Advances In The Research On The Therapeutic Effect Of Sandplay Therapy On Adolescent Depression

Depression,(Major depressive disorder,MDD)is also called the mood disorders(depressive episode),is a persistent low mood as the main clinical features,often accompanied by adults interested in decline,depression,slow thinking,memory loss,no sense of worth,and decreased appetite change,social function and negative,and irritability,temper,impulse and behavior change,learning performance decline,refused to go to school during adolescence(mean 13 to 18 one full year of life)is common.Patients experience pain subjectively,and in severe cases,they are unable to live,study and work normally.Depression is caused by complex,multi-factor etiology,including autonomic nervous system,immune system,genetics,psychological stress,social factors,temperament characteristics,growing environment and so on.Adolescents are in the critical period of life learning and development.However,China's data show that the number of diagnosed adolescent depression patients is as high as 30 million every year,and the trend is increasing year by year.As early as 2017,more than 100 million people in China suffered from depression,or 6.1 percent of the 350 million people in the world,mostly teenagers and young adults.Many previous studies have shown that drug therapy combined with psychotherapy is more conducive to the recovery of patients,but psychotherapy is particularly important because patients and their families often refuse medication due to their stigma,lack of understanding of depression,and fear of adverse drug reactions.Sandplay therapy can alleviate depression and negative thoughts;Promote appetite recovery,enhance interest,improve sleep quality;At the same time,it can promote the recovery of social functions,enhance the mental health level and the ability of emotional self-regulation.A large number of studies show that the sand table game therapy is more and more widely used in China's psychological treatment,has become one of the common psychological counseling techniques.Sandplay therapy can not only be used for psychological counseling and treatment,but also for psychological diagnosis.At present,there are still some deficiencies in the treatment of sandplay: firstly,the background of individual's race,education,culture and religion cannot be unified;Secondly,there are too many small samples and case studies to conduct systematic analysis and comprehensive research.In addition,the lack of long-term efficacy observation;Finally,the clinical application of sandplay therapy lacks biological basis.Based on the above deficiencies,it is suggested that in future studies,the multi-ethnic and multi-cultural communication mode should be adopted to increase the sample size and conduct long-term follow-up observation on the therapeutic effect of sand table games,so as to provide important reference value for the effective treatment of diseases in the future.In this paper,the status and efficacy of sand-table games in the treatment of adolescent depression are reviewed in order to provide reference for the clinical treatment of adolescent depression.