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自闭症谱系障碍学龄前儿童治疗结果的预测因素:瑞士日内瓦大区的一项观察性研究。

Predictors of Treatment Outcome in Preschoolers with Autism Spectrum Disorder: An Observational Study in the Greater Geneva Area, Switzerland.

机构信息

Office Médico-Pédagogique, Department of Psychiatry, University of Geneva School of Medicine, Geneva, Switzerland.

Department of Pediatrics, IWK Hospital, Autism Research Centre, Halifax, Canada.

出版信息

J Autism Dev Disord. 2020 Nov;50(11):3815-3830. doi: 10.1007/s10803-020-04430-6.

Abstract

This study aims to identify predictors of treatment outcome in young children with ASD within a European context, where service provision of intervention remains sporadic. We investigated whether a child's age at baseline, intensity of the intervention provided, type of intervention, child's level of social orienting and cognitive skills at baseline predicted changes in autistic symptoms and cognitive development after 1 year of intervention, in a sample of 60 children with ASD. Our results strongly support early and intensive intervention. We also observed that lower cognitive skills at baseline were related to greater cognitive gains. Finally, we show that a child's interest in social stimuli may contribute to intervention outcome.

摘要

本研究旨在确定欧洲背景下 ASD 幼儿治疗结果的预测因素,因为该地区的干预服务仍然零星提供。我们调查了儿童在基线时的年龄、提供的干预强度、干预类型、儿童在基线时的社会定向和认知技能水平是否可以预测在 60 名 ASD 儿童接受 1 年的干预后自闭症症状和认知发展的变化。我们的研究结果强烈支持早期和密集的干预。我们还观察到,基线时较低的认知技能与更大的认知收益相关。最后,我们表明,儿童对社会刺激的兴趣可能有助于干预结果。

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