Effect of Play Therapy on Behavioral Problems of Maladjusted Preschool Children
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Abstract
Objective: The present research was conducted to study the effect of play therapy on reducing behavioral problems of children with oppositional defiant disorder.
Method: Using multistage cluster sampling, regions 6, 7, and 8 in Tehran were selected. Among kindergartens of these areas, 3 kindergartens which were supported by the welfare organization were randomly selected. Of all the pre-school children of these 3 kindergartens, 40 children who could have behavioral disorder, according to their teachers and parents, were carefully tested. Of them, 16 children who showed severe symptoms of oppositional defiant disorder, were selected via the results obtained from the child symptom inventory questionnaire (CSI-4), teacher's form, and a researcher-made self-control checklist, Then, the subjects were randomly divided into one control and one experimental group. This research is quasi-experimental, and is conducted using pre-test, post-test, and control group.
Results: Values of the calculated F for oppositional defiant disorder in control group and experimental group was meaningful after fixing the effect of pre-test (P<0/001). Therefore, a meaningful difference existed between the means of post-test scores of disobedience disorder in the experimental and control groups through the fixed effect of the pre-test effect. Comparison of adjusted means of the 2 groups showed that the mean of attention-deficit hyperactivity disorder (ADHD) in experimental group was lower than control group. Therefore, applying play therapy reduced severity of ADHD in those children in experimental group compared to those in control group who did not receive such instructions.
Conclusion: Results of this research demonstrates that children's disobedience can be reduced by play therapy.
Ray D, Muro J, Schumann B. Implementing play therapy in the schools: Lessons learned. International Journal of Play Therapy 2004; 13: 79-100.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR, 4th ed.Washington, DC: American Psychiatric Pub; 2000.
Li S, Yu B, Lin Z, Jiang S, He J, Kang L, et al. Randomized-controlled study of treating attention deficit hyperactivity disorder of preschool children with combined electro-acupuncture and behavior therapy. Complement Ther Med 2010; 18: 175-183.
Vygotsky LS. Play and its role in the mental development of the child. In: Bruner JS, Jolly A, Sylva K, eds. Play: Its role in development and evolution. New York: Basic Books; 1976.
Wilson K, Ryan V. Play therapy with emotionally damaged adolescents. Emotional and Behavioural Difficulties 2002; 7: 178-192.
Trawick-Smith J, Dziurgot T. ‘Good-fit’ teacher–child play interactions and the subsequent autonomous play of preschool children. Early Childhood Res Q 2011; 26: 110-123.
Chen Y, Kimelman MD, Micco K. Investigation of habitual pitch during free play activities for preschool-aged children. Int J Pediatr Otorhinolaryngol 2009; 73: 73-80.
Bennett N, Wood E, Rogers S. (1997). Teaching through play: teacher’s thinking and classroom practice. Buckingham, UK: Open University Press; 1997.
Girolametto L, Hoaken L, Weitzman E. Patterns of adult–child linguistic interactions in integrated day care groups. Lang Speech Hear Serv Sch 2000; 31: 155–168.
Axline VM. Play therapy. New York: Ballantine Books; 1947.
Malek-Pour M. Techniques of creation and changing children behavior, 3th ed. Isfahan: Maulana publication; 2004.
Nelson-Gray RO, Keane SP, Hurst RM, Mitchell JT, Warburton JB, Chok JT, et al. A modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings. Behav Res Ther 2006; 44: 1811-1820.
Webster-Stratton C, Hammond M. Treating children with early-onset conduct problems: a comparison of child and parent training interventions. J Consult Clin Psychol 1997; 65: 93-109.
Chen Y, Kimelman MD, Micco K. Investigation of habitual pitch during free play activities for preschool-aged children. Int J Pediatr Otorhinolaryngol 2009; 73: 73-80.
Boulanger MD, Langevin C. Direct observation of play group therapy for social skills deficits. Journal of child and adolescent group therapy 1992; 2: 227-236.
Ray D, Bratton S, Rhine T, Jones L. The effectiveness of play therapy: responding to the critics. International journal of play therapy 2001; 10: 85-108.
Daly CM, Grieger T. Mary, a 4-year-old with oppositional defiant disorder. Mil Med 2002; 167: 442-444.
Hood KK, Eyberg SM. Outcomes of parent-child interaction therapy: mothers' reports of maintenance three to six years after treatment. J Clin Child Adolesc Psychol 2003; 32: 419-429.
Lavigne JV, Lebailly SA, Gouze KR, Cicchetti C, Pochyly J, Arend R, et al. Treating oppositional defiant disorder in primary care: a comparison of three models. J Pediatr Psychol 2008; 33: 449-461.
Larsson B, Fossum S, Clifford G, Drugli MB, Handegard BH, Morch WT. Treatment of oppositional defiant and conduct problems in young Norwegian children: results of a randomized controlled trial. Eur Child Adolesc Psychiatry 2009; 18: 42-52.
Jager J, Ryan V. Evaluating clinical practice: using play-based techniques to elicit children's views of therapy. Clin Child Psychol Psychiatry 2007; 12: 437-450.
Ahmadi M. Effectiveness of play therapy on school children’s aggression, MA Thesis. Tehran: Tarbiat Moddares University; 1995.
Baedi Z. Investigating effectiveness of cognitive-behavioral play therapy on reduction of aggression in children with conduct disorder, MA thesis. Tehran: Allameh Tabatabaie University; 2001.
Ashrafi-Pour Z. The effect of group story therapy in reducing oppositional-defiant disorder in children, MA thesis. Tehran: Shahid Beheshty University; 2007.
Yousefi-Louyeh M. The Effect of story therapy in reducing emotional problems in anxious children, MA thesis. Tehran: Islamic Azad University, Central branch; 2007.
Alizadeh M. The Effect of play therapy to reduce aggression in children, MA Thesis. Tehran: Islamic Azad University, Central branch; 2008.
Mohammad-Esmaeil E. Investigating of reliability, validity, and determine cut off points in disorders of children symptom inventory (CSI-4) on 6-14 year old elementary and guidance school students in Tehran city. Research Institute of the Exceptional; 2004.
Ryan V, Needham C. Non-directive play therapy with children experiencing psychic trauma. Clin Child Psychol Psychiatry 2001; 6: 437-453.
| Files | ||
| Issue | Vol 6 No 1 (2011) | |
| Section | Articles | |
| Keywords | ||
| Attention deficit and disruptive behavior disorder Play therapy child | ||
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