| Literature DB >> 35452524 |
Hannah Rapp1, Jiahe Wang Xu1, Robert D Enright1,2.
Abstract
Forgiveness education interventions instruct children and adolescents in understanding forgiveness and its role in healthy relationships. In this meta-analytic review, 20 studies involving 1472 youth (51% female; Mage = 11.66) from 10 countries (studies: 40% North American, 25% East Asian, 20% Middle Eastern, 15% European) were retrieved to determine forgiveness education interventions' effects on youth outcomes. Hedges' g and confidence intervals (CIs) were used to assess treatment effects. Findings suggest that forgiveness education interventions have a significant positive effect on forgiveness (g = 0.54, 95% CI [0.36, 0.73]) and anger (g = 0.29, 95% CI [0.11, 0.47]). Results lend support to the idea that children and adolescents who experience hurt from the unjust actions of others may benefit from learning about the process of forgiveness.Entities:
Mesh:
Year: 2022 PMID: 35452524 PMCID: PMC9544775 DOI: 10.1111/cdev.13771
Source DB: PubMed Journal: Child Dev ISSN: 0009-3920
Characteristics of studies in the meta‐analysis
| Study ( | Percent female | Mean grade | Location | Sessions | Curriculum | Treatment ( | Comparison ( |
|---|---|---|---|---|---|---|---|
| Hepp‐Dax ( | 55% | 5th | United States | 8 | Enright process‐based | 11 | 12, Placebo |
| Freedman and Knupp ( | 60% | 8th | United States | 8 | Enright process‐based | 5 | 5, No‐Tx control |
| LaTurner ( | 51% | 7th | United States | 3 | Enright process‐based | 41 | 49, No‐Tx control |
| Beck ( | 61% | 11th | United States | 6 | REACH model | 38 | 38, No‐Tx control |
| Enright et al. study 1 ( | 36% | 1st | Northern Ireland | 17 | Enright story‐based | 36 | 57, No‐Tx control |
| Enright et al. study 2 ( | 46% | 3rd | Northern Ireland | 15 | Enright story‐based | 35 | 47, No‐Tx control |
| Lin and Wu ( | 50% | 6th | Taiwan | 16 | Enright process‐based | 38 | 38, No‐Tx control |
| Holter et al. study 1 ( | 47% | 1st | United States | 17 | Enright story‐based | 75 | 44, No‐Tx control |
| Holter et al. study 2 ( | 64% | 3rd | United States | 15 | Enright story‐based | 36 | 42, No‐Tx control |
| Holter et al. study 3 ( | 50% | 5th | United States | 15 | Enright story‐based | 40 | 39, No‐Tx control |
| Shechtman et al. ( | 51% | 9th | Israel | 12 | REACH model | 65 | 81, Placebo |
| Hui and Chau ( | 43% | 6th | Hong Kong | 8 | Enright process‐based | 28 | 28, Alt Tx |
| Lin ( | 50% | 6th | Taiwan | 24 | Enright process‐based | 22 | 22, Alt Tx |
| Park et al. ( | 100% | 7th | South Korea | 12 | Enright story‐based | 16 | 16, No‐Tx control |
| Taysi and Vural ( | 39% | 4th | Turkey | 10 | Enright story‐based | 71 | 47, No‐Tx control |
| Rahman et al. ( | 100% | 5th | Pakistan | 16 | Enright story‐based | 4 | 4, Alt Tx |
| Yang and Chen ( | 44% | 5th | Taiwan | 8 | Enright process‐based | 27 | 30, Placebo |
| Freedman ( | 90% | 11th | United States | 31 | Enright process‐based | 10 | 11, Alt Tx |
| Vassilopoulos et al. ( | 43% | 6th | Greece | 6 | Enright‐process based | 21 | 21, No‐Tx control |
| Bonab et al. ( | 50% | 8th | Iran | 15 | Enright story‐based | 123 | 101, No‐Tx control |
“Alt Tx” refers to an alternative treatment comparison group and “No‐Tx” refers to no treatment comparison group. Among forgiveness instruments, “EFI‐C” refers to the Enright Forgiveness Inventory child version and “1 item” refers to a single validation question regarding the participant's forgiveness.
FIGURE 1PRISMA‐style flow diagram of studies included in the meta‐analysis
FIGURE 2Omnibus analysis: forgiveness education intervention and forgiveness. CI, confidence interval; RE, random effects
FIGURE 3Omnibus analysis: forgiveness education intervention and anger. CI, confidence interval; RE, random effects
Omnibus effect sizes and heterogeneity tests for additional outcomes
|
|
| 95% CI |
|
|
| |
|---|---|---|---|---|---|---|
| Depression | 7 | 0.11 | [−0.23, 0.45] | 17.45 | .52 | 68.20% |
| Hope | 5 | 1.70 | [−0.09, 3.49] | 22.62 | .06 | 96.25% |
| Self‐esteem | 4 | 0.02 | [−0.39, 0.43] | 3.25 | .92 | 14.66% |
| Empathy | 3 | 0.32 | [0.008, 0.64] | 2.55 | .04 | 28.18% |
Studies were modeled as random effects, k = number of studies, g = effect size (Hedges’ g; Hedges, 1981); Q = homogeneity test; p = probability value for Q statistic under H 0 (df = k − 1); I 2 = percentage of variance in effect sizes that is attributable to systematic variation.
Meta‐regression analysis of combined outcome effect sizes
|
|
|
| 95% CI ( |
|
| |
|---|---|---|---|---|---|---|
| Number of sessions | 20 | 0.27 | 0.01 | [−0.018, 0.042] | 0.80 | .43 |
| Sessions per week | 20 | 0.11 | 0.21 | [0.056, 0.354] | 2.70 | .007 |
| Total hours in program | 17 | 0.20 | 0.02 | [−0.020, 0.055] | 0.94 | .35 |
| Mean age | 20 | −0.30 | 0.06 | [0.010, 0.110] | 2.33 | .02 |
| Mean grade | 20 | 0.11 | 0.05 | [−0.002, 0.106] | 1.89 | .06 |
| Gender | 20 | −0.15 | 0.01 | [−0.0004, 0.02] | 1.89 | .06 |
Univariate analyses used a mixed model (studies random, levels of moderator variables fixed); k = number of studies, B 0 = intercept; B 1 = slope; z (B 1) = z statistic for B 1; CI = confidence interval.
p < .05.
p < .001.
Single‐moderator analyses—categorical moderators
|
|
| 95% CI |
|
|
| |
|---|---|---|---|---|---|---|
|
| ||||||
|
| ||||||
| Teacher/school counselor | 9 | 0.26 | [0.05, 0.47] | 22.59 | .014 | 65% |
| Researcher | 11 | 0.62 | [0.38, 0.86] | 20.25 | .000 | 51% |
|
| ||||||
| Enright story‐based | 9 | 0.27 | [0.04, 0.49] | 26.04 | .020 | 69% |
| Enright process model‐based | 9 | 0.66 | [0.40, 0.92] | 9.60 | .000 | 17% |
| REACH model‐based | 2 | 0.29 | [−0.14, 0.72] | 3.71 | .188 | 73% |
|
| ||||||
|
| ||||||
| 1–3 | 4 | 0.03 | [−0.25, 0.30] | 1.58 | .842 | 0% |
| 4–5 | 5 | 0.45 | [0.15, 0.75] | 11.50 | .003 | 65% |
| 6–8 | 8 | 0.58 | [0.37, 0.80] | 4.50 | .000 | 0% |
| 9–12 | 3 | 0.44 | [0.10, 0.78] | 10.02 | .011 | 80% |
|
| ||||||
| Disadvantaged | 11 | 0.34 | [0.13, 0.56] | 30.99 | .002 | 68% |
| Not disadvantaged | 9 | 0.48 | [0.26, 0.70] | 9.66 | .000 | 17% |
|
| ||||||
| Not stated | 5 | 0.49 | [0.22, 0.77] | 3.03 | .000 | 0% |
| Mild offense | 12 | 0.29 | [0.11, 0.47] | 29.57 | .001 | 63% |
| Severe offense | 3 | 1.21 | [0.65, 1.78] | 2.16 | .000 | 7% |
|
| ||||||
| East Asian | 5 | 0.65 | [0.36, 0.95] | 2.54 | .000 | 0% |
| European | 3 | 0.24 | [−0.10, 0.58] | 3.75 | .169 | 47% |
| Middle Eastern | 4 | 0.56 | [0.28, 0.83] | 3.91 | .000 | 23% |
| North American | 8 | 0.22 | [−0.02, 0.45] | 19.30 | .007 | 64% |
|
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|
| ||||||
| No‐Tx Control | 13 | 0.27 | [0.11, 0.43] | 25.77 | .001 | 53% |
| Placebo | 3 | 0.62 | [0.26, 0.99] | 1.80 | .001 | 0% |
| Alternative‐Tx Control | 4 | 0.98 | [0.57, 1.39] | 4.41 | .000 | 32% |
|
| ||||||
| Published | 17 | 0.43 | [0.25, 0.60] | 39.88 | .000 | 60% |
| Unpublished | 3 | 0.36 | [−0. 05, 0.78] | 5.55 | .087 | 64% |
Univariate analyses used a mixed model (studies random, levels of moderator variables fixed); k = number of studies, Hedges’ g = effect size; C.I. = confidence interval; Q = homogeneity test; I2 = percentage of variance in effect sizes that is attributable to systematic variation.
FIGURE 4(a) Standard funnel plot versus (b) significance funnel plot for data generated with publication bias and with right‐skewed population effect sizes. Effect sizes lying on the diagonal line have exactly p = .05. Grey dot: non‐affirmative; orange dot: affirmative; black diamond: pooled point estimates within all studies; gray diamond: pooled point estimates within only the studies with non‐affirmative results