Kahng SungWoo, Iwata Brian A, Lewin Adam B
The Johns Hopkins University School of Medicine.
Am J Ment Retard. 2002 May;107(3):212-21. doi: 10.1352/0895-8017(2002)107<0212:BTOSIT>2.0.CO;2.
A quantitative analysis of behavioral research on the treatment of self-injurious behavior (SIB) over the past 35 years is provided. A literature search covering the period from 1964 to 2000 yielded 396 articles (706 participants) on the treatment of SIB. Most research participants have been male and diagnosed with severe/profound mental retardation. The use of reinforcement-based interventions has increased during the past decade, whereas the use of punishment-based interventions has decreased slightly; both of these trends coincide with the increase in the use of functional assessments. Most treatments have been highly effective in reducing SIB; nevertheless, the disorder persists in spite of an abundance of research, suggesting that a greater emphasis should be placed on prevention.
本文对过去35年中关于自伤行为（SIB）治疗的行为研究进行了定量分析。一项涵盖1964年至2000年期间的文献检索得出了396篇关于SIB治疗的文章（706名参与者）。大多数研究参与者为男性，且被诊断患有重度/极重度智力障碍。在过去十年中，基于强化的干预措施的使用有所增加，而基于惩罚的干预措施的使用略有减少；这两种趋势都与功能评估使用的增加相吻合。大多数治疗在减少SIB方面都非常有效；然而，尽管有大量研究，但这种疾病仍然存在，这表明应该更加重视预防。
