Effectiveness Sand Tray Therapy on Hyperactivity Attention Deficit and Evident Anxiety of Children with Attention Deficit / Hyperactivity Disorder

Document Type : Original Article

Authors

1 Department of Economics and Social Sciences, Bu-Ali Sina University, Hamedan, Iran

2 Assistant Professor of Psychology, Bu Ali Sina University, Hamadan, Iran

3 Master of Counseling, Bu-Ali Sina University, Hamadan, Iran.

Abstract

Attention deficit / hyperactivity disorder is a neurodevelopmental disorder characterized by a persistent pattern of attention deficit and hyperactivity. The purpose of this study was to determine the effects of sand tray therapy on anxiety, hyperactivity, and attention deficit in ADHD children. The research method was semi-experimental and the statistical population included all children aged 7-12 years in Hamedan who were referred to counseling services for ADHD in the fourth quarter of 2017 and had been diagnosed with ADHD by a child counselor or therapist. The statistical population consisted of approximately 280 individuals. Of these individuals, 32 people were selected using purposeful sampling method and placed in the control and experimental groups. The required data were collected using Conner’s Attention Deficit Hyperactivity Disorder (1999) and Reynolds & Richmond Children’s Anxiety Scale (1978). The sand tray therapy intervention protocol was implemented with eight 45-minute sessions following Boycott and Goodwin’s (2000) program. The results of data analysis by MANCOVA test showed that sand tray therapy was effective on the anxiety, hyperactivity and attention deficits of ADHD children (p = 0.01). Based on this, the ANCOVA test showed that sand tray therapy significantly reduced ADHD children’s physical anxiety, sensitivity, and apprehension (p = 0.05). In addition, sand tray therapy reduced hyperactivity (p = 0.01) and attention deficits (p = 0.05) of ADHD children.

Keywords

References

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). DSM-V. Washington, DC: Arlington, 99-100.
Ayuanditaa, E., Handicap, M. A. (2016). The Successful ADHD Therapy Result Based on Mother’s Therapy Decision Making Process. Procardia - Social and Behavioral Sciences, (217), 1098–1102.
Bailey, C. (2016). Play therapy in school counseling. Research Gate, 16(5), 303-312.
Bartosh, O. P., & Bartosh, T. P. (2020). The effectiveness of various types of psychological correction of anxiety in primary school. Behavioral Sciences, 10(1), 20.
Bioko, B., & Goodwin, E. (2000). Sand play therapy: A set by step manual for Psychotherapists of diverse orientations. New York: Norton.
Efron, D. (2019). Attention deficit hyperactivity disorder: an overview. In: Hiscock H, Sciberras E, eds. Sleep and ADHD. Academic Press. 1-28.
El-Nagger, N., Abo-Eland, M., Ahmed, H. (2017). Effect of applying play therapy on children with attention deficit hyperactivity disorder. Journal of Nursing Education and Practice, 7(5), 104-119.
Esmaeili, A., & Soltanizadeh, M. (2015). The effects of sand therapy on the anxiety, positive & negative emotions & social adjustment pre-school children with attention deficit / hyperactivity. Journal of Chemical and Pharmaceutical Research. 7(10).
Friedman, H. S., & Mitchell, R. R. (2016). Supervision of sand play therapy. London: Routledge.
Hogan, F. (2017). Subcortical Brain Volume Differences of Participants with ADHD across the Lifespan: an ENIGMA collaboration. Lancet Psychiatry, 4(4), 310–319.
Huang, S., Zhu, Z., Zhang, W., Chen, Y., & Zhen, S. (2017). Trait impulsivity components correlate differently with proactive and reactive control. Plops ONE, 12(4), e0176102.
Jephcott, M. (2017). How does therapeutic play work? Retrieved from https://playtherapy.org/Helping-Children/About-Play-Therapy
Kostyunina, N. Y. (2016). Sand play therapy in psycho-pedagogical correction of preschool children fears. Mathematics Education, 11(5), 1461-1470.
Kwak, H. J., Ahn, U. K., & Lim, M. U. H. (2020). The clinical effects of school sand play group therapy on general children with a focus on Korea Child & Youth Personality. Retrieved from https://www.semanticscholar.org/paper/The-clinical-effects-of-school-sandplay-group-on-a-Kwak-Ahn/ce49891c7544ae2a7ca22258d0d5d97df946028a
Lanneret, G., & Bratton, S. (2016). Play therapy. Northvale, NJ: Jason Aronson.
Nematkhah, M., Hussein Khanzadeh, A. A., Kafi Masouleh, S. M. (2017). The effectiveness of clay therapy on reducing the aggression of boys suffering from attention deficit hyperactivity disorder (ADHD). Published online March 7.
Oke, O. J., Oseni, S. B., Adejuyigbe, E. A., & Mosaku, S., K. (2019). Pattern of attention deficit hyperactivity disorder among primary school children in Ile-Ife, South-West, Nigeria. Nigerian Journal of Clinical Practice, 22(9), 1241-1251.
Parson, J., Mora, L., Anderson, J., & Stagnate, K. (2015). Play Therapy. Research Gate, 59(4), 302-311.
Pliszka, S. R. (2009). Treating ADHD and comorbid disorders: psychological and psycho pharmacological interventions. New York: Guilford Press.
Ray, D. C. (2015). Child-centered play therapy in the schools: Review and Meta-Analysis. Psychology in the Schools, 52, 107–123.
Roesler, C. (2019) Sand play therapy: an overview of theory, applications and evidence base. The Arts in Psychotherapy, 64, 84-94.
Thabrew, H., Stadia, K., Hedrick, S. E. Wong, S., Huss, J. H. Merry, S. N. (2017). Psychological therapies for anxiety and depression in children and adolescents with long-term physical conditions. Cochrane Database of Systematic Reviews, 1(3).
Downloaded from www.ceciranj.ir
Wang, T., Liu, K., Li, Hz. Xu, Y., Liu, Y., & Shi, W. (2017). Prevalence of attention deficit/hyperactivity disorder among children and adolescents in China: a systematic review and met analysis. BMC Psychiatry, 32(17), 1-11.
Welch, A. (2015). More kids getting diagnosed with ADHD at young ages. Retrieved from https://www.cbsnews.com/news/more-kids-getting-diagnosed-with-adhd-at-young-ages/
World Health Organization (2015). The ICD-10 classification of mental and behavioral disorders.
Yahaya, A., Maakip, I., Voo, P., Sam Mee, S. K., Kifli, K. H. (2019). The effectiveness of Sand play Therapy to Improve Students’ Self-Esteem: A preliminary study in Brunei Darul Salam. Journal of Educational and Developmental Psychology, 9(1), 23.
Yeung, Y. (2015). The effects of sand play therapy on the anxiety, attachment relations, and interpersonal stress of children of alcoholic fathers. Journal of Symbols & Sand play Therapy, 6(1), 25-42.
Empowering Exceptional Children
Volume 12, Issue 2
November 2021
Pages 66-75

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History

  • Receive Date: 03 April 2021
  • Revise Date: 11 April 2021
  • Accept Date: 29 May 2021

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