自动强化 SIB 的行为治疗：1982-2015 年。
Behavioral treatment of automatically reinforced SIB: 1982 - 2015.
机构信息
Johns Hopkins University School of Medicine.
The Kennedy Krieger Institute.
出版信息
J Appl Behav Anal. 2018 Oct;51(4):974-997. doi: 10.1002/jaba.492. Epub 2018 Jul 10.
Abstract
Some individuals diagnosed with intellectual and developmental disabilities engage in automatically reinforced self-injurious behavior (SIB). For these individuals, identifying effective treatments may be difficult due to the nature of the reinforcement contingency. The purpose of this study was to review the literature on the treatment of automatically reinforced SIB to determine commonalities in procedures that produced effective and ineffective treatment outcomes, as well as historical trends in the treatment of this class of SIB. Results of this review indicated that there were many high-quality studies on this topic, but also a wide range in the quality of studies. As for effective treatments, noncontingent reinforcement (the most common treatment component) was found to be more effective when informed by a competing stimulus assessment rather than a preference assessment. Suggestions to improve the quality of the published record and areas in which additional research is needed are discussed.
摘要
一些被诊断患有智力和发育障碍的个体表现出自伤行为（SIB）。对于这些个体来说，由于强化连续体的性质，确定有效的治疗方法可能很困难。本研究的目的是回顾关于自动强化 SIB 的治疗文献，以确定产生有效和无效治疗结果的程序中的共同点，以及治疗这一类 SIB 的历史趋势。这项研究结果表明，关于这个主题有很多高质量的研究，但研究质量也存在很大差异。至于有效的治疗方法，当非条件强化（最常见的治疗成分）由竞争刺激评估而不是偏好评估来指导时，发现其效果更好。讨论了提高已发表记录质量和需要进一步研究的领域的建议。
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