沙盘游戏疗法在脑瘫儿童心理康复中的应用

目的 探讨沙盘游戏治疗脑瘫儿童心理问题的疗效.方法 采用随机对照研究方法,选取在儿童医院康复中心诊断为脑瘫的3～5岁儿童,以皮勃迪图片词汇测试(peabody picture vocabulary test,PPVT)排除精神发育迟滞儿童,最终选取20例脑瘫儿童为研究对象.将这些儿童采用区组随机法分为试验组(10例...

Effects of sandplay therapy in psychological rehabilitation for children with cerebral palsy

Objective To determine the therapeutic effects of sandplay therapy to solve psychological problems in cerebral palsy children.Methods A randomized control study was implemented in our center during September 2010 to January 2011.Children with mental retardation were excluded through Peabody Picture Vocabulary Test(PPVT),and finally 20 identified cerebral palsy patients at age of 3 to 5 were enrolled in this study.These children were randomly divided into the experimental group(n=10) and the control group(n=10).Another 20 matched normal children served as normal control.The experimental group underwent a 12-week sandplay treatment and simultaneously accepted the routine rehabilitation training.While the control group only accepted the routine rehabilitation treatment.The comparison and assessment of the treatment effects were carried out before and after the trial respectively.The Conners Parent Symptom Questionnaire(PSQ) was used as a measurement tool during the process.The semi-structured interview for their parents was also conducted separately before and after treatment.Results After the sandplay treatment,children’s behavioral problems,learning problems,impulsivity and hyperactivity,anxiety,and hyperactivity index scores in the experimental group were obviously lower than before the treatment(P<0.05).In the experimental group,the behavioral problems,learning problems,impulsivity and hyperactivity,anxiety,and hyperactivity index scores were obviously lower than in the control group after the treatment(P<0.05).The comparisons of the semi-structured interviews for parents were significantly improved in the experimental group.Conclusion Sandplay therapy effectively solve the psychological problems in the cerebral palsy children,exerting positive effects for psychological rehabilitation of cerebral palsy children.