沙盘游戏结合家庭辅导对儿童学校恐惧症及其自我意识的研究

摘要

Objective To explore the effectiveness of sandplay therapy combined with family counseling in children with school phobia and its influence of child′ self-consciousness. Methods Integrative sandplay therary with family consulting were used to treat 28 patients with school phobia regularly for 2 months. Sandplay and family consulting therapy were given once a week for 45 minutes . Clinical outcomes were assessed using CGI-GI and Piers-Harris children′s self-consciousness scale before and after treatment as well as 3 months posttreatment. Results Overall response rate was 85%. In addition, the physical appearance and characteristic factor before and after treatment were no significant difference (P>0.05). The rest of the various factors and total score compared with pre-treatment significantly improved (P<0.05). After treatment for 3 months, every factor in self-consciousness of children and total score were no significant difference (P>0.05). Conclusion Integrative sandplay therapy with family counseling has better and long-lasting treatment effect to self-consciousness of children with school refusal.%目的：研究沙盘游戏结合家庭辅导对儿童学校恐惧症及其儿童自我意识的影响。方法：采用沙盘游戏结合家庭辅导对28例学校恐惧症儿童进行2个月的临床治疗，沙盘游戏和家庭辅导每周各1次，时间均为45 min。采用临床疗效分量表（CGI-GI）评定疗效， Piers-Harris儿童自我意识量表分别于治疗前后以及治疗后3个月对儿童自我意识状况进行测评。结果：沙盘游戏结合家庭辅导治疗儿童学校恐惧症总体疗效85％。除躯体外貌与属性因子治疗前后差异无显著性（P＞0．05），其余儿童自我意识量表行为因子、智力与学校情况因子、焦虑因子、合群因子、幸福与满足因子以及总分较治疗前均有显著性提高（P＜0．05），3个月后重测，儿童自我意识各因子以及总分较治疗后差异无显著性（P＞0．05）。结论：沙盘游戏结合家庭辅导对儿童学校恐惧症有较好的治疗作用并对患病儿童自我意识有积极的持续性影响。