为自闭症青少年提供简短心理健康危机预防计划的试点随机试验
Luther G Kalb1,2, Jeremy Perrin3, Elie Sollins3
1Center for Autism Services, Science and Innovation, Kennedy Krieger Institute, 3901 Greenspring Avenue, Baltimore, MD, 21211, USA. kalb@kennedykrieger.org.
Journal of autism and developmental disorders
|February 13, 2025
概括
一项针对自闭症青少年的新型家长介导的心理健康危机预防计划改善了护理人员的知识和准备. 虽然安全可行,但需要进一步的研究来证实其在降低危机风险方面的有效性.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康干预 心理健康干预
背景情况:
- 自闭症青少年面临高风险的心理健康危机.
- 当前的危机管理,就像紧急部门的转诊一样,可能是创伤性的.
- 对于自闭症青少年来说,没有经过验证的危机预防计划.
研究的目的:
- 为自闭症青少年开发和测试父母介导的心理健康危机预防计划的有效性.
- 评估该计划的安全性,可行性和可接受性.
- 评估其对护理人员知识,信心,准备能力和儿童行为的影响.
主要方法:
- 一项随机对照试验,涉及49名自闭症青少年 (3-12岁) 和他们的父母.
- 一个虚拟的,三次会议,由授权临床医生交付的家长中介的危机预防计划.
- 与使用自闭症说话挑战性行为工具包的活跃对照组进行比较.
主要成果:
- 据报道,危机预防计划是安全的,可行的,并且可以被家长接受.
- 在护理人员报告的知识,信心和准备度 (p < .05) 中观察到显著改善.
- 与对照组相比,护理人员报告的儿童易怒或行为敏度没有发现显著差异 (p > .05).
结论:
- 简短的,家长介绍的危机预防计划是一种安全,可行的,可接受的干预措施.
- 该计划增强了自闭症青年的护理人员心理健康危机准备.
- 需要进一步的研究来确定该计划在减轻实际危机风险方面的有效性.
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