Howlin P
Department of Community Health Sciences, St. George's Hospital Medical School, Tooting, London, United Kingdom.
J Neural Transm Suppl. 2005(69):101-19. doi: 10.1007/3-211-31222-6_6.
Over the past 50 years very many different treatments have been promoted as bringing about significant improvements, or even cures, for children with autism. However, few interventions involve controlled studies of any kind; randomised control trials are virtually non-existent and when appropriate research methodology has been applied the results are generally far from positive. Recent research suggests that the most effective results stem from early intensive behavioural interventions. Although many questions remain concerning the optimal age at which treatment should begin, the intensity of treatment and the many other variables that may affect outcome, there is growing evidence of general strategies that can be effective in ameliorating the problems associated with autism.
在过去的50年里,许多不同的治疗方法被宣传为能给自闭症儿童带来显著改善甚至治愈效果。然而,很少有干预措施涉及任何形式的对照研究;随机对照试验几乎不存在,而且当应用适当的研究方法时,结果通常远非积极。最近的研究表明,最有效的结果来自早期强化行为干预。尽管关于治疗应开始的最佳年龄、治疗强度以及许多其他可能影响结果的变量仍有许多问题,但越来越多的证据表明,一些通用策略可以有效改善与自闭症相关的问题。