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非洲自闭症谱系障碍的早期诊断与干预:一项案例研究的见解

Early diagnosis and intervention for autism spectrum disorder in Africa: insights from a case study.

作者信息

Wannenburg Nicola, van Niekerk Roelf

机构信息

Rhodes University, Department of psychology.

Nelson Mandela University, Department of Industrial and Organisational Psychology.

出版信息

Afr Health Sci. 2018 Mar;18(1):137-146. doi: 10.4314/ahs.v18i1.18.

Abstract

BACKGROUND

Globally the prevalence of autism spectrum disorder (ASD) has become more apparent. Prevalence on the African continent remains unknown. There is a call for further research into ASD in Africa as well as means to make early diagnosis and intervention possible.

OBJECTIVES

The study aimed to raise awareness about ASD in Africa and encourage dialogue on possible intervention strategies for ASD in low resource settings.

METHODS

This was a qualitative mixed method case study. Literature regarding ASD in Africa was reviewed in order to provide context for the research and facilitate data reduction of the case study of Temple Grandin. The case study was conducted through a psychobiographical approach using Erikson's (1950/1973) theory of psychosocial development to interpret the life of Temple Grandin. The findings underwent further data reduction in order to focus on possible interventions for ASD.

RESULTS

Four primary interventions were found to be useful in facilitating development in an individual with ASD. Namely; speech therapy, creative endeavours, animals (human-animal interaction), and being mentored.

CONCLUSION

Undiagnosed and untreated cases of ASD place undue psychosocial and economic burden on families and communities. Government support, by including ASD in health policies, is essential. Through creative adaptation of knowledge, communities may provide a valuable resource to ASD intervention strategies.

摘要

背景

在全球范围内,自闭症谱系障碍(ASD)的患病率日益明显。非洲大陆的患病率仍然未知。人们呼吁对非洲的自闭症谱系障碍进行进一步研究,并寻求实现早期诊断和干预的方法。

目的

该研究旨在提高非洲对自闭症谱系障碍的认识,并鼓励就资源匮乏地区自闭症谱系障碍的可能干预策略展开对话。

方法

这是一项定性混合方法的案例研究。对非洲自闭症谱系障碍的相关文献进行了综述,以便为研究提供背景信息,并促进对坦普尔·葛兰汀案例研究的数据简化。该案例研究通过心理传记方法进行,运用埃里克森(1950/1973)的心理社会发展理论来解读坦普尔·葛兰汀的生平。研究结果经过进一步的数据简化,以聚焦于自闭症谱系障碍的可能干预措施。

结果

发现有四种主要干预措施有助于自闭症谱系障碍个体的发展。即言语治疗、创造性活动、动物(人与动物互动)和接受指导。

结论

未被诊断和治疗的自闭症谱系障碍病例给家庭和社区带来了不必要的心理社会和经济负担。政府通过将自闭症谱系障碍纳入卫生政策提供支持至关重要。通过创造性地应用知识,社区可为自闭症谱系障碍干预策略提供宝贵资源。

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