在ASD治疗中促进情绪和行为干预:来自EPIGRAM的证据,自然主义,前性和纵向研究
Carlotta Bettencourt1, Nicole Garret-Gloanec2, Hugues Pellerin3
1Groupe Hospitalo-Universitaire Pitié-Salpêtrière, APHP. SU, Paris, France; Centre National de la Recherche Scientifique, Unité Mixte de Recherche 7222, Institut des Systèmes Intelligents et Robotiques, Sorbonne Université, Paris, France.
Research in developmental disabilities
|March 3, 2024
概括
确定儿童自闭症谱系障碍 (ASD) 的预后因素至关重要. 综合护理实践 (ICPs) 表明,基线因素如认知和父母背景,以及情绪/行为干预,预测更好的结果.
科学领域:
- 儿童心理学 儿童心理学
- 发育神经科学的发展神经科学.
- 临床精神病学 临床精神病学
背景情况:
- 自闭症谱系障碍 (ASD) 自然主义治疗研究中的预后因素尚未得到充分证实.
- 这项研究旨在确定接受综合护理实践 (ICPs) 的ASD儿童的基线和治疗相关预测因素.
研究的目的:
- 确定预后预测因子,对接受ICP的严重自闭症学龄前儿童进行1年的随访.
- 探索ICP中哪些特定的治疗组件会影响结果.
主要方法:
- 89名患有严重自闭症的学龄前儿童参加了ICP,包括9个治疗研讨会.
- 评估包括心理教育概况-3-R,儿童自闭症评分表,家长的全球印象和自闭症行为表在基线和12个月的随访时间.
- 多变量回归和分类和回归树 (CART) 用于分析预后预测因素和治疗效应.
主要成果:
- 来自第一代移民父母的孩子表现出更多的不适应性行为,而游戏活动具有保护作用.
- 更高的ASD症状严重程度和认知障碍预测了更糟糕的自闭症严重程度.
- 情绪/行为干预与更好的结果有关,而更多的教育/认知干预则显示出相反的效果.
- 父母的支持与不适应性行为减少相关.
结论:
- 具有较好的基线认知能力,较低ASD严重程度的儿童和非移民父母在ICP中有最好的预后.
- 情绪/行为干预似乎对于改善ASD儿童的结果至关重要.
- 建议针对情绪和行为进行有针对性的干预,以促进更好的预后.
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