Effectiveness of DIR/Floor Time Play Therapy in Social Skills and Emotion Regulation of Children with Autism Spectrum Disorder

Farideh Barghi, Sahar Safarzadeh, Fatemeh Sadat Marashian, Saeed Bakhtiarpour
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Abstract

Background: Children with autism spectrum disorder (ASD) and their families need to use rehabilitation services to improve their functions in social interactions and communication skills. Objectives: The present study aimed to investigate the effectiveness of DIR/floor time play therapy in the social skills and emotion regulation of children with ASD. Methods: The present study was a quasi-experimental with a pretest/posttest design. The statistical population included all the autistic children visiting Golhay-e Behesht Autism Center in Qom, Qom Province, Iran. The convenience sampling method was employed to select 30 participants, who were randomly assigned to an experimental group (n = 15) and a control group (n = 15). The experimental group received the DIR/floor time play therapy intervention for 23 twenty-minute sessions. The research instrument included Bellini’s Social Skills Profile Questionnaire and Emotion Regulation Checklist. Descriptive statistics and the repeated measures ANOVA were adopted for data analysis in SPSS 22. Results: According to the results, the DIR/floor time play therapy method improved emotion regulation components (i.e., instability/negativity and emotion regulation) and the indices of social skills (i.e., social interaction, social participation, and detrimental behavior). The results lasted until the follow-up step (P < 0.001). Conclusions: The DIR/floor time play therapy method caused positive changes to emotion regulation and social skills in autistic children. Therefore, it can be an effective intervention in children with ASD.
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DIR/地板时间游戏疗法对自闭症谱系障碍儿童社交技能和情绪调节的影响
背景:自闭症谱系障碍儿童及其家庭需要通过康复服务来改善其社会交往功能和沟通能力。目的:本研究旨在探讨DIR/地板时间游戏疗法对ASD儿童社交技能和情绪调节的影响。方法:本研究采用准实验设计,采用前测/后测设计。统计人群包括所有访问伊朗库姆省库姆Golhay-e Behesht自闭症中心的自闭症儿童。采用方便抽样法,选取30名受试者,随机分为实验组(n = 15)和对照组(n = 15)。实验组接受DIR/地板时间游戏治疗干预,共23次,每次20分钟。研究工具包括贝利尼社交技能问卷和情绪调节量表。在SPSS 22中采用描述性统计和重复测量方差分析进行数据分析。结果:DIR/地板时间游戏疗法改善了儿童情绪调节成分(不稳定/负性和情绪调节)和社会技能指标(社会互动、社会参与和有害行为)。结果一直持续到随访阶段(P <0.001)。结论:DIR/地板时间游戏疗法对自闭症儿童的情绪调节和社交技能有积极的影响。因此,它可以是一种有效的干预儿童ASD。
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37
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