提高自闭症学龄前儿童的同行互动和社会技能,使用关键反应治疗
Yuxin Long1, Yi Luo1, Jiangtao Han1
1Mental Health Education Center, and School of Science, Xihua University, Chengdu, China.
Journal of autism and developmental disorders
|October 6, 2025
概括
关键反应治疗 (PRT) 显著改善了学龄前儿童的社交沟通,并减少了自闭症症状. 与标准护理相比,这种由儿童主导的干预措施在同伴互动和适应性行为方面显示出持久的好处.
科学领域:
- 行为科学 行为科学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 对自闭症谱系障碍 (ASD) 的学龄前儿童来说,同龄人互动是一个重大挑战.
- 关键反应治疗 (PRT) 是一种自然主义的,由儿童主导的干预,针对社会沟通.
- 有限的随机试验证据表明,在ASD的小组环境中,PRT存在.
研究的目的:
- 评估PRT在改善ASD学龄前儿童的社交沟通技能的有效性.
- 评估PRT对核心自闭症症状和适应性功能的影响.
- 在随机对照试验中,将PRT结果与通常治疗 (TAU) 进行比较.
主要方法:
- 一项随机对照试验,涉及30名学龄前儿童,患有轻度至中度的ASD.
- 干预组在8周内接受了24次基于游戏的PRT会议.
- 使用标准化尺度衡量同行互动,社会反应能力和自闭症症状的结果.
主要成果:
- PRT组在同行互动技能的显著改进,包括社会启动.
- 接受PRT组儿童的核心自闭症症状有所减少,适应性功能有所改善.
- 与TAU组不同的是,PRT组的改善在干预后在很大程度上保持不变.
结论:
- 研究结果支持这样一个假设:PRT增强了ASD儿童的社会和适应性行为.
- 在ASD的学龄前儿童中,PRT可能是改善社交沟通的有效干预措施.
- 建议进行进一步的研究,以解决研究的局限性并确认这些发现.
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