自闭症患者,护理人员和医疗保健提供者与ABA衍生疗法的经验:一个顺序探索混合方法研究
Kim M Jonkman1, Charlotte den Hartog2, Bart Sloot2,3
1Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, and Amsterdam Public Health Research Institute, Amsterdam, The Netherlands. k.m.jonkman@vu.nl.
Journal of autism and developmental disorders
|July 18, 2025
概括
应用行为分析 (ABA) 提供了诸如改善沟通等好处,但也引起了人们对心理健康影响的担忧. 这项研究强调了自闭症患者,家长和专业人士对ABA干预的不同经验和满意度.
科学领域:
- 自闭症谱系障碍 干预 干预
- 应用行为分析 (ABA)
- 自闭症患者的心理健康
背景情况:
- 应用行为分析 (ABA) 是自闭症儿童的常见干预方法.
- 最近的批评强调了ABA对心理健康的潜在负面影响.
- 了解不同利益相关者的ABA经验至关重要.
研究的目的:
- 在荷兰绘制 ABA 和相关技术的经验.
- 调查不同的ABA干预类型,满意度水平和变化.
- 探索利益相关者对ABA有效性和道德考虑的观点.
主要方法:
- 探索性的顺序混合方法设计.
- 定性焦点小组 (n=22) 与自闭症成年人,家长和医疗保健专业人员.
- 定量在线调查 (n=219) 以验证和扩展定性发现.
主要成果:
- 六个主题出现了:多样化的ABA解释,多样化的应用,积极的经验,对心理影响的担忧,医疗保健系统的批评和质量控制问题.
- 对ABA的满意度差异很大;自闭症成年人报告的满意度低于父母和专业人士.
- 积极的结果包括增强的沟通和独立性;负面经历涉及创伤和道德问题.
结论:
- 对ABA的经验和解释是多样化的,与已知的好处一起,存在重大担忧.
- 改善ABA培训,确保道德实践,加强质量控制至关重要.
- 未来的努力必须优先考虑监管,标准化和包括自闭症观点,以优化ABA结果.
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