M., & Azari, Z. (2025). Effectiveness of play therapy on working memory and reduction of attention-deficit/hyperactivity disorder symptoms in children. Health Psychology and Behavioral Disorders, 3(1), 1–14. [In Persian]
Shams, A. (2024). The Effect of a Group-Based Play Therapy on Executive Function, Working Memory and Self-Efficacy in Children with ADHD.‏
Shamshiri, M., Danesh, A., Havasi, N., & Tarimoradi, A. (2025). Comparing the effectiveness of computerized cognitive rehabilitation and cognitive–behavioral play therapy on executive functions of students with dyslexia. Iranian Journal of Psychiatry and Clinical Psychology, 31(1). [In Persian]
Sorkhi, Z., & Sharifi-Daramadi, P. (2023). Effectiveness of cognitive–behavioral play therapy on attention deficits and aggression in children with attention-deficit/hyperactivity disorder. Journal of Empowerment of Exceptional Children, 14(4), 13–23. [In Persian]
Yahyavi-Zanjani, M., Taher, M., Hossein-Khanzadeh, A., Naghdipour, M., & Mojarad, A. (2021). Effectiveness of sensory-focused play therapy on attention span and impulsivity in students with attention-deficit / hyperactivity disorder. Psychological Studies, 16(3), 23–38. [In Persian]