经过修改的认知行为治疗方法降低了超声障碍的自闭症儿童的噪音不适水平:案例报告
Tana B Carson1,2,3, Lisa A Guerrero4,5, Monica Niebles3
1Department of Occupational Therapy, University of Florida, Gainesville, FL, United States.
Frontiers in psychiatry
|November 14, 2024
概括
一种经过修改的认知行为疗法 (CBT) 方法,结合暴露疗法和感官策略,有效地减少了自闭症儿童的痛苦和提高了声音耐受性. 这项干预措施在听力学评估和日常功能方面显示出可测量的改善.
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
- 听力学 听力学是指听力学.
背景情况:
- 超声障碍影响高达60%的自闭症患者,严重扰乱儿童的日常生活.
- 有限的研究存在于自闭症儿童的超声症的有效干预措施.
- 本案例报告探讨了对于这种常见的并发症的有效治疗策略的需要.
研究的目的:
- 描述一种经过修改的认知行为疗法 (CBT) 方法来治疗患有自闭症的11岁男孩的超声障.
- 评估干预措施在提高声音耐受性和减少痛苦方面的有效性.
主要方法:
- 修改后的CBT方法与暴露疗法和基于感官的自我调节策略相结合.
- 治疗的重点是提高耐受性和减少与特定烦声音 (如口哨) 相关的痛苦.
- 干预涉及一个多学科的团队,包括职业治疗,应用行为分析,听力学和临床心理学.
主要成果:
- 患者在听力学评估中显示,声音强度的不适程度有所改善.
- 在感官特征问卷和主观危险级别单位 (SUDS) 评级上,听觉领域的分数下降.
- 观察到减少使用消除噪音的耳机,并报告了对其他声音 (如烟花) 的改进的一般化.
结论:
- 综合治疗方法在声音耐受性方面表现出可测量的改善,并减少了患有超声障的自闭症儿童的痛苦.
- 这一案例凸显了多学科干预在这种人群中管理超声症的潜力.
- 我们鼓励进一步的研究,以验证这种方法对更广泛的自闭症儿童群体的有效性,这些儿童经历过敏的声音.
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