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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Strategies for Assessing Autistic-Like Behaviors in Mice
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Autism, Therapy and COVID-19.

Luana Sergi1, Emanuele Mingione1, Maria Carla Ricci2

  • 1ASL (Local Health Authority) of Caserta, 81100 Caserta, Italy.

Pediatric Reports
|January 20, 2021
PubMed
Summary

The COVID-19 lockdown initially improved communication and autonomy in young children with Autism Spectrum Disorder (ASD) receiving Applied Behavior Analysis (ABA) therapy. Parent training helped maintain these gains post-lockdown.

Keywords:
ABACOVID-19autismbehaviorschildrencommunicationquarantinestereotypes

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Area of Science:

  • Developmental Psychology
  • Behavioral Science
  • Pediatric Medicine

Background:

  • Applied Behavior Analysis (ABA) is a scientifically supported intervention for Autism Spectrum Disorder (ASD).
  • The COVID-19 pandemic and associated lockdowns presented unique challenges to ongoing therapeutic interventions for young children.
  • Early diagnosis and intervention are critical for children with ASD.

Purpose of the Study:

  • To evaluate the impact of the COVID-19 lockdown and subsequent quarantine on ABA-based interventions for young children with ASD.
  • To assess the maintenance of acquired skills in children with ASD after the interruption and resumption of ABA therapy.
  • To investigate the role of parent training in mitigating treatment interruption effects.

Main Methods:

  • A cohort of 88 children (18-30 months) diagnosed with ASD (Severity Level 1, ADOS 2 Module T) participated.
  • The study observed children during the COVID-19 lockdown, quarantine, and the three months post-resumption of activities.
  • Intervention was ABA-based, funded by the Local Health Authority (ASL) of Caserta.

Main Results:

  • Children showed improvements in communication, socialization, and personal autonomy during the lockdown period.
  • Acquired skills were maintained in the three months following the resumption of ABA treatment, with no significant further improvement.
  • Parent training was found to be significant in preventing delays in the generalization of socially significant behaviors.

Conclusions:

  • The COVID-19 lockdown temporarily benefited certain developmental areas in young children with ASD undergoing ABA therapy.
  • While skills were maintained post-interruption, sustained progress requires consistent intervention.
  • Parent training plays a crucial role in supporting behavioral generalization and mitigating the impact of treatment disruptions in children with ASD.