在自闭症患者中,SPACE (儿童焦虑情绪的支持性育儿) 的试点试验
Shir Rozenblat1, Yaara Shimshoni2, Eli R Lebowitz2
1Seymour Fox School of Education, The Hebrew University of Jerusalem, Jerusalem, Israel. shir.rozenblat@mail.huji.ac.il.
Child psychiatry and human development
|June 23, 2023
概括
儿童焦虑情绪的支持性育儿 (SPACE) 是一种以父母为基础的治疗方法,可以有效地减少自闭症儿童的焦虑和家庭适应. 这项试点研究发现SPACE对于家庭来说是可行的,可以接受的,令人满意的,具有持久的积极结果.
科学领域:
- 儿童心理学 儿童心理学
- 临床心理学 临床心理学
- 神经发育障碍 神经发育障碍
背景情况:
- 家庭住宿,父母的行为来缓解孩子的痛苦,加剧了长期的焦虑症状.
- 在患有焦虑症的自闭症儿童中,家庭住宿的普遍性很高.
- 现有的治疗自闭症焦虑的方法有局限性,需要替代方法.
研究的目的:
- 评估SPACE计划对自闭症儿童焦虑的可行性,可接受性,满意度和初步有效性.
- 评估SPACE对焦虑症状严重程度和家庭适应的影响.
- 为了确定在随访时是否保持治疗收益.
主要方法:
- 一项试点试验涉及15名自闭症儿童 (6-10岁) 具有高焦虑和平均认知能力.
- 家长们参加了13个SPACE计划的每周课程.
- 可行性,可接受性和满意度通过招生,消耗,不良事件和家长评分来衡量. 在治疗前,治疗后以及随访时评估了焦虑和适应能力.
主要成果:
- 高招生率 (84.62%) 和完成率 (68.18%) 表示可行性和可接受性.
- 父母报告了高的治疗满意度.
- 观察到焦虑症状严重程度和家庭住宿的显著降低,其中86.66%显示可靠的变化,维持在2个月的随访.
结论:
- 太空计划是一个可行的,可接受的,令人满意的干预措施,以减少自闭症儿童的焦虑.
- 初步证据表明,SPACE在改善焦虑症状和家庭住宿方面是有效的.
- 在自闭症谱系障碍中,SPACE为儿童焦虑提供了一个有希望的替代或辅助治疗方法.
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