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目的探讨沙盘游戏对7～14岁儿童焦虑性情绪障碍的疗效。方法20例7～14岁焦虑性情绪障碍儿童随机分为治疗组和对照组,每组各10例。治疗组接受8次沙盘游戏治疗,1次/周,50min/次;对照组不接受沙盘游戏治疗。治疗前后均采用儿童焦虑性情绪障碍筛查(SCARED)表、艾森克人格问卷儿童版(EPQ)量表等心理测验工具进行评估,比较2组儿童的焦虑情绪和人格结构的差异,对沙盘游戏治疗儿童焦虑性情绪障碍的疗效进行评价。结果沙盘游戏治疗后,治疗组SCARED焦虑总分(17.30±4.47)和EPQ情绪稳定性N量表得分(50.80±5.77)均低于对照组SCARED焦虑总分(34.30±4.47)和EPQ情绪稳定性N量表得分(65.50±3.47)(Pa=0);治疗组治疗后SCARED焦虑总分和EPQ情绪稳定性N量表得分均明显低于治疗前的SCARED焦虑总分(35.70±8.06)和EPQ情绪稳定性N量表得分(68.70±7.51)(Pa=0);而对照组在治疗后SCARED焦虑总分及EPQ情绪稳定性N量表得分与治疗前SCARED焦虑总分(35.60±4.67)和EPQ情绪稳定性N量表得分(67.10±4.72)比较,均无显著差异(P=0.096,0.078)。结论沙盘游戏疗法能够明显缓解焦虑性情绪障碍儿童的焦虑情绪,可作为治疗儿童焦虑性情绪障碍的方法之一。
Objective To explore the effect of sand table game on anxiety disorders in children aged 7-14 years. Methods Twenty children aged 7-14 years with anxiety disorder were randomly divided into treatment group (n = 10) and control group (n = 10). The treatment group received 8 times of sand table game therapy, once / week, 50min / times; the control group did not accept the sand table game therapy. Before and after treatment, psychological assessment tools such as SCADED and EPQ were used to evaluate the differences in anxiety and personality structure between the two groups. Sand table Therapeutic effects of game therapy on children with anxiety disorders are evaluated. Results After the sandplay game, SCARED total anxiety score (17.30 ± 4.47) and EPQ emotion stability N scale score (50.80 ± 5.77) in the treatment group were all lower than those in the control group (34.30 ± 4.47 SCARED anxiety score and EPQ emotion stability N score (65.50 ± 3.47) (Pa = 0). The SCARED total anxiety score and EPQ emotional stability N scale score of the treatment group were significantly lower than those of the pre-treatment SCARED anxiety score (35.70 ± 8.06) and EPQ The score of emotional stability N scale (68.70 ± 7.51) (Pa = 0); while the score of SCARED total anxiety and EPQ emotion stability in the control group was significantly higher than that of SCARED anxiety before treatment (35.60 ± 4.67) and There was no significant difference (P = 0.096,0.078) between the EPQ emotional stability N scale score (67.10 ± 4.72). Conclusion Sand table game therapy can significantly relieve the anxiety of children with anxiety disorders and can be used as one of the methods to treat anxiety disorders in children.