The Effect of Group Cognitive Behavioral Play Therapy Program on Self-Control among Late Childhood in Foster Care

Authors

  • Thienchai Ngamthipwatthana Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Yanisa Kiattisirichai Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Tikumporn Hosiri Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Vichai Manussirivithaya Somdech Phra Pinklao Hospital, Naval Medical Department, Bangkok 10600

Keywords:

Self-control; group cognitive behavioral play therapy; late-childhood; foster child

Abstract

Objective: To develop and evaluate the effectiveness of group cognitive behavioral play therapy program on selfcontrol in foster care for late childhood.
Methods: The program was developed by researchers and validated by 3 experts, and consisted of one individual session and 14 group sessions. Twelve boys with age 8-10 years at Mahamek Home for Boys attended the 40-50 minutes group session twice a week for 7 consecutive weeks. The effectiveness of the program was evaluated pre and post- intervention by using Self-Control Skill in 5 Situational Test and externalizing domains in Thai Youth Checklist (TYC). Descriptive statistics, Wilcoxon Signed Ranks Test, and qualitative analysis were used in data analysis.
Results: The participants were 12 boys with age 8-10 years at Mahamek Home for Boys. They were studying primary education in public school and were fostered because of poverty, abandonment, and abuse. Comparison of changes between pre and post-intervention scores revealed increment in mean score of Self-Control Skill in 5 Situational Tests with p-value at 0.267, related to decrement in mean score of overall externalizing behavior problems in TYC with p-value at 0.086. Examined score in sub-domains of TYC found statistical decrease in aggression with p-value at 0.028 (p. <.05) as well as decrease in delinquency and impulsivity with p-value at 0.257 and 0.146, but found slightly increased immaturity domain with p-value at 0.892.
Conclusion: The program was effective in reducing aggressive behavior and had a tendency to improve self-control skill among 8-10 years old children in a foster care. However, the effectiveness of the program in long-term needs to be further investigated.

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Published

27-12-2018

How to Cite

Ngamthipwatthana, T., Kiattisirichai, Y., Hosiri, T., & Manussirivithaya, V. (2018). The Effect of Group Cognitive Behavioral Play Therapy Program on Self-Control among Late Childhood in Foster Care. Siriraj Medical Journal, 70(6), 507–513. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/163186

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Original Article