早期开始 丹佛模型在幼儿自闭症的有效性:一个大型多中心随机对照试验在两个欧洲国家
Marie-Maude Geoffray1,2, Marie-Joelle Oreve3, Lucie Jurek4,2
1CH Le Vinatier, Bron, Auvergne-Rhône-Alpes, France Marie-maude.geoffray-cassar@ch-le-vinatier.fr.
BMJ mental health
|June 5, 2025
概括
早期启动丹佛模型 (ESDM) 结合通常治疗 (TAU) 并没有显著改善患有自闭症谱系障碍 (ASD) 的幼儿的整体发育. 需要进一步的研究来确定哪些孩子可以从ESDM中受益.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科 儿科 儿科
背景情况:
- 早期干预,如早期开始丹佛模型 (ESDM),对自闭症儿童来说是有前途的.
- 在不同的文化环境中,ESDM的有效性需要更多的研究.
研究的目的:
- 评估ESDM与通常治疗 (TAU) 相比,ESDM对患有自闭症谱系障碍 (ASD) 的幼儿整体发育的有效性.
主要方法:
- 进行了一项并行的随机对照试验,对180名被诊断为ASD的儿童 (19-36个月) 进行了随机对照试验.
- 孩子们被分配到ESDM + TAU或单独TAU.
- 主要结局是24个月评估的发育系数 (DQ) 的变化.
主要成果:
- 在ESDM+TAU组和TAU单独组之间没有发现全球DQ的显著差异 (p=0.14).
- 该研究包括180名儿童,其中ESDM+TAU组61名,TAU组119名.
结论:
- 对于患有自闭症的幼儿,ESDM与TAU结合并不是普遍推的.
- 需要进一步的研究来确定可能受益于ESDM并优化实施的特定子组.
关键词:
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