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在全数字化多感官互动室中开展认知功能研究:一种干预自闭症谱系障碍的新方法。

Working on Cognitive Functions in a Fully Digitalized Multisensory Interactive Room: A New Approach for Intervention in Autism Spectrum Disorders.

作者信息

Basadonne Ilaria, Cristofolini Melanie, Mucchi Iris, Recla Francesco, Bentenuto Arianna, Zanella Nadia

机构信息

Center for Mind/Brain Sciences (CIMeC), University of Trento, 38122 Trento, Italy.

Laboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, Italy.

出版信息

Brain Sci. 2021 Nov 3;11(11):1459. doi: 10.3390/brainsci11111459.

Abstract

The feasibility of working on cognitive functions with children and adults with Autism Spectrum Disorders (ASD) inside Multisensory Interactive Rooms (MIRs) has been poorly investigated, even if sensory atypicalities are common in ASD and usual intervention rooms could represent a challenging sensory setting for patients with ASD. We hypothesized that the possibility to calibrate the sensory stimulation offered by this type of environment, able to promote a positive emotional state in patients with ASD, can consequently favor the interaction with the therapist and the motivation towards activities targeting cognitive functions. High- and low-functioning children and low-functioning adolescents/adults underwent five sessions in a fully digitalized MIR, working on sustained attention, selective attention, association, single inhibition, receptive communication, verbalization, and turn. We developed specific protocols calibrated for sensory stimulation and difficulty level based on the characteristics of the participants. We found statistically significant improvements in all functions, except association, in the children's group. Therefore, a fully digitalized MIR seems suitable for intervention on cognitive functions in ASDs, but further investigations are needed to better address possible differences related to age and functioning level.

摘要

针对患有自闭症谱系障碍(ASD)的儿童和成人,在多感官互动室(MIR)中开展认知功能训练的可行性,尚未得到充分研究,尽管感觉异常在自闭症谱系障碍中很常见,而且普通的干预室对自闭症谱系障碍患者来说可能是一个具有挑战性的感觉环境。我们推测,校准这类环境所提供的感觉刺激的可能性,能够促进自闭症谱系障碍患者产生积极的情绪状态,从而有利于与治疗师的互动以及对针对认知功能活动的积极性。高功能和低功能儿童以及低功能青少年/成人在一个完全数字化的多感官互动室里进行了五节训练课,训练内容包括持续注意力、选择性注意力、联想、单项抑制、接受性沟通、言语表达和轮流。我们根据参与者的特征制定了针对感觉刺激和难度水平的特定方案。我们发现,儿童组除联想外,所有功能均有统计学上的显著改善。因此,一个完全数字化的多感官互动室似乎适合对自闭症谱系障碍患者的认知功能进行干预,但需要进一步研究,以更好地解决与年龄和功能水平相关的可能差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4346/8615557/98d797b9eea6/brainsci-11-01459-g001.jpg

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