针对自闭症儿童的基于自然的干预:系统性审查和元分析
Myrian Sze Nga Fan1, William Ho Cheung Li1, Laurie Long Kwan Ho1
1The Chinese University of Hong Kong, Hong Kong, China.
JAMA network open
|December 7, 2023
概括
基于自然的干预措施 (NBIs) 对患有自闭症谱系障碍 (ASD) 的儿童产生了积极的短期影响,改善了感官,社会和行为功能. 建议使用强大的设计进行进一步的研究,以支持ASD健康轨迹.
科学领域:
- 环境心理学 环境心理学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 对于自闭症谱系障碍 (ASD) 儿童的基于自然的干预措施 (NBIs) 有有限的证据.
- 了解NBIs与健康相关的结果对于支持患有自闭症儿童至关重要.
研究的目的:
- 系统地审查和元分析有关NBIs与ASD儿童的健康相关结果的现有证据.
- 综合有关ASD儿童参与NBI的社会,行为和感官功能方面的发现.
主要方法:
- 对11个数据库进行了全面的搜索,并补充了谷歌学者和参考列表.
- 包括的研究包括随机临床试验,受控研究和单组前后研究.
- 随机效应元分析和没有元分析的合成 (SWIM) 准则被用于数据合成.
主要成果:
- 对13项研究 (717名参与者) 的元分析表明,NBIs与改善的社交沟通 (SMD, -0.59) 之间存在显著的中度关联.
- NBI与过度活跃性 (SMD, -0.56) 和易怒性 (SMD, -0.49) 的降低有关,以及感官功能改善,包括注意力不集中 (SMD, 1.13),感官寻找 (SMD, 0.77) 和感官敏感性 (SMD, 0.56).
- 干预效应异质性较低,I2值在0%至67%之间.
结论:
- 特别是在体验式学习的基于小组的娱乐疗法,显示出ASD儿童的短期结果是积极的.
- 这些干预措施与感官,社会和行为功能的改善有关.
- 建议以强大的研究设计进行未来的研究,以进一步阐明NBIs对ASD儿童健康和功能轨迹的影响.
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