听力损失和自闭症谱系障碍
Sarah A Pollick1, Megan Honor Pesch1, Arielle Spellun2
1Division of Developmental and Behavioral Pediatrics, University of Michigan Medical School, Ann Arbor, MI.
Journal of developmental and behavioral pediatrics : JDBP
|August 14, 2024
概括
一个患有自闭症谱系障碍和听力损失的小孩拒绝了耳植入物,影响了沟通和行为. 调查这种拒绝的原因和功能对于她的发展至关重要.
科学领域:
- 儿科听力学 儿科听力学
- 发育行为儿科 发育行为儿科
- 自闭症谱系障碍研究研究
背景情况:
- 一个3.5岁的女孩患有先天性细胞大脑病毒,神经感官听力损失 (SNHL) 和前庭功能障碍,在12个月时接受了耳植入物,在2.5岁时被诊断出患有自闭症谱系障碍.
- 这个孩子最初可以容忍耳植入物,但在5个月内逐渐拒绝戴它们,导致了显著的沟通和行为挑战.
- 这种拒绝影响了她参加口语学前教育课程和社交互动,导致了焦虑和发.
研究的目的:
- 确定幼儿拒绝佩戴耳植入物的根本原因和功能意义.
- 引导家长,教育工作者和临床医生管理这种复杂的行为和发展挑战.
- 用耳植入物确保听力损失和自闭症谱系障碍儿童的最佳发育和行为结果.
主要方法:
- 一名患有先天性听力损失,耳植入和自闭症谱系障碍的儿童的案例研究分析.
- 行为观察和关于设备使用,沟通和情绪状态的家长/老师报告收集.
- 与董事会认证的行为分析师进行咨询,以告知干预策略.
主要成果:
- 孩子对耳植入物表现出完全的拒绝,焦虑和厌恶,尽管之前与声音有积极的接触.
- 行为变化包括情绪恶化,愤怒发作和社会退缩.
- 这种拒绝严重阻碍了她在学前环境中获得关键的听觉信息的机会,这对她的语言发展至关重要.
结论:
- 了解耳植入物拒绝在患有自闭症等并发症的儿童中的特定触发因素和功能至关重要.
- 为了有效管理,需要采用涉及听力学,行为分析和教育的多学科方法.
- 早期和适当的干预是支持这些儿童沟通和发展进步的关键.
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