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考察虚拟现实干预对自闭症谱系障碍儿童社交技能的影响:一项系统评价。

Examining Virtual Reality Interventions for Social Skills in Children with Autism Spectrum Disorder: A Systematic Review.

作者信息

Altın Yücel, Boşnak Özge, Turhan Ceyda

机构信息

Republic of Türkiye Ministry of National Education, Istanbul, Türkiye.

Uludağ University, Bursa, Türkiye.

出版信息

J Autism Dev Disord. 2025 Feb 5. doi: 10.1007/s10803-025-06741-y.

DOI:10.1007/s10803-025-06741-y
PMID:39907930
Abstract

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that is characterized by limitations in social communication and interaction, self-repetitive behaviors, and the presence of limited interests. The prevalence of ASD, which typically emerges in the first years of life, is increasing at an alarming rate due to multiple factors, including the broadening of diagnostic criteria, heightened public awareness, and more frequent diagnoses among women and adults. Over the years, experts have invested considerable time and effort in developing educational scenarios for children with ASD. However, they have faced challenges replicating certain scenarios-such as emergencies, crowded public transportation, or restaurant environments-because recreating these exact conditions in real-world settings is difficult or cost-prohibitive. This has consequently compelled experts to seek out supplementary intervention methods that are more suitable and accessible. Virtual reality (VR), which has the capacity to integrate the physical and virtual realms, represents one such alternative intervention method. In this study, a systematic review of studies employing VR technology in social skills interventions for individuals with ASD was conducted, and 31 studies were included. The findings indicate the potential benefits of VR applications focusing on the social skills of individuals with ASD. Additionally, this research elucidates the limitations of the studies and offers suggestions for future research.

摘要

自闭症谱系障碍(ASD)是一种神经发育障碍,其特征在于社交沟通与互动受限、存在自我重复行为以及兴趣有限。ASD通常在生命的最初几年出现,由于多种因素,包括诊断标准的拓宽、公众意识的提高以及女性和成年人中诊断频率的增加,其患病率正以惊人的速度上升。多年来,专家们投入了大量时间和精力为患有ASD的儿童开发教育场景。然而,他们在复制某些场景时面临挑战,如紧急情况、拥挤的公共交通或餐厅环境,因为在现实世界中重现这些确切条件既困难又成本高昂。因此,这迫使专家们寻找更合适且易于获得的补充干预方法。虚拟现实(VR)能够整合物理和虚拟领域,是一种这样的替代干预方法。在本研究中,对在针对患有ASD的个体的社交技能干预中使用VR技术的研究进行了系统综述,共纳入31项研究。研究结果表明了专注于患有ASD的个体社交技能的VR应用的潜在益处。此外,本研究阐明了这些研究的局限性,并为未来研究提供了建议。

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本文引用的文献

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Promoting Self-Efficacy of Individuals With Autism in Practicing Social Skills in the Workplace Using Virtual Reality and Physiological Sensors: Mixed Methods Study.使用虚拟现实和生理传感器提高自闭症个体在职场中社交技能实践的自我效能:混合方法研究
JMIR Form Res. 2024 Jan 11;8:e52157. doi: 10.2196/52157.
2
Effects of Adaptive Prompts in Virtual Reality-Based Social Skills Training for Children with Autism.虚拟现实为基础的自闭症儿童社交技能训练中自适应提示的效果。
J Autism Dev Disord. 2024 Aug;54(8):2826-2846. doi: 10.1007/s10803-023-06021-7. Epub 2023 May 28.
3
Virtual Reality Training of Social Skills in Adults with Autism Spectrum Disorder: An Examination of Acceptability, Usability, User Experience, Social Skills, and Executive Functions.
自闭症谱系障碍成人社交技能的虚拟现实训练:可接受性、可用性、用户体验、社交技能和执行功能的考察
Behav Sci (Basel). 2023 Apr 17;13(4):336. doi: 10.3390/bs13040336.
4
Designing and deploying a virtual social sandbox for autistic children.为自闭症儿童设计和部署虚拟社交沙盒。
Disabil Rehabil Assist Technol. 2024 May;19(4):1178-1209. doi: 10.1080/17483107.2022.2156630. Epub 2022 Dec 16.
5
Gaze Fixation and Visual Searching Behaviors during an Immersive Virtual Reality Social Skills Training Experience for Children and Youth with Autism Spectrum Disorder: A Pilot Study.针对患有自闭症谱系障碍的儿童和青少年的沉浸式虚拟现实社交技能训练体验中的注视固定和视觉搜索行为:一项初步研究。
Brain Sci. 2022 Nov 18;12(11):1568. doi: 10.3390/brainsci12111568.
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A more holistic approach to autism using the International Classification of Functioning: The why, what, and how of functioning.采用《国际功能、残疾和健康分类》对自闭症采取更全面的方法:功能的原因、内容和方式。
Autism. 2023 Jan;27(1):3-6. doi: 10.1177/13623613221136444. Epub 2022 Nov 4.
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Virtual reality technology enhances the cognitive and social communication of children with autism spectrum disorder.虚拟现实技术增强自闭症谱系障碍儿童的认知和社会交流能力。
Front Public Health. 2022 Oct 6;10:1029392. doi: 10.3389/fpubh.2022.1029392. eCollection 2022.
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Exclusion of females in autism research: Empirical evidence for a "leaky" recruitment-to-research pipeline.自闭症研究中对女性的排除:“渗漏”的招募-研究管道的实证证据。
Autism Res. 2022 Oct;15(10):1929-1940. doi: 10.1002/aur.2795. Epub 2022 Aug 22.
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A Data-Driven Approach in an Unbiased Sample Reveals Equivalent Sex Ratio of Autism Spectrum Disorder-Associated Impairment in Early Childhood.一项基于无偏样本的数据分析表明,自闭症谱系障碍相关的早期发育损伤在男女性别上的比例相当。
Biol Psychiatry. 2022 Oct 15;92(8):654-662. doi: 10.1016/j.biopsych.2022.05.027. Epub 2022 Jun 7.
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