Effectiveness of group play therapy techniques on anxiety sensitivity, helplessness and resiliency in students with Learning Disabilities

Document Type : Original Article

Authors

1 M.A. in Educational Psychology, Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran

2 Assistant Professor, Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran

3 . Assistant Professor, Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran

Abstract

The aim of this study was to investigate of the effectiveness of group play therapy techniques on anxiety sensitivity, helplessness and resiliency in students with learning disabilities (LD). This study was semi-experimental with pre-test, post-test and follow-up design with a control group. The statistical population consisted of 253 students with learning disabilities who had been referred to the Center for Learning Disabilities of Boushehr Province’s Department of Education in 2018-2019 academic year. From among them, 40 students who had required attributed based on Colorado Learning Difficulties Questionnaire (CLDQ), Wechsler Intelligence Scale for Children (WISC), 5th Diagnostic and Statistical Manual of Mental Disorders (DSM-5), were selected and assigned to experiment and control group (each group consisting of 20 students). The measurement tools were Anxiety Sensitivity Questionnaire (1986), Learned Helplessness Questionnaire (1988) and Connor-Davidson Resiliency Scale (2003). The experiment group received 12 sessions (45 minutes each) of group training. For statistical data analysis, mixed variance analysis with repeated measures design was used. Findings showed that group play therapy techniques have a significant effect on anxiety sensitivity, helplessness and resiliency and this effect remains unchanged in the two-month follow-up phase (P<0.05). Finally, we may conclude that group play therapy techniques, as an effective and functional intervention, could be used to improve anxiety sensitivity, helplessness and resiliency of students with LD.

Keywords


Afeli, A. S. (2019). Academic accommodation strategies for pharmacy students with learning disabilities: What else can be done? Currents in Pharmacy Teaching and Learning. 11(8), 751-756.
Aguiar, A. L., Aguiar, C., Cadima, J., Correia, N., & Fialho, M. (2019). Classroom quality and children’s social skills and problem behaviors: Dosage and disability status as moderators. Early Childhood Research Quarterly. 49(4), 81-92.
Ahloy-Dallaire, J., Espinosa, J., & Mason, G. (2018). Play and optimal welfare: Does play indicate the presence of positive affective states? Behavioral Processes. 156(11), 3-15.
Aktaş, Y. Y., & Karabulut, N. (2019). The use of cold therapy, music therapy and lidocaine spray for reducing pain and anxiety following chest tube removal. Complementary Therapies in Clinical Practice. 34(1), 179-184.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: APA.
Barnes, L. L. (2016). Children with learning disabilities with in the family context. Personality and Individual Differences. 30(6), 1311-27.
Bartik, K., & Toruner, E. K. (2018). Effectiveness of a preoperative preparation program on children's emotional states and parental anxiety. Journal of Peri Anesthesia Nursing. 33(6), 972-980.
Bratton, S. C., & Dafoe, E. C. (2016). Play Therapy. Encyclopedia of Mental Health (Second Edition).
Chambrier, A, F., & Zesiger, P. (2018). Is a fact retrieval deficit the main characteristic of children with mathematical learning disabilities? Acta Psychologica. 190(9), 95-102.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety. 18(2), 76-82. ‏
Dovgan, K., Mazurek, M.  O., & Hansen, J. (2019). Measurement invariance of the child behavior checklist in children with autism spectrum disorder with and without intellectual disability: Follow-up study. Research in Autism Spectrum Disorders. 58(2), 19-29.
Elmer, G. I., Palacorolla, H., Mayo, C. L., Brown, P. L., Jhou, T. C., Brady, D., & Shepard, P. D. (2019). The rostromedial tegmental nucleus modulates the development of stress-induced helpless behavior. Behavioural Brain Research. 359(3), 950-957.
Fijueroa, R. A. (2016). The diagnosis of LD in English learner. Journal of Learning Disabilities. 39(3), 206-209.
Floyd, F. J., & Olsen, D. L. (2017). Family-peer linkages for children with intellectual disability and children with learning disabilities. Journal of Applied Developmental Psychology. 52(5), 203-211.
Floyd, M., Garfield, A., & Marcus, T. (2005). Anxiety sensitivity and worry. Personality and Individual Differences. 38(5), 1223-29.
Giuliani, F., & Jacquemettaz, M. (2017). Animal-assisted therapy used for anxiety disorders in patients with learning disabilities: An observational study. European Journal of Integrative Medicine. 14(6), 13-19.
Green, J. L. (2018). Peer support systems and professional identity of student nurses undertaking a UK learning disability nursing programme. Nurse Education in Practice. 30(3), 56-61.
Haft, S. L., Myers, C. A., & Hoeft, F. (2016). Socio-emotional and cognitive resilience in children with reading disabilities. Current Opinion in Behavioral Sciences. 10(4), 133-141.
Heyder, A., & Brunner, M. (2018). Teachers' aptitude beliefs as a predictor of helplessness in low-achieving students: Commonalities and differences between academic domains. Learning and Individual Differences. 62(2), 118-127.
Hoshina, A., Horie, R., Giannopulu, I., & Sugaya, M. (2017). Measurement of the effect of digital play therapy using biological information. Procedia Computer Science. 112(15), 1570-79.
Jafar, B., Michael, J. Z., Charles, P. B., Anka, A. V., Renee, G., & Norman, B. S. (2014). The role of anxiety sensitivity in the relationship between emotional non acceptance and panic, social anxiety, and depressive symptoms among treatment seeking daily smokers. International Journal of Cognitive Therapy. 7(2), 175-191.
Landreth, G. (2009). Therapeutic use of peroxisome proliferator-activated receptors (PPAR) gamma agonists in the treatment of Alzheimer's disease. European Neuropsychopharmacology. 19(3), 195-196.
Landry, N., Gifford, R., Milfont, T. L., Weeks, A., & Arnocky, S. (2018). Learned helplessness moderates the relationship between environmental concern and behavior. Journal of Environmental Psychology. 55(1), 18-22.
Li, L., Liu, Z., & Cheng, Q. (2019). Exosome plays an important role in the development of hepatocellular carcinoma. Pathology-Research and Practice. 215(8), 73-81.
Lou, Y., Taylor, E. P., & Di Folco, S. (2018). Resilience and resilience factors in children in residential care: A systematic review. Children and Youth Services Review. 89, 83-92.
Mannino, J. E. (2015). Resilience and transitioning to adulthood among emerging adults with disabilities. Journal of Pediatric Nursing. 30(5), 131-145.
Matteucci, M. C., Scalone, L., Tomasetto, C., Cavrini, G., & Selleri, P. (2019). Health-related quality of life and psychological wellbeing of children with specific learning disorders and their mothers. Research in Developmental Disabilities. 87(1), 43-53.
Mrazik, M., Naidu, D., Borza, C., Kobitowich, T., & Shergill, S. (2019). King Devick computerized neurocognitive test scores in professional football players with learning and attentional disabilities. Journal of the Neurological Sciences. 399(4), 140-143.
Mu, G. M., Hu, Y., & Wang, Y. (2017). Building resilience of students with disabilities in China: The role of inclusive education teachers. Teaching and Teacher Education. 67(7), 125-134.
Ojiambo, D. (2011). Effectiveness of group activity play therapy on internalizing and externalizing behavior problems of preadolescent orphans in Uganda. From: https://digital. library.unt.edu/ark.
Packman, J., & Bratton, S. C. A. (2003). School-based group play/activity therapy intervention with learning disabled preadolescents exhibiting behavior problems. International Journal of Play Therapy. 12(2), 7-29.
Peck–Murray, J. A. (2015). Utilizing everyday items in play to facilitate hand therapy for pediatric patients. Journal of Hand Therapy. 28(2), 228-232.
Quinless, F. W., & Nelson, M. A. (1988). Development of a measure of learned helplessness. Nursing Reasearch.37(1), 11-15.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behavior Research and Therapy. 24(1), 241-248.
Sandy, P. T. (2016). The use of observation on patients who self-harm: Lessons from a learning disability service. Health SA Gesondheid. 21(1), 253-260.
Sattler, K., & Gershoff, E. (2019). Thresholds of resilience and within- and cross-domain academic achievement among children in poverty. Early Childhood Research Quarterly. 46(1), 87-96.
Seligman, M. (1985). Handicapped children and their families. Journal of Counseling and Development. 64(4), 274-277.
Shaw, S. C. K. (2018). Learned helplessness in doctors with dyslexia: Time for a change in discourse? Nurse Education in Practice. 32(5), 99-100.
Stulmaker, H. L., & Ray, D. C. (2015). Child-centered play therapy with young children who are anxious: A controlled trial. Children and Youth Services Review. 57(10), 127-133.
Tolin, D. F. (2019). Inhibitory learning for anxiety-related disorders. Cognitive and Behavioral Practice. 26(1), 225-236.
Willcutt, E. G., Boada, R., Riddle, M. W., Chhabildas, N., DeFries, J. C., & Pennington, B. F. (2011). Colorado learning difficulties questionnaire: Validation of a parent-report screening measure. Psychological Assessment. 23(3), 778-791.
Woodard, C. R., & Chung, J. (2018). Feasibility of a play-based intervention set for toddlers with autism. Research in Developmental Disabilities. 80(9), 24-34.