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Sandplay therapy could be a method to decrease disease activity and psychological stress in children with systemic

Jinjiao Li1,2, Yanjun Shi2, Wei Zhou2

  • 1518873Shandong First Medical University, Taian, China.

Lupus
|January 17, 2022
PubMed

Insights

Sandplay therapy significantly improved mental health and reduced disease activity in children with childhood-onset systemic lupus erythematosus (cSLE). This psychological intervention offers a promising approach for managing cSLE patients.

Area of Science:

  • Pediatrics
  • Rheumatology
  • Psychology

Background:

  • Childhood-onset systemic lupus erythematosus (cSLE) presents unique challenges, including severe organ involvement and poor prognosis.
  • cSLE significantly impacts children's mental health due to physiological, functional, and organ damage.
  • There is a lack of psychological intervention research for cSLE in China.

Purpose of the Study:

  • To investigate the efficacy of Sandplay therapy on the mental health of children with cSLE.
  • To assess the impact of Sandplay therapy on disease activity in pediatric patients with cSLE.

Main Methods:

  • Forty children diagnosed with cSLE were randomly assigned to a control group (CG) or an intervention group (IG).
  • The CG received standard drug therapy (glucocorticoid, immunosuppressant).
  • The IG received Sandplay therapy in addition to standard drug therapy, with assessments at baseline and at 2, 4, and 12 weeks post-intervention.

Main Results:

  • No significant differences were observed between groups at 0 and 2 weeks.
  • At 12 weeks, the IG showed significantly lower scores on the Children's Depression Inventory (CDI-S) and Screen for Child Anxiety Related Emotional Disorders (SCARED) compared to the CG.
  • The IG demonstrated improved social function, school performance, and emotional health (PedsQL 4.0), along with better clinical indicators (p < 0.05).

Conclusions:

  • Sandplay therapy may mitigate anxiety and depression in children with cSLE.
  • This therapeutic approach appears to reduce disease activity in pediatric lupus patients.
  • Sandplay therapy offers a potential adjunctive treatment for improving the overall well-being of children with cSLE.
Abstract

Keywords:
Sandplay therapyanxietychildren with systemic lupus erythematosusdepression

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