A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/23003 |
Resumo: | Epidemiological data indicate that Oppositional Defiant Disorder (ODD) and/or Conduct Disorder (CD) in childhood are predictors of mental disorders in adolescence and adulthood. Sandplay therapy (ST) is a nonverbal and expressive method based on Analytical Psychology. The study aimed at verifying the efficiency of ST for treatment of children with symptoms of ODD and/or CD; observing whether the improvement was sustained for three months; verifying the emerging themes in the ST and their evolution, considering the initial and final phase of the process. The research employed a mixed methodology with statistical analysis of CBCL/6-18 results. The instruments used were: Strengths and Difficulties Questionaire - parental version (SDQ), Abbreviated Weschler Intelligence Scale (WASI) and Child Behavior Checklist for ages 6-18 (CBCL/6-18). The intervention consisted of twelve weekly sessions of ST lasting 40 minutes. In each session, a scene was produced by the participant. Participants were forty-one children of both sexes, aged between 6 years and 11 years and 11 months, who were attending a Child and Adolescent Center in São Paulo city. Two groups were randomly formed: Experimental Group 1 (GE1), with 21 participants, and Control Group (CG), with 20 participants. The children from GE1 underwent the intervention and the children from the CG waited in line for three months. After the intervention for GE1 and the waiting period for GC, the CBCL/6-18 was applied again. Waiting children who still met inclusion criteria formed GE2 and then started TS. Three months after the end of the intervention, follow-up was performed for GE1 and GE2, which constituted the GETOTAL in the statistical analysis. The analysis between GE1 and CG showed improvement of symptoms in the following domains: Externalizing, Rule Breaking Behavior, Aggressive Behavior, Oppositional Defiant Problems, and Conduct Problems, with varying effect sizes from weak to strong. The analysis of GETOTAL showed improvement of symptoms with strong effect size in all domains mentioned above, just after ST. Although CBCL/6-18 results indicate that behaviour improvement was not sustained after three months, results remained relatively stable, as no regression of symptoms to baseline occurred in any of the domains. Comparison of the results obtained before the beginning and three months after the end of the intervention indicates that there was a statistically significant reduction with moderate or strong effect size in all domains except Somatic Problems. Participants produced 432 scenes. The themes “conflict”, “threat” and “wound” were more frequent in the early phase and less frequent in the final phase of ST. The opposite occurred with the theme “care”. Thus, CBCL6/6-18 results and the observed evolution in themes throughout intervention sessions show the efficiency of ST in reducing symptoms in children with symptoms of TOD and CT |
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Ramos, Denise Gimenezhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4453837Y6Chalfon, Mariana S. Taliba2020-03-05T12:46:58Z2020-02-14Chalfon, Mariana S. Taliba. A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo. 2019. 241 f. Tese (Doutorado em Psicologia: Psicologia Clínica) - Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica, Pontifícia Universidade Católica de São Paulo, São Paulo, 2019.https://tede2.pucsp.br/handle/handle/23003Epidemiological data indicate that Oppositional Defiant Disorder (ODD) and/or Conduct Disorder (CD) in childhood are predictors of mental disorders in adolescence and adulthood. Sandplay therapy (ST) is a nonverbal and expressive method based on Analytical Psychology. The study aimed at verifying the efficiency of ST for treatment of children with symptoms of ODD and/or CD; observing whether the improvement was sustained for three months; verifying the emerging themes in the ST and their evolution, considering the initial and final phase of the process. The research employed a mixed methodology with statistical analysis of CBCL/6-18 results. The instruments used were: Strengths and Difficulties Questionaire - parental version (SDQ), Abbreviated Weschler Intelligence Scale (WASI) and Child Behavior Checklist for ages 6-18 (CBCL/6-18). The intervention consisted of twelve weekly sessions of ST lasting 40 minutes. In each session, a scene was produced by the participant. Participants were forty-one children of both sexes, aged between 6 years and 11 years and 11 months, who were attending a Child and Adolescent Center in São Paulo city. Two groups were randomly formed: Experimental Group 1 (GE1), with 21 participants, and Control Group (CG), with 20 participants. The children from GE1 underwent the intervention and the children from the CG waited in line for three months. After the intervention for GE1 and the waiting period for GC, the CBCL/6-18 was applied again. Waiting children who still met inclusion criteria formed GE2 and then started TS. Three months after the end of the intervention, follow-up was performed for GE1 and GE2, which constituted the GETOTAL in the statistical analysis. The analysis between GE1 and CG showed improvement of symptoms in the following domains: Externalizing, Rule Breaking Behavior, Aggressive Behavior, Oppositional Defiant Problems, and Conduct Problems, with varying effect sizes from weak to strong. The analysis of GETOTAL showed improvement of symptoms with strong effect size in all domains mentioned above, just after ST. Although CBCL/6-18 results indicate that behaviour improvement was not sustained after three months, results remained relatively stable, as no regression of symptoms to baseline occurred in any of the domains. Comparison of the results obtained before the beginning and three months after the end of the intervention indicates that there was a statistically significant reduction with moderate or strong effect size in all domains except Somatic Problems. Participants produced 432 scenes. The themes “conflict”, “threat” and “wound” were more frequent in the early phase and less frequent in the final phase of ST. The opposite occurred with the theme “care”. Thus, CBCL6/6-18 results and the observed evolution in themes throughout intervention sessions show the efficiency of ST in reducing symptoms in children with symptoms of TOD and CTDados epidemiológicos apontam que Transtorno de Oposição Desafiante (TOD) e/ou Transtorno de Conduta (TC) na infância são preditores de transtornos mentais na adolescência e idade adulta. A terapia de sandplay (TS) constitui-se método não-verbal e expressivo, fundamentado na psicologia analítica. Os objetivos da pesquisa foram: verificar a eficiência da TS para o tratamento de crianças que apresentam sintomas de TOD e/ou TC; observar se a melhora se sustentou por três meses; verificar os temas que surgiram na TS e sua evolução, tendo em vista a fase inicial e final do processo. O método utilizado foi misto com análise estatística dos resultados do CBCL/6-18. Os instrumentos utilizados foram: Strengths and Difficulties Questionaire – versão para pais (SDQ), Escala Weschler Abreviada de Inteligência (WASI) e Child Behavior Checklist for ages 6-18 (CBCL/6-18). A intervenção consistiu em doze sessões semanais de TS, com duração de 40 minutos. Em cada sessão, uma cena foi produzida. Participaram 41 crianças de ambos os sexos, com idades entre 6 anos e 11 anos e 11 meses, atendidas em um Centro da Criança e do Adolescente de São Paulo. Dois grupos foram randomicamente formados: Grupo Experimental 1 (GE1), com 21 participantes, e Grupo Controle (GC), com 20 participantes. As crianças do GE1 passaram pela intervenção e as do GC aguardaram em fila de espera por três meses. Após o término da intervenção para GE1 e do período de espera para GC, foi aplicado o CBCL/6-18. As crianças em espera que ainda atendiam aos critérios de inclusão formaram o GE2 e, então, iniciaram a TS. Três meses após o término da intervenção, foi realizado follow up para GE1 e GE2, que constituíram o GE total na análise estatística. A análise entre GE1 e GC apontou melhora dos sintomas nos domínios Externalizantes, Comportamento Quebra de Regras, Comportamento Agressivo, Problemas de Oposição Desafiante e Problemas de Conduta, com variação do tamanho do efeito de fraco a forte. A análise do GE total apontou melhora dos sintomas com tamanho do efeito forte em todos os domínios supramencionados, logo após a TS. Apesar de os resultados do CBCL/6-18 apontarem que a melhora não se sustentou por três meses, os resultados se mantiveram relativamente estáveis, uma vez que não ocorreu a regressão dos sintomas ao nível basal em nenhum dos domínios. A comparação dos resultados obtidos antes do início e três meses após o término da intervenção aponta que ocorreu redução estatisticamente significativa com tamanho do efeito moderado ou forte, em todos os domínios com exceção de Problemas Somáticos. Os participantes produziram 432 cenas. Os temas conflito, ameaça e ferida foram mais frequentes na fase inicial e menos frequentes na fase final da TS. O inverso ocorreu com o tema cuidado. Desse modo, os resultados do CBCL/6-18 e a evolução dos temas trabalhados na intervenção denotam a eficiência da TS para a diminuição de sintomas em crianças que apresentam sintomas de TOD e TCCoordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/51641/Mariana%20S.%20Taliba%20Chalfon.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em Psicologia: Psicologia ClínicaPUC-SPBrasilFaculdade de Ciências Humanas e da SaúdeTranstorno de Oposição DesafianteTranstorno de condutaTerapia de sandplayOppositional Defiant DisorderConduct disorderSandplay therapyCNPQ::CIENCIAS HUMANAS::PSICOLOGIAA utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivoThe use of sandplay therapy in children with symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD): a quantitative and analytical studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTMariana S. 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dc.title.por.fl_str_mv |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
dc.title.alternative.eng.fl_str_mv |
The use of sandplay therapy in children with symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD): a quantitative and analytical study |
title |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
spellingShingle |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo Chalfon, Mariana S. Taliba Transtorno de Oposição Desafiante Transtorno de conduta Terapia de sandplay Oppositional Defiant Disorder Conduct disorder Sandplay therapy CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
title_short |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
title_full |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
title_fullStr |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
title_full_unstemmed |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
title_sort |
A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo |
author |
Chalfon, Mariana S. Taliba |
author_facet |
Chalfon, Mariana S. Taliba |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ramos, Denise Gimenez |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4453837Y6 |
dc.contributor.author.fl_str_mv |
Chalfon, Mariana S. Taliba |
contributor_str_mv |
Ramos, Denise Gimenez |
dc.subject.por.fl_str_mv |
Transtorno de Oposição Desafiante Transtorno de conduta Terapia de sandplay |
topic |
Transtorno de Oposição Desafiante Transtorno de conduta Terapia de sandplay Oppositional Defiant Disorder Conduct disorder Sandplay therapy CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
dc.subject.eng.fl_str_mv |
Oppositional Defiant Disorder Conduct disorder Sandplay therapy |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
description |
Epidemiological data indicate that Oppositional Defiant Disorder (ODD) and/or Conduct Disorder (CD) in childhood are predictors of mental disorders in adolescence and adulthood. Sandplay therapy (ST) is a nonverbal and expressive method based on Analytical Psychology. The study aimed at verifying the efficiency of ST for treatment of children with symptoms of ODD and/or CD; observing whether the improvement was sustained for three months; verifying the emerging themes in the ST and their evolution, considering the initial and final phase of the process. The research employed a mixed methodology with statistical analysis of CBCL/6-18 results. The instruments used were: Strengths and Difficulties Questionaire - parental version (SDQ), Abbreviated Weschler Intelligence Scale (WASI) and Child Behavior Checklist for ages 6-18 (CBCL/6-18). The intervention consisted of twelve weekly sessions of ST lasting 40 minutes. In each session, a scene was produced by the participant. Participants were forty-one children of both sexes, aged between 6 years and 11 years and 11 months, who were attending a Child and Adolescent Center in São Paulo city. Two groups were randomly formed: Experimental Group 1 (GE1), with 21 participants, and Control Group (CG), with 20 participants. The children from GE1 underwent the intervention and the children from the CG waited in line for three months. After the intervention for GE1 and the waiting period for GC, the CBCL/6-18 was applied again. Waiting children who still met inclusion criteria formed GE2 and then started TS. Three months after the end of the intervention, follow-up was performed for GE1 and GE2, which constituted the GETOTAL in the statistical analysis. The analysis between GE1 and CG showed improvement of symptoms in the following domains: Externalizing, Rule Breaking Behavior, Aggressive Behavior, Oppositional Defiant Problems, and Conduct Problems, with varying effect sizes from weak to strong. The analysis of GETOTAL showed improvement of symptoms with strong effect size in all domains mentioned above, just after ST. Although CBCL/6-18 results indicate that behaviour improvement was not sustained after three months, results remained relatively stable, as no regression of symptoms to baseline occurred in any of the domains. Comparison of the results obtained before the beginning and three months after the end of the intervention indicates that there was a statistically significant reduction with moderate or strong effect size in all domains except Somatic Problems. Participants produced 432 scenes. The themes “conflict”, “threat” and “wound” were more frequent in the early phase and less frequent in the final phase of ST. The opposite occurred with the theme “care”. Thus, CBCL6/6-18 results and the observed evolution in themes throughout intervention sessions show the efficiency of ST in reducing symptoms in children with symptoms of TOD and CT |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-03-05T12:46:58Z |
dc.date.issued.fl_str_mv |
2020-02-14 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Chalfon, Mariana S. Taliba. A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo. 2019. 241 f. Tese (Doutorado em Psicologia: Psicologia Clínica) - Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica, Pontifícia Universidade Católica de São Paulo, São Paulo, 2019. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/23003 |
identifier_str_mv |
Chalfon, Mariana S. Taliba. A utilização da terapia de sandplay em crianças que apresentam sintomas de Transtorno de Oposição Desafiante (TOD) e Transtorno de Conduta (TC): um estudo quantitativo e compreensivo. 2019. 241 f. Tese (Doutorado em Psicologia: Psicologia Clínica) - Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica, Pontifícia Universidade Católica de São Paulo, São Paulo, 2019. |
url |
https://tede2.pucsp.br/handle/handle/23003 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.publisher.program.fl_str_mv |
Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica |
dc.publisher.initials.fl_str_mv |
PUC-SP |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Ciências Humanas e da Saúde |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.source.none.fl_str_mv |
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Biblioteca Digital de Teses e Dissertações da PUC_SP |
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Biblioteca Digital de Teses e Dissertações da PUC_SP |
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https://repositorio.pucsp.br/xmlui/bitstream/handle/23003/4/Mariana%20S.%20Taliba%20Chalfon.pdf.txt https://repositorio.pucsp.br/xmlui/bitstream/handle/23003/1/license.txt https://repositorio.pucsp.br/xmlui/bitstream/handle/23003/2/Mariana%20S.%20Taliba%20Chalfon.pdf https://repositorio.pucsp.br/xmlui/bitstream/handle/23003/3/Mariana%20S.%20Taliba%20Chalfon.pdf.jpg |
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MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP) |
repository.mail.fl_str_mv |
bngkatende@pucsp.br||rapassi@pucsp.br |
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1799796063598542848 |