"一个范围审查:社会故事支持自闭症患者的行为改变"
Dominique H Como1, Margaret Goodfellow1, Delaney Hudak1
1University of Southern California, Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy.
概括
社会叙事,或社会故事,有效地改善了自闭症谱系障碍 (ASD) 患者的行为. 这种干预促进了日常生活,社会互动和在各种环境中自我调节的技能.
科学领域:
- 行为科学 行为科学
- 发展心理学 发展心理学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 社会叙事,包括社会故事,是提高社会理解和参与的公认工具.
- 患有自闭症谱系障碍 (ASD) 的人经常从结构化干预中受益,以应对社会复杂性.
- 了解社会叙事干预措施在ASD行为改变方面的有效性和范围对于临床实践至关重要.
研究的目的:
- 对社会叙事研究进行范围审查,重点是ASD个体的行为变化.
- 确定社会叙事干预的范围,评估行为变化结果,并采用研究设计.
- 综合关于社会叙事在促进期望行为和减少ASD中破坏性行为的有效性方面的发现.
主要方法:
- 对2007年至2018年间发表的文章进行了对五个数据库的系统搜索.
- 分析了符合纳入标准的56篇文章.
- 干预措施和结果被分类,以评估社会叙事研究的范围和有效性.
主要成果:
- 社会叙述在修改各种行为方面被发现是有效的,包括减少侵略性和增加情绪识别和社会反应能力.
- 结果被广泛分类为减少破坏性行为和增加期望的行为,包括日常生活技能,社交技能和自我调节.
- 大多数研究都采用单个主题设计,这限制了研究结果的概括性,但允许通过复制来确定功能关系.
结论:
- 社会叙述是一种可访问和可行的干预措施,用于促进ASD个体的技能和行为,支持参与.
- 这种干预可以适应各种环境,并针对各种行为,这些行为对于独立和自我调节至关重要.
- 建议使用随机对照试验进行进一步的研究,以加强证据基础并提高概括性.
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