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成年智障者身心问题的行为治疗

Behavioral treatment of psychosomatic complaints of mentally retarded adults.

作者信息

Matson J L

出版信息

Am J Ment Defic. 1984 May;88(6):638-46.

PMID:6742001
Abstract

Three mildly mentally retarded adults were treated for psychosomatic complaints using a multiple-baseline format across types of behavior and therapists. Also, social appropriate behavior incompatible with the target behavior was assessed. Subjects were matched on age, sex, and intellectual level with persons not considered to have this problem in order to establish the clinical significance in frequency of psychosomatic complaints. Additionally, baseline, treatment, and follow-up sessions were rated on the frequency of psychosomatic complaints by 10 adults from the community. Stomachache, headache, and multiple physical complaints were treated with a combination of token reinforcement, performance feedback, instructions, and modeling. Frequencies of the target behavior were decreased to near zero and maintained at that level during follow-up, and subjects were rated in the normal range of performance on both social validation criteria. Also, subjects' performance on adaptive behavior incompatible with psychosomatic complaints was improved.

摘要

三名轻度智力发育迟缓的成年人因身心问题接受治疗,采用了跨行为类型和治疗师的多基线格式。此外,还评估了与目标行为不相容的社会适应行为。为了确定身心问题投诉频率的临床意义,根据年龄、性别和智力水平将受试者与未被认为有此问题的人进行匹配。此外,由社区中的10名成年人对基线、治疗和随访阶段的身心问题投诉频率进行评分。胃痛、头痛和多种身体不适通过代币强化、绩效反馈、指导和示范相结合的方式进行治疗。目标行为的频率在随访期间降至接近零并维持在该水平,并且在两项社会验证标准上,受试者的表现被评定在正常范围内。此外,受试者在与身心问题投诉不相容的适应性行为方面的表现也得到了改善。

相似文献

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Behavioral treatment of psychosomatic complaints of mentally retarded adults.成年智障者身心问题的行为治疗
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