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自闭症早期强化行为干预的语言轨迹与治疗结果的纵向研究。

A Longitudinal Study of Language Trajectories and Treatment Outcomes of Early Intensive Behavioral Intervention for Autism.

机构信息

Center for Autism and Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

Autism Speaks, New York, NY, USA.

出版信息

J Autism Dev Disord. 2021 Dec;51(12):4534-4550. doi: 10.1007/s10803-021-04900-5. Epub 2021 Feb 8.

Abstract

The present study examined language trajectories and placement outcomes for children with autism spectrum disorder (ASD) receiving early intensive behavioral intervention (EIBI). Language measures were collected at baseline and 6, 12, 18, 24, and 36 months or until exit from EIBI in 131 children with ASD. Growth models estimated overall and subgroup language trajectories. Overall, children receiving EIBI showed substantial increases in language relative to normative expectations. Earlier age at EIBI start, higher baseline cognitive function, and lower baseline ASD severity predicted better language trajectories. Although there was significant variability in language trajectories and educational outcomes, most children showed significant increases in language scores, relative to normative expectations. Additional research, in more representative samples, is needed to understand this variability.

摘要

本研究考察了接受早期密集行为干预(EIBI)的自闭症谱系障碍(ASD)儿童的语言轨迹和安置结果。在 131 名 ASD 儿童中,在基线和 6、12、18、24 和 36 个月或直至 EIBI 退出时收集语言测量值。增长模型估计了整体和亚组的语言轨迹。总体而言,接受 EIBI 的儿童的语言相对于规范预期有了实质性的提高。EIBI 开始的年龄更早、基线认知功能更高和 ASD 严重程度更低,预示着更好的语言轨迹。尽管语言轨迹和教育结果存在显著差异,但大多数儿童的语言得分相对于规范预期有显著提高。需要在更具代表性的样本中进行更多研究,以了解这种可变性。

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