Evidence map›Paper›PMID 42427372›Full record

ReviewFrontiers in psychology2026

Group play as a buffer against stress in preschoolers: reductions in externalizing but not internalizing symptoms.

Valeriya Plotnikova, Aleksandr Veraksa, Vera Sukhikh

Abstract readReview
In one paragraph

Review in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Valeriya PlotnikovaLaboratory of Childhood Psychology and Digital Socialization, Federal Scientific Center of Psychological and Multidisciplinary Research, Moscow, Russia.
Aleksandr VeraksaLaboratory of Childhood Psychology and Digital Socialization, Federal Scientific Center of Psychological and Multidisciplinary Research, Moscow, Russia.
Vera SukhikhLaboratory of Childhood Psychology and Digital Socialization, Federal Scientific Center of Psychological and Multidisciplinary Research, Moscow, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examined the potential of group-based role play in kindergarten settings as a means of reducing stress and its manifestations in preschool children. The study was grounded in the cultural-historical approach, which considers role play a leading activity in preschool age and a key context for the development of self-regulation and socio-emotional competence. At the initial stage, 210 preschool children were assessed using the Perceived Stress Scale for Children (PSS-C). Children with high perceived stress scores were selected for the intervention. The final sample included 44 children aged approximately 5 years. Participants were assigned to a Play group or a Control group. The Play group took part in 20 sessions of group role play with adult participation, organized around cultural texts and open-ended materials. Measures included children's perceived stress, teacher-reported child stress, and internalizing and externalizing stress symptoms assessed through the Strengths and Difficulties Questionnaire. The results revealed that the Play group demonstrated lower perceived child stress and higher prosocial behavior compared to the Control group at post-test. Gain score analyses showed significant improvement differences in teacher-reported child stress, conduct problems, peer problems, and prosocial behavior between the groups. No significant effects were found for emotional symptoms, suggesting that the intervention had a stronger impact on externalizing than internalizing manifestations of stress. These findings indicate that group-based role play with adult participation may be an accessible tool for reducing externalizing manifestations of stress and supporting social functioning in preschool settings.

Indexed as

cultural-historical psychologyearly childhoodexternalizing symptomsinternalizing symptomsperceived stresspretend playrole play

Identifiers

PMID42427372
PMCPMC13345853

What OpenQuestion holds

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Registered trials

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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.