不同的标准影响了针对治疗的行为复发的患病率
Christopher A Podlesnik1, Carolyn M Ritchey2, Colin Muething3,4
1Department of Psychology, University of Florida, Gainesville, FL, USA.
Journal of applied behavior analysis
|December 12, 2024
概括
智力和发育障碍患者的复发发病率可能被低估. 平均值为2的标准,与最大值为5的标准不同,更好地捕捉了治疗挑战期间真正的复发率.
科学领域:
- 行为分析行为分析.
- 智力和发育障碍 (IDD) 是一种障碍.
- 临床心理学 临床心理学
背景情况:
- 行为复发是IDD患者的重要关注点,特别是在治疗变化后,如背景转移或时间表变薄.
- 目前的研究经常使用"最大5"标准来评估复发,将挑战行为与前五次会议的最高水平进行比较.
- 这种最大5的方法可能不准确地估计复发,包括从前一个治疗阶段的过渡行为.
研究的目的:
- 用两个不同的测量标准重新评估IDD患者行为复发的流行率.
- 为了评估复发,将"最大5"标准与"平均2"标准 (过去两个会议的平均值) 进行比较.
- 为了确定最大5的标准是否低估了复发发病率与平均2的标准相比.
主要方法:
- 重新分析IDD患者的现有临床数据,这些患者面临治疗挑战.
- 应用传统的"最大5"标准来评估行为复发.
- 应用一个替代的"2的平均值"标准,专注于最后两个治疗会话的平均值,以评估复发.
主要成果:
- "最大5"标准给出了较低的行为复发发病率估计.
- "平均2"的标准与"最大5"的标准相比,产生了更高的流行率估计.
- 结果支持了这样一个假设,即最大5的标准低估了复发发病率.
结论:
- 标准的选择显著影响了IDD患者行为复发的估计患病率.
- 通过避免过渡性行为,二的平均值标准似乎对实际复发更为敏感.
- 研究人员应该仔细考虑和报告他们选择的复发率测量标准,并探索未来研究和临床实践的影响.
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