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Posttraumatic play in young children exposed to terrorism

An empirical study

Bibliographic Data

ID11277552
AuthorsEsther Cohen (0000-0002-8169-0327, Hebrew University of Jerusalem, corresponding author), Saralea E Chazan (New York University), Saralea Chazan, Moran Lerner, Efrat Maimon
Year2010
Volume31
Issue2
Pages159-181
Publication date2010-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.20250
PMID28543328
OpenAlexW2064913822
LanguageEN
Citations received16
References cited30

The phenomenon of “posttraumatic play” (PTP) has received much clinical recognition and little empirical support. The objective of this study was to examine various aspects of PTP in young children exposed to terror events and their relation to posttraumatic stress disorder (PTSD). Individual play sessions, conducted with 29 young Israeli children directly exposed to terrorism ( M age = 5.47, SD = 1.34) and 25 matched unexposed children ( M age = 5.62, SD = 0.87), were coded using the Children's Play Therapy Instrument–Adaptation for Terror Research (CPTI‐ATR; S.E. Chazan & E. Cohen, 2003). Analyses using these ratings showed (a) significant differences between the two groups, (b) significant associations with the caregiver's reports on child's exposure, and (c) significant associations with the caregiver's reports on the child's PTSD symptoms. Play activity ratings of predominant negative affects, frequent acting‐out/morbid themes, lowered developmental level, and reduced awareness of the child of him‐ or herself as a player significantly predicted more PTSD symptoms. PTP which included more coping strategies classified as “overwhelmed reexperiencing” and less “reenactment with soothing” was associated with a higher level of PTSD. Play analysis with the CPTI‐ATR may be helpful in identifying PTSD in children and also guide the selection of therapeutic techniques

Developmental psychology · Posttraumatic stress · Psychiatry · Young adult · Child Abuse and Trauma · Child Therapy and Development · Clinical Psychology · Counseling, Therapy, and Family Dynamics · Psychology

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Unique citing works16
Citations per year0,94
Citation span2009 - 2025 (17)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 13

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