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图宾根自闭症谱系障碍训练(TüTASS):一项针对自闭症谱系障碍(ASD)儿童自我认知和社交技能的结构化团体干预。

Tübinger Training for Autism Spectrum Disorders (TüTASS): a structured group intervention on self-perception and social skills of children with autism spectrum disorder (ASD).

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Tübingen, Germany.

Department of Psychology (Clinical 15 Psychology II), PFH-Private University of Applied Sciences, Göttingen, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2023 Oct;273(7):1599-1613. doi: 10.1007/s00406-022-01537-y. Epub 2023 Jan 11.

Abstract

In autism spectrum disorders (ASD), social communication and stereotypical behaviour patterns affect all areas of life, and can result in a decrease of its quality. Previous research has shown promising results for the social skills of groups of children with ASD. Furthermore, a pilot study of the Tübingen Group Training for Autism Spectrum Disorders (TüTASS) has demonstrated that mindfulness-based elements achieve additional positive effects. To build on these findings, the TüTASS training was adapted and expanded. Indeed, the TüTASS currently includes 20 90-min appointments starting with the basic skills of emotions, body, and communication, which are then transferred to personal, family, peer, and school spheres. The appointments have a fixed, consistent structure and each includes a body awareness exercise. In this study, we evaluated the TÜTASS with 27 children with ASD. The results showed improvements in pre-post comparison in behaviours associated with autism, as well as in externalising and internalising behaviours as assessed by parent reports, participant self-reports, and independent raters in participating children. Furthermore, the perceived parent burden in relation to their children decreased, whereas the participants' self-rated quality of life increased. Overall, both the participants and their parents rated the TüTASS very positively in rating sheets and in free feedback. If replicated in larger controlled trials, TÜTASS training might be a useful treatment tool for groups of children with ASD.

摘要

在自闭症谱系障碍(ASD)中,社交沟通和刻板行为模式会影响生活的各个方面,并导致生活质量下降。先前的研究表明,针对 ASD 儿童群体的社交技能的干预措施具有良好的效果。此外,图宾根自闭症谱系障碍团体训练(TüTASS)的一项试点研究表明,基于正念的元素可以取得额外的积极效果。为了在此基础上进一步研究,TüTASS 训练进行了调整和扩展。事实上,TüTASS 目前包括 20 个 90 分钟的课程,从情绪、身体和沟通的基本技能开始,然后将这些技能转移到个人、家庭、同伴和学校领域。课程具有固定、一致的结构,并且每个课程都包括一个身体意识练习。在这项研究中,我们对 27 名 ASD 儿童进行了 TüTASS 评估。结果表明,与自闭症相关的行为以及家长报告、参与者自我报告和参与儿童的独立评估者评估的外化和内化行为在前后比较中均有所改善。此外,与孩子相关的父母负担感降低,而参与者自我评估的生活质量提高。总体而言,无论是参与者还是他们的父母都在评估表和自由反馈中对 TüTASS 给予了非常积极的评价。如果在更大规模的对照试验中得到复制,TÜTASS 训练可能成为 ASD 儿童群体的一种有用的治疗工具。

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