Abstract
Children who endure complex trauma and multiple adverse childhood experiences (ACEs) suffer with various physical, social, and mental health-related consequences, such as increased rates of depression, posttraumatic stress disorder (PTSD), attention deficit/hyperactivity disorder (ADHD), cardiometabolic disorders, substance abuse disorders, ischemic heart disease, and suicidality. Child-Centered Play Therapy (CCPT) is a promising evidence-based child mental health intervention, and researchers have demonstrated the efficacy of CCPT for improving empathy, social competence, behavior problems, and self-regulation among children with multiple ACE exposures. In the current study, the researcher examined the co-regulatory process and relational mechanisms of CCPT with children with histories of complex trauma and early adversities, using child-counselor physiological synchrony values within and across play therapy sessions. Participants were children (N = 4; boys, n = 2; girls, n = 2) ages 5-8 who endured four or more ACEs. The researcher utilized a time series design to examine change processes in CCPT, using intensive longitudinal data (e.g., thousands of physiological data points per session). Children received between 10-14 twice weekly 30-minute CCPT sessions in the school setting. The child participants and counselor wore Empatica© E4 wristbands during play therapy sessions to continuously measure heart rate, as well as sympathetic and parasympathetic heart rate variability (HRV) biomarkers. The researcher computed Surrogate Synchrony (SUSY) analyses and found consistent, large child-counselor heart rate synchrony levels across play therapy sessions. The researcher presents the implications of this research for mental health counselors, play therapists, and counselor educators working with children impacted by complex trauma.
Notes
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Graduation Date
2023
Semester
Summer
Advisor
Taylor, Dalena
Degree
Doctor of Philosophy (Ph.D.)
College
College of Community Innovation and Education
Department
Counselor Education and School Psychology
Degree Program
Education; Counselor Education
Identifier
CFE0009726; DP0027833
URL
https://purls.library.ucf.edu/go/DP0027833
Language
English
Release Date
August 2023
Length of Campus-only Access
None
Access Status
Doctoral Dissertation (Open Access)
STARS Citation
Frawley, Caitlin, "An Investigation of Change Mechanisms Using Psychophysiological Data: Child-Centered Play Therapy with Children Exposed to Adverse Childhood Experiences" (2023). Electronic Theses and Dissertations, 2020-2023. 1828.
https://stars.library.ucf.edu/etd2020/1828