个人与小组的有效性 早期开始 丹佛 儿童自闭症谱系障碍的干预模型
Jun-Yan Feng1,2,3, Miao-Shui Bai1,2,3, Han-Yu Dong1,2,3
1Department of Developmental and Behavioral Pediatrics, Children's Medical Center, The First Hospital of Jilin University, Changchun, China.
Pediatric research
|September 16, 2025
概括
个人早期开始丹佛模型 (I-ESDM) 和群体ESDM (G-ESDM) 干预措施有效改善了自闭症谱系障碍 (ASD) 症状和神经发育. I-ESDM有利于年幼的儿童,而G-ESDM对年长的儿童或具有较高总分数的儿童更有效.
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:
- 自闭症谱系障碍 (ASD) 带来了各种各样的发展挑战.
- 早期干预对于改善ASD儿童的治疗结果至关重要.
- 早期启动丹佛模型 (ESDM) 是针对患有自闭症的幼儿的基于证据的干预措施.
研究的目的:
- 为了比较个人-ESDM (I-ESDM) 和小组-ESDM (G-ESDM) 对ASD儿童的干预措施的有效性.
- 检查ASD儿童不同能力水平的干预效应.
- 评估I-ESDM和G-ESDM对临床症状,神经发育和育儿压力的影响.
主要方法:
- 共有404名患有自闭症的儿童参与了这项研究.
- 参与者被分配到I-ESDM (n=237) 或G-ESDM (n=167) 的三个月.
- 临床症状,神经发育和育儿压力在干预前和后被评估.
主要成果:
- I-ESDM和G-ESDM都显著改善了临床症状,神经发育,并减少了育儿压力.
- I-ESDM子组 (语言年龄<2岁) 的儿童在临床症状方面表现出更大的改善.
- 在G-ESDM小组 (语言年龄≥2岁或GQ≥70) 中的儿童在临床症状和神经发育方面表现出卓越的改善.
结论:
- I-ESDM和G-ESDM都是对患有自闭症儿童的有效干预措施.
- 对于较低语言年龄 (<2岁) 的儿童来说,I-ESDM更有利.
- 对于具有较高语言年龄 (≥2岁) 或较高总分数 (GQ ≥70) 的儿童,G-ESDM更有效.
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