自闭症儿童的牙科护理犬疗法:一项随机试验
Sandrella Hamdan1,2, Jade Nguyen2, Hendy Abdoul1,3
1Université Paris Cité, Institut National de la Santé et de la Recherche Médicale (INSERM), Pharmacologie et Évaluations des Thérapeutiques chez l'Enfant et la Femme Enceinte, Paris, France.
Pediatrics
|January 8, 2026
概括
使用治疗犬进行动物辅助治疗 (AAT) 显著降低了自闭症儿童在牙医诊所期间的焦虑. 这种方法有助于儿童适应牙科手术,促进顺利过渡到无狗治疗.
科学领域:
- 行为科学 行为科学
- 儿科牙科 儿科牙科
- 动物辅助疗法是一种动物辅助疗法.
背景情况:
- 自闭症儿童在牙科护理过程中经常经历严重的焦虑,阻碍了合作.
- 在这个人群中,传统的行为策略可能无法完全缓解牙焦虑.
研究的目的:
- 评估使用治疗犬进行动物辅助治疗 (AAT) 的有效性,以减少自闭症儿童在牙科护理期间的焦虑.
- 确定AAT是否有助于在没有狗的牙科会议中进行后续合作.
主要方法:
- 一个并行臂随机试验与49名自闭症儿童进行.
- 实验组接受了AAT与通常策略相结合,而对照组仅接受了通常策略.
- 治疗犬参加了前两个会议,第三次会议是无狗的,以评估适应.
主要成果:
- 在没有狗的第三次会议期间,AAT组的平均焦虑分数显着较低 (平均差异为-1.4).
- 综合估计方程 (GEE) 显示,与对照组相比,AAT组的焦虑随着时间的推移显著减少 (P=.0001).
- 治疗犬主要作为体内模型和正增强器发挥作用.
结论:
- 动物辅助治疗 (AAT) 是一个有前途的策略,用于管理自闭症儿童的牙焦虑.
- AAT可以帮助儿童适应牙科手术,方便他们过渡到传统的无动物牙科护理.
- 治疗犬可以作为有效的工具在体内建模和积极强化在儿科牙科设置.
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