The Effectiveness of Child-Centred Play Therapy on Internalization and Extrapolation Behavioral Problems in Children with Cerebral Palsy
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Objectives This study examined the effectiveness of Child-Centered Play Therapy (CCPT) on the internalized and externalized behavioral problems of children with Cerebral Palsy (CP). Methods This was a quasi-experimental with a pre-test, post-test and a follow-up design. The study population consisted of all 6-8 years old children with CP in Rafideh Rehabilitation center in Tehran, Iran. Thirty children with CP were randomly divided into two groups of control (n=15) and experimental (n=15). Behavioral problems were measured using Child-Behavior Inventory Test in pre-test, post-test and follow-up phases. CCPT was performed for 16 sessions twice a week in the experimental group. After three months of CCPT intervention, the follow-up test was conducted to examine the continuity, consolidation, and generalization of the intervention results. The obtained data were analyzed by repeated-measures Multivariate Analysis of Covariance (MANCOVA). Results In the post-test phase, CCPT had significant effect on reducing anxiety, depression, offense, and aggression of the children with CP compared to the pre-test scores. Conclusion Given the significant effect of CCPT on reducing the internalized and externalized behavioral problems of children with CP, the results can be used in the pediatric care centers for these children.
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Shahriari et al. [47] found a significant reduction in offensive behavior in the CCPT group.
“Analyses revealed a significant reduction in anxiety, depression, offensive behavior, and aggression in the CCPT group, as was indicated on the behavioral symptoms list used as the sole outcome measure [47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Shahriari et al. [47] found a significant reduction in depression in the CCPT group.
“Analyses revealed a significant reduction in anxiety, depression, offensive behavior, and aggression in the CCPT group, as was indicated on the behavioral symptoms list used as the sole outcome measure [47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Shahriari et al. [47] found a significant reduction in anxiety in the CCPT group.
“Analyses revealed a significant reduction in anxiety, depression, offensive behavior, and aggression in the CCPT group, as was indicated on the behavioral symptoms list used as the sole outcome measure [47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Shahriari et al. [47] found a significant reduction in aggression in the CCPT group.
“Analyses revealed a significant reduction in anxiety, depression, offensive behavior, and aggression in the CCPT group, as was indicated on the behavioral symptoms list used as the sole outcome measure [47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Shahriari et al. [47] reported that data gathered at an unspecified follow-up stage demonstrated that the intervention effects in all domains were maintained at follow-up.
“The authors report that data gathered at an unspecified follow-up stage demonstrated that the intervention effects in all domains were maintained at follow-up [47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Of the five studies reporting information about participants' motor function ability, only two included participants with severe mobility impairment (GMFCS Level V).
“Five studies reported information about participants’ motor function ability [42,43,44,45,47]. Of these, only two studies included participants with severe mobility impairment (GMFCS Level V) [42,47].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
Of the seven active intervention studies, all used randomization for allocation to groups.
“Of the seven active intervention studies, all used randomization for allocation to groups [41,42,43,45,46,47,48].”
From The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research (2025) · cites this paper as [47]
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The Mental Health of Children with Cerebral Palsy: A Review of the Last Five Years of Research
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- Authors
- Deparment of Psychology and Education of Exceptional Children, F. O. L., Shahriari, Y., Ghasemzadeh, S., Deparment of Psychology and Education of Exceptional Children, F. O. P. A. E. S., Vakili, S., & Deparment of Psychology and Education of Exceptional Children, F. O. L.
- Affiliations
- Islamic Azad University, Tehran (IR)
- University of Tehran (IR)
- Venue
- Iranian Journal of Psychiatry and Clinical Psychology
- Publisher
- Negah Scientific Publisher
- Published
- 2019-10-01
- Volume
- 25
- Issue
- 3
- Pages
- 236-249
- ISSN
- 1735-4315 (ISSN-L)
- 2228-7515
- OpenAlex
- W2993087648
- Cited by
- 4
- References
- 51
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Iranian Journal of Psychiatry and Clinical Psychology (publishedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- cerebral palsy, anxiety, depression, aggression, children with disabilities, Child Behavior Checklist, intervention generalization
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