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针对患有自闭症谱系障碍和智力残疾儿童心理健康的适应性瑜伽:单病例实验设计

Adaptive yoga for psychological health of children having autism spectrum disorder and with intellectual disability: single case experimental design.

作者信息

Maggu Jyoti, Mohanty Soubhagyalaxmi, Sundaravadivel Karthikeyan

机构信息

Department of Yoga and Humanities, S-VYASA University, Bengaluru, India.

Department of Clinical Psychology, National Institute for Empowerment of Persons with Multiple Disabilities (Divyangjan), Chennai, India.

出版信息

Sci Rep. 2025 May 26;15(1):18360. doi: 10.1038/s41598-025-02368-2.

DOI:10.1038/s41598-025-02368-2
PMID:40419562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12106653/
Abstract

Children with multiple disabilities have developmental issues in psychological domains. Adaptive yoga tailored to individual abilities promises positive results on children with special needs. This study applies multiple baseline single-case experimental design (SCED) to establish functional relationship between yoga and psychological health of children with autism spectrum disorder (ASD) and intellectual disability (ID). A multiple baseline SCED (AB1B2), with phases (A) baseline without intervention, (B1) intervention in the institute with a yoga teacher and caregiver, and (B2) intervention at home with the caregiver. The experiment was replicated across six children aged 7-12 years with mild ASD and ID. The study assessed the impact of a 180-day adaptive yoga intervention on twelve parameters across cognitive, behavioural, and emotional domains. Assessments were administered using the Indian Scale for Assessment of Autism (ISAA) and Behavioural Assessment Scales for Indian Children with Mental Retardation (BASIC-MR) tools. The study involved caregivers, yoga teacher, and clinical psychologists. The visual analysis established the functional effect of yoga intervention. The effectiveness of impact was supplemented by percentages of non-overlapping pairs and Cohen's d shows moderate to significant impact among all the participants in at least three instances across psychological domains. The experiment establishes both internal and external validity.Trial registration CTRI/2021/08/035389; DoR: 04/08/2021.

摘要

患有多重残疾的儿童在心理领域存在发育问题。根据个人能力量身定制的适应性瑜伽有望对有特殊需求的儿童产生积极效果。本研究采用多基线单病例实验设计(SCED)来建立瑜伽与自闭症谱系障碍(ASD)和智力残疾(ID)儿童心理健康之间的功能关系。一种多基线SCED(AB1B2),包括阶段(A)无干预的基线期,(B1)在机构内由瑜伽教师和照顾者进行干预,以及(B2)在家中由照顾者进行干预。该实验在6名7至12岁患有轻度ASD和ID的儿童中重复进行。该研究评估了为期180天的适应性瑜伽干预对认知、行为和情感领域的12个参数的影响。使用印度自闭症评估量表(ISAA)和印度智力迟钝儿童行为评估量表(BASIC-MR)工具进行评估。该研究涉及照顾者、瑜伽教师和临床心理学家。视觉分析确定了瑜伽干预的功能效果。非重叠对的百分比补充了影响的有效性,并且科恩d值表明在心理领域的至少三个实例中,所有参与者都有中度到显著的影响。该实验确立了内部效度和外部效度。试验注册CTRI/2021/08/035389;注册日期:2021年8月4日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acba/12106653/5b6aac8d8623/41598_2025_2368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acba/12106653/f8f39e5c70cc/41598_2025_2368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acba/12106653/5b6aac8d8623/41598_2025_2368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acba/12106653/f8f39e5c70cc/41598_2025_2368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acba/12106653/5b6aac8d8623/41598_2025_2368_Fig2_HTML.jpg

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