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自闭症谱系障碍幼儿的融合:社区项目的头十年。

Inclusion for toddlers with autism spectrum disorders: the first ten years of a community program.

机构信息

University of California, San Diego, USA.

出版信息

Autism. 2011 Sep;15(5):625-41. doi: 10.1177/1362361310392253. Epub 2011 Apr 12.

DOI:10.1177/1362361310392253
PMID:21486899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4031244/
Abstract

The present quasi-experimental study examines the outcomes for a group of 102 children diagnosed with an autism spectrum disorder at age 2 who attended an inclusive toddler program (described by Stahmer and Ingersoll, 2004) until age 3. Outcomes on standardized developmental assessments indicate significant improvement, with large effect sizes, in developmental level, adaptive behavior and communication. Thirty-one of the children (31%) were functioning in the typically developing range when they exited the program at age 3, after an average of 8 months of intervention. Predictors of positive outcomes included length of time in the program, level of words and gestures use at entry and higher externalizing and lower internalizing behavior CBCL scores at entry. Implications for serving toddlers with autism in inclusive settings and suggestions for future research directions are discussed.

摘要

本准实验研究考察了一组 102 名在 2 岁时被诊断为自闭症谱系障碍的儿童的结果,他们参加了一个包容性幼儿项目(由 Stahmer 和 Ingersoll 于 2004 年描述),直到 3 岁。标准化发展评估的结果表明,发展水平、适应行为和沟通方面有显著提高,且效果显著。在经过平均 8 个月的干预后,有 31 名儿童(31%)在 3 岁退出项目时处于正常发育范围内。积极结果的预测因素包括在项目中的时间长短、进入时的词汇和手势使用水平以及较高的外部行为和较低的内部行为 CBCL 分数。讨论了在包容性环境中为自闭症幼儿提供服务的意义以及对未来研究方向的建议。

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本文引用的文献

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J Posit Behav Interv. 2010 Oct;12(4):245-253. doi: 10.1177/1098300709343724.
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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.
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Predicting outcomes of children referred for autism using the MacArthur-Bates Communicative Development Inventory.使用麦克阿瑟-贝茨交流发展量表预测被转诊至孤独症谱系障碍的儿童的预后。
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Early intensive behavioral treatment: replication of the UCLA model in a community setting.早期强化行为治疗:在社区环境中复制加州大学洛杉矶分校模式。
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Outcome at 7 years of children diagnosed with autism at age 2: predictive validity of assessments conducted at 2 and 3 years of age and pattern of symptom change over time.2岁时被诊断为自闭症的儿童7岁时的结局:2岁和3岁时评估的预测效度及症状随时间的变化模式。
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