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深层压力对自闭症儿童的行为和生理影响:一项评估格兰丁拥抱机疗效的初步研究。

Behavioral and physiological effects of deep pressure on children with autism: a pilot study evaluating the efficacy of Grandin's Hug Machine.

作者信息

Edelson S M, Edelson M G, Kerr D C, Grandin T

机构信息

Autism Research Institute, San Diego, California, USA.

出版信息

Am J Occup Ther. 1999 Mar-Apr;53(2):145-52. doi: 10.5014/ajot.53.2.145.

Abstract

OBJECTIVE

One symptom common to many persons with autism is a high arousal or anxiety level. This study investigated the effects of deep pressure on arousal and anxiety reduction in autism with Grandin's Hug Machine, a device that allows self-administration of lateral body pressure.

METHOD

Twelve children with autism were randomly assigned to either an experimental group (receiving deep pressure) or a placebo group (not receiving deep pressure but in the disengaged Hug Machine). All children received two 20-min sessions a week over a 6-week period. Arousal was measured behaviorally with the Conners Parent Rating Scale and physiologically with galvanic skin response (GSR) readings.

RESULTS

Behavioral results indicated a significant reduction in tension and a marginally significant reduction in anxiety for children who received the deep pressure compared with the children who did not. Additionally, children in the experimental group, whose GSR measures decreased, on average, after deep pressure, were somewhat more likely to have higher GSR arousal a priori.

CONCLUSION

These preliminary findings support the hypothesis that deep pressure may have a calming effect for persons with autism, especially those with high levels of arousal or anxiety.

摘要

目的

许多自闭症患者共有的一个症状是高度觉醒或焦虑。本研究使用格兰丁拥抱机调查了深层压力对自闭症患者降低觉醒和焦虑的影响,该设备可让患者自行施加身体侧面压力。

方法

12名自闭症儿童被随机分为实验组(接受深层压力)或安慰剂组(不接受深层压力,但处于未启动的拥抱机中)。所有儿童在6周内每周接受两次20分钟的治疗。通过康纳斯父母评定量表行为学测量觉醒,通过皮肤电反应(GSR)读数生理学测量觉醒。

结果

行为学结果表明,与未接受深层压力的儿童相比,接受深层压力的儿童紧张感显著降低,焦虑略有显著降低。此外,实验组中深层压力后GSR测量值平均下降的儿童,在实验前GSR觉醒水平较高的可能性略大。

结论

这些初步研究结果支持以下假设,即深层压力可能对自闭症患者有镇静作用,尤其是对那些是那些觉醒或焦虑水平较高的患者。

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