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能否更了解我?一项探索性研究,结合行为和生理测量,对一名患有严重智力和多重残疾的儿童的感觉反应能力进行客观评估。

Can you know me better? an exploratory study combining behavioural and physiological measurements for an objective assessment of sensory responsiveness in a child with profound intellectual and multiple disabilities.

机构信息

Departamento de Ciências do Comportamento, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.

出版信息

J Appl Res Intellect Disabil. 2012 Nov;25(6):522-30. doi: 10.1111/j.1468-3148.2012.00698.x. Epub 2012 Aug 13.

Abstract

BACKGROUND

Sensory assessment of individuals with profound intellectual and multiple disabilities (PIMD) can be difficult for several reasons, including the idiosyncratic reactions that these individuals exhibit to environmental stimuli. This case report presents a combination of behavioural and physiological measurements aimed at providing an objective assessment of the sensory responsiveness of a child with PIMD.

MATERIAL AND METHODS

The participant was presented with a set of nineteen stimuli commonly used during sensory interventions. Responsiveness to these stimuli was assessed in terms of motor movements, heart rate and electrodermal responses.

RESULTS

Although the child only exhibited consistent motor reactions to three of the items, he showed consistent physiological reactions to a total of ten stimuli.

CONCLUSIONS

Obtained data, although preliminary, suggest that combining behavioural and physiological measurements may constitute a useful resource for assessing the actual responsiveness of individuals with PIMD. With such a resource, people close to these individuals could fine tune their interventions and guarantee their well-being.

摘要

背景

由于个体表现出的对环境刺激的特殊反应等多种原因,对患有严重智力和多重残疾(PIMD)的个体进行感觉评估可能较为困难。本病例报告介绍了一系列行为和生理测量的组合,旨在对患有 PIMD 的儿童的感觉反应能力进行客观评估。

材料和方法

向参与者展示了一组在感觉干预中常用的 19 种刺激物。根据运动反应、心率和皮肤电反应来评估对这些刺激物的反应。

结果

尽管该儿童仅对其中的三种物品表现出一致的运动反应,但他对总共十种刺激物表现出一致的生理反应。

结论

尽管获得的数据尚属初步,但表明结合行为和生理测量可能是评估 PIMD 个体实际反应能力的有用资源。有了这样的资源,这些个体的身边人就可以对他们的干预措施进行微调,以保证他们的福祉。

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