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增强自闭症儿童的社交沟通行为:犬类训练干预对言语和非言语行为的影响。

Enhancing social communication behaviors in children with autism: the impact of dog training intervention on verbal and non-verbal behaviors.

作者信息

Polak-Passy Yaara, Ben-Itzchak Esther, Zachor Ditza A

机构信息

Department of Communication Disorders, Bruckner Autism Research Center, Ariel University, Ariel, Israel.

The Autism Center, Department of Pediatrics, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Zerifin, Israel.

出版信息

Front Psychol. 2024 Dec 23;15:1496915. doi: 10.3389/fpsyg.2024.1496915. eCollection 2024.

Abstract

INTRODUCTION

This study investigated the impact of dog training intervention (DTI) on verbal, non-verbal, and maladaptive behaviors in autistic preschoolers. Previous research has demonstrated the benefits of animal-assisted interventions, but this study specifically focused on changes during the DTI.

METHODS

We analyzed video recordings of 37 autistic children (mean age 4:7 years, SD = 1:1) from special education preschools, comparing their behaviors during the initial and final intervention sessions. The intervention, consisting of 17 structured stages, progressively introduced the children to dog interactions, ultimately allowing them to act as dog trainers. Behavioral analysis was divided into two main areas: responses to the therapist's instructions and self-initiated behaviors observed in interactions with the therapist and the dog.

RESULTS

Post-intervention results indicated a notable increase in non-verbal communication, with more sustained self-initiated eye contact, gestures, and facial expressions and increased verbal commands directed toward the dog. Improvements were also seen in therapist-prompted gestures and joint attention, and question-answer interactions with the therapist. However, a decrease was observed in self-initiated eye contact, duration of eye contact, and verbal sharing with the therapist. Maladaptive behaviors, such as inappropriate physical contact and repetitive movements, decreased. The study found a moderate negative correlation between autism severity and responsiveness to therapist instructions and a moderate positive correlation between IQ and improvements in therapist responsiveness.

DISCUSSION

These findings support the growing evidence for the efficacy of dog-assisted interventions and emphasize the importance of tailoring interventions to individual child characteristics.

摘要

引言

本研究调查了狗狗训练干预(DTI)对自闭症学龄前儿童言语、非言语及适应不良行为的影响。先前的研究已证明动物辅助干预的益处,但本研究特别关注了DTI过程中的变化。

方法

我们分析了来自特殊教育幼儿园的37名自闭症儿童(平均年龄4:7岁,标准差=1:1)的视频记录,比较了他们在干预初始阶段和最终阶段的行为。干预由17个结构化阶段组成,逐步引导儿童与狗狗互动,最终让他们担任狗狗训练师。行为分析分为两个主要领域:对治疗师指令的反应以及在与治疗师和狗狗互动中观察到的自发行为。

结果

干预后结果显示,非言语交流显著增加,有更多持续的自发眼神接触、手势和面部表情,以及针对狗狗的言语指令增加。在治疗师引导的手势、共同注意力以及与治疗师的问答互动方面也有改善。然而,自发眼神接触、眼神接触持续时间以及与治疗师的言语分享有所减少。不适当身体接触和重复动作等适应不良行为减少。研究发现自闭症严重程度与对治疗师指令的反应之间存在中度负相关,智商与治疗师反应改善之间存在中度正相关。

讨论

这些发现支持了越来越多关于狗狗辅助干预有效性的证据,并强调了根据儿童个体特征量身定制干预措施的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd6/11701586/5bb006a8c459/fpsyg-15-1496915-g001.jpg

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