Development of the child's ego strength scale: an observation-based assessment of the board game behaviors in play therapy in Korea
- Authors
- Lee, Ji Yoen; Lee, Young-ae; Yoo, Mee Sook
- Issue Date
- 17-Apr-2021
- Publisher
- BMC
- Keywords
- Ego strength; Ego strength scale; Board game attitude; Observation-based assessment; Play therapy; Early school-aged children
- Citation
- CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH, v.15, no.1, pp 1 - 17
- Pages
- 17
- Journal Title
- CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH
- Volume
- 15
- Number
- 1
- Start Page
- 1
- End Page
- 17
- URI
- https://scholarworks.sookmyung.ac.kr/handle/2020.sw.sookmyung/146714
- DOI
- 10.1186/s13034-021-00369-3
- ISSN
- 1753-2000
1753-2000
- Abstract
- Background The purpose of this study was to develop a scale for assessing children's ego strength through the observation of children playing board games in a therapeutic setting. Because ego strength is an index of psychosocial health, it is important to assess ego strength in childhood. In particular, children aged 7 to 9 exhibit their ego-strength characteristics in a situation challenged by self-competence due to their latency period. Therapists can identify such ego strength through game behaviors of children aged 7 to 9 in the play therapy setting. Thus, it is needed to develop a scale by selecting game play behaviors that grasp ego-strength. Method Data were collected from 127 play therapists and play therapist-supervisors, who observed 468 play therapy sessions and 55 children aged 7-9 who received play therapy in Korea. The scale was created through content validity verification, factor analysis and verification of criterion-related validity. Results We generated a Child's Ego Strength Scale (CESS) consisting of five sub-factors (Coping Strategy, Cognitive Strategy, Ego Restriction, Interpersonal Functioning, Frustration Tolerance) through exploratory factor analysis. The scale met the goodness of fit criteria in a confirmatory factor analysis. The analysis of therapy sessions of children with strong and weak ego strength, as identified by play therapists, showed a significant difference between the two groups in all five sub-variables. There was a significant correlation between the CESS scores and scores of ego strength-related variables of the Rorschach scale, indicating good criterion-related validity. Conclusion The CESS appears to be a practical method for the assessment of ego strength in the field of child counseling.
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