Jatkar Alapika, Garrido Dunia, Zheng Shuting, Silverman Greyson, Elsayed Heba, Davis Paige Huguely, Lee Helen, Crais Elizabeth R, Sideris John, Turner-Brown Lauren, Baranek Grace T, Watson Linda R, Grzadzinski Rebecca
The University of North Carolina at Chapel Hill, Carolina Institute for Developmental Disabilities, Chapel Hill, NC, USA.
The University of Granada, Mind, Brain, and Behaviors Research Center, Granada, Spain.
J Early Interv. 2023 Mar;45(1):39-62. doi: 10.1177/10538151211067227. Epub 2022 Feb 4.
Baseline child characteristics may predict treatment outcomes in children with or at elevated likelihood of developing autism (EL-ASD). Little is known about the role of child sensory and language features on treatment outcome. Participants were randomly assigned to a parent-mediated intervention or control condition. Analyses explored the relationship between baseline child sensory and language characteristics and changes in ASD symptoms over approximately 9 months. Higher baseline sensory hyporeactivity was significantly related to less improvement in social communication (SC) for the treatment group only. More baseline atypical vocalizations were significantly related to less improvement on SC across treatment and control groups. This work provides an initial framework to encourage the tailoring of interventions for EL-ASD children, suggesting sensory reactivity and atypical vocalizations may be useful behaviors to consider in treatment planning.
基线儿童特征可能预测患有自闭症或自闭症患病可能性较高(EL-ASD)儿童的治疗结果。关于儿童感觉和语言特征对治疗结果的作用,人们知之甚少。参与者被随机分配到家长介导的干预组或对照组。分析探讨了基线儿童感觉和语言特征与约9个月内自闭症谱系障碍(ASD)症状变化之间的关系。仅治疗组中,较高的基线感觉反应低下与社交沟通(SC)改善较少显著相关。跨治疗组和对照组,更多的基线非典型发声与SC改善较少显著相关。这项工作提供了一个初步框架,以鼓励为EL-ASD儿童量身定制干预措施,表明感觉反应性和非典型发声可能是治疗计划中需要考虑的有用行为。