The Effectiveness of Group Play Therapy on Emotion Recognition and Communication Skills in Children with Hearing Impairment

Document Type : Research Paper

Authors

1 Ph.D Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran

2 M.A. in Psychology and Education of Exceptional Children, Faculty of Literature and Humanities, university of Guilan, Rasht, Iran

3 M.A. in Psychology and Education of Exceptional Children, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.

4 M.A. Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

Abstract
Hearing impairment is one of the most prevalent sensory disabilities in children and has widespread effects on their cognitive, emotional, social, and language development. Given the high prevalence and long-term impact of this condition on quality of life, identifying and implementing effective interventions in this field is of great importance. Accordingly, the present study aimed to examine the effectiveness of group play therapy on emotion recognition and communication skills in children with hearing impairment. This applied study employed a quasi-experimental pretest–posttest control group design. The study population consisted of students with hearing impairment in Ardabil City during the 2025–2026 academic year, from whom 30 children aged 10 to 14 years were selected through convenience sampling and randomly assigned to experimental and control groups (15 participants in each group). The research instruments included the Ekman and Friesen Facial Emotion Recognition Questionnaire (1976) and the Matson Social Skills Scale (1983). The experimental group participated in ten sessions of group play therapy, held once a week for 60 minutes, while the control group received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA). The results indicated that group play therapy significantly improved emotion recognition and communication skills in children with hearing impairment (P < 0.01). Therefore, group play therapy can be considered an effective therapeutic approach for promoting mental health and enhancing emotional and communication skills in these children.

Keywords


Berrymani, owner; Asadi, Juanshir and Khajoond, Afsanah. (2017). The effectiveness of play therapy on social adaptation and communication skills of deaf children. Journal of Rehabilitation, 19(3), 250-261. http://dx.doi.org/10.32598/rj.19.3.250 Jalil Abkanar, Samia and Khademi, Zahra. (1404). A meta-analysis on the effectiveness of cognitive behavioral play therapy on the social skills of mentally retarded children in Iran. Psychology of Exceptional Individuals, 58(15), 187-221. https://doi.org/10.22054/JPE.2026.85349.2810 Hossein Khanzadeh, Abbas Ali; Qolizadeh, Rababe; Taher, Mehbooba; Heydari, Hossein and Mobasheri, Fatemeh. (2017). The effectiveness of group play therapy on improving interpersonal relationships and social acceptance in students with hearing impairment. Psychology Quarterly of Exceptional People, 31, 1-20. https://doi.org/10.22054/jpe.2019.23949.1604 Hosseini, Maeda and Ashuri, Mohammad. (1401). The effectiveness of play therapy education based on relationship therapy on behavioral problems of hearing impaired children and resilience of mothers. Cognitive and Behavioral Sciences Research, 12(2), 91-108. https://doi.org/10.22108/cbs.2023.135270.1692 Zainli Dehrajbi, Zahra and Ashuri, Mohammad. (1400). The effect of play therapy based on the Axline approach on social emotional values ​​and resilience of preschool children with hearing loss. Journal of Positive Psychology, 7(4), 13-24. https://doi.org/10.22108/ppls.2022.130700.2194 Oven glass, Sepideh; Attarian, Faezeh; Kargarborzi, Hamid; Darvish Narenj bin, Sepideh and Mohammadlou, Hadi. (2016). Comparing the effectiveness of social cognitive skills training with cognitive-behavioral play therapy on social skills and social acceptability of children with abusive behavior disorders. Exceptional children (research in the field of exceptional children), 17(4), 93-106. https://dor.isc.ac/dor/20.1001.1.16826612.1396.17.4.9.5 great, sweet; Narimani, Mohammad; Mokhtari, Athena and Imani, Fariborz. (1404). The effect of play therapy on the social skills of students with autism. School Psychology, 14(4), 80-100. https://doi.org/10.22098/jsp.2026.16996.6105 Alizadefard, Sosan and Kadernia, Nastern. (1403). The effectiveness of teaching symbolic games on theory of mind and facial emotion recognition of children with developmental language disorder. New Educational Thoughts, 20(4), 17-28. https://doi.org/10.22051/jontoe.2024.47159.3923 Fatemi, Masoumeh; Taher, Mahbubeh, Maleki Farab, Neda and Mazinani, Afsanah. (1403). The effectiveness of play therapy on communication skills, feelings of loneliness and academic adaptation of children with hearing impairment. Development of Psychology, 6(99), 273-261. http://frooyesh.ir/article-1-5492-fa.html Maidanshahi, Zahra and Shojaei, Star. (1404). The effectiveness of cognitive behavioral play therapy on the attention and communication skills of children with hearing impairment. Journal of Empowerment of Exceptional Children, 3(52), 52-65. https://doi.org/10.22034/ceciranj.2025.519702.1955 Mirghforian, Zainab; Nouhi, Shahnaz and Taher, Mahbubeh. (1401). The effect of sand play therapy with a cognitive-behavioral approach on reducing emotional recognition problems and social development of boys with autism spectrum disorder. Community Health, 2(16), 82-94. https://doi.org/10.22123/chj.2022.293494.1742 Mikaili, Niloufer; and Ebadi, Matina. (1401). Development of structural equations of marital relationship disturbance based on the recognition of facial expressions of emotion: the mediating role of communicative aggression in infertile women. Shafai Khatam Journal of Neuroscience, 10 (2): 22-32 https://doi.org/10.61186/shefa.10.2.22 Nirimani, Mohammad; Qasimpour, Abdullah; Abolghasemi, Abbas and Hassanzadeh, Shahnaz. (1389). Comparison of emotional facial expression recognition and cognitive processing in patients with schizophrenia and normal people. Journal of Psychological Achievements, 4(2), 164-143. https://psychac.scu.ac.ir/article_11684.html