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共同调节:自闭症谱系障碍青少年及其照顾者的情绪失调团体治疗。

Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers.

机构信息

Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 4002, Cincinnati, OH, 45229, USA.

University of Cincinnati School of Medicine, Cincinnati, USA.

出版信息

J Autism Dev Disord. 2023 May;53(5):1942-1962. doi: 10.1007/s10803-022-05461-x. Epub 2022 Feb 9.

Abstract

Individuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)-an intensive-outpatient, caregiver-assisted group program to meet the ASD + ED intervention critical need. A within-subjects trial was conducted (5-week-control lead-in period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD + ED (25 8-12, 19 13-18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD.

摘要

自闭症谱系障碍(ASD)患者表现出行为和情绪症状,这些症状被假设是由于情绪调节障碍(ED)引起的,即难以以可接受和情境适当的方式调节情绪体验、表达和强度。我们开发了“一起调节”(RT)——一种强化门诊、由照顾者辅助的团体项目,以满足 ASD+ED 干预的迫切需求。进行了一项受试者内试验(5 周对照导入期、5 周治疗期以及 5 周和 10 周治疗后随访)。44 名 ASD+ED 青少年(25 名 8-12 岁,19 名 13-18 岁,88%为男性,平均 FSIQ 为 96)参与了该研究。治疗后和 10 周治疗后,反应性、情绪调节知识和灵活性都有所改善。从 RT 前 12 个月到 RT 后 12 个月,住院率降低了 16%。RT 有望减少 ASD 中的 ED。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04b7/10126211/f17a92206daf/10803_2022_5461_Fig1_HTML.jpg

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