家庭实施治疗对自闭症儿童重复行为的影响。
Effects of a family-implemented treatment on the repetitive behaviors of children with autism.
机构信息
Division of Occupational Science, Department of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7120, USA.
出版信息
J Autism Dev Disord. 2011 Oct;41(10):1330-41. doi: 10.1007/s10803-010-1156-y.
Abstract
The restricted and repetitive behaviors of children with autism can interfere with family functioning as well as learning and socialization opportunities for the child. To date, neither pharmacological nor comprehensive behavioral treatments have been found to be consistently effective at significantly reducing children's engagement in repetitive behaviors. We developed Family-Implemented Treatment for Behavioral Inflexibility (FITBI) to target the full variety of repetitive behaviors found in autism. For the current study, a therapist and parents of five children with autism (mean age = 48 months) co-implemented FITBI in a clinic setting over a 12-week treatment period. Using single case design methodology, significant reductions in repetitive behaviors were found for all participants and maintenance of treatment effects for 4 of 5 participants.
摘要
自闭症儿童的受限和重复行为会干扰家庭功能，以及儿童的学习和社交机会。迄今为止，既没有发现药物治疗，也没有综合行为治疗能够持续有效地显著减少儿童重复行为的发生。我们开发了针对自闭症中各种重复行为的家庭实施行为灵活性治疗（FITBI）。在当前的研究中，在 12 周的治疗期间，一名治疗师和五名自闭症儿童的父母（平均年龄=48 个月）在诊所环境中共同实施了 FITBI。使用单案例设计方法，所有参与者的重复行为都有显著减少，并且 5 名参与者中有 4 名的治疗效果得到了维持。
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2
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J Appl Behav Anal. 2010 Summer;43(2):265-71. doi: 10.1901/jaba.2010.43-265.
3
Pharmacologic treatment of behavioral symptoms associated with autism and other pervasive developmental disorders.自闭症和其他广泛性发育障碍相关行为症状的药物治疗。
Curr Treat Options Neurol. 2010 Nov;12(6):529-38. doi: 10.1007/s11940-010-0091-8.
4
Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model.自闭症幼儿干预的随机对照试验：早期丹佛模式。
Pediatrics. 2010 Jan;125(1):e17-23. doi: 10.1542/peds.2009-0958. Epub 2009 Nov 30.
5
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Arch Gen Psychiatry. 2009 Jun;66(6):583-90. doi: 10.1001/archgenpsychiatry.2009.30.
6
Standardizing ADOS scores for a measure of severity in autism spectrum disorders.标准化用于衡量自闭症谱系障碍严重程度的孤独症诊断观察量表（ADOS）得分。
J Autism Dev Disord. 2009 May;39(5):693-705. doi: 10.1007/s10803-008-0674-3. Epub 2008 Dec 12.
7
Evidence for three subtypes of repetitive behavior in autism that differ in familiality and association with other symptoms.自闭症中重复行为的三种亚型的证据，这些亚型在家族遗传性以及与其他症状的关联方面存在差异。
J Child Psychol Psychiatry. 2008 Nov;49(11):1193-200. doi: 10.1111/j.1469-7610.2008.01944.x.
8
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Dev Psychopathol. 2008 Summer;20(3):775-803. doi: 10.1017/S0954579408000370.
9
Predictors of perceived negative impact in mothers of children with autism spectrum disorder.自闭症谱系障碍患儿母亲感知到的负面影响的预测因素。
Am J Ment Retard. 2007 Nov;112(6):450-61. doi: 10.1352/0895-8017(2007)112[450:POPNII]2.0.CO;2.
10
Transition and change in adolescents and young adults with autism: longitudinal effects on maternal well-being.自闭症青少年和青年的转变与变化：对母亲幸福感的纵向影响。
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