Smith T, Groen A D, Wynn J W
Washington State University, USA.
Am J Ment Retard. 2000 Jul;105(4):269-85. doi: 10.1352/0895-8017(2000)105<0269:RTOIEI>2.0.CO;2.
Young children with pervasive developmental disorder were randomly assigned to intensive treatment or parent training. The intensive treatment group (7 with autism, 8 with pervasive developmental disorder not otherwise specified--NOS) averaged 24.52 hours per week of individual treatment for one year, gradually reducing hours over the next 1 to 2 years. The parent training group (7 with autism, 6 with pervasive developmental disorder NOS) received 3 to 9 months of parent training. The groups appeared similar at intake on all measures; however, at follow-up the intensive treatment group outperformed the parent training group on measures of intelligence, visual-spatial skills, language, and academics, though not adaptive functioning or behavior problems. Children with pervasive developmental disorder NOS may have gained more than those with autism.
患有广泛性发育障碍的幼儿被随机分配到强化治疗组或家长培训组。强化治疗组(7名自闭症患儿,8名未特定型广泛性发育障碍患儿)在一年中平均每周接受24.52小时的个体治疗,在接下来的1至2年中逐渐减少治疗时长。家长培训组(7名自闭症患儿,6名未特定型广泛性发育障碍患儿)接受了3至9个月的家长培训。两组在入组时各项指标看起来相似;然而,在随访时,强化治疗组在智力、视觉空间技能、语言和学业成绩方面的表现优于家长培训组,不过在适应性功能或行为问题方面并非如此。未特定型广泛性发育障碍患儿可能比自闭症患儿获益更多。