Shi Shanshan, Song Shuang, Wang Huitong, Li Pengfei, Zhang Xiaoying
Rehabilitation Clinic, Beijing Rehabilitation Hospital, Capital Medical University, No. 15, Xi Xia Zhuang South Road, Beijing, Badachu, Shijingshan District, China.
Department of orthopedics and traumatology, the Second Affiliated Hospital of Heilongjiang, University of Traditional Chinese Medicine, Harbin, China.
BMC Pediatr. 2025 Jul 24;25(1):569. doi: 10.1186/s12887-025-05921-0.
To investigate the effects of Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH) on social functioning in individuals with autism spectrum disorders (ASD).
Relevant studies on TEACCH intervention in ASD individuals were systematically searched in PubMed, The Cochrane Library, Embase, CNKI, and Wanfang from inception to March 2024. The main outcome measures were social, cognitive performance, fine motor, communication, daily living, imitation, and cognitive verbal skills. Data were meta-analyzed using R studio (4.1.2).
Eleven studies involving 701 ASD individuals were included in this study. The TEACCH group had significantly higher socialization score [MD = 0.6, 95% CI(0.2, 1.0)], Cognitive Performance Scale score [MD = 1.34, 95% CI(0.09, 2.58)], and fine motor score [MD = 0.7, 95% CI(0.4, 1.0)] but significantly lower Autism Behavior Checklist score [MD = -1.57, 95% CI(-2.11, -1.02)], Childhood Autism Rating Scale score [MD= -0.7, 95%CI(-1.0, -0.3)], and Autism Treatment Evaluation Checklist score [MD= -0.7, 95% CI(-1.0, -0.3)] compared to the control group. There were no significant differences in other outcome measures.
TEACCH is a promising intervention for improving the social skills, cognitive performance, and fine motor functions of ASD individuals. However, further studies are warranted to confirm the effectiveness of TEACCH on ASD core symptoms.
探讨自闭症及相关沟通障碍儿童的治疗与教育（TEACCH）对自闭症谱系障碍（ASD）个体社交功能的影响。
从创刊至2024年3月，在PubMed、Cochrane图书馆、Embase、中国知网和万方数据库中系统检索关于TEACCH对ASD个体干预的相关研究。主要观察指标包括社交、认知表现、精细运动、沟通、日常生活、模仿和认知语言技能。使用R studio（4.1.2）进行荟萃分析。
本研究纳入了11项涉及701名ASD个体的研究。与对照组相比，TEACCH组的社交化得分[MD = 0.6，95%CI（0.2，1.0）]、认知表现量表得分[MD = 1.34，95%CI（0.09，2.58）]和精细运动得分[MD = 0.7，95%CI（0.4，1.0）]显著更高，但自闭症行为检查表得分[MD = -1.57，95%CI（-2.11，-1.02）]、儿童自闭症评定量表得分[MD = -0.7，95%CI（-1.0，-0.3）]和自闭症治疗评估检查表得分[MD = -0.7，95%CI（-1.0，-0.3）]显著更低。其他观察指标无显著差异。
TEACCH是一种有前景的干预措施，可改善ASD个体的社交技能、认知表现和精细运动功能。然而，需要进一步研究来证实TEACCH对ASD核心症状的有效性。
