自主支持电路培训计划:自闭症和没有自闭症谱系障碍的儿童对适应性行为和情绪症状的差异影响
Yukari Murakami1,2, Koki Tanida2, Takayuki Munechika3
1Health Science Center Kansai Medical University Hirakata, Osaka Japan.
PCN reports : psychiatry and clinical neurosciences
|September 22, 2025
概括
自主支持电路培训计划 (ASCTP) 减少了自闭症谱系障碍 (ASD) 儿童的行为困难. 非ASD儿童的困难增加,这表明需要针对不同群体量身定制的干预措施.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 自闭症谱系障碍 (ASD) 在情绪和行为调节方面存在挑战.
- 结构化的体育活动干预措施有望改善ASD儿童的结果.
- 了解ASCTP等特定计划的影响对于开发有效支持至关重要.
研究的目的:
- 评估自主支持电路培训计划 (ASCTP) 对ASD儿童内化和外化特征的有效性.
- 为了比较ASD儿童与ASD儿童之间的情绪和行为特征的变化,以及干预后的ASD下值儿童.
- 评估ASCTP对参与儿童生活习惯的影响.
主要方法:
- 一项前性非随机对照研究,涉及28名男孩 (4-10岁),分为ASD (n=14) 和非ASD (n=14) 组.
- 该ASCTP干预包括一个为期6个月的,每周一次,45分钟的结构化炼计划,重点是支持自主性和个性化活动选择.
- 父母报告的优势和困难问卷 (SDQ) 评估了情绪和行为特征;生活习惯也被记录在干预前和后.
主要成果:
- 患有自闭症的儿童在ASCTP后显著减少了行为困难 (p=0.034,r=0.45).
- 相反,非ASD组表现出行为困难的增加.
- 在这两组中都没有观察到情绪症状的显著变化,尽管注意到了下降的趋势.
结论:
- ASCTP在减少ASD儿童的行为困难方面展示了潜在的好处,这可能是由于其结构化和自主支持的方法.
- 而非ASD组的行为困难相对增加表明,干预策略可能需要根据特定的发育特征量身定制.
- 进一步的研究是有必要的,以探索ASCTP的长期影响和最优的实施,用于不同的儿科患者群体.
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