Effect of Sand Play Therapy on Aggression and Emotional Adjustment of Children with Hearing Impairment
Abstract
Background and Aim: Sand Play Therapy (SPT) is a psychotherapy and nonverbal method used for people with trauma, disabilities, and distress. The present study aimed to investigate the effect of SPT on aggression and emotional adjustment of children with a hearing impairment aged 5–7 years.
Methods: In this quasi-experiment study with a pretest-posttest design and a control group, 30 children aged 5–7 years with hearing impairment participated. They were randomly assigned into two groups: control and experimental. The research instruments were Sinha and Singh adjustment questionnaire and the Shahim aggression questionnaire. The obtained data were analyzed using multivariate covariance analysis.
Results: There were statistically significant differences (score decrease) between the two study groups after the SPT in terms of aggression (p<0.05) and the emotional adjustment of children (p<0.05).
Conclusion: The results showed that SPT could decrease aggression and improve emotional adjustment in children with hearing loss. This method can be used to rehabilitate these children.
[2] Quittner AL, Barker DH, Cruz I, Snell C, Grimley ME, Botteri M; the CDaCI Investigative Team. Parenting Stress among Parents of Deaf and Hearing Children: Associations with Language Delays and Behavior Problems. Parent Sci Pract. 2010;10(2):136-55. [DOI:10.1080/15295190903212851]
[3] Ambrose SE, Walker EA, Unflat-Berry LM, Oleson JJ, Moeller MP. Quantity and Quality of Caregivers’ Linguistic Input to 18-Month and 3-Year-Old Children Who Are Hard of Hearing. Ear Hear. 2015;36 Suppl 1(0 1):48-59S. [DOI:10.1097/AUD.0000000000000209]
[4] Broekhof E, Bos MGN, Rieffe C. The Roles of Shame and Guilt in the Development of Aggression in Adolescents With and Without Hearing Loss. Res Child Adolesc Psychopathol. 2021;49(7):891-904. [DOI:10.1007/s10802-021-00769-1]
[5] Saki N, Bayat A, Moniri S, Moogahi NK. The influence of cochlear implantation on aggression behaviors in children. Int J Pediatr Otorhinolaryngol. 2019;127:109669. [DOI:10.1016/j.ijporl.2019.109669]
[6] Girard LC, Tremblay RE, Nagin D, Côté SM. Development of Aggression Subtypes from Childhood to Adolescence: a Group-Based Multi-Trajectory Modelling Perspective. J Abnorm Child Psychol. 2019;47(5):825-38. [DOI:10.1007/s10802-018-0488-5]
[7] Torres J, Saldaña D, Rodríguez-Ortiz IR. Social Information Processing in Deaf Adolescents. J Deaf Stud Deaf Educ. 2016;21(3):326-38. [DOI:10.1093/deafed/enw030]
[8] Hooshmand Z, Mirza Hosseini H, Zargham Hajebi M. [Comparing the effectiveness of individual counseling based on compassion therapy with family therapy counseling based on bowen’s emotional system on social adjustment of depressed adolescent girls]. EBNESINA. 2021;23(3):85-92. Persian.
[9] Zahed A, Rajabi S, Omidi M. [A comparison of social, emotional and educational adjustment and self-regulated learning in students with and without learning disabilities]. Journal of Learning Disabilities. 2012;1(2):43-62. Persian.
[10] Resurrección DM, Navas-Campaña D, Gutiérrez-Colosía MR, Ibáñez-Alfonso JA, Ruiz-Aranda D. Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review. Int J Environ Res Public Health. 2021;18(20):10940. [DOI:10.3390/ijerph182010940]
[11] Garnefski N, Kraaij V. Cognitive coping and goal adjustment are associated with symptoms of depression and anxiety in people with acquired hearing loss. Int J Audiol. 2012;51(7):545-50. [DOI:10.3109/14992027.2012.675628]
[12] Rieffe C. Awareness and regulation of emotions in deaf children. Br J Dev Psychol. 2012;30(Pt 4):477-92. [DOI:10.1111/j.2044-835X.2011.02057.x]
[13] Nemati A, Demehri F, Saeidmanesh M. Effect of Psychodrama on Communication Skills of Adolescents with Hearing Loss. Aud Vestib Res. 2022;31(2):92-7. [DOI:10.18502/avr.v31i2.9113]
[14] Roesler C. Sandplay therapy: An overview of theory, applications and evidence base. Arts Psychother. 2019;64:84-94. [DOI:10.1016/j.aip.2019.04.001]
[15] Zoja EP. Sandplay Therapy in Vulnerable Communities: A Jungian Approach. 1st ed. London: Routledge; 2011. [DOI:10.4324/9780203817957]
[16] Green EJ, Connolly ME. Jungian family sandplay with bereaved children: Implications for play therapists. International Journal of Play Therapy. 2009;18(2):84-98. [DOI:10.1037/a0014435]
[17] Lee YJ, Jang M. The effects of sandplay therapy on the depression, anxiety and saliva cortisol of university students with ADHD tendencies. J Sym & San Therapy. 2012;3(1):31-47. [DOI:10.12964/jsst.120002]
[18] Foo M, Freedle LR, Sani R, Fonda G. The effect of sand play therapy on the thalamus in the treatment of generalized anxiety disorder: A case report. Int J Play Ther. 2020;29(4):191. [DOI:10.1037/pla0000137]
[19] Kalff DM. Sandplay: A Psychotherapeutic Approach to the Psyche. Cloverdale, CA: Temenos Press; 2003.
[20] Shahim S. Relational Aggression in Preschool Children. Iranian Journal of Psychiatry and Clinical Psychology. 2007;13(3):264-71.
[21] Tamannaeifar M, Leis H. [The Relationship Between Emotional Intelligence, Self-Efficancy, Social Support and Adjustment in Students]. Journal of Modern Psychological Researches. 2015;10(39):25-52. Persian.
[22] Zolmajd A, Borjali A, Arian K. [Impact of Sand Play Therapy on Reduction of Aggressive Behaviors]. Journal of Exceptional Children. 2007;7(2):155-68. Persian.
[23] Pearson M, Wilson H. Sandplay Therapy: A Safe, Creative Space for Trauma Recovery. Australian Counselling Research Journal. 2019;13(1):20-4.
[24] Babaroglu A. Aggression Behaviors in Children with and without Hearing Impairment. Int J Psychol Stud. 2016;8(2):14-27. [DOI:10.5539/ijps.v8n2p14]
[25] Weinrib EL. Images of the Self: The Sandplay Therapy Process. 2nd ed. Cloverdale, CA: Temenos Press; 2004.
[26] Turner BA. Introduction: what is Sandplay therapy? In: Turner BA, editor. The Routledge International Handbook of Sandplay Therapy. 1st ed. London: Taylor & Francis; 2017. p. 1-32. [DOI:10.4324/9781315656748-1]
Files | ||
Issue | Vol 32 No 3 (2023) | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/avr.v32i3.12935 | |
Keywords | ||
Hearing impairment emotional adjustment aggression sand play therapy |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |