Volume 5, Issue 3 (Summer 2019)                   JCCNC 2019, 5(3): 147-156 | Back to browse issues page


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Khodabakhshi-Koolaee A, Akhalaghi-Yazdi R, Hojati Sayah M. Investigating Gestalt-based Play Therapy on Anxiety and Loneliness in Female Labour Children With Sexual Abuse: A Single Case Research Design (SCRD). JCCNC 2019; 5 (3) :147-156
URL: http://jccnc.iums.ac.ir/article-1-228-en.html
1- Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran. , a.khodabakhshid@khatam.ac.ir
2- Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran.
Abstract:   (3708 Views)
Background: Sexual abuse and harassment are among the major threats to labor children, especially girls, which can be associated with anxiety and loneliness. The current study aimed to investigate the effect of Gestalt play therapy on anxiety and loneliness in Afghan female labor children with sexual abuse histories.
Methods: This was a Single Case Research Design (SCRD) study of the AB model. The statistical population of the study consisted of all 8-11-year-old sexually-abused Afghan children in Karaj City, Iran, in 2018. Three 8-11-year-old female labor children with a sexual abuse history supported by Imam Ali Society (AS) were selected using a random sampling method. The intervention was performed in ten 45-minute sessions for 3 months, and the follow-up phase was conducted one month after the treatment. The required data were collected using the Child Abuse Scale, Asher Loneliness Scale, and Spence Children's Anxiety Scale. Graphical analysis, recovery percentage, and reliable change index were used to analyze the collected data. 
Results: The loneliness posttest scores improved, compared to the baseline values in the study participants. Their total recovery frequency was 0.56% in the loneliness, and the scores of reliable change index were >1.96 for all 3 study participants. In addition, the obtained results represented that this therapy decreased anxiety in these children and was clinically significant. Their total recovery frequency was equal to 0.57% in the loneliness, and the scores of reliable change index were >1.96 for all 3 study participants. Moreover, the follow-up test results indicated that the effects of intervention continued one month after the last session of play therapy. 
Conclusion: Gestalt play therapy has effectively reduced loneliness and anxiety in sexually-abused children. Thus, this therapy could be used as a therapeutic intervention in health centers to improve the feeling of loneliness in labor children and reduce their stress and psychological problems.
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• Investigating the psychological problems of labor, children should be targeted by psychologists and counselors.
• The immigrant population is largely identified as an illegal immigrant workforce and suffers from serious social harm.
• Informal education and play therapy reduce psychological traumas, such as anxiety and loneliness in children.
• The case study method contributes to an in-depth understanding of therapeutic changes. 
Plain Language Summary 
In 2015, according to the United Nations Office for Refugees (UNHCR), the number of displaced persons reached 52 million. These families, who migrate to other countries because of war or economic refugees, work illegally for the rest of their lives. Meanwhile, their children also work, which is inappropriate for their development and adds to the problems of the host community. This study examined 3 sexually-abused Afghan female labor children. Gestalt play therapy helped these children alleviate anxiety and loneliness caused by their psychological problems. Informal education and play therapy in schools can help reduce the psychosocial problems of children.

Type of Study: case report | Subject: General
Received: 2018/12/15 | Accepted: 2019/05/10 | Published: 2019/08/1

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