音乐治疗改善了轻度智力障碍自闭症儿童的参与和启动:一项随机对照研究
Yen Na Yum1, Kean Poon2, Way Kwok-Wai Lau3
1Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, SAR, China.
概括
音乐治疗 (MT) 和社会技能干预措施同样改善了自闭症谱系障碍 (ASD) 和智力障碍 (ID) 的儿童的自闭症症状. 然而,MT独特地增强了社会参与,大脑活动预测了治疗反应.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 患有自闭症谱系障碍 (ASD) 和智力障碍 (ID) 的儿童通常需要专门的干预措施来改善社会互动和沟通.
- 音乐治疗 (MT) 是一种潜在的治疗方法,但与其他干预措施相比,其有效性及其预测生物标志物需要进一步研究.
- 定量脑电图 (qEEG) 可以提供了解治疗反应背后的神经机制的见解.
研究的目的:
- 为了评估音乐治疗 (MT) 的有效性,与同期出现ASD和ID的儿童的积极控制干预相比.
- 探索前干预的qEEG反应是否可以预测治疗结果,特别是社会参与和启动.
- 评估自闭症症状严重程度和社会响应能力的变化.
主要方法:
- 一项随机对照试验,涉及67名患有ASD和ID的儿童.
- 参与者被分配到MT或非音乐社交技能干预小组,每周进行12周的会议.
- 评估结果使用童年自闭症评分表 (CARS-2),社会反应表 (SRS-2) 和视频编码的社会行为,以及干预前的EEG记录.
主要成果:
- 干预后的MT和对照干预都导致CARS-2分数在干预后的2周和4个月显著改善,两组之间没有显著差异.
- 在任何一组的SRS-2得分中都没有发现显著变化.
- 虽然这两组都表现出减少的脱离,但只有MT组表现出增加的社会参与和启动.
- 干预前对社交场景和音乐的EEG反应预测了MT组中增加的社会启动.
结论:
- 音乐治疗和社会技能干预措施在减少ASD和ID儿童的核心自闭症症状方面表现出相似的有效性.
- 音乐疗法在增强社会参与和启动方面可能具有独特的好处,这表明其作为补充干预的价值.
- 预干预qEEG作为预测治疗反应和为这一群体量身定制干预措施的工具具有前景.
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