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音乐治疗中自闭症儿童的调谐:重新审视关系质量作为变化机制。

Attunement in Music Therapy for Young Children with Autism: Revisiting Qualities of Relationship as Mechanisms of Change.

机构信息

GAMUT - The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Center, Nygårdstangen, Postbox 22, 5838, Bergen, Norway.

Department of Music, GAMUT - The Grieg Academy Music Therapy Research Centre, University of Bergen, Postbox 7805, 5020, Bergen, Norway.

出版信息

J Autism Dev Disord. 2020 Nov;50(11):3921-3934. doi: 10.1007/s10803-020-04448-w.

DOI:10.1007/s10803-020-04448-w
PMID:32189227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7560932/
Abstract

This study examined whether musical and emotional attunement predicts changes in improvisational music therapy with children with autism (4-7 years, N = 101, majority: no/limited speech, low IQ), assessed over 12 months. Attunement, as observed from session videos, and changes in generalized social skills, judged by blinded assessors and parents, were evaluated using standardized tools (Assessment of the Quality of Relationship, Improvisational Music Therapy Principles, ADOS, SRS). In contrast to the smaller pilot, we did not find significant effects between attunement and changes in outcomes, only tendencies in the same direction are observed. Findings suggest that symptom severity is associated with the therapist's ability to attune to the child. They further raise questions concerning outcome selection and user involvement.

摘要

本研究考察了音乐和情感协调是否可以预测自闭症儿童(4-7 岁,多数无/有限言语,低智商)在接受 12 个月的即兴音乐治疗后发生的变化。通过会话视频观察协调情况,并由盲评者和家长使用标准化工具(关系质量评估、即兴音乐治疗原则、ADOS、SRS)评估广义社交技能的变化。与较小的试点研究相比,我们没有发现协调与结果变化之间存在显著的影响,仅观察到方向相同的趋势。研究结果表明,症状严重程度与治疗师与孩子协调的能力有关。他们进一步提出了有关结果选择和用户参与的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/a81f07e24984/10803_2020_4448_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/45e36d8b18e5/10803_2020_4448_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/65b33fdea9d9/10803_2020_4448_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/a81f07e24984/10803_2020_4448_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/45e36d8b18e5/10803_2020_4448_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/65b33fdea9d9/10803_2020_4448_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a4/7560932/a81f07e24984/10803_2020_4448_Fig3_HTML.jpg

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本文引用的文献

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Music therapy for children with autism: investigating social behaviour through music.针对自闭症儿童的音乐疗法:通过音乐研究社交行为。
Lancet Child Adolesc Health. 2019 Nov;3(11):759-761. doi: 10.1016/S2352-4642(19)30265-2. Epub 2019 Sep 4.
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What are we targeting when we treat autism spectrum disorder? A systematic review of 406 clinical trials.当我们治疗自闭症谱系障碍时,我们的目标是什么?406 项临床试验的系统评价。
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Music improves social communication and auditory-motor connectivity in children with autism.
音乐治疗在中小学生心理健康和情绪疏导中的应用。
Occup Ther Int. 2022 Jul 8;2022:8370682. doi: 10.1155/2022/8370682. eCollection 2022.
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Music therapy for autistic people.音乐治疗自闭症患者。
Cochrane Database Syst Rev. 2022 May 9;5(5):CD004381. doi: 10.1002/14651858.CD004381.pub4.
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Effects of Creative Movement Therapies on Social Communication, Behavioral-Affective, Sensorimotor, Cognitive, and Functional Participation Skills of Individuals With Autism Spectrum Disorder: A Systematic Review.创造性运动疗法对自闭症谱系障碍个体社交沟通、行为情感、感觉运动、认知及功能参与技能的影响:一项系统综述
Front Psychiatry. 2021 Nov 18;12:722874. doi: 10.3389/fpsyt.2021.722874. eCollection 2021.
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Music Therapy for Children With Autistic Spectrum Disorder and/or Other Neurodevelopmental Disorders: A Systematic Review.针对自闭症谱系障碍和/或其他神经发育障碍儿童的音乐疗法:一项系统综述。
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