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一项关于FEST项目的试点研究——自闭症谱系儿童的友谊与情感技能训练。

A Pilot Study on the FEST program - Friendship and Emotional Skills Training for Children on the Autism Spectrum.

作者信息

Arnardóttir Ágústa Á, Guðmundsdóttir Laufey Á, Hannesdóttir Dagmar Kr, Halldórsson Freyr, Auðardóttir Helga, Sveinbjörnsdóttir Berglind

机构信息

The National Agency for Children and Families (Barna- og fjölskyldustofa), Reykjavik, Iceland.

Children´s Mental Health Center for the Primary Health Care of the Capital Area (Gedheilsumistod barna Heilsugaeslu hofudborgarsvaedisins), Reykjavik, Iceland.

出版信息

J Autism Dev Disord. 2025 Jun;55(6):1959-1968. doi: 10.1007/s10803-023-06099-z. Epub 2023 Aug 29.

Abstract

PURPOSE

Social skills difficulties among children on the autism spectrum can impede social, emotional, and academic development, especially with increasing age and social demands. This pilot study examined the efficacy of a 5-week skill-building program for children on the autism spectrum. Although effective social skills programs are available for adolescents with autism spectrum disorder (ASD), very few programs are explicitly intended for 10-12-year-old children.

METHODS

This pilot study examined the efficacy of the 9-session Friendship and Emotional Skills Training (FEST Program) for children with ASD without intellectual disability. Participants were 22 children randomly assigned to the FEST Program or a delayed intervention control group. Eleven children (boys = 8; girls = 3) received the FEST Program in two separate groups, and 11 were wait-listed for a delayed intervention. Parents, teachers, and the children answered questionnaires at baseline, post-intervention, and a 3-month follow-up.

RESULTS

Upon completing the FEST Program (post-intervention), parents reported an increase in overall social skills (on the Social Skills Rating System - SSRS) and a reduction on the Autistic Mannerisms factor (on the Social Responsiveness Scale - SRS) compared to the control group. These changes were also maintained at the 3-month follow-up. The children's assessment also showed a significant increase in assertion (on the SSRS) post-intervention. Teachers also reported a significant reduction on the Autistic Mannerisms factor at the 3-month follow-up.

CONCLUSION

The findings suggest that the FEST Program shows some promising results as one possibility for supporting children with ASD and their families in everyday life.

摘要

目的

自闭症谱系儿童的社交技能困难会阻碍其社交、情感和学业发展,尤其是随着年龄增长和社交需求增加。这项试点研究考察了一项为期5周的自闭症谱系儿童技能培养计划的效果。虽然有针对自闭症谱系障碍(ASD)青少年的有效社交技能计划,但很少有计划是专门针对10至12岁儿童的。

方法

这项试点研究考察了针对无智力障碍的自闭症谱系障碍儿童的九节友谊与情感技能训练(FEST计划)的效果。参与者为22名儿童,他们被随机分配到FEST计划组或延迟干预对照组。11名儿童(男孩=8名;女孩=3名)分两组接受FEST计划,11名儿童被列入延迟干预的等待名单。家长、教师和儿童在基线、干预后及3个月随访时回答问卷。

结果

完成FEST计划(干预后)后,与对照组相比,家长报告儿童在社交技能总体水平(社交技能评定系统-SSRS)上有所提高,在自闭症行为因素(社交反应量表-SRS)上有所降低。这些变化在3个月随访时也得以维持。儿童的评估还显示干预后在表达能力(SSRS)上有显著提高。教师也报告在3个月随访时自闭症行为因素有显著降低。

结论

研究结果表明,FEST计划显示出一些有前景的结果,作为在日常生活中支持自闭症谱系障碍儿童及其家庭的一种可能性。

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