The efficacy of intensive individual play therapy for chronically ill children.

This study examined the effectiveness of play therapy for children diagnosed with insulin-dependent diabetes mellitus (IDDM). Specifically, the intent of the study was to determine the effectiveness of an intensive play therapy intervention in (a) reducing symptoms of anxiety in children with IDDM, (b) reducing the overall behavior difficulties in children with IDDM, (c) increasing healthy adjustment in children with IDDM, (d) increasing diabetic's children's adherence to their diabetic regime, and (e) having an impact on these emotional and behavioral symptoms over time. Analysis of covariance revealed that the children in the experimental group significantly improved their adaptation to their diabetes following intensive play therapy. The results indicate that intensive play therapy may be an effective intervention for children diagnosed with IDDM. Qualitative observations and progress noted in therapy reveal that young children with IDDM have the capability to address and resolve issues of anxiety, depression, and other emotional issues related to their diabetes in play therapy. Preventative approaches such as play therapy for children with IDDM are particularly important for this population, as current behavior patterns and treatment adherence are highly correlated with long-term medical and psychological health.