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对旨在减少的行为的复发与恢复之间关系的回顾性分析。

A retrospective analysis of the relation between resurgence and renewal of behavior targeted for reduction.

作者信息

Muething Colin, Ritchey Carolyn M, Call Nathan A, Hardee Alexandra M, Mauzy Courtney R, Argueta Tracy, McMahon Meara X H, Podlesnik Christopher A

机构信息

Marcus Autism Center, Emory University School of Medicine, Atlanta, GA, USA.

Department of Psychology, Auburn University, Auburn, AL, USA.

出版信息

J Appl Behav Anal. 2024 Mar;57(2):455-462. doi: 10.1002/jaba.1069. Epub 2024 Mar 4.

DOI:10.1002/jaba.1069
PMID:38438320
Abstract

Functional communication training (FCT) is an evidence-based treatment for behavior targeted for reduction that often combines extinction for target responses and arranges functionally equivalent reinforcement for alternative behavior. Long-term effectiveness of FCT can become compromised when transitioning from clinic to nonclinic contexts or thinning reinforcement schedules for appropriate behavior. Such increases in targeted behavior have been conceptualized as renewal and resurgence, respectively. The relation between resurgence and renewal has yet to be reported. Therefore, the present report retrospectively analyzed the relation between renewal and resurgence in data collected when implementing FCT with children diagnosed with developmental disabilities. We found no relation when evaluating all 34 individuals assessed for resurgence and renewal or a subset of individuals exhibiting both resurgence and renewal. These findings suggest that one form of relapse may not be predictive of another form of relapse.

摘要

功能性沟通训练(FCT)是一种基于证据的针对旨在减少的行为的治疗方法,通常将对目标反应的消退与为替代行为安排功能等效的强化相结合。当从临床环境过渡到非临床环境或对适当行为的强化计划进行稀疏化时,FCT的长期有效性可能会受到损害。这种目标行为的增加分别被概念化为恢复和复发。复发与恢复之间的关系尚未见报道。因此,本报告回顾性分析了在对诊断为发育障碍的儿童实施FCT时收集的数据中恢复与复发之间的关系。在评估所有34名接受复发和恢复评估的个体或同时表现出复发和恢复的个体子集时,我们未发现两者之间存在关联。这些发现表明,一种复发形式可能无法预测另一种复发形式。

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