Didden R, Duker P C, Korzilius H
University of Nijmegen, The Netherlands.
Am J Ment Retard. 1997 Jan;101(4):387-99.
Meta-analysis of 482 empirical studies on treatment of problem behaviors of individuals with mental retardation was conducted. A metric of treatment effectiveness was computed for 1,451 comparisons between baselines and treatments, 34 topographies of problem behavior, and 64 treatment procedures. Analysis of variance with percentage of nonoverlapping data as the dependent variable and comparison as the basic unit of analysis revealed that treatment of externally destructive behaviors had significantly lower mean percentage of nonoverlapping data scores than did treatment of socially disruptive and internally maladaptive behaviors. Response contingent procedures were significantly more effective than were other procedures. No significant interactions were found. Results of a stepwise regression showed that only performing a functional analysis made a significant contribution. These results may lead to more objective assignment of treatment procedures to problem behaviors.
对482项关于治疗智力障碍个体问题行为的实证研究进行了荟萃分析。针对1451次基线与治疗的比较、34种问题行为的表现形式以及64种治疗程序，计算了治疗效果指标。以非重叠数据百分比作为因变量、比较作为基本分析单位的方差分析表明，与治疗社会破坏性行为和内部适应不良行为相比，治疗外部破坏性行为的非重叠数据得分的平均百分比显著更低。反应性程序比其他程序显著更有效。未发现显著的交互作用。逐步回归结果表明，只有进行功能分析才有显著贡献。这些结果可能会使治疗程序针对问题行为的分配更加客观。
