What was the primary effect observed in children who showed abandonment of play during hospitalization?

The primary effect observed in children who showed abandonment of play during hospitalization is heightened levels of anxiety. Play serves as a crucial coping mechanism for children, allowing them to express their feelings, work through fears, and make sense of their experiences in a safe environment. When children withdraw from play, it often indicates that they are experiencing heightened stress or anxiety related to their hospital experience. The absence of play can lead to a lack of normalcy and the disruption of developmental processes, exacerbating feelings of fear or isolation.

In contrast, increased social interaction, improved coping mechanisms, and decreased emotional distress are typically associated with maintaining or engaging in play. Play allows children to connect with peers and caregivers, develop resilience, and regulate their emotions, which are essential for their emotional well-being during challenging times like hospitalization. Therefore, the abandonment of play tends to correlate with greater anxiety rather than beneficial outcomes.