Rosenau Kashia A, Kim Junok, Cho An-Chuen Billy, Seltzer Michael, Ugueto Ana M, Weisz John R, Wood Jeffrey J
David Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA.
School of Education and Information Studies, University of California Los Angeles, Los Angeles, USA.
Child Psychiatry Hum Dev. 2024 Apr 5. doi: 10.1007/s10578-024-01686-2.
In order to provide more individualized support, it is imperative to further understand the effectiveness of different types of psychotherapy on the clinical areas of need common in autistic youth (Wood et al. in Behav Ther 46:83-95, 2015). Randomized controlled trials of psychotherapy for autistic youth were included if published in English, included random assignment to treatment or control group, required a previous diagnosis of autism, had a mean age of 6-17 years, and provided outcome measure data from both intervention and control groups. A total of 133 measures were coded across 29 studies and included 1464 participants with a mean age of 10.39 years (1.89). A small mean effect size (0.38,95% CI [0.26, 0.47]) was found overall, with the largest effects for cognitive behavioral therapies on autism-related clinical needs (0.81) and overall mental health (0.78). The results show the significant impact of psychotherapy interventions for autistic youth. Additional research should further assess the details of the most effective psychotherapies for each area of clinical need.
为了提供更具个性化的支持，进一步了解不同类型心理治疗对自闭症青少年常见临床需求领域的有效性势在必行（伍德等人，《行为疗法》，2015年第46卷：83 - 95页）。纳入的自闭症青少年心理治疗随机对照试验需满足以下条件：以英文发表；包括随机分配到治疗组或对照组；需要先前的自闭症诊断；平均年龄在6至17岁之间；并提供干预组和对照组的结果测量数据。共对29项研究中的133项测量指标进行了编码，涉及1464名参与者，平均年龄为10.39岁（标准差1.89）。总体发现了较小的平均效应量（0.38，95%置信区间[0.26, 0.47]），其中认知行为疗法对自闭症相关临床需求（0.81）和总体心理健康（0.78）的影响最大。结果表明心理治疗干预对自闭症青少年有显著影响。进一步的研究应进一步评估针对每个临床需求领域最有效心理治疗的细节。
