Online Psychological Intervention during Confinement by COVID-19 in a Case of Phobic Symptomatology in Children using Cognitive Behavioral Game Therapy


  • Alicia Oltra Universidad Nacional de Educación a Distancia
  • Paloma Salamanca
  • Sandra Helena Veras
  • Purificación Sierra-García Universidad Nacional de Educación a Distancia



Online intervention, Child phobia, Cognitive Behavioral Game Therapy, Covid-19


This article presents a therapeutic intervention in a case of childhood phobia addressed in the Applied Psychology Service of the Faculty of Psychology of the UNED. This case was studied in the frame of the Emergency Attention device due to the health alert status for Covid-19. The case presents a 5-year-old male child who is afraid of leaving home and of meteorological phenomena after the confinement stage. The therapeutic intervention was designed from the Cognitive Behavioral Game Therapy. The main objectives of the intervention were the reduction of the child's anxiety response to activities carried out outside the home and to unfavorable weather situations, as well as the progressive generalization of these activities both outside the home and in adverse weather situations. The proposed results were achieved over 6 sessions of 1-hour duration with weekly frequency, in an online format, and maintained after a three-month follow-up.


Download data is not yet available.

Author Biographies

Paloma Salamanca

Universidad Nacional de Educación a Distancia

Sandra Helena Veras

Universidad Nacional de Educación a Distancia


American Psychology Association (2013). Guidelines for the Practice of Telepsychology. American Psychologist.

Fernández, L. E. (2009). Ansiedad infantil e implicación de los padres: Una revisión [Childhood Anxiety and Parents' Involvement: A Review]. Behavioral Psychology / Psicología Conductual: Revista Internacional Clínica y de la Salud, 17(1), 67–87.

Flujas-Contreras, J. M. y Gómez, I. (2017). Presentación del monográfico: Aplicaciones de las TICs a la evaluación y terapia infanto-juvenil [Presentation of the Monograph: Applications of ICTs to Infant-Adolescent Evaluation and Therapy]. Revista de Psicología Clínica con Niños y Adolescentes, 4(3), 1–3.

Flujas-Contreras, J. M., Ruiz-Castañeda, D., Botella, C. y Gómez, I. (2017). Un programa de bienestar emocional basado en Realidad Virtual y Terapia Online para enfermedades crónicas en infancia y adolescencia: La Academia Espacial [A Virtual Reality and Online Therapy Program for Emotional Wellbeing in Chronic Illness for Children and Adolescents: Space Academy]. Revista de Psicología Clínica con Niños y Adolescentes, 4(3), 17–25.

García, M. I. D., Fernández, M. Á. R. y Crespo, A. V. (2017). Manual de Técnicas y Terapias Cognitivo conductuales. Desclée de Brouwer.

Imran, N., Aamer, I., Sharif, M. I., Bodla, Z. H. y Naveed, S. (2020). Psychological Burden of Quarantine in Children and Adolescents: A Rapid Systematic Review and Proposed Solutions. Pakistan Journal of Medical Sciences, 36(5), 1106–1116.

Ismail, S. A., Saliba, V., Lopez Bernal, J., Ramsay, M. E. y Ladhani, S. N. (2020). SARS-CoV-2 Infection and Transmission in Educational Settings: A Prospective, Cross-sectional Analysis of Infection Clusters and Outbreaks in ENGLAND. The Lancet Infectious Diseases, 21(3), 344–354.

Jiao, W. Y., Wang, L. N., Liu, J., Fang, S. F., Jiao, F. Y., Pettoello-Mantovani, M. y Somekh, E. (2020). Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. The Journal of Pediatrics, 221, 264–266.

Knell, S. M. (1998). Terapia de juego cognitivo-conductual [Cognitive-Behavioral Play Therapy]. Revista de Psicología Clínica Infantil, 27(1), 28.

Kosovsky, R. (2018). El abordaje de las terapias cognitivas en niños, adolescentes y familias. Intersecciones Psi, 12.

Liu, Q., Zhou, Y., Xie, X., Xue, Q., Zhu, K., Wan, Z., Wu, H., Zhang, J. y Song, R. (2020). The Prevalence of Behavioral Problems among School-Aged Children in Home Quarantine during the COVID-19 Pandemic in China. Journal of Affective Disorders, 279, 412–416.

Martin, J. N., Millán, F. y Campbell, L. F. (2020). Telepsychology Practice: Primer and First Steps. Practice Innovations.

Murphy, L. J. y Mitchell, D.L. (1998). When Writing Helps to Heal: E-mail as Therapy. British Journal of Guidance and Counseling, 26, 25–32.

O’Connor, K. J., Schaefer, C. E. y Braverman, L. D. (2017). Manual de terapia de juego. El Manual Moderno.

Orgilés, M., Morales, A., Delvecchio, E., Mazzeschi, C. y Espada, J. P. (2020). Immediate Psychological Effects of the COVID-19 Quarantine in youth from Italy and Spain. Frontiers in Psychology, 11, Artículo 579038

Saurabh, K. y Ranjan, S. (2020). Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic. Indian Journal of Pediatrics, 87(7), 532–536.

Schaefer, C. E. (2012). Fundamentos de Terapia de Juego. El Manual Moderno.

Schonfeld, D. J. (2004). Are we Ready and Willing to Address the Mental Health Needs of Children? Implications from September 11th. Pediatrics, 113(5), 1400–14011.

Tosif, S., Neeland, M. R., Sutton, P., Licciardi, P. V., Sarkar, S., Selva, K. J., Lien, A. H. D., Donato, C., Toh, Z. Q., Higgins, R., Van de Sandt, C., Lemke, M. M., Lee, C. Y., Shoffner, S. K., Flanagan, K. L., Arnold, K. B., Mordant, F. L., Mulholland, K., Bines, J., ... y Crawford, N. W. (2020). Immune responses to SARS-CoV-2 in three children of parents with symptomatic COVID-19. Nature Communications, 11 (1), 1–8.

Watts, S., Marchand, A., Bouchard, S., Gosselin, P., Langlois, F., Belleville, G. y Dugas, M. J. (2020). Telepsychotherapy for Generalized Anxiety Disorder: Impact on the Working Alliance. Journal of Psychotherapy Integration, 30(2), 208–225.

Wilkinson, N., Ang, R. P. y Goh, D. H. (2008). Online Video Game Therapy for Mental Health Concerns: A Review. International Journal of Social Psychiatry, 54(4), 370–382.

Yager, J. (2001). E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues. International Journal of Eating Disorders, 29, 125–138.<125::aid-eat1002>;2-s

Ye, J. (2020). Pediatric Mental and Behavioral Health in the Period of Quarantine and Social Distancing With COVID-19. JMIR Pediatrics and Parenting, 3(2), Artículo e19867.



How to Cite

Oltra, A., Salamanca, P., Veras, S. H., & Sierra-García, P. (2021). Online Psychological Intervention during Confinement by COVID-19 in a Case of Phobic Symptomatology in Children using Cognitive Behavioral Game Therapy. Acción Psicológica, 18(1), 93–106.