Abstract: Objective To explore the effectiveness of filial play therapy on the treatment of preschool children with internalizing problem behaviors. Methods Children with internalizing problem behaviors were screened by using Child Behavior Scale Chinese(CBSC) in 2 kindergartens in Shenzhen.Totally 24 children with the highest internalizing problem behaviors score in each kindergarten were randomly divided into intervention group and control group.Parents of the intervention group were given 8-week filial play therapy group training and the control group were followed up without intervention.The scores of CBSC were evaluated and compared before and after the intervention. Results Data of 20 children in intervention group and 19 children in control group were collected validly.After intervention,the scores of social withdrawal factor (2.80±3.09),anxiety factor(5.15±3.65) and total score of introverted behavioral problems factor (12.60 ±7.06) reduced significantly compared with those of baseline (P<0.05),but the scores of emotional control factor and somatization factor showed no significant change (P>0.05). Conclusions Filial paly therapy group training is effective to intervention of preschool children's internalizing behavior problems.It can reduce preschool children's social withdrawal and anxiety problems,and it should be improved and spread in further.

Key words: preschooler, internalizing problem behaviors, filial play therapy, parent training group

摘要： 目的 探索亲子游戏治疗小组家长培训治疗学龄前儿童内化性行为问题的疗效,发展一套符合中国特色的学龄前儿童行为问题心理治疗干预模式。方法 2016年10月在深圳市两所幼儿园用学前儿童行为量表(CBSC)进行筛查,分别抽取内化性行为问题因子得分最高的24名儿童,将抽取到的48名儿童随机分为干预组和对照组;干预组家长进行8周亲子游戏治疗小组培训,对照组未做系统干预。比较干预前后两组儿童的学前儿童行为量表内化性行为各个因子分数的改变。结果 共收集有效数据干预组20份,对照组19份。干预组儿童家长接受培训后其子女CBSC社交退缩因子分(2.80±3.09)、焦虑因子分(5.15±3.65)及内化性行为问题总分(12.60±7.06)的得分均明显低于干预前(P<0.05),情绪控制因子分和躯体化因子分无显著变化(P＞0.05)。结论 亲子游戏治疗小组家长培训可以减少学龄前儿童的内化性行为问题,是改善学龄前儿童社交退缩、焦虑问题的有效干预方式,可进一步完善并推广此方法。

关键词: 学龄前儿童, 内化性行为问题, 亲子游戏治疗, 小组家长培训