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团体游戏治疗改善哮喘儿童心理应对能力的研究

王倩 张际 梅其霞 黄英 刘玉琳 袁小平 胡平

解放军医学杂志2012,Vol.37Issue(8):793-799,7.
解放军医学杂志2012,Vol.37Issue(8):793-799,7.

团体游戏治疗改善哮喘儿童心理应对能力的研究

Group play therapy for improving mental coping ability in children with asthma

王倩 1张际 1梅其霞 2黄英 1刘玉琳 1袁小平 1胡平1

作者信息

  • 1. 400014 重庆 重庆医科大学附属儿童医院呼吸科,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆市儿童发育重大疾病诊治与预防国际科技合作基地
  • 2. 400014 重庆 重庆医科大学附属儿童医院心理科
  • 折叠

摘要

Abstract

Objective To explore the role of group play therapy in the improvement of mental coping ability in children with asthma. Methods Forty-four asthmatic children with behavior problems were randomly divided into experimental group (n-25) and control group (n=19). All children received two tests- The tools in this research were Achenbach Child Behavior Checklist (CBCL) and Coping with a Disease Questionnaire (CODI). Before intervention, both groups received pretest. Members from the experimental group were provided with counseling for 3 months, once every two weeks for a total of 6 times, while during this period the members of the control group had not any experimental intervention, After intervention, the two groups received posttest. Five patients dropped out, and 39 went through this research (20 in experimental group and 19 in control group). The effects of group play therapy on behavior problems and coping strategy of children with asthma were evaluated. Results There was no statistically significant differences in the general information (age, sex, education, parents1 marriage status and family structure) and basic score of CBCL and CODI between the two groups (P>0.05). After intervention, the scores of social problems, social withdrawal, depression, compulsive behavior, aggressive behavior and immature and total behavior problem score dropped significantly in experimental group (P<0.05) while there were no significant changes in control group. And the scores of acceptance, avoidance and emotional reaction increased significantly in experimental group (P<0.05) while there were no significant changes in control group. Conclusions Group play therapy can improve the children's confidence and interpersonal adaptability and emotion management capacity, thus correcting deviant behavior, ameliorate coping strategy, improving mental coping capability, and promote the development of mental health in children with asthma.

关键词

哮喘/儿童/适应,心理学/游戏疗法/咨询

Key words

asthma/ child/ adaptation, psychological/ play therapy/ counseling

分类

医药卫生

引用本文复制引用

王倩,张际,梅其霞,黄英,刘玉琳,袁小平,胡平..团体游戏治疗改善哮喘儿童心理应对能力的研究[J].解放军医学杂志,2012,37(8):793-799,7.

基金项目

重庆市卫生局资助项目(2008-2-133) (2008-2-133)

国家“十一五”科技支撑计划(2007BAI24B05) (2007BAI24B05)

解放军医学杂志

OA北大核心CSCDCSTPCD

0577-7402

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