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ﻪﻠﺠﻣ يرﺎﺘﻓر مﻮﻠﻋ

هرود 3 هرﺎﻤﺷ ، 4 ، ﻣز نﺎﺘﺴ 1388

Vol. 3, No. 4, Winter 2009

تﺎﺤﻔﺻ : 264 -257

Pages: 257-264

يزﺎﺑ ﺮﻴﺛﺎﺗ

كدﻮﻛ يﺮﮕﻧﺎﻣرد

ﺶﻫﺎﻛ ﺮﺑ رﻮﺤﻣ

ﻲﻧوﺮﺑ تﻼﻜﺸﻣ

يزﺎﺳ

نﺎﻛدﻮﻛ هﺪﺷ

Effectiveness of child-centered play therapy

on children's externalizing problems reduction

ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ :

11 / 9 / 87 شﺮﻳﺬﭘ ﺦﻳرﺎﺗ

: 28 / 7 / 88

Dadsetan P. PhD, Bayat M. MSc, Asgari A. PhD

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Abstract

Introduction: The effectiveness of child-centered play therapy on decreasing the symptoms of externalizing disorders in preschool children was investigated in this study.

Method: Out of 120 preschool children, 10 children who had received the highest scores in externalizing scale in child behavior checklist (CBCL) were selected as the sample group. Teachers filled out the teacher report form (TRF) for each child. Members of sample group received 16 play therapy sessions in two member groups for eight weeks. Mothers completed CBCL forms after forth, eighth, twelfth and sixteenth sessions. At the end, teachers completed the TRF again.

Results: Repeated measures analysis revealed a significant decrease in overall externalizing and aggressive behaviors scores. Comparing means of TRF scores in pre-test and post-test indicated a significant decrease in externalizing behaviors in the kindergarten. Means differences of first and second post-test as well as third and forth post-test scores were significant in externalizing scale and both aggressive behaviors and breaking rules subscales.

Conclusion: Child-centered play therapy is an effective therapy for externalizing problems and this effect is more obvious for aggressive behaviors. Additionally, most remedy is occurred between first sessions and last sessions and the process was not salient in middle sessions.

Keywords: Externalizing Problems, Aggressive Behaviors, Breaking Rules, Child-Centered Play

Therapy, Preschool Children

ﭘ هﺎﮕﺸﻧاد ،ﻦﻛ ﺪﺣاو ﻴ

مﺎ ناﺮﻳا ،ناﺮﻬﺗ ،رﻮﻧ

1 ﻣﻼﺳا دازآ هﺎﮕﺸﻧاد ،بﻮﻨﺟ ناﺮﻬﺗ ﺪﺣاو ﻲ

ناﺮﻳا ،ناﺮﻬﺗ ،

2 ﺎﻨﺜﺘﺳا نﺎﻛدﻮﻛ هوﺮﮔ ﻲﻳ

ناور هﺪﻜﺸﻧاد ، ﺳﺎﻨﺷ

ﻲ ﺑﺮﺗ مﻮﻠﻋ و ﻴﺘ ﻲ ناﺮﻳا ،ناﺮﻬﺗ ،ناﺮﻬﺗ هﺎﮕﺸﻧاد ، Corresponding Author:Kan Branch,

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1- Achenbach TM, Rescorla LA. ASEBA school age forms profiles. Burlington: University of Vermont; 2001. 2- Maughan DR, Christiansen E, Jenson WR, Olympia D, Clark E. Behavioral parent training as a treatment for externalizing behaviors and disruptive behavior disorders: A meta analysis. School Psych Rev. 2005;34(30):267-86. 3- Liu J. Childhood externalizing behavior: Theory and implications. J Child Adolesc Psychiatr Nurs. 2004;17(3):93-100.

4- Masi G, Toni C, Perugi G, Travierso MC, Millepiedi S, Mucci M, Akiskal HS. Externalizing disorders in consecutively referred children and adolescents with bipolar disorder. Compr Psychiatry. 2003;44(3):184-9. 5- Keil V, Price JM. Externalizing behavior disorders in child welfare settings: Definition, prevalence and implications for assessment and treatment. Child Youth

Serv Rev. 2006;28(7):761-79.

6- Hinshaw SP. Process, mechanism and explanation related to externalizing behavior in developmental psychopathology. J Abnorm Child Psychol. 2002;30(5):431-58.

7- Oland A. The development of pure cooccurring externalizing and internalizing symptomatology in children [dissertation]. Pittsburg: University of Pittsburg; 2002.

8- Gilliom M, Shaw DS. Co-development of externalizing and internalizing problems in early childhood. Dev Psychopathol. 2004;16:313-34.

9- Young E, Fitzgerald HE, Von Eye A, Puttler LI, Zucker RA. Temperamental characteristics as predictors of externalizing and internalizing child behavior problems in the contexts of high and low parental psychopathology. Infant Ment Health J. 2001;22(3):393-415.

10- Stormont M. Externalizing behavior problems in young children: Contributing factors and early intervention. Psychol Sch. 2002;39(2):127-38.

11- Wicks-Nelson R, Israel AC. Behavior disorders of childhood. 5th ed. New Jersey: Pearson Education; 2003. 12- Atkins MS, McKay MM. DSM-IV diagnosis of conduct disorder and oppositional defiant disorder: Implications and guidelines for school mental health teams. School Psych Rev. 1996;25(3):274-84.

13- Arnold DH, Brown SA, Meagher S, Baker CN, Dobbs J, Doctoroff GL. Preschool based programs for externalizing problems. Educ Treat Children. 2006;29(2):311-39.

14- Farmer EMZ, Compton SN, Burns BJ, Robertson E. Review of the evidence base for treatment of childhood psychopathology: Externalizing disorders. J Consult Clin Psychol. 2002;70(6):1267-1302.

15- BrattonSC, Ray D, Rhine T, Jones L. The Efficacy of play therapy with children: A meta-analytic review of treatment outcomes. Prof Psychol Res. 2005;36(4):376-90. 16- Watson DL. An early intervention approach for students displaying negative externalizing behaviors associated with childhood depression: A study of the efficacy of play therapy in the school [dissertation]. Minnesota: Capella University; 2007.

17- Rennie RL. A comparison study of the effectiveness of individual and group play therapy in treating kindergarten children with adjustment problems [dissertation]. Denton: University of North Texas; 2000.

18- Hinshaw SP. Process, mechanism and explanation related to externalizing behavior in developmental psychopathology. J Abnorm Child Psychol. 2002;30(5):431-58.

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21- Youngstrom E, Youngstrom JK, Starr M. Bipolar diagnoses in community mental health: Achenbach child behavior checklist profiles and patterns of comorbidity. Biol Psychiatry. 2005;58(7):569-75.

22- Sweeney DS, Landreth GL. Child-centered play therapy. In: Schaefer CE, editor. Foundation of play therapy. Hoboken: John Wiley and Sons; 2003.

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experiencing externalizing and internalizing behavior problems: A preliminary study [dissertation]. Denton: University of North Texas; 2004.

24- Brestan E, Eyberg S. Effective psychosocial treatments of conduct disordered children and adolescents: 29 years, 82 studies and 5,272 kids. J Clin Child Psychol.

1998;27:180-9.

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References

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