Rogers S J
School of Medicine, University of Colorado Health Sciences Center 80262, USA.
J Clin Child Psychol. 1998 Jun;27(2):168-79. doi: 10.1207/s15374424jccp2702_4.
Describes treatment of autism, a severe, chronic developmental disorder that results in significant lifelong disability for most persons, with few persons ever functioning in an independent and typical lifestyle. Within the past decade, a number of studies have reported significant changes in the outcomes of very young children with autism following intensive comprehensive treatment. The criteria for empirically supported treatments, as described by Lonigan, Elbert, and Johnson (this issue), were applied to reports of eight treatment efficacy studies published in peer-reviewed journals. Whereas positive outcomes are reported in every case, the field does not yet have a treatment that meets the present criteria for well-established or probably efficacious treatment. Hypothesized variables affecting outcomes that need to be rigorously tested include age at start of treatment, type of treatment used, intensity of treatment, and IQ and language levels at the start of treatment.
描述了自闭症的治疗情况。自闭症是一种严重的慢性发育障碍，多数患者会因此终身面临严重残疾，很少有人能过上独立且正常的生活。在过去十年里，多项研究报告称，经过强化综合治疗后，患有自闭症的幼儿的治疗效果有了显著变化。按照洛尼根、埃尔伯特和约翰逊（本期）所描述的循证治疗标准，对发表在同行评审期刊上的八项治疗效果研究报告进行了分析。尽管每项研究都报告了积极的结果，但该领域目前还没有一种治疗方法符合目前已确立或可能有效的治疗标准。影响治疗效果的假设变量，如治疗开始时的年龄、所用治疗方法的类型、治疗强度以及治疗开始时的智商和语言水平等，都需要进行严格测试。
