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勺子距离消退法结合逃脱消退法治疗拒食。

Spoon distance fading with and without escape extinction as treatment for food refusal.

机构信息

Munroe-meyer Institute, University of Nebraska Medical Center, Omaha, Nebraska 68198, USA.

出版信息

J Appl Behav Anal. 2010 Winter;43(4):673-83. doi: 10.1901/jaba.2010.43-673.

DOI:10.1901/jaba.2010.43-673
PMID:21541151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2998258/
Abstract

Little is known about the characteristics of meals that serve as motivating operations (MOs) for escape behavior. In the current investigation, we showed that the distance at which a therapist held a spoon from a child's lips served as an MO for escape behavior. Based on these results, we implemented spoon distance fading, compared fading with and without escape extinction (EE), and compared fading plus EE to EE alone. Initially, inappropriate mealtime behavior decreased during fading, but this effect was not maintained as fading progressed. Inappropriate mealtime behavior was lower initially when we combined fading and EE relative to EE alone, but acceptance increased more rapidly with EE than with fading plus EE. These results suggest that a number of mealtime characteristics might function as MOs for escape behavior and that analyses of MOs may be useful for developing treatments for food refusal.

摘要

对于作为逃避行为的激发操作(MOs)的餐食特点,人们知之甚少。在当前的研究中,我们发现治疗师将勺子放在孩子嘴唇的距离可以作为逃避行为的 MO。基于这些结果,我们实施了勺子距离消退,比较了消退与有无逃避消退(EE),以及消退加 EE 与 EE 单独比较。最初,在消退过程中,不适当的用餐时间行为减少,但随着消退的进行,这种效果没有得到维持。当我们将消退和 EE 结合使用时,与 EE 单独使用相比,不适当的用餐时间行为初始时较低,但 EE 比消退加 EE 更快地增加了接受度。这些结果表明,许多用餐特点可能是逃避行为的 MO,对 MO 的分析可能有助于开发治疗食物拒绝的方法。

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本文引用的文献

1
Functional analysis and treatment of multiply controlled inappropriate mealtime behavior.多功能控制不当进餐行为的功能分析与治疗
J Appl Behav Anal. 2009 Fall;42(3):641-58. doi: 10.1901/jaba.2009.42-641.
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Analysis of establishing operations for self-injury maintained by escape.分析由逃避维持的自伤的建立操作。
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Prevalence of the extinction burst and its attenuation during treatment.灭绝爆发的流行及其在治疗过程中的衰减。
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The effects of sleep disruption on the treatment of a feeding disorder.睡眠中断对进食障碍治疗的影响。
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Increasing variety of foods consumed by blending nonpreferred foods into preferred foods.通过将不喜欢的食物混入喜欢的食物中来增加所食用食物的种类。
J Appl Behav Anal. 2004 Summer;37(2):159-70. doi: 10.1901/jaba.2004.37-159.
6
On the relative contributions of noncontingent reinforcement and escape extinction in the treatment of food refusal.非偶然性强化和消退在食物拒绝治疗中的相对作用
J Appl Behav Anal. 2004 Spring;37(1):27-42. doi: 10.1901/jaba.2004.37-27.
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Motivating operations and terms to describe them: some further refinements.动机性操作及其描述术语:一些进一步的细化
J Appl Behav Anal. 2003 Fall;36(3):407-14. doi: 10.1901/jaba.2003.36-407.
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J Appl Behav Anal. 2003 Fall;36(3):383-6. doi: 10.1901/jaba.2003.36-383.
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On the relative contributions of positive reinforcement and escape extinction in the treatment of food refusal.关于正强化和逃避消退在拒食治疗中的相对作用
J Appl Behav Anal. 2003 Fall;36(3):309-24. doi: 10.1901/jaba.2003.36-309.
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Discrimination learning with and without "errors".有“错误”和无“错误”的辨别学习
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