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探究不同应用行为分析疗法的预测因素:一项系统综述。

Examining Predictors of Different ABA Treatments: A Systematic Review.

作者信息

Cerasuolo Mariangela, Simeoli Roberta, Nappo Raffaele, Gallucci Maria, Iovino Luigi, Frolli Alessandro, Rega Angelo

机构信息

Associazione Italiana Per L'Assistenza Spastici Onlus Sez Di Cicciano, 80033 Cicciano, Italy.

Faculty of Medicine, University of Ostrava, 70103 Ostrava, Czech Republic.

出版信息

Behav Sci (Basel). 2022 Aug 4;12(8):267. doi: 10.3390/bs12080267.

Abstract

In the recent literature, there is a broad consensus on the effectiveness of Applied Behavior Analysis interventions for autism spectrum disorder (ASD). Despite their proven efficacy, research in clinical settings shows that these treatments are not equally effective for all children and the issue of which intervention should be chosen for an individual remains a common dilemma. The current work systematically reviewed studies on predictors and moderators of response to different types of evidence-based treatment for children with ASD. Specifically, our goal was to critically review the relationships between pre-treatment child characteristics and specific treatment outcomes, covering different aspects of functioning (i.e., social, communicative, adaptive, cognitive, motor, global functioning, play, and symptom severity). Our results questioned the binomial "better functioning-better outcome", emphasizing the complex interplay between pre-treatment child characteristics and treatment outcomes. However, some pre-treatment variables seem to act as prerequisites for a specific treatment, and the issue of "what works for whom and why" remains challenging. Future research should focus on the definition of evidence-based decision-making models that capture those individual factors through which a specific intervention will exert its effects.

摘要

在最近的文献中,对于应用行为分析干预对自闭症谱系障碍(ASD)的有效性存在广泛共识。尽管这些干预措施已被证明有效,但临床研究表明,这些治疗方法对所有儿童并非同样有效,对于个体应选择哪种干预措施的问题仍然是一个常见的困境。当前的研究系统地回顾了关于自闭症谱系障碍儿童对不同类型循证治疗反应的预测因素和调节因素的研究。具体而言,我们的目标是批判性地审视治疗前儿童特征与特定治疗结果之间的关系,涵盖功能的不同方面(即社交、沟通、适应、认知、运动、整体功能、玩耍和症状严重程度)。我们的研究结果对“功能越好——结果越好”这一二项式提出了质疑,强调了治疗前儿童特征与治疗结果之间复杂的相互作用。然而,一些治疗前变量似乎是特定治疗的先决条件,“什么对谁有效以及为什么有效”的问题仍然具有挑战性。未来的研究应侧重于循证决策模型的定义,该模型通过捕捉特定干预措施发挥作用的个体因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df0/9405151/8e43891b447b/behavsci-12-00267-g001.jpg

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