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注意缺陷多动障碍(ADHD)与自闭症谱系障碍共病中的沟通问题。评估方法与针对性干预:小型综述

Communication issues in co-occurring ADHD and autism spectrum disorders. Evaluative approaches and targeted interventions: mini review.

作者信息

Theodoratou Maria

机构信息

School of Social Sciences, Hellenic Open University, Patras, Greece.

Department of Psychology, School of Health Sciences, Neapolis University Pafos, Pafos, Cyprus.

出版信息

Postep Psychiatr Neurol. 2024 Sep;33(3):188-195. doi: 10.5114/ppn.2024.145214. Epub 2024 Nov 21.

DOI:10.5114/ppn.2024.145214
PMID:39678455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11635427/
Abstract

PURPOSE

This mini-review presents strategies for assessing and treating communication difficulties in individuals with comorbid attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Standardized assessments such as the Clinical Evaluation of Language Fundamentals and the Test of Language Development provide quantitative insights, while pragmatic tools, such as the Pragmatic Language Skills Inventory and the Social Communication Questionnaire provide qualitative measures of social communication skills. A comprehensive assessment also integrates clinical interviews, multi-contextual observations.

VIEWS

A multifaceted approach tailored to individual needs is required to effectively treat communication difficulties. Evidence suggests benefits from social skills training, structured group therapy sessions, and speech and language therapy focusing on expressive, receptive, and pragmatic language skills. Augmentative and alternative communication systems provide support for individuals with limited verbal skills. In addition, the development of supportive academic frameworks, such as Individualized Education Programs or Individualized Accommodation Plans, involves environmental modifications and collaborative educational planning including psychologists, educators, and families.

CONCLUSIONS

Comorbid ADHD and ASD significantly impair communication, necessitating precise evaluation and multimodal interventions such as social skills training and augmentative and alternative communication tools. Collaborative, evidence-based approaches enhance functional outcomes and quality of life in affected individuals.

摘要

目的

本综述介绍了评估和治疗患有注意力缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)的个体沟通困难的策略。标准化评估,如《语言基本能力临床评估》和《语言发展测试》提供了定量见解,而实用工具,如《实用语言技能量表》和《社会沟通问卷》则提供了社会沟通技能的定性衡量指标。全面评估还整合了临床访谈、多情境观察。

观点

需要采用针对个体需求的多方面方法来有效治疗沟通困难。有证据表明,社交技能培训、结构化小组治疗课程以及侧重于表达性、接受性和实用语言技能的言语和语言治疗有益。辅助和替代沟通系统为言语技能有限的个体提供支持。此外,制定支持性学术框架,如个性化教育计划或个性化住宿计划,涉及环境调整以及包括心理学家、教育工作者和家庭在内的协作教育规划。

结论

ADHD和ASD共病会严重损害沟通,因此需要进行精确评估以及社会技能培训和辅助及替代沟通工具等多模式干预。基于证据的协作方法可改善受影响个体的功能结果和生活质量。

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