اثربخشی شن‌بازی درمانی بر کاهش نشانه‌های افسردگی کودکان در طبقه اجتماعی اقتصادی پایین.

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجو دکتری روانشناسی الزهراء(س)

2 دانشیار دانشگاه الزهرا(س)

3 استاد دانشگاه الزهراء(س)

4 استادیار دانشگاه الزهراء(س)

چکیده

چکیده پژوهش: هدف: این پژوهش با هدف بررسی کارایی شن‌بازی درمانی در کاهش نشانه‌های افسردگی کودکان طبقه پایین اجتماعی اقتصادی انجام شده است. روش: در این پژوهش از طرح تجربی تک موردی از نوع چندخط پایه استفاده شد. سه کودک هفت تا ده سال از طبقه پایین اجتماعی اقتصادی که دارای نشانه‌های افسردگی متوسط تا خفیف بودند با شیوه نمونه گیری هدفمند انتخاب شدند. پرسشنامه افسردگی کودکان (CDI)، مقیاس پنج سوالی افسردگی، پرسشنامه علام مرضی کودکان (CSI-4)، مقیاس خودپنداره کودکان (CSCS) برای آزمودنی ها به کار گرفته شد. شرکت کنندگان چهارده جلسه مداخله درمانی دریافت کردند و مرحله پیگیری نیز سه ماه پس از پایان درمان انجام شد. نتایج: نشان داد که شن‌بازی درمانی برای کاهش نشانه‌های افسردگی کودکان طبقه پایین اجتماعی اقتصادی موثر واقع شده است. نتیجه گیری: شن‌بازی درمانی برای کاهش نشانه‌های افسردگی کودکان از کارایی لازم برخوردار است. کلیدواژه ها: شن‌بازی درمانی، نشانه‌های افسردگی، طبقه اجتماعی اقتصادی

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

the effect of sandplay therapy on decreasing the depresssion symptoms in children in low social class.

نویسندگان [English]

  • Azar Nadi 1
  • Shokoohosadat Banijamali 2
  • Zohreh Khosravi 3
  • gholamreza dehshiri 4
1 alzahra
2
3
4
چکیده [English]

Abstract of research: Objective: The present study was carried out in order to examine the efficacy of sand play therapy in the treatment of children who have depressive symptoms in low socio-economic class. Method: Multiple baseline experimental single case study was used as the method of the present study. Three children of low socio–economic class with the mild to moderate depressive symptoms were selected via using purposeful sampling. Participants completed child depression inventory (CDI), Child symptom inventory (CSI-4), five questions scale of depression and children self-concept scale (CSCS). Treatment program was carried out for 14 sessions and twice a week, with a follow-up period of 3 months subsequent to treatment termination. Result: Results have showed that sand play therapy is significantly efficient on treatment's target. Conclusion:this research shows that sand play therapy has appropriate efficacy in the decline of children s depressive symptoms. Key words: sand play therapy- depressive symptoms- socio-economic class

کلیدواژه‌ها [English]

  • Key words: sand play therapy
  • depressive symptoms
  • socio-economic class
دهشیری، غلامرضا.، نجفی، محمود.، شیخی، منصوره و حبیبی عسکرآباد، مجتبی (1388). بررسی مقدماتی ویژگی‌های روانسنجی پرسشنامۀ افسردگی کودکان (CDI). مجله خانواده پژوهی، (2)5، 159-177.
بزمی، نعیمه و ترسی، مهرنوش (1391). اثر تکنیک‌های بازی‌درمانی در کاهش اضطراب و افزایش احساسات مثبت و سطح سازگاری عمومی در کودکان 9-12 سال مبتلا به سرطان خون. مجلۀ مطالعات روان‌شناختی، 8(4)، 107-130.
شکری، امید.، کدیور، پروین.، فرزاد، ولی الله.، سنگری، علی اکبر.، زین‌آبادی، حسن رضا و غنایی، معصومه (1385). نقش وضعیت اجتماعی-اقتصادی، رویکردهای یادگیری و سبک‌های تفکر بر پیشرفت تحصیلی دانشجویان: ارائه مدل‌های علی. مجلۀ مطالعات روان‌شناختی، 2(3)، 139-169.
علی پور، احمد و محمد اسماعیل، الهه (1383). بررسی اعتبار، روایی و تعیین نقاط برش پرسشنامه علائم مرضی کودکان (CSI-4) بر روی دانش‌آموزان 6-14 ساله مدارس ابتدایی و راهنمایی شهر تهران. تهران: پژوهشکدۀ کودکان استثنایی.
‏کرمی، ابوالفضل (1378). بررسی روایی و اعتبار پرسشنامه خودپنداره کودکان ‏اهلووالیا. ‏تهران: روان‌سنجی.‏
کمالی، علی (1379). جامعه‌شناسی نابرابری‌های اجتماعی. تهران: سمت.
نریمانی، محمد و آریان پور، سعید (1385). بررسی فشارزاهای روانی- اجتماعی و راهبردهای مقابله‌ای و رابطه آن با پیشرفت تحصیلی در دانش‌آموزان دختر. مجله مطالعات روان‌شناختی،2(3)، 39-56.
Abela, J., Payne, A.V (2003). A test of the integration of the hopelessness and self – esteem theories of depression in school children. Cognitive therapy and research, 27(5), 519-535.
Ahnquist, J., Wamala, M (2012). Social determinants of health: Interaction effects of socioeconomic factors on health outcomes. New York: Random House.
Alipoor, A., Mohamad Esmaiel, E (2004). Reliability, validity and determine cut-off points Child Symptom Inventory (CSI-4) on 6-14 year-old students in elementary and secondary schools in Tehran. Tehran: Exceptional Children Research Institute(Text in Persian).
‎Bazmi, N., Nersi, M (2011). The effect of play therapy techniques in reducing anxiety and increasing positive emotions and adjustment in children 9-12 years old with leukemia public. Journal of psychological study, ‎‎8 (4), 101-103(Text in Persian).‎
Birmaher, B., Williamson, D. E., Dahl, R. E (2004). Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence? J Am Acad Child Adolesc Psychiatry, 43(1), 63–70.
Boik, B.L., Goodwin, E. A (2000). Sand play therapy. New York: w. norton and company.
Carlson, G. A., Cantwell, D. P (1980). Unmasking masked depression from childhood through adulthood: Analysis of three studies. American Journal of Psychiatry, 145(1), 1222–1225.
Chen, Wu. P., Shin, T (2014). Academic achievement, self-concept and depression in Towanese children: Moderated / mediation effect. School psychology international - published online, 1-18.
 Cole, D. A., Carpenieri, S (1990). Social status and the co-morbidity of childhood depression and conduct disorder. Journal of consulting and clinical psychology, 58(6), 748- 757.
 Dc Domenico, G. S (1988). Sand tray world play: A. comprehensive guide to the use of sand tray play in therapeutic transformational settings. Vision Quest into Reality, 1946 Clemens Rd, Oakland, CA 94602.
 De Domenico, G. S. (1989). Experiential training level 1: Workbook DeDomenico,G. (1995). Sand tray world play: A comprehensive guide to the use of sand tray play in therapeutic transformational settings. Oakland, CA: Vision Ouest Images.
 Dehshiri, Gh. R., Najafi, M., Shikhi.M.,  Habibi, A (2009).Investigating Primary Psychometric Properties of Children's ‎Depression Inventory (CDI) ‎. Journal of Family Research, 5(2), 159-177(Text in Persian).
 Gadow, K.D., Sprafkin, J (1994). Child symptom interventories manual. Stony Brook, Ny: Checkmate Plus.
 Gadow, K.D., Sprafkin, J., Pierre, C (1997). A Test-Retest Reliability study of the child symptom inventory- norms manual. Stony Brook, Ny: Checkmate Plus.
 Hudson, C. G (2005). Socioeconomic status and mental Illness: Tests of the social causation and selection hypothesis. American journal of psychiatry, 75(1), 3-18.
 Hagnell, O., Lanke, J., Rorsman, B., Ojesjo, L (1982). Are we entering an age of melancholy? Depressive illnesses in a prospective epidemiological study over 25 years: the Lundby Study, Sweden. Psychol Med, 12(2), 279–89.
 Ingram, R. E., Hayes, A. Q., Scott, W (2000). Empirically supported treatment: A Critical analysis. In. C. R. Snyder & Q. R. E. Ingram (Eds.), Handbook of psychological change. New York: Wiley.
 Jang, M (2009). Child counceling. Seol: Tae-Young Publishing Company.
 Jang, M., Yun-hee, K (2012). The effect of group sand plays therapy on the social anxiety, lonliness and self - expression of migrant women in international marrieges in South Korea. The Art Psychotherapy, 39(1), 38-41.
 Judd, L. L., Akiskal, H. S., Zeller, P. J (2000). Psychosocial disability during the long-term course of unipolar major depressive disorder. Arch Gen Psychiatry, 57(4), 375–80.
 Kalff, D. M (1991). Introduction to Sand play Therapy. Journal of Sand play Therapy, 1(1), 9–15.
 Kalff, D. M (2003). Sand play: A psychotherapeutic approach to the psyche. USA: Temenos Press. (Original work published in 1980).
Kamali, A (2002). Sociology of social inequalities. Tehran: Samt Press(Text in Persian).
Karami, A (1999). Evaluate the validity and reliability of self-awareness Ahluwalia. Tehran: Psychometric(Text in Persian).
 Kerlinger, F. N (1986). Foundation of behavioral research. New York Holt, Rinehart and Winston.
 Kessler, R.C., Walters, E. E (1998). Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety, 7(1), 3–14.
 Kovacs, M (1985). The children’s depression inventory. Psychopharmacology Bulletin, 21(4), 995-998.
 Kovacs, M (1992). Manual for the children’s depression inventory. Multi health System, Norton Tonawanda, NJ.
 Kovacs, M., MHS Staff (2003). Children’s Depression Inventory (CDI): Technical Manual Update. North Tonawanda, NY: Multi-Health Systems Inc.
 Kovacs, M., Gatsonis, C (1994). Secular trends in age at onset of major depressive disorder in a clinical sample of children. J Psychiatric Research, 28(3), 319–29.
 Lewinsohn, P. M., Rohde, P., Seeley, J. R., Fischer, S. A (1993). Age-cohort changes in the lifetime occurrence of depression and other mental disorders. J Abnorm Psychol, 102(1), 110–20.
 Lowenfeld, M (1979). The world technique. London: George Allen & Unwi
 Luby, J. I (2010). Preschool depression: the importance of identification of depression early in development. Current direction in psychological science, 19 (2), 91-95.
 Melchior, M., Moffitt, T., Milen, B (2007). Why do children from socioeconomically disadvantaged families suffer from poor health when they reach adulthood? American journal of epidemiology, 166(8), 966-984.
 Mufson, L., Weissman, M. M., Moreau, D., Garfinkel, R (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Arch Gen Psychiatry, 56(6), 573–79.
Narimani, M., Aryanpoor, S (2006). Check psychosocial stressors and coping strategies and its relationship to academic achievement among female students. Journal of Psychological Studies, 2 (3), 39-56(Text in Persian).
 Orth, U., Robins, R. W., Trzesniewski, K. H., Maes, J., Schmitt, M (2009). Low self – esteem is a risk factor for depressive symptoms from young adulthood to old age. Journal of abnormal psychology, 118(3), 472-478.
 Orth, u., Robins, R.W., Roberts, B.W (2008). Low self-esteem prospectively predicts depression in adolescent and young adulthood. Journal of personality and social psychology, 95(3), 695-708.
 Puig-Antich, J., Kaufman, J., Ryan, N. D (1993). The psychosocial functioning and family environment of depressed adolescents. J Am Acad Child Adolesc Psychiatry, 32(2), 244–53.
 Puig-Antich, J., Lukens, E.,Davies, M., Goetz, D., Brennan-Quattrock, J., Todak, G (1985). Psychosocial functioning inprepubertal major depressive disorders I: interpersonal relationships during the depressive episode. Arch Gen Psychiatry, 42(5), 500–07.
 Rao, U., Ryan, N.D., Birmaher, B (1995). Unipolar depression in adolescents: clinical outcome in adulthood. J Am Acad Child Adolesc Psychiatry, 34(5), 566–78.
Ryan, N.D., Williamson, D. E., Iyengar, S (1992). A secular increase in child and adolescent onset affective disorder. J Am ChildAdolesc Psychiatry, 31(4), 600–05.
Schoon, I., Sacker, A., Bartley, M (2003). Socio-economic adversity and psychological adjustment: A developmental-contextual perspective. Social science & medicine, 57(8),1001-1015.
Scruggs, T. E., Mastropieri, M. A (1998). Summarizing single-subject research: Issues and implications. Behavior Modification, 22(3), 221-242.
Shokri, O., Kadivar, P., Farzad, V. A., Sangari, A. A., Zeinabadi, H. ‎R., ‎Ghanaie, M (2006). The role of socioeconomic status approaches ‎to ‎learning and thinking styles on educational achievement: provide ‎causal ‎models. Journal of Psychological Studies, 2 (3), 139-169.‎
Sue, D. L (2011). Single-case study of sand tray therapy of Depressive symptoms in early adolescence. PhD dissertation. George Washington University.
Sweeney, D. S., Homeyer, L. E (1998). Sand tray: A practical manual. Canyon Lake, TX: Lindan Press.
Stephen, B., Richard, S., Ronald, T (2013). Single subject research: Application in Educational and clinical settings. Cengage Learning‏ ‏Publish.‎
Taylor, K., Page, A., Morrell, S., Harrison. Carter, G (2005). Mental health and socio-economic variations in Australian suicide. Social science & medicine, 61(7), 1551-1559.
Thastum, M (2005). The children’s depression inventory and classification of major depressive disorder: Validity and reliability of the Danish version. European Child and Adolescent Psychiatry, 14(6), 328 – 334.
Vitiello, B., Swedo, S (2004). Antidepressant medications in children. New England Journal of Medicine, 350, 1489-1491.
Wess, B., Weisz, J. R., Politano, M., Carey, M., Nelson, W. M., Finch, A. J (1991). Developmental differences in the factor structure of the children’s depression Inventory. Psychological Assessment, 3(1), 38-45.
Weisz, J., Mccarty, C., Valeries, S (2006). Effects of psychotherapy for depression in children and adolescents. Ameta- analysis. Psychological Bulletin, 132(1),132-149.
Whittington, C. J., Kendall, T., Fonagy, P., Cottress, D., Cotgrove, A., Boddington, E (2004). Selective serotonin reuptake inhibitors in childhood depression: Systematic review of published vs. unpublished data. Lancet, 363(9418), 1341-1345
Ye-seul, Y (2014). The Effects of Sand play Therapy on the Behavioral Problems, Self-esteem, and Emotional Intelligence of Children in Grandparents-grandchildren Families in Rural Korean Areas. J Sym & San Therapy, 5(1), 7-13.
Zeigler, M., Hill, V (2011). The connections between self – esteem and psychopathology. Journal of contemporary psychotherapy, 41(3), 157-164.
Zhang, R (2006). Sand play therapy. Beijing: People’s Education Press.