This systematic review examines the literature on the effectiveness of child-centered play therapy (CCPT) for youths who have experienced traumatic events. Two independent reviewers conducted the search procedures, as well as all data extraction and coding. Seven peer-reviewed articles reporting treatment outcomes were included in the review. As the focus of the review was on CCPT, treatment methods were similar across the seven articles (e.g., use of similar materials). There was also some consistency in findings regarding outcomes related to internalizing problems, self-concept, and self-competence. However, there was significant variability in the outcome measures used to evaluate effects, as well as limitations regarding the study methods that impact the overall conclusions regarding the use of CCPT to treat children that have experienced traumatic events. Treatment recommendations and suggestions for future research are discussed.
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Articles with * indicate those that were included in the review.
American Academy of Child and Adolescent Psychiatry. (2010). Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 414–430. https://doi.org/10.1016/j.jaac.2009.12.020.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders—Fifth edition. Arlington: American Psychiatric Association.
Axline, V. M. (1969). Play therapy. New York: Ballantine Books.
Black, P. J., Woodworth, M., Tremblay, M., & Carpenter, T. (2012). A review of trauma-informed treatment for adolescents. Canadian Psychology, 53, 192–203. https://doi.org/10.1037/a0028441.
Cary, C. E., & McMillen, J. C. (2012). The data behind the dissemination: A systematic review of trauma-focused cognitive behavioral therapy for use with children and youth. Children and Youth Services Review, 34, 748–757. https://doi.org/10.1016/j.childyouth.2012.01.003.
Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. (2004). A multi-site randomized control trail for children with abuse-related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 393–402. https://doi.org/10.1097/00004583-200404000-00005.
Cuijpers, P., Driessen, E., Hollon, S. D., van Oppen, P., Barth, J., & Andersson, G. (2012). The efficacy of non-directive supportive therapy for adult depression: A meta-analysis. Clinical Psychology Review, 32, 280–291. https://doi.org/10.1016/j.cpr.2012.01.003.
de Arrellano, M. A., Daniels, A. S., Lyman, D. R., Ghose, S. S., Jobe-Shields, L., Huang, L., et al. (2014). Trauma-focused cognitive-behavioral therapy for children and adolescents: Assessing the evidence. Psychiatric Services, 65, 591–602. https://doi.org/10.1176/appi.ps.201300255.
Ewing, D. L., Monsen, J. J., & Kwoka, M. (2014). Behavioural and emotional well-being of children following non-directive play with school staff. Educational Psychology in Practice, 30, 192–203. https://doi.org/10.1080/02667363.2014.907128.
Gamer, M., Lemon, J., Fellows, I., & Singh, P. (2012). Package ‘irr.’ Various coefficients of interrater reliability and agreement (version 0.84) (computer software package). Retrieved from https://cran.r-project.org/web/packages/irr/irr.pdf. Accessed 28 Feb 2018.
Gutermann, J., Schreiber, F., Matulis, S., Schwartzkopff, L., Deppe, J., & Steil, R. (2016). Psychological treatments for symptoms of posttraumatic stress disorder in children, adolescents, and young adults: A meta-analysis. Clinical Child and Family Psychology Review, 19, 77–93. https://doi.org/10.1007/s10567-016-0202-5.
Kessler, R. C., Avenevoli, S., Costello, E. J., Georgiades, K., Green, J. G., Gruber, M. J., He, J. P., Koretz, D., McLaughlin, K., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Merikangas, K. R. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69, 372–380. https://doi.org/10.1001/archgenpsychiatry.2011.160.
*Kot, S., Landreth, G. L., & Giordano, M. (1998). Intensive child-centered play therapy with child witnesses of domestic violence. International Journal of Play Therapy, 7, 17–36. https://doi.org/10.1037/h0089421.
Lambert, S. F., LeBlanc, M., Mullen, J. A., Ray, D., Baggerly, J., White, J. A., & Kaplan, D. (2007). Learning more about those who play in session: The National Play Therapy in counseling practices project (phase I). Journal of Counseling & Development, 85, 42–46.
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174. https://doi.org/10.2307/2529310.
Landreth, G. L. (1991). Play therapy: The art of the relationship. Muncie: Accelerated Development.
Landreth, G. L. (2002). Play therapy: The art of the relationship (2nd ed.). New York: Brunner-Routledge.
Lin, W., & Bratton, S. C. (2015). A meta-analytic review of child-centered play therapy approaches. Journal of Counseling & Development, 93, 45–58. https://doi.org/10.1002/j.1556-6676.2015.00180.x.
Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.
Nader, K., & Fletcher, K. E. (2014). Childhood and posttraumatic stress disorder. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (3rd ed., pp. 476–528). New York: Guilford Press.
*Nicol, A. R., Smith, J., Kay, B., Hall, D., Barlow, J., & Williams, B. (1988). A focused casework approach to the treatment of child abuse: A controlled comparison. Journal of Child Psychology and Psychiatry, 29, 703–711. https://doi.org/10.1111/j.1469-7610.1988.tb01890.x.
Perfect, M. M., Turley, M. R., Carlson, J. S., Yohanna, J., & Saint Gilles, M. P. (2016). School-related outcomes of traumatic exposure and traumatic stress symptoms in students: A systematic review of research from 1990 to 2015. School Mental Health, 8, 7–43. https://doi.org/10.1007/s12310-016-9175-2.
Phillips, R. D. (2010). How firm is our foundation? Current play therapy research. International Journal of Play Therapy, 19, 13–25. https://doi.org/10.1037/a0017340.
R Core Team (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Retrieved from http://www.R-project.org/. Accessed 28 Feb 2018.
Ray, D. C., Armstrong, S. A., Balkin, R. S., & Jayne, K. M. (2015). Child-centered play therapy in the schools: Review and meta-analysis. Psychology in the Schools, 52, 107–123. https://doi.org/10.1002/pits.21798.
*Reyes, C. J., & Asbrand, J. P. (2005). A longitudinal study assessing trauma symptoms in sexually abused children engaged in play therapy. International Journal of Play Therapy, 14, 25–47. https://doi.org/10.1037/h0088901.
*Schottelkorb, A. A., Doumas, D. M., & Garcia, R. (2012). Treatment for childhood refugee trauma: A randomized, controlled trial. International Journal of Play Therapy, 21, 57–73. https://doi.org/10.1037/a0027430.
*Scott, T. A., Burlingame, G., Starling, M., Porter, C., & Lilly, J. P. (2003). Effects of individual client-centered play therapy on sexually abused children’s mood, self-concept, and social competence. International Journal of Play Therapy, 12, 7–30. https://doi.org/10.1037/h0088869.
*Shen, Y. (2002). Short-term group play therapy with Chinese earthquake victims: Effects on anxiety, depression, and adjustment. International Journal of Play Therapy, 11, 43–63. https://doi.org/10.1037/h0088856.
*Tyndall-Lind, A., Landreth, G. L., & Giordano, M. A. (2001). Intensive group play therapy with child witnesses of domestic violence. International Journal of Play Therapy, 10, 53–83. https://doi.org/10.1037/h0089443.
U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2018). Child maltreatment 2016. Available from https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/child-maltreatment. Accessed 26 July 2018.
This study did not involve human participants.
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Humble, J.J., Summers, N.L., Villarreal, V. et al. Child-Centered Play Therapy for Youths Who Have Experienced Trauma: a Systematic Literature Review. Journ Child Adol Trauma 12, 365–375 (2019). https://doi.org/10.1007/s40653-018-0235-7
- Play therapy
- Child-centered play therapy