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针对无智力障碍的自闭症谱系障碍儿童的隐性社交技能训练小组的影响:一项前后对照研究。

Impact of an implicit social skills training group in children with autism spectrum disorder without intellectual disability: A before-and-after study.

作者信息

Guivarch Jokthan, Murdymootoo Veena, Elissalde Sara-Nora, Salle-Collemiche Xavier, Tardieu Sophie, Jouve Elisabeth, Poinso François

机构信息

Department of Child Psychiatry, APHM, Marseille, France.

Faculty of Medicine of Marseille, Aix-Marseille University, Marseille, France.

出版信息

PLoS One. 2017 Jul 17;12(7):e0181159. doi: 10.1371/journal.pone.0181159. eCollection 2017.

Abstract

INTRODUCTION

Children with Autism Spectrum Disorders (ASDs) have problems with social skills. Social skills training groups are among the proposed therapeutic strategies, but their efficacy still needs to be evaluated.

OBJECTIVE

To evaluate the efficacy of an implicit social skills training group in children with ASDs without intellectual disability.

METHODS

A before-and-after study of children with ASD without intellectual disability was conducted in a child psychiatry day hospital, where they participated in an implicit group with cooperative games. Their social skills were assessed using the Social-Emotional Profile (SEP), the Childhood Autism Rating Scale (CARS), and the empathy quotient (EQ) before and after 22 weeks.

RESULTS

Six patients aged 9 to 10 years old were evaluated. A significant increase in overall adaptation and social skills (median 8 and 7.7 points) in the SEP was demonstrated in addition to a significant reduction in the CARS score (median: 4 points), including in the field of social relationships. The EQ increased two-fold.

DISCUSSION—CONCLUSION: This implicit group improved the children's social skills. It would be interesting to evaluate the maintenance of these skills over time, examine more widespread results, and compare implicit and explicit groups.

摘要

引言

自闭症谱系障碍(ASD)儿童存在社交技能问题。社交技能训练小组是所提出的治疗策略之一,但其疗效仍有待评估。

目的

评估针对无智力残疾的ASD儿童的隐性社交技能训练小组的疗效。

方法

在一家儿童精神病日间医院对无智力残疾的ASD儿童进行了一项前后对照研究,这些儿童参加了一个包含合作游戏的隐性小组。在22周前后,使用社会情感剖面图(SEP)、儿童自闭症评定量表(CARS)和共情商数(EQ)对他们的社交技能进行评估。

结果

对6名9至10岁的患者进行了评估。结果显示,SEP中的总体适应能力和社交技能显著提高(中位数分别为8分和7.7分),CARS评分显著降低(中位数:4分),包括在社会关系领域。EQ提高了两倍。

讨论—结论:这个隐性小组提高了儿童的社交技能。随着时间的推移评估这些技能的维持情况、研究更广泛的结果以及比较隐性小组和显性小组将是很有意思的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32d9/5513455/1eb93fec736a/pone.0181159.g001.jpg

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