摘要
目的探索福建省跨国留守注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的团体沙盘作品特征,为进一步应用团体沙盘进行针对性的干预提供支持。方法2017年12月至2019年7月将符合纳入标准的跨国留守ADHD儿童42人为跨国留守组,随机选取同期门诊就诊的ADHD儿童42人为对照组,每个团体沙盘游戏单位4人为一小组,每小组中跨国留守组和对照组被试均为2人。对两组被试的初始沙盘作品进行分析。结果①在初始沙盘的沙具使用中,跨国留守组植物、矿物和小动物的数量均少于对照组,而交通工具、桥、栅栏的数量均多于对照组;②在初始沙盘游戏中,跨国留守组出现E模式、CRD模式和雷同排列比对照组多,而对照组更倾向于与同伴划边界和出现自我像投射;③跨国留守组出现占满式空间使用、大幅度动沙、刻板性动沙和挖沙成海多于对照组。结论福建省跨国留守ADHD儿童自我意识相对淡漠、人际界限感差、情感贫乏,有较强防御和退缩倾向,同时又有较高亲社会性意愿。居留地经济文化环境可能为患儿的情绪社会化提供正向保护作用。
Objective To investigate the characteristics of group sandplay therapy among transnational left-behind children(LBC)with attention deficit hyperactivity disorder(ADHD)in Fujian Province,with the aim to provide reference for further application of group sandplay therapy.Methods Between December 2017and July 2019,a total of 42transnational LBC with ADHD who met the inclusion criteria were recruited as the transnational LBC group.Meanwhile,42outpatient children with ADHD were randomly recruited in the same period as the control group.Each group of sandplay therapy was assigned with 4children,including 2children from the transnational LBC group and 2children from the control group.The characteristics of initial sandplay constructions were analyzed.Results①Regarding the sandplay tools,the transnational LBC group used fewer plants,minerals and small animals and more vehicles,bridges and fences than the control group.②In terms of the themes,the transnational LBC group was more likely to exhibit sandplay artwork themes of emptiness,CRD model and same arrangement and less likely to make boundaries and self-image projection than the control group.③Regards to the use of space and sand,the transnational LBC group showed more full space use,large moving sand,stereotypic moving sand,and shaping the ocean than the control group.Conclusion The transnational LBC with ADHD in Fujian Province were observed with weak self-consciousness,poor sense of interpersonal boundaries and emotional poverty.They also presented a strong tendency to be defensive and withdrawn while having high pro-social intentions.The economic and cultural environment of the place of residence may provide a positive protective effect on the emotional socialization of children.
作者
王艳霞
刘桂华
黄欣欣
葛品
郭敬民
陈悦
钱沁芳
黄艳
WANG Yanxia;LIU Guihua;HUANG Xinxin;GE Pin;GUO Jingmin;CHEN Yue;QIAN Qinfang;HUANG Yan(Fujian Maternity and Child Health Hospital(College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University),Fuzhou,Fujian 350001,China)
出处
《海峡预防医学杂志》
CAS
2023年第5期1-4,共4页
Strait Journal of Preventive Medicine
基金
福建省自然科学基金面上项目(2022J011028)
福建医科大学启航基金(2019QH1139)
福建省科技厅引导性项目(2023Y0056)
关键词
注意缺陷多动障碍(ADHD)
团体沙盘疗法
跨国留守儿童
初始沙盘
Attention Deficit Hyperactivity Disorder(ADHD)
Group Sandplay Therapy
Transnational Left-behind Children(LBC)
Initial Sandplay
