功能分析和治疗一名多重残疾男子的妄想性陈述：四年随访。
Functional analysis and treatment of the delusional statements of a man with multiple disabilities: a four-year follow-up.
机构信息
Queens College and the Graduate Center, City University of New York, USA.
出版信息
J Appl Behav Anal. 2010 Winter;43(4):745-9. doi: 10.1901/jaba.2010.43-745.
Abstract
Although delusional statements in people with intellectual disabilities and traumatic brain injury can be treated using behavioral interventions, none have demonstrated long-term treatment effects. In the current study, a functional analysis demonstrated that delusional statements were maintained by attention. Differential reinforcement of alternative behavior and extinction of delusional statements resulted in near elimination of delusional statements and an increase in nondelusional statements. Follow-up at 6 months, 1, 2, and 4 years indicated that treatment gains were maintained with continued staff training.
摘要
虽然使用行为干预可以治疗智障和创伤性脑损伤患者的妄想陈述，但没有一种方法显示出长期的治疗效果。在当前的研究中，功能分析表明，妄想陈述是由注意力维持的。替代行为的差异强化和妄想陈述的消除导致妄想陈述的近乎消除和非妄想陈述的增加。6 个月、1 年、2 年和 4 年的随访表明，随着员工培训的持续，治疗效果得以维持。
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