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一项关于抑制性刺激控制程序作为自闭症个体刻板行为治疗方法的系统综述与评估。

A systematic review and evaluation of inhibitory stimulus control procedures as a treatment for stereotyped behavior among individuals with autism.

作者信息

Lydon Sinéad, Moran Laura, Healy Olive, Mulhern Teresa, Enright Young Kerie

机构信息

a Discipline of General Practice, National University of Ireland , Galway, Co. Galway , Ireland.

b School of Psychology, Trinity College Dublin , Co. Dublin , Ireland.

出版信息

Dev Neurorehabil. 2017 Nov;20(8):491-501. doi: 10.1080/17518423.2016.1265604. Epub 2016 Dec 23.

Abstract

PURPOSE

Stereotypy is pervasive among persons with autism and may impact negatively on social inclusion and learning. The implementation of resource-intensive behavioral interventions to decrease these behaviors has been questioned. Inhibitory stimulus control procedures (ISCPs) comprise a type of antecedent-based intervention that has been proposed as an effective treatment approach for stereotypy but has received limited research attention to date.

METHOD

The current systematic review sought to examine and synthesize the literature reporting applications of ISCPs in the treatment of stereotypy among persons with autism. Treatment outcomes were analyzed quantitatively and the status of ISCPs as evidence-based practice was evaluated in accordance with the National Autism Center's National Standards Report guidelines.

RESULTS

A total of 11 studies were reviewed with results indicating that ISCPs constituted an emerging treatment for the stereotypy exhibited by persons with autism.

CONCLUSIONS

ISCPs comprise a promising intervention for stereotyped behavior but further research is required.

摘要

目的

刻板行为在自闭症患者中普遍存在,可能会对社会融入和学习产生负面影响。实施资源密集型行为干预措施以减少这些行为受到了质疑。抑制性刺激控制程序(ISCPs)是一种基于先行事件的干预措施,已被提议作为治疗刻板行为的有效方法,但迄今为止受到的研究关注有限。

方法

当前的系统评价旨在审查和综合报告ISCPs在治疗自闭症患者刻板行为中的应用的文献。对治疗结果进行了定量分析,并根据国家自闭症中心的国家标准报告指南评估了ISCPs作为循证实践的地位。

结果

共审查了11项研究,结果表明ISCPs是治疗自闭症患者所表现出的刻板行为的一种新兴疗法。

结论

ISCPs是一种有前景的刻板行为干预措施,但还需要进一步研究。

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