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针对自闭症谱系障碍儿童的社交技能训练干预措施的有效性:一项系统评价与荟萃分析。

Effectiveness of social skills training interventions for children with autism spectrum disorder: A systematic review and meta-analysis.

作者信息

Alahmari Fatimah S, Alhabbad Abdulhadi A, Alshamrani Hussain A, Almuqbil Mohammed A

机构信息

From the Clinics of Specialized Developmental and behavioral Pediatrics (Alahmari), Eradah Mental Health Complex, Riyadh Third Cluster, from the Clinic of specialized Developmental and Behavioral pediatrics (Alshamrani), Riyadh Second Cluster, Ministry of Health, from the College of Medicine (Alahmari, Alshamrani), Alfaisal University, from the Department of Psychiatry (Alhabbad), King Saud University Medical City, from the College of Medicine (Almuqbil), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Almuqbil), Ministry of National Guard, from the Department of Pediatrics (Almuqbil), Division of Pediatric Neurology, King Abdullah Specialist Children's Hospital, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2025 Mar;46(3):226-237. doi: 10.15537/smj.2025.46.3.20240788.

Abstract

OBJECTIVES

To evaluatethe effectiveness of social skills training (SST) interventions for children with autism spectrum disorder (ASD).

METHODS

A systematic review and meta-analysis were carried out to identify relevant studies published between 2000-2023. The study was conductedin accordance with the PRISMA guidelines. Studies were included if they met the following criteria: randomized controlled trials (RCTs) or quasi-RCTs, participants were children with ASD aged 3-18 years, SST interventions were delivered individually or in groups, and social skills were assessed using standardized measures. Effect sizes were calculated using Cohen's d, and meta-analyses were carried out using a random-effects model.

RESULTS

A total of 17 studies were included in the meta-analysis. The overall effect size for SST interventions was 0.28-0.60 (95% confidence interval: [0.23-0.41]), indicating a small to moderate effect. Social skills training interventions were effective in improving a range of social skills, including social communication, reciprocity, and joint attention.

CONCLUSION

Social skills training interventions demonstrate modest to moderate effectiveness in improving social skills in children with ASD, with outcomes varying depending on intervention type, participant characteristics, and implementation fidelity. While SST interventions offer potential benefits, they should be considered as one component of a broader, individualized treatment plan for children with ASD, rather than a standalone solution..

摘要

目的

评估社交技能训练(SST)干预措施对自闭症谱系障碍(ASD)儿童的有效性。

方法

进行了一项系统综述和荟萃分析,以确定2000年至2023年间发表的相关研究。该研究按照PRISMA指南进行。符合以下标准的研究被纳入:随机对照试验(RCT)或准随机对照试验,参与者为3至18岁的ASD儿童,SST干预措施以个体或小组形式实施,并且使用标准化测量方法评估社交技能。使用科恩d值计算效应量,并使用随机效应模型进行荟萃分析。

结果

荟萃分析共纳入17项研究。SST干预措施的总体效应量为0.28至0.60(95%置信区间:[0.23 - 0.41]),表明有小到中等的效果。社交技能训练干预措施在提高一系列社交技能方面有效,包括社交沟通、互惠和共同注意。

结论

社交技能训练干预措施在提高ASD儿童社交技能方面显示出适度到中等的有效性,结果因干预类型、参与者特征和实施保真度而异。虽然SST干预措施有潜在益处,但应将其视为ASD儿童更广泛的个体化治疗计划的一个组成部分,而不是一个独立的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11918677/46752b898ee7/smj-46-3-226_1.jpg

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