Abdulah Deldar Morad, Abdulla Bayar Mohammed Omar, Liamputtong Pranee
Community and Maternity Health Nursing Unit, College of Nursing, University of Duhok, Duhok, Iraq.
Administration of Institutes, Ministry of Education, Duhok, Iraq.
Clin Exp Pediatr. 2023 Oct;66(10):447-454. doi: 10.3345/cep.2023.00640. Epub 2023 Sep 14.
Consensus on the effectiveness of art therapy in children with autism spectrum disorders (ASDs) is lacking in the literature.
Here, we examined the effectiveness of a short and intensive art-based intervention on autistic symptomatology and social skills among children with ASD levels 2 and 3.
This pre- and postexperimental investigation included 13 children previously diagnosed with ASD levels 2 and 3 in Kurdistan Region in 2019. They completed the art-based intervention 2 hours/day for 3 days/week for 1 month. The activities included cutting and pasting squares and triangles, coloring black-and-white images, and recognizing and coloring shapes. Children used wooden and aquatic pens and scissors under guidance. Symptom severity was measured using the Social Responsiveness Scale (SRS-2), a validated tool for measuring the severity of autistic traits and symptoms that features subscales of social awareness, social cognition, social communication, social motivation, and autistic mannerisms. Children with ASD level 2 require significant support and experience notable difficulties in verbal and social communication, while those with ASD level 3 require extensive support and have the most severe form of autism. The outcome was measured one day before the course commenced and one week after completion.
The mean patient age (n=13) was 8.15 years (standard deviation, 1.95; range, 5-11 years). Most patients were male (n=11, 84.62%). The mean SRS-2 score did not change significantly pre- to postexperiment (159 vs. 157,
The art-based intervention did not improve autism symptoms or social interactions among children with ASD levels 2 and 3.
关于艺术疗法对自闭症谱系障碍（ASD）儿童有效性的共识在文献中尚不存在。
在此，我们研究了一种短期强化的艺术干预对2级和3级ASD儿童自闭症症状和社交技能的有效性。
这项实验前和实验后的调查纳入了2019年在库尔德斯坦地区先前被诊断为2级和3级ASD的13名儿童。他们每周3天，每天2小时完成艺术干预，为期1个月。活动包括裁剪和粘贴正方形和三角形、给黑白图像上色以及识别和给形状上色。儿童在指导下使用木制和水彩笔以及剪刀。使用社会反应量表（SRS - 2）测量症状严重程度，这是一种用于测量自闭症特征和症状严重程度的有效工具，具有社会意识、社会认知、社会沟通、社会动机和自闭症行为等子量表。2级ASD儿童需要大量支持，在言语和社交沟通方面存在显著困难，而3级ASD儿童需要广泛支持，患有最严重形式的自闭症。在课程开始前一天和完成后一周测量结果。
平均患者年龄（n = 13）为8.15岁（标准差，1.95；范围，5 - 11岁）。大多数患者为男性（n = 11，84.62%）。实验前到实验后平均SRS - 2评分没有显著变化（159对157，
基于艺术的干预并未改善2级和3级ASD儿童的自闭症症状或社交互动。
