早期反应的有意义的决定因素:预测和特征的行为变化对于最小的语言自闭症儿童
Jonathan Panganiban1, Wendy Shih2, Lynne Levato3
1School of Education, UCLA, California, Los Angeles, USA.
概括
共同注意力和游戏等核心发育技能预测了接受适应性干预的最小语言 (MV) 自闭症儿童的快速反应. 要求和响应共同关注的改进是MV儿童早期干预成功的关键指标.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科神经学 儿科神经学
背景情况:
- 自闭症谱系障碍 (ASD) 影响着不同的发育轨迹,近30%的孩子在幼儿园时缺乏短语.
- 极少语言 (MV) 自闭症儿童在研究中代表性不足,这限制了对其特定需求和干预益处的理解.
- 适应性干预,即根据个体需求调整策略,对MV儿童来说是有前途的,但需要方法来评估干预反应.
研究的目的:
- 探索核心发育技能与对适应性干预的早期反应之间的关系,在MV自闭症儿童.
- 确定在MV儿童中发生变化的发育技能,MV儿童对适应性干预做出快速反应.
主要方法:
- 对接受适应性干预的194名MV自闭症儿童 (平均年龄72.42个月) 的二次数据分析.
- 在基线和6周后评估社会沟通,游戏,表达语言和认知能力.
- 临床全球印象尺度 (CGI) 用于分类响应者;逻辑回归分析了快速响应的预测因素.
主要成果:
- 儿童发起的联合注意力,更高的游戏掌握能力和更大的游戏多样性在基线预测干预的快速反应.
- 提高请求技巧和对共同关注的反应是快速响应的重要决定因素.
- 快速响应者表现出最大变化的技能包括请求和响应联合关注.
结论:
- 核心发育技能,特别是联合注意力和游戏,是MV自闭症儿童早期干预反应的关键预测因素.
- 识别特定技能变化,例如请求和响应共同关注,有助于量身定制适应性干预措施.
- 这项研究强调了评估核心发育技能的重要性,以优化MV自闭症儿童的适应性干预策略.
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