Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Department of Psychiatry, Amsterdam UMC (location VUmc), Amsterdam, the Netherlands; Department of Anatomy and Neurosciences, Amsterdam UMC (location VUmc), Amsterdam, the Netherlands.
Neurosci Biobehav Rev. 2018 Dec;95:421-429. doi: 10.1016/j.neubiorev.2018.09.024. Epub 2018 Sep 29.
Play is of vital importance for the healthy development of children. From a developmental perspective, play offers ample physical, emotional, cognitive, and social benefits. It allows children and adolescents to develop motor skills, experiment with their (social) behavioural repertoire, simulate alternative scenarios, and address the various positive and negative consequences of their behaviour in a safe and engaging context. Children with a chronic or life-threatening disease may face obstacles that negatively impact play and play development, possibly impeding developmental milestones, beyond the actual illness itself. Currently, there is limited understanding of the impact of (1) aberrant or suppressed play and (2) play-related interventions on the development of chronic diseased children. We argue that stimulating play behaviour enhances the adaptability of a child to a (chronic) stressful condition and promotes cognitive, social, emotional and psychomotor functioning, thereby strengthening the basis for their future health. Systematic play research will help to develop interventions for young patients, to better cope with the negative consequences of their illness and stimulate healthy development.
游戏对于儿童的健康发展至关重要。从发展的角度来看,游戏带来了丰富的身体、情感、认知和社交益处。它使儿童和青少年能够发展运动技能,尝试他们的(社交)行为组合,模拟替代场景,并在安全和吸引人的环境中处理他们行为的各种积极和消极后果。患有慢性或危及生命疾病的儿童可能会面临障碍,这些障碍会对游戏和游戏发展产生负面影响,可能会阻碍发展里程碑,超出实际疾病本身。目前,人们对(1)异常或受抑制的游戏和(2)与游戏相关的干预对慢性疾病儿童发展的影响了解有限。我们认为,刺激游戏行为可以增强儿童对(慢性)压力环境的适应能力,并促进认知、社交、情感和运动功能,从而为他们未来的健康奠定基础。系统的游戏研究将有助于为年轻患者开发干预措施,以更好地应对疾病的负面影响并促进健康发展。