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神经发育障碍儿童适应性行为的认知康复:一项荟萃分析。

Cognitive Rehabilitation of Adaptive Behavior in Children with Neurodevelopmental Disorders: A Meta-Analysis.

作者信息

Ahn Si-Nae, Hwang Sujin

机构信息

Department of Occupational Therapy, Cheongju University, 298 Daesung-ro, Cheongju-si, Republic of Korea.

Deparment of Physical Therapy, Division of Health Science, Baekseok University, 76 Munam-ro, Dongnam-gu, Cheonan-si, Chungnam, Republic of Korea.

出版信息

Occup Ther Int. 2018 Sep 12;2018:5029571. doi: 10.1155/2018/5029571. eCollection 2018.

Abstract

OBJECTIVES

Negative behavioral problems often occur following the onset of neurodevelopmental disorders and have an overall impact on the affected children, specifically in terms of their social developmental level. In children, social development behavior has been shown to spontaneously mature over time with the cognitive therapy intervention effects. This study performed a meta-analysis to provide a statistical synopsis of the available evidence of social development behavioral changes following cognitive therapy in children with neurodevelopmental disorders.

METHODS

Data was collected from two online search engines, including EBSCOhost and PubMed, from January 1, 2006, to August 31, 2016, using the terms "cognition," "cognitive function," and "disease including neurodevelopmental disorder with DSM-5." Two assessors searched the literature using independent inclusion criteria and evaluated the quality of results using the Jadad score. Six articles were chosen using the Comprehensive Meta-Analysis program (version 2.0).

RESULTS

Six articles reporting randomized controlled trial studies were included. The effective scores for improving adaptive behavior following cognitive therapy in children with neurodevelopmental disorder were 0.64. The effective score of adaptive behavior was significant in this study ( < 0.05). The results showed no significant statistical heterogeneity and publication bias.

CONCLUSIONS

The findings of the meta-analysis suggest that cognitive interventions are effective at improving adaptive behavior associated with neurodevelopmental disorders.

摘要

目的

神经发育障碍发病后常出现负面行为问题,对受影响儿童产生全面影响,尤其是在其社会发展水平方面。在儿童中,社会发展行为已被证明会随着时间自发成熟,并伴有认知疗法干预效果。本研究进行了一项荟萃分析,以提供关于神经发育障碍儿童认知疗法后社会发展行为变化的现有证据的统计概述。

方法

从2006年1月1日至2016年8月31日,使用“认知”“认知功能”和“包括符合《精神疾病诊断与统计手册》第5版的神经发育障碍在内的疾病”等术语,从两个在线搜索引擎EBSCOhost和PubMed收集数据。两名评估人员使用独立的纳入标准检索文献,并使用Jadad评分评估结果质量。使用综合荟萃分析程序(版本2.0)选择了6篇文章。

结果

纳入了6篇报告随机对照试验研究的文章。神经发育障碍儿童认知疗法后改善适应性行为的有效评分为0.64。本研究中适应性行为的有效评分具有显著性(<0.05)。结果显示无显著的统计学异质性和发表偏倚。

结论

荟萃分析结果表明,认知干预对改善与神经发育障碍相关的适应性行为有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b303/6157171/eb90be7d4460/OTI2018-5029571.001.jpg

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