在受冲突影响的低资源环境中,在早期强化行为干预后八年,持续自闭症的结果:一项纵向随访研究
1Department of Psychology, Damascus University, Damascus, Syria. wissam.mounzer@specped.su.se.
Research on child and adolescent psychopathology
|February 26, 2026
概括
早期强化行为干预 (FC-EIBI) 显著改善了叙利亚自闭症谱系障碍 (ASD) 儿童的自闭症症状和适应能力. 收益持续了十多年,即使在具有挑战性的低资源环境中也是如此.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 全球健康 全球健康
背景情况:
- 自闭症谱系障碍 (ASD) 在资源不足和受冲突影响的地区带来了独特的挑战.
- 早期强化行为干预 (EIBI) 是一种被公认的自闭症治疗方法,但其在具有挑战性的环境中的长期有效性不太清楚.
研究的目的:
- 评估未来中心对患有自闭症儿童的早期强化行为干预 (FC-EIBI) 的长期结果.
- 评估干预效应在叙利亚受冲突影响的低资源环境中持续超过十年的持久性.
主要方法:
- 一项纵向研究设计,从2008年到2019年跟踪66名患有自闭症的儿童.
- 使用童年自闭症评分表 (CARS),自闭症行为检查表-阿拉伯语 (ABC) 和自适应行为表-阿拉伯语 (ABS-阿拉伯语) 进行评估.
- 采用非参数重复测量分析来检查自闭症严重程度和适应性功能方面的变化.
主要成果:
- 从基线到早期随访期间观察到自闭症症状严重程度和适应性功能显著改善 (p < 0.001).
- 虽然到2019年收益有所减弱,但结果仍然明显好于基线.
- 在2008-2013年间,在社会互动和沟通/语言方面,适应性功能收益最为突出.
结论:
- FC-EIBI在10年以上的时间里,对于患有自闭症的儿童,证明了显著而持久的发育益处.
- 这些发现强调了在受冲突影响,资源不足的环境中实现和维持有意义的成果的可行性.
- 持续的干预效应强调了早期行为干预的重要性,即使是在社会政治不稳定的情况下.
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