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Gepubliceerd in:

11-01-2022 | Original Paper

Child-Centered Play Therapy and Childhood Depression: An Effectiveness Study in Schools

Auteurs: Elizabeth E. Burgin, Dee C. Ray

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2022

Abstract

Depression in childhood is a significant mental health concern, impacting cognitive, affective, social, behavioral, and physical domains. Children who experience depressive symptoms are at an increased risk for physical and mental health, social, and behavioral problems throughout adulthood. Children who are marginalized due to their socioeconomic status, racial and ethnic identities are at an increased risk to experience depression and limited access to mental health care. Further, previous research has demonstrated limited efficacy of depression treatments for young children. This study is an examination of the efficacy of child-centered play therapy [CCPT], a culturally and developmentally responsive treatment, on depression among young children. Participants were 71 children from five Title 1 elementary schools in the southwestern U.S. referred by school personnel for depressive symptoms (49 males, 22 females; ages 5–9, mean age M = 6.21). The sample consisted of 14 (19.7%) African American, three (4.2%) Asian American, 15 (21.1%) biracial, 19 (26.8%) Caucasian, and 20 (28.2%) Latino children. Participants were randomly assigned to eight weeks of twice-weekly CCPT experimental groups (n = 34) or a waitlist control group (n = 37). Results of doubly multivariate repeated-measures MANOVA revealed statistically significant improvement in depressive symptoms for children who participated in CCPT on the Mood and Feelings Questionnaire Parent and Direct Observation Form [DOF] Sluggish Cognitive Tempo Scale. Repeated measures ANOVA on DOF Total Problems indicated that children in CCPT statistically significantly decreased their demonstration of overall problem behaviors as rated by blind observers. Results of this study support the effectiveness of CCPT with young children of diverse ethnocultural and socioeconomic background.

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Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles: Child Behavior Checklist for ages 6-18, Teacher Report From, Youth Self Report: An integrated system of multi-informant assessment. Burlington, VT: ASEBA.

American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders: DSM-III (3^rd ed.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-V (5^th ed.). Arlington, VA: Author.

Angold, A., Costello, E., Pickles, A., Winder, F., & Silver, D. (1987). The development of a questionnaire for use in epidemiological studies of depression in children and adolescents. Unpublished manuscript.

Angold, A., Costello, E. J., Messer, S. C., & Pickles, A. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237–249.

Arora, P. G., Baker, C. N., Krumholz Marchette, L., & Stark, K. D. (2017). Components analyses of a school-based cognitive behavioral treatment for youth depression. Journal of Clinical Child & Adolescent Psychology, 48(sup1), S180–S193. https://doi.org/10.1080/15374416/2017/1280800.CrossRef

Axline, V. (1947). Play Therapy. New York, NY: Ballantine.

Baji, I., Lopez-Duran, N. L., & Kovacs, M., et al. (2009). Age and sex analyses of somatic complaints and symptom presentation of childhood depression in a Hungarian clinical sample. Journal of Clinical Psychiatry, 70(10), 1467–1472.CrossRef

Baggerly, J. (2004). The effects of child-centered group play therapy on self-concept, depression, and anxiety of children who are homeless. International Journal of Play Therapy, 13(2), 31–51.CrossRef

Barkley, R., (2018). A review of research on SCT. In Barkley Sluggish Cognitive Tempo Scale—Children and Adolescents (BSCTS-CA) (pp. 3–25). New York: Guilford Publications.

Barrocas, A. L., Hankin, B. L., Young, J. F., & Abela, J. R. Z. (2012). Rates of nonsuicidal self-injury in youth: Age, sex, and behavioural methods in a community sample. Pediatrics, 130(1), 39–45.CrossRef

Bitsko, R. J., Holbrook, J. R., Ghandour, R. M., Blumberg, S. J., Visser, S. N., Perou, R., & Walkup, J. (2018). Epidemiology and impact of healthcare provider diagnosed anxiety and depression among US children. Journal of Developmental and Behavioral Pediatrics, 39(5), 395–403. https://doi.org/10.1097/DBP.0000000000000571.CrossRefPubMedPubMedCentral

Bratton, S. C., Ray, D., Rhine, T., & Jones, L. (2005). The efficacy of play therapy with children: A meta-analytic review of treatment outcomes. Professional Psychology: Research and Practice, 26(4), 376–390. https://doi.org/10.1037/0735-7028.36.4.376.CrossRef

Burns, G. L., Servera, M., del Mar Bernad, M., Carrillo, J. M., & Cardo, E. (2013). Distinctions between sluggish cognitive tempo, ADHD-IN, and depression symptom dimensions in spanish first-grade children. Journal of Clinical Child & Adolescent Psychology, 42(6), 796–808. https://doi.org/10.1080/15374416.2013.838771.CrossRef

Callahan, L., Suhr, J., Gloger, E., Smith, J., & Sammler, L. (2017). Is sluggish cognitive tempo related to depression, anxiety, and stress? Archives of Clinical Neuropsychology, 32, 667–765.CrossRef

California Evidence-Based Clearinghouse for Child Welfare. (n.d.) Measurement tools highlighted on the CEBC. Retrieved from https://www.cebc4cw.org/assessment-tools/measurement-tools.

Cardemil, E., Reivich, K., Beevers, C., Seligman, M., & James, J. (2007). The prevention of depressive symptoms in low-income, minority children: Two-year follow-up. Behaviour Research and Therapy, 45(2), 313–327. https://doi.org/10.1016/j.brat.2006.03.010.CrossRefPubMed

Charles, J., & Fazeli, M. (2017). Depression in children. Australian Family Physician, 46(12), 901–907.PubMed

Costello, E. J., Egger, H., & Angold, H. (2005). 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child & Adolescent Psychiatry, 44(10), 972–986. https://doi.org/10.1097/01.chi.0000172552.41596.6f.CrossRef

Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47(12), 1263–1271. https://doi.org/10.1111/j.1469-7610.2006.01682.x.CrossRef

Danziger, S. H., Sandefur, G. D., & Weinberg, D. H. (1994). Confronting poverty: Prescriptions for change. Cambridge, MA: Harvard University Press.

David-Ferndon, C., & Kaslow, N. J. (2008). Evidence-based psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 31(1), 62–104. https://doi.org/10.1080/15374410701817865.CrossRef

De Cuyper, S., Timbremont, B., Braet, C., De Backer, V., & Wullaert, T. (2004). Treating depressive symptoms in schoolchildren - a pilot study. European Child & Adolescent Psychiatry, 13, 105–114. https://doi.org/10.1007/s00787-004-0366-2.CrossRef

Dimitrov, D. M. (2013). Quantitative Research in Education: Intermediate and Advanced Methods. Oceanside, NY: Whittier Publications.

Dowdy, E., Twyford, E. & Sharkey, J. (2013). Methods of assessing behavior I: Observations and rating scales. https://doi.org/10.1093/oxfordhb/9780199796304.013.0026.

Garaigordobil, M., Bernarás, E., Jaureguixar, J., & Machimbarrena, J. M. (2017). Childhood depression: Relation to adaptive, clinical, and predictor variables. Frontiers in Psychology, 8, 1–9. https://doi.org/10.3389/fpsyg.2017.00821.CrossRef

Garza, Y., & Bratton, S. (2005). School-based child-centered play therapy with hispanic children: outcomes and cultural consideration. International Journal of Play Therapy, 14, 51–80. https://doi.org/10.1037/h0088896.CrossRef

Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. R., Bitsko, R. H., & Blumberg, S. J. (2016). Prevalence and treatment of depression, anxiety, and conduct problems in U.S. children. Journal of Pediatrics, 47(2), 199–212. https://doi.org/10.1080/15374416.2017.1417860.CrossRef

Goodyer, I. M. (1996). Physical symptoms and depressive disorders in childhood and adolescence. Journal of Psychosomatic Research, 41(5), 405–408.CrossRef

Hall, G. C. N., Iwamasa, G. Y., & Smith, J. N. (2003). Ethical principles of the psychology profession and ethical minority issues. In W. O’Donohue & K. E. Ferguson (Eds.), Handbook of Professional Ethics for Psychologists: Issues, Questions, & Controversies. (pp. 301–318). Thousand Oaks, CA: Sage.

Huberty, T. J. (2012). Anxiety and depression in children and adolescents: Assessment, intervention, and prevention. New York: Springer.

Kahn, J. S., Kehle, T. J., Jenson, W. R., & Clark, E. (1990). Comparison of cognitive-behavioral, relaxation, and self-modeling interventions for depression among middle-school students. School Psychology Review, 19, 196–211.CrossRef

Kaminski, J., & Claussen, A. (2017). Evidence base update for psychosocial treatments for disruptive behaviors in children. Journal of Clinical Child & Adolescent Psychology, 46(4), 477–499. https://doi.org/10.1080/15374416.2017.1310044.CrossRef

Kaslow, N. J., & Thompson, M. (1998). Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. Journal of Clinical Child Psychology, 27, 38–46.

Kaufman, J., Martin, A., King, R. A., & Charney, D. (2001). Are child-, adolescent-, and adult- onset depression one and the same disorder? Biological Psychiatry, 49(12), 980–1001. https://doi.org/10.1016/S0006-3223(01)01127-1.CrossRefPubMed

Korczak, D. J., & Goldstein, B. I. (2009). Childhood onset of major depressive disorder: Course of illness and comorbidity in a community sample. The Journal of Pediatrics, 155(1), 118–123. https://doi.org/10.1016/j.peds.2009.01.061.CrossRefPubMed

Korczak, D. J., Ofner, M., LeBlanc, J., Wong, S., Feldman, M., & Parkin, P. C. (2017). Major depressive disorder among preadolescent Canadian children: Rare disorder or rarely detected? Academic Pediatrics, 17(2), 191–197.CrossRef

Kovacs, M. (1992). Children’s Depression Inventory Manual. Los Angeles: Western Psychological Services.

Kovacs, M., Obrosky, S., & George, C. (2016). The course of major depressive disorder from childhood to young adulthood: Recovery and recurrence in a longitudinal observational study. Journal of Affective Disorders, 203, 374–381. https://doi.org/10.1016/j.jad.2016.05.042.CrossRefPubMedPubMedCentral

Landreth, G. L. (2012). Play therapy: The art of the relationship (3^rd ed.). New York: Brunner-Routledge.

Leech, N. L., Barrett, K. C., & Morgan, G. A. (2015). IBM SPSS for intermediate statistics: Use and interpretation (5th ed.). Routledge/Taylor & Francis Group.

Leong, F. T., & Kalibatseva, Z. (2011). Cross-cultural barriers to mental health services in the United States. Cerebrum: The Dana Forum on Brain Science, 2011, 5.PubMed

Lewinsohn, P. M., Rohde, P., Klein, D. N., & Seeley, J. R. (1999). Natural course of adolescent major depressive disorder: I. Continuity into young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 56–63.CrossRef

Liddle, B., & Spence, S. (1990). Cognitive behavior therapy with depressed primary school children: A cautionary note. Behavioural Psychotherapy, 18, 85–102. https://doi.org/10.1017/S0141347300018218.CrossRef

Lin, Y., & Bratton, S. C. (2015). A meta-analytic review of child-centered play therapy approaches. Journal of Counseling and Development, 93, 45–58. https://doi.org/10.1002/j.1556-6676.2015.00180.x.CrossRef

Lo, H. T., & Fung, K. P. (2003). Culturally competent psychotherapy. Can. J. Psychiatry, 48(3), 161–170.CrossRef

Maughan, B., Collsaw, S., & Stringaris, A. (2013). Depression in childhood and adolescence. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(1), 35–40.PubMedPubMedCentral

McConaughy, S. H., & Achenbach, T. M. (2009). Manual for the Direct Observation Form. Burlington, VT: University of Vermont, Center for Children, Youth, & Families.

Mental Health America. (2017). 2017 State of Mental Health in America: Youth Data. Retrieved from https://www.mhanational.org/issues/2017-state-mental-health-america-youth-data.

National Institute for Health and Care Excellence. (2005). Depression in children and young people. Retrieved from www.nice.org.uk/guidance/.

Nelson, E. L., Barnard, M., & Cain, S. (2003). Treating childhood depression over videoconferencing. Telemedicine Journal and e-Health, 9, 49–55.CrossRef

Piaget, J. (1965). The moral judgement of the child (M. Gabain, trans.). New York, NY: Free Press.

Rao, U., & Chen, L. A. (2009). Characteristics, correlates, and outcomes of childhood and adolescent depressive disorders. Dialogues in Clinical Neuroscience, 11(1), 45–62.CrossRef

Ray, D. C. (2011). Advanced play therapy: Essential conditions, knowledge, and skills or child practice. New York, NY: Routledge.

Ray, D. C. (2016). A therapist’s guide to child development: the extraordinarily normal years. New York, NY: Routledge.

Ray, D. C. (2018, October). Advanced Play Therapy. Doctoral counseling course, Denton, TX.

Ray, D. C., Armstrong, S. A., Balkin, R. S., & Jayne, K. M. (2015). Child-centered play therapy in the schools: Review and meta-analysis. Psychology in Schools, 52(2), 107–123. 1.1002/pits.21798.CrossRef

Ray, D. C., Burgin, E. E., Gutierrez, D., Ceballos, P. L., Lindo, N., (2021). Child-centered play therapy and Adverse Childhood Experiences: A randomized controlled trial. Journal of Counseling and Development. https://doi.org/10.1002/jcad.12412.

Ray, D. C., Purswell, K., Haas, S., & Aldrete, C. (2017). Child-centered play therapy research integrity checklist: Development, reliability, and use. International Journal of Play Therapy, 26(4), 207–217. https://doi.org/10.1037/pla0000046.CrossRef

Rodriquez, E., Livaudais-Toman, J., Gregorich, S., Jackson, J., Nápoles, A., & Pérez-Stable, E. (2018). Relationships between allostatic load, unhealthy behaviors, and depressive disorder in U.S. adults, 2005–2012 NHANES. Preventive Medicine, 110, 9–15. https://doi.org/10.1016/j.ypmed.2018.02.002.CrossRefPubMedPubMedCentral

Rogers, C. R. (1951). Client-centered therapy: Its current practice, implications, and theory. London, England: Constable and Company.

Rogers, C. R. (1961). On becoming a person. Boston, MA: Houghton Mifflin.

Rubin, A., & Bellamy, J. (2012). Practitioner’s guide to using research for evidence-based practice. Hoboken, N.J: Wiley.

Son, S. E., & Kirchner, J. T. (2000). Depression in children and adolescents. American Family Physician, 15(62), 2297–208.

Stark, K. D., Reynolds, W. M., & Kaslow, N. J. (1987). A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children. Journal of Abnormal Child Psychology, 15, 91–113.CrossRef

Texas Education Agency. (2019). 2018-19 Texas Academic Performance Report. Retrieved from https://rptsvr1.tea.texas.gov/perfreport/tapr/2019/srch.html?srch=C.

Trowell, J., Joffe, I., Campbell, J., Clemente, C., Almqvist, F., Soininen, M., & Tsiantis, J. (2007). Childhood depression: A place for psychotherapy—An outcome study comparing individual psychodynamic psychotherapy and family therapy. European Child & Adolescent Psychiatry, 16, 157–167. https://doi.org/10.1007/s00787-006-0584-x.CrossRef

U.S. Department of Education (2015). Improving basic programs operated by local educational agencies. Retrieved from https://www2.ed.gov/programs/titleiparta/index.html.

Vostanis, P., Feehan, C., Grattan, E., & Bickerton, W. (1996). Treatment for children and adolescents with depression: Lessons from a controlled trial. Journal of Affective Disorders, 40, 105–116. https://doi.org/10.1177/1359104596012003.CrossRefPubMed

Vygotsky, L. (1966). Play and its role in the mental development of the child. Voprosy Psikholgii, 12(6), 62–76.

Wadsworth, M. E., & Achenbach, T. M. (2005). Explaining the link between low socioeconomic status and psychopathology: testing two mechanisms of the social causation hypothesis. Journal of Consulting and Clinical Psychology, 73(6), 1146–1153. https://doi.org/10.1037/0022-006X.73.6.1146.CrossRefPubMed

Wampold, B. E., Fluckiger, C., Del Re, A. C., Yulish, N. E., Frost, N. D., Pace, B. T., Goldberg, S. B., Miller, S. D., Baardseth, T. P., Laska, K. M., & Hilsenroth, M. J. (2017). In pursuit of truth: A critical examination of meta-analyses of cognitive behavior therapy. Psychotherapy Research, 27(1), 14–31. https://doi.org/10.1080/10503307.2016.1249433.CrossRefPubMed

Weersing, V. R., Jeffreys, M., Do, M. T., Schwartz, K. T. G., & Bolano, C. (2017). Evidence base update of psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 46(1), 11–42. https://doi.org/10.1080/15374416.2016.1220310.CrossRef

Weiss, B., & Garber, J. (2003). Developmental differences in the phenomenology of depression. Development and Psychopathology, 15(2), 403–430. https://doi.org/10.1017/S0954579403000221.CrossRefPubMed

Weisz, J., Gordis, E., Chu, B., McLeod, B., Updegraff, A., SouthamGerow, M. A., & Weiss, B. (2009). Cognitive-behavioral therapy versus usual clinical care for youth depression: An initial test of transportability to community clinics and clinicians. Journal of Consulting and Clinical Psychology, 77, 383–396. https://doi.org/10.1037/a0013877.CrossRefPubMedPubMedCentral

Wood, A., Kroll, L., Moore, A., & Harrington, R. (1995). Properties of the Mood and Feelings Questionnaire in adolescent psychiatric outpatients: A research notes. Journal of Child Psychology and Psychiatry, and allied disciplines, 36(2), 327–334.CrossRef

Zisook, S., Lesser, I., Stewart, J., Wisniewski, S. R., Balasubramani, G. K., Fava, M., Gilmer, W. S., & Rush, J. A. (2007). Effect at age of onset on the course of Major Depression Disorder. American Journal of Psychiatry, 164(10), 1539–1546.CrossRef

Titel: Child-Centered Play Therapy and Childhood Depression: An Effectiveness Study in Schools
Auteurs: Elizabeth E. Burgin
Dee C. Ray
Publicatiedatum: 11-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 1/2022
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-021-02198-6

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