Evidence map›Paper›PMID 42281848›Full record

ArticleInternational journal of pediatrics2026

Healing Beyond Words: A Randomized Controlled Trial of Sandplay and Art Therapies for PTSD Among Syrian Refugee Children in Jordan.

Abdulqudos Al-Fakih, Abdallah Alzoubi, Ahmad Alrawashdeh, Jomana W Alsulaiman, Saleh A Ba-Shammakh, Adi Khasawneh, Karin Dannecker, Khalid A Kheirallah

Registry-linked trialAbstract read
In one paragraph

Article in International journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06984198 (Assessing the Difference and Effectiveness of Art and Sand-play Therapy in Treating Post-traumatic Stress Disorders Among Syrian Refugee Children in Jordan), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06984198 nacompletednot on this map

Assessing the Difference and Effectiveness of Art and Sand-play Therapy in Treating Post-traumatic Stress Disorders Among Syrian Refugee Children in Jordan

TypeinterventionalSponsorKing Abdullah University HospitalRan2015 to 2018Enrolled130ConditionsPTSD - Post Traumatic Stress DisorderArmsSandplay Therapy, Art Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abdulqudos Al-FakihDepartment of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0009-0009-4810-0987
Abdallah AlzoubiDepartment of Pharmacology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0002-0467-8420
Ahmad AlrawashdehDepartment of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0003-2458-8200
Jomana W AlsulaimanDepartment of Pediatrics, Faculty of Medicine, Yarmouk University, Irbid, Jordan, yu.edu.jo.ORCID https://orcid.org/0000-0002-5858-0699
Saleh A Ba-ShammakhDepartment of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0003-1927-8507
Adi KhasawnehDepartment of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0002-3245-8847
Karin DanneckerArt Therapy Department, Weissensee School of Art (Kunsthochschule Berlin-Weißensee), Berlin, Germany.ORCID https://orcid.org/0009-0003-3031-5484
Khalid A KheirallahDepartment of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0003-4504-4472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Expressive arts provide nonverbal therapeutic tools that can help children with post-traumatic stress disorder (PTSD) overcome language and cultural barriers. This study compared the effectiveness of sandplay therapy and art therapy in reducing PTSD symptom severity among Syrian refugee children living in noncamp, host community settings in Jordan. Methodology: We conducted a three-arm, parallel-group, randomized controlled trial involving 102 Syrian refugee children (aged 5-13 years) with clinically diagnosed PTSD. Participants were randomly assigned to sandplay therapy ( Results: Baseline characteristics were comparable across groups, though severe PTSD was more prevalent in the sandplay group (40.6%), compared to the art therapy (11.9%) and control (25.0%) groups. After 12 weeks, sandplay therapy resulted in the greatest reduction in PTSD symptom severity (mean HTQ score difference: -22.4, Conclusion: Both sandplay and art therapies significantly improved PTSD symptoms in conflict-affected children, with sandplay demonstrating the greatest impact. These findings underscore the effectiveness of expressive, nonverbal interventions in addressing conflict-related trauma among refugee populations and support their integration into comprehensive mental health programs. Trial Registration: ClinicalTrials.gov identifier: NCT06984198.

Indexed as

childrenconflict-related traumaHTQPTSDRCTSyrian refugee

Identifiers

PMID42281848
PMCPMC13250694

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.