Bauminger Nirit
School of Education, Bar-Ilan University, Ramat-Gan, 52900, Israel.
J Autism Dev Disord. 2002 Aug;32(4):283-98. doi: 10.1023/a:1016378718278.
This study evaluated the effectiveness of a 7-month cognitive behavioral intervention for the facilitation of the social-emotional understanding and social interaction of 15 high-functioning children (8 to 17 years old) with autism. Intervention focused on teaching interpersonal problem solving, affective knowledge, and social interaction. Preintervention and postintervention measures included observations of social interaction, measures of problem solving and of emotion understanding, and teacher-rated social skills. Results demonstrated progress in three areas of intervention. Children were more likely to initiate positive social interaction with peers after treatment; in particular, they improved eye contact and their ability to share experiences with peers and to show interest in peers. In problem solving after treatment, children provided more relevant solutions and fewer nonsocial solutions to different social situations. In emotional knowledge, after treatment, children provided more examples of complex emotions, supplied more specific rather then general examples, and included an audience more often in the different emotions. Children also obtained higher teacher-rated social skills scores in assertion and cooperation after treatment. The implications of these findings are discussed in terms of the effectiveness of the current model of intervention for high-functioning children with autism.
本研究评估了一项为期7个月的认知行为干预措施对15名患有自闭症的高功能儿童(8至17岁)的社会情感理解和社会互动的促进效果。干预重点在于教授人际问题解决、情感知识和社会互动。干预前和干预后的测量包括社会互动观察、问题解决和情绪理解测量以及教师评定的社交技能。结果显示在三个干预领域取得了进展。治疗后,儿童更有可能主动与同伴进行积极的社会互动;特别是,他们改善了眼神交流,以及与同伴分享经历和对同伴表现出兴趣的能力。在治疗后的问题解决方面,儿童针对不同社会情境提供了更多相关解决方案,非社会解决方案减少。在情感知识方面,治疗后,儿童提供了更多复杂情绪的例子,提供了更具体而非笼统的例子,并且在不同情绪中更频繁地提及受众。治疗后,儿童在自信和合作方面的教师评定社交技能得分也更高。本研究根据当前针对高功能自闭症儿童的干预模式的有效性对这些发现的意义进行了讨论。