Liu Meng-Jung, Ma Le-Yin, Chou Wen-Jiun, Chen Yu-Min, Liu Tai-Ling, Hsiao Ray C, Hu Huei-Fan, Yen Cheng-Fang
Department of Special Education, National Kaohsiung Normal University, Kaohsiung, Taiwan.
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center and College of Medicine, Chang Gung University, Kaohsiung, Taiwan.
PLoS One. 2018 Jan 17;13(1):e0191271. doi: 10.1371/journal.pone.0191271. eCollection 2018.
Bullying involvement is prevalent among children and adolescents with autism spectrum disorder (ASD). This study examined the effects of theory of mind performance training (ToMPT) on reducing bullying involvement in children and adolescents with high-functioning ASD. Children and adolescents with high-functioning ASD completed ToMPT (n = 26) and social skills training (SST; n = 23) programs. Participants in both groups and their mothers rated the pretraining and posttraining bullying involvement of participants on the Chinese version of the School Bullying Experience Questionnaire. The paired t test was used to evaluate changes in bullying victimization and perpetration between the pretraining and posttraining assessments. Furthermore, the linear mixed-effect model was used to examine the difference in the training effect between the ToMPT and SST groups. The paired t test indicated that in the ToMPT group, the severities of both self-reported (p = .039) and mother-reported (p = .003) bullying victimization significantly decreased from the pretraining to posttraining assessments, whereas in the SST group, only self-reported bullying victimization significantly decreased (p = .027). The linear mixed-effect model indicated that compared with the SST program, the ToMPT program significantly reduced the severity of mother-reported bullying victimization (p = .041). The present study supports the effects of ToMPT on reducing mother-reported bullying victimization in children and adolescents with high-functioning ASD.
在患有自闭症谱系障碍（ASD）的儿童和青少年中，受欺凌的情况很普遍。本研究考察了心理理论表现训练（ToMPT）对减少高功能ASD儿童和青少年受欺凌情况的影响。高功能ASD儿童和青少年完成了ToMPT项目（n = 26）和社交技能训练（SST；n = 23）项目。两组参与者及其母亲根据中文版《学校欺凌经历问卷》对参与者训练前和训练后的受欺凌情况进行评分。采用配对t检验评估训练前和训练后评估之间欺凌受害和欺凌行为的变化。此外，使用线性混合效应模型来检验ToMPT组和SST组之间训练效果的差异。配对t检验表明，在ToMPT组中，自我报告的（p = .039）和母亲报告的（p = .003）欺凌受害严重程度从训练前到训练后评估均显著降低，而在SST组中，只有自我报告的欺凌受害情况显著降低（p = .027）。线性混合效应模型表明，与SST项目相比，ToMPT项目显著降低了母亲报告的欺凌受害严重程度（p = .041）。本研究支持ToMPT对减少高功能ASD儿童和青少年母亲报告的欺凌受害情况的作用。
