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Group Play Therapy for Young Children Exposed to Major Stressors: Comparison of Quantitative and Qualitative Evaluation Methods

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Journal of Child and Adolescent Group Therapy

Abstract

Examined the outcome of a 16-week play group therapy intervention for six highly stressed preschool-aged children compared to a preschool-aged control group. The focus of the group was to help the children build social skills, learn to express emotions appropriately, increase understanding of stress events, and learn new coping skills. The results indicated a significant increase in anxious and externalizing behaviors during the course of the intervention for the treatment group subjects compared to controls. Furthermore, group treatment subjects also indicated a significant increase in social skills during the group intervention. However, there were no significant differences on the psycho-social measure from pre-test to post-test. Despite the lack of differences on quantitative measures of children's functioning, parent report on a qualitative measure indicated improvement in children's psycho-social functioning at the end of treatment. Implications of the play therapy group approach for children exposed to major stressors are discussed.

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REFERENCES

  • Abbott, K. (1990). Therapeutic use of play in the psychological preparation of preschool children undergoing cardiac surgery. Issues in Comprehensive Pediatric Nursing, 13, 265-277.

    Google Scholar 

  • Achenbach, T. (1991). Manual for the child behavior checklist and revised behavior profile. Burlington, VT: Author.

  • Boulanger, M. D., & Langevin, C. (1992). Direct observation of play-group therapy for social skills deficits. Journal of Child and Adolescent Group Therapy, 2, 227-236

    Google Scholar 

  • Brady, G. (1991). A group-work approach for sexually abused preschoolers. Special issue: Psychodrama and group work with children. Journal of Group Psychotherapy, Psychodrama, and Sociometry, 43, 174-183.

    Google Scholar 

  • Brand, A. H., & Johnson, J. H. (1982). Note on the reliability of the Life Events Checklist. Psychological Reports, 50, 1274.

    Google Scholar 

  • Champion, J. (1992). Working with vulnerable young children. London: Cassell.

    Google Scholar 

  • Corder, B., Haizlip, T., & DeBoer, P. (1990). A pilot study for a structured, time-limited therapy group for sexually abused pre-adolescent children. Child Abuse and Neglect: The International Journal, 14, 243-251.

    Google Scholar 

  • DelPo, E., & Frick, S. (1989). Directed and nondirected play as therapeutic modalities. Children's Health Care, 16, 261-267.

    Google Scholar 

  • Dubow, E. F., Edwards, S., & Ippolito, M. F. (1997). Life stressors, neighborhood disadvantage, and resources: A focus on inner-city children's adjustment. Journal of Clinical Child Psychology, 26, 130-144.

    Google Scholar 

  • Fatout, M. (1993). Physically abused children: Activity as a therapeutic medium. Social Work with Groups, 16, 83-96.

    Google Scholar 

  • Federation, S. (1986). Sexual abuse: Treatment modalities for the younger child. Journal of Psychosocial Nursing and Mental Health Services, 24, 21-24.

    Google Scholar 

  • Gad, M. T., & Johnson, J. H. (1980). Correlates of adolescent life stress as related to race, SES, and levels of perceived social support. Journal of Clinical Child Psychology, 9, 13-16.

    Google Scholar 

  • Garmezy, N., & Masten, A. (1994). Chronic adversities. In M. Rutter, L. Hersov. & E. Taylor (Eds.), Child and Adolescent Psychiatry (3rd ed., pp. 191-208). New York: McGraw-Hill.

    Google Scholar 

  • Greene, J. W., Walker, L. S., Hickson, G., & Thompson, J. (1985). Stressful life events and somatic complaints in adolescents. Pediatrics, 75, 19-22.

    Google Scholar 

  • Greenberg, M. T., Siegel, J. M., & Leitch, C. J. (1983). The nature and importance of attachment relationships to parents and peers during adolescence. Journal of Youth and Adolescence, 12, 373-386.

    Google Scholar 

  • Griffith, M. (1997). Empowering techniques of play therapy: A method for working with sexually abused children. Journal of Mental Health Counseling, 19, 130-140.

    Google Scholar 

  • Hall-Marley, S. E., & Damon, L. (1993). Impact of structured group therapy on young victims of sexual abuse. Journal of Child and Adolescent Group Therapy, 3, 41-48.

    Google Scholar 

  • Hoag, M. J., & Burlingame, G. M. (1997). Evaluating the effectiveness of child and adolescent group treatment: A meta-analytic review. Journal of Clinical Child Psychology, 26, 234-246.

    Google Scholar 

  • Johnson, J., & McCutcheon, S. (1980). Assessing life stress in older children and adolescents: Preliminary findings with the Life Events Checklist. In G. Sarason & C. Spielberger (Eds.), Stress and anxiety. Washington, DC: Hemisphere.

    Google Scholar 

  • Kazdin, A. E. (1993). Evaluation in clinical practice: Clinically sensitive and systematic methods of treatment delivery. Behavior Therapy, 24, 11-45.

    Google Scholar 

  • Kazdin, A. E. (1995). Child, parent, and family dysfunction as predictors of outcome in cognitive-behavioral treatment of antisocial children. Behaviour Research and Therapy, 33, 271-281.

    Google Scholar 

  • Kazdin, A. E. (1997). A model for developing effective treatments: Progression and interplay of therapy, research, and practice. Journal of Clinical Child Psychology, 26, 114-129.

    Google Scholar 

  • Kelly, M. M. (1995). Play therapy with sexually traumatized children: Factors that promote healing. Journal of Child Sexual Abuse, 4, 1-11.

    Google Scholar 

  • Kim, Y., Lombardino, L., Rothman, H., & Vinson, B. (1989). Effects of symbolic play intervention with children who have mental retardation. Mental Retardation, 27, 159-165.

    Google Scholar 

  • Kolko, D. (1998). Integration of research and treatment. In J. Lutzker (Ed.), Handbook of child abuse research and treatment (pp. 159-181). New York: Plenum.

    Google Scholar 

  • Landreth, G. (1992). Play therapy: The art of the relationship. Muncie: Accelerated Development.

    Google Scholar 

  • Lilly, L., & Powell, N. (1990). Measuring the effects of neurodevelopmental treatment on the daily living skills of two children with cerebral palsy. American Journal of Occupational Therapy, 44, 139-145.

    Google Scholar 

  • Luthar, S., Doernberger, C. H., & Zigler, E. (1993). Resilience is not a unidimensional construct: Insights from a prospective study of inner-city adolescents. Development and Psychopathology, 5, 703-717.

    Google Scholar 

  • Miller, C., & Boe, J. (1990). Tears into diamonds: Transformations of child psychic trauma through sandplay and storytelling. Arts in Psychotherapy, 17, 247-257.

    Google Scholar 

  • Mitchum, N. (1987). Developmental play therapy: A treatment approach for child victims of sexual molestation. Journal of Counseling and Development, 65, 320-321.

    Google Scholar 

  • Parker, G. R., Cowen, E., Work, W. C., & Wyman, P. A. (1990). Test correlates of stress resilience among urban school children. Journal of Primary Prevention, 11, 19-35.

    Google Scholar 

  • Phillips, R. (1985). Whistling in the dark?: A review of play therapy research. Psychotherapy, 22, 752-760.

    Google Scholar 

  • Pryor-Brown, L., Cowen, E. L., Hightower, A. D., & Lofyczewski, B. S. (1986). Demographic differences among children in judging specific stressful life events. The Journal of Special Education, 20, 339-345.

    Google Scholar 

  • Rae, E., Worchel, F., Upchurch, J., Sanner, J., & Daniel, C. (1989). The psychosocial impact of play on hospitalized children. Journal of Pediatric Psychology, 14, 617-627.

    Google Scholar 

  • Reams, R., & Friedrich, W. (1994). The efficacy of time-limited play therapy with maltreated preschoolers. Journal of Clinical Psychology, 50, 889-899.

    Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (1992). Behavior Assessment System for Children Manual. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Saucier, B. L. (1989). The effects of play therapy on developmental achievement levels of abused children. Pediatric Nursing, 15, 27-30.

    Google Scholar 

  • Trounsen-Chaiken, D. (1996). From chaos to cohesion: Group therapy with preschool children. Journal of Child and Adolescent Group Therapy, 6, 3-25.

    Google Scholar 

  • Werner, E.E. (1989). High-risk children in young adulthood: A longitudinal study from birth to 32 years. American Journal of Orthopsychiatry, 59, 72-81.

    Google Scholar 

  • Werner, E. E., & Smith, R. S. (1982). Vulnerable but invincible: A study of resilient children. New York: McGraw-Hill.

    Google Scholar 

  • Wertlieb, D., Weigel, C., & Feldstein, M. (1987). Stress, social support, and behavior symptoms in middle childhood. Journal of Clinical Child Psychology, 16, 204-211.

    Google Scholar 

  • Wyman, P. A., Cowen, E., Work, G. R., & Parker, G. W. (1991). Developmental and family milieu correlates of resilience in urban children who have experienced major life stress. American Journal of Community Psychology, 19, 405-426.

    Google Scholar 

  • Wyman, P. A., Cowen, E., Work, W. C., Raoof, A., Gribble, P. A., Parker, G. R., & Wannon, M. (1992). Interviews with children who experienced major life stress: Family and child attributes that predict resilient outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 904-910.

    Google Scholar 

  • Yalom, I. (1985). The theory and practice of group psychotherapy (3rd ed., pp. 283-285). New York: Basic books.

    Google Scholar 

  • Zill, N. (1983). Happy, healthy, and insecure. New York, NY: Doubleday.

    Google Scholar 

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Jackson, Y., Rump, B.S., Ferguson, K. et al. Group Play Therapy for Young Children Exposed to Major Stressors: Comparison of Quantitative and Qualitative Evaluation Methods. Journal of Child and Adolescent Group Therapy 9, 3–16 (1999). https://doi.org/10.1023/A:1022996520727

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  • DOI: https://doi.org/10.1023/A:1022996520727

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