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

Jinjiao Li^1,2, Yanjun Shi², Wei Zhou²

¹518873Shandong First Medical University, Taian, China.

|January 17, 2022

Summary

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.

Keywords:

Sandplay therapy anxiety children with systemic lupus erythematosus depression

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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.