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针对自闭症谱系障碍(ASD)个体的社交训练效果:一项系统评价与转换分析

The effectiveness of social training in individuals with autism spectrum disorder (ASD): a systematic review and transfer analysis.

作者信息

Nejati Vahid, Peyvandi Aida, Nazari Nasim, Abadi Fatemeh

机构信息

Department of Psychology, Shahid Beheshti University, Tehran, Iran.

出版信息

Sci Rep. 2024 Dec 30;14(1):32131. doi: 10.1038/s41598-024-83953-9.

Abstract

Autism spectrum disorders (ASD) are characterized by impaired social communication and interactions, as well as constrained and repetitive manifestations of interests and behaviors. Various interventions at cognitive and behavioral levels aim to address impaired social communication and interaction in individuals with ASD. This study systematically explores the transferability of social training in individuals with ASD, guided by the conceptual model known as the FIELD framework (Function, Implement, Ecology, Level, and Durability). Employing the PRISMA methodology, 52 original experiments were included in the study. The transfer analysis, formulated as a conceptual meta-analysis based on the effect sizes, underscores the significant impact of variables including age, severity of autism, intervention tools, intervention intensity, intervention context, and intervention duration on the transferability of social training in individuals with ASD. The transfer of skills was particularly conspicuous among younger individuals, especially in face-to-face interventions, in contrast to digital alternatives. Moreover, cognitive interventions exhibited superior transferability compared to behavioral interventions, especially when administered with a higher intervention dose.

摘要

自闭症谱系障碍(ASD)的特征是社交沟通和互动受损,以及兴趣和行为的受限与重复表现。认知和行为层面的各种干预旨在解决自闭症患者社交沟通和互动受损的问题。本研究以称为FIELD框架(功能、实施、生态、水平和持续性)的概念模型为指导,系统地探索了自闭症患者社交训练的可转移性。采用PRISMA方法,该研究纳入了52项原始实验。以效应量为基础进行概念性元分析的转移分析强调了年龄、自闭症严重程度、干预工具、干预强度、干预背景和干预持续时间等变量对自闭症患者社交训练可转移性的重大影响。与数字替代方案相比,技能转移在较年轻个体中尤为明显,尤其是在面对面干预中。此外,认知干预相比行为干预表现出更高的可转移性,尤其是在给予更高干预剂量时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a50/11685610/a909372fe46c/41598_2024_83953_Fig1_HTML.jpg

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