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一项治疗性骑马项目对自闭症儿童社交互动与沟通的影响。

Effects of a Therapeutic Horseback Riding Program on Social Interaction and Communication in Children with Autism.

作者信息

Zhao Mengxian, Chen Shihui, You Yonghao, Wang Yongtai, Zhang Yanjie

机构信息

School of Physical Education, Shenzhen University, Shenzhen 518060, China.

Department of Kinesiology, Texas A&M University, Texarkana, TX 75503, USA.

出版信息

Int J Environ Res Public Health. 2021 Mar 6;18(5):2656. doi: 10.3390/ijerph18052656.

Abstract

Various therapeutic interventions have been studied and found to be effective in reducing the stereotypical behaviors of children with autism spectrum disorder (ASD). There has been increasing interest in using animal-assisted interventions (AAIs) as an alternative approach to therapeutic rehabilitation for children with ASD, and many studies have reported that AAI has significant benefits for the cognitive, psychological, and social behavior of children with ASD. The present study was designed to examine the effects of a 16 weeks therapeutic horseback riding program on social interaction and communication skills in children with autism. Eighty-four children diagnosed with ASD, aged between 6 and 12 years old, were recruited for this study. All selected participants met the DSM-V criteria, and a total of sixty-one participants ( = 61) completed the study. A quasi-experimental design with an experimental group and control group was implemented for this study, taking measurements at pre-test, interim-test, and post-test to monitor the behavior changes in social and communication throughout the 16-week intervention. Repeated measures ANOVA and the independent sample -test were used for data analysis, to assess the difference between the experimental group and control group. The results indicated that the THR program had positive influences on overall social skills and communication, based on the SSIS and the ABLLS-R scores, compared to the control group ( < 0.05). A notable improvement in the overall social interaction score was observed from the interim-testing point to post-test. In addition, participants in the therapeutic horseback riding (THR) group achieved significant improvements on six out of seven items in their communication evaluations. In conclusion, after 16 weeks of intervention, the THR program significantly enhanced the subdomains of social and communication skills in the areas of social interaction, communication, responsibility, and self-control, compared to the control group.

摘要

人们已经研究了各种治疗干预措施,并发现它们在减少自闭症谱系障碍(ASD)儿童的刻板行为方面是有效的。越来越多的人对使用动物辅助干预(AAIs)作为ASD儿童治疗康复的替代方法感兴趣,许多研究报告称,AAI对ASD儿童的认知、心理和社会行为有显著益处。本研究旨在探讨为期16周的治疗性骑马项目对自闭症儿童社交互动和沟通技能的影响。本研究招募了84名年龄在6至12岁之间、被诊断为ASD的儿童。所有入选的参与者均符合《精神疾病诊断与统计手册》第五版(DSM-V)标准,共有61名参与者(n = 61)完成了研究。本研究采用了实验组和对照组的准实验设计,在预测试、中期测试和后测试时进行测量,以监测16周干预期间社交和沟通方面的行为变化。重复测量方差分析和独立样本t检验用于数据分析,以评估实验组和对照组之间的差异。结果表明,与对照组相比,基于社会技能改进系统(SSIS)和语言行为里程碑评估量表修订版(ABLLS-R)得分,治疗性骑马(THR)项目对整体社交技能和沟通有积极影响(p < 0.05)。从中期测试点到后测试,观察到整体社交互动得分有显著提高。此外,治疗性骑马(THR)组的参与者在沟通评估的七个项目中的六个项目上取得了显著进步。总之,经过16周的干预,与对照组相比,THR项目显著提高了社交互动、沟通、责任和自我控制等方面的社交和沟通技能子领域。

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