THE EFFECTIVENESS OF CHILD-CENTERED PLAY THERAPY ON ANXIETY: A SYSTEMATIC LITERATURE REVIEW

Abstract

The purpose of this systematic literature review was to examine the effectiveness of Child-Centered Play Therapy (CCPT) on children's anxiety levels. Nine studies were identified across four databases (EBSCOhost, Scopus, Web of Science, and ScienceDirect), published in English between January 2000 and December 2022, and meeting the inclusion criteria. These studies explored the effectiveness of CCPT on children with a range of anxiety-related issues, including clinical anxiety problems, anxiety in earthquake victims, children benefiting from special education, children with Attention Deficit Hyperactivity Disorder (ADHD), social anxiety symptoms, children who are homeless, and those exposed to adverse childhood experiences. The children included in the studies ranged in age from 3 to 12 years old. The findings indicate that CCPT is effective in addressing general anxiety, physiological symptoms of anxiety, agoraphobia, separation anxiety, anxiety related to physical injury, social anxiety, and generalized anxiety disorder in children. Furthermore, the results suggest that CCPT can be a viable approach for reducing anxiety in children. However, the risk of bias assessment of the studies included in this review was mostly uncertain. This highlights the need for further systematic literature reviews or meta-analyses that incorporate studies with an increased risk of bias in order to provide more robust conclusions.

Keywords

• Child-centered Play Therapy
• anxiety
• systematic literature review
• randomized controlled trials

ÇOCUK MERKEZLİ OYUN TERAPİSİNİN KAYGI ÜZERİNDEKİ ETKİLİĞİ: BİR SİSTEMATİK LİTERATÜR TARAMASI

Öz

Bu sistematik literatür taramasının amacı Çocuk Merkezli Oyun Terapisinin (ÇMOT) çocukların kaygı düzeyleri üzerindeki etkinliğini incelemektir. Ocak 2000 ile Aralık 2022 arasında İngilizce olarak yayınlanan ve dahil etme kriterlerini karşılayan dört veri tabanında (EBSCOhost, Scopus, Web of Science ve ScienceDirect) dokuz çalışma belirlenmiştir. Bu araştırmalarda, ÇMOT’nin, klinik düzeyde kaygı sahip olan, depremzede, özel eğitim hizmetinden yararlanan, DEHB ve sosyal kaygı belirtileri gösteren, evsiz ve olumsuz çocukluk deneyimi geçiren çocuklar üzerinde etkililiği test edilmiştir Çalışmalara dahil edilen çocukların yaşları 3 ila 12 yaş arasında değişmektedir. Bulgular, ÇMOT 'nin çocuklarda genel kaygı, kaygının fizyolojik semptomları, agorafobi, ayrılık kaygısı, fiziksel yaralanmayla ilgili kaygı, sosyal kaygı ve yaygın kaygı bozukluğunun giderilmesinde etkili olduğunu göstermektedir. Ayrıca sonuçlar, ÇMOT 'nin çocuklarda kaygıyı azaltmak için geçerli bir yaklaşım olabileceğini göstermektedir. Ancak bu çalışmaya dahil edilen çalışmaların yanlılık riskinin çoğunlukla belirsiz olduğu görülmektedir. Bu, gelecekte yanlılık riskine karşı önlemlerin artırıldığı deneysel çalışmaları bütünleştiren sistematik literatür taramaları veya meta-analiz çalışmalarına ihtiyaç olduğunu göstermektedir.

Anahtar Kelimeler

• Çocuk Merkezli Oyun Terapisi
• kaygı
• sistematik literatür taraması
• randomize kontrollü çalışmalar

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