孤独症谱系障碍(ASD)是一种复杂的、多病因的神经发育障碍性疾病,其主要以社会交往障碍、重复刻板的行为和狭隘的兴趣为特征。目前全球范围内ASD患病率呈现上升趋势,且ASD患儿多预后不良,而早期干预可显著改善ASD患儿的不良预后。本文就应用行为分析疗法(ABA)、关键反应训练(PRT)、早期介入丹佛模式(ESDM)、地板时光(Floortime)、结构化教育(TEACCH)和社交情绪调控交互支持模式(SCERTS)进行论述。
Abstract
Autism spectrum disorder (ASD) is a complex,multidisciplinary neurodevelopmental disorder characterized by social communication disorders,repetitive and stereotyped behaviors,and narrow interests.At present,the prevalence of ASD is on the rise worldwide,and most ASD children have poor prognosis.Early intervention can significantly improve the poor prognosis of ASD children.This paper combs related intervention programs,including applied behavior analysis (ABA),pivotal response treatment (PRT),early start Denver model (ESDM),floortime,treatment and education of autistic and communications handicapped children (TEACCH) as well as social communication,emotional regulation and transactional support (SCERTS).
关键词
孤独症谱系障碍 /
关键反应训练 /
早期介入丹佛模式 /
社交情绪调控交互支持模式
Key words
autism spectrum disorder /
pivotal response treatment /
early start Denver model /
social communication,emotional regulation,and transactional support
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] APA.Diagnostic and Statistical Manual of Mental Disorders[M].Fifth Edition.Washington,DC:American Psychiatric Association,2013.
[2] Lai MC,Lombardo MV,Baron-Cohen S.Autism[J].Lancet,2014,383(9920):896-910.
[3] Linstead E,Dixon DR,French R,et al.Intensity and learning outcomes in the treatment of children with autism spectrum disorder[J].Behav Modif,2017,41(2):229-252.
[4] Howard JS,Stanislaw H,Green G,et al.Comparison of behavior analytic and eclectic early interventions for young children with autism after three years[J].Res Dev Disabil,2014,35(12):3326-3344.
[5] Lindgren S,Wacker D,Suess A,et al.Telehealth and autism:treating challenging behavior at lower cost[J].Pediatrics,2016,137(Suppl 2):167-175.
[6]Katie RC.Applied behavior analysis programs for autism:sibling psychosocial adjustment during and following intervention use[J].J Autism Dev Disord,2012,42(5):847-862.
[7] Tiura M,Kim J,Detmers D.Predictors of longitudinal ABA treatment outcomes for children with autism:a growth curve analysis[J].Res Dev Disabil,2017,70:185-197.
[8]Mohammadzaheri F,Koegel LK,Rezaee M.A randomized clinical trial comparison between pivotal response treatment (PRT) and structured applied behavior analysis (ABA) intervention for children with autism[J].J Autism Dev Disord,2014,44(11):2769-2777.
[9]Mohammadzaheri F,Koegel LK,Rezaei M.A randomized clinical trial comparison between pivotal response treatment (PRT) and Adult-Driven Applied Behavior Analysis (ABA) intervention on disruptive behaviors in public school children with autism[J].J Autism Dev Disord,2015,45(9):2899-2907.
[10] Ventola PE,Yang D,Abdullahi SM,et al.Brief report:reduced restricted and repetitive behaviors after pivotal response treatment[J].J Autism Dev Disord,2016,46(8):2813-2820.
[11] Ventola P,Friedman HE,Anderson LC,et al.Improvements in social and adaptive functioning following short-duration PRT program:a clinical replication[J].J Autism Dev Disord,2014,44(11):2862-2870.
[12] Hardan AY,Gengoux GW,Berquist KL,et al.A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism[J].J Child Psychol Psychiatry,2015,56(8):884-892.
[13] Brock ME,Dueker SA.Brief report:improving social outcomes for students with autism at recess through peer-mediated pivotal response training[J].J Autism Dev Disord,2018,48(6):2224-2230.
[14] Fossum KL,Williams L,Garon N,et al.Pivotal response treatment for preschoolers with autism spectrum disorder:Defining a predictor profile[J].Autism Res,2018,11(1):153-165.
[15] Lei J.Pivotal response treatment for autism spectrum disorder:current perspectives[J].Neuropsychiatr Dis Treat,2017,13:1613-1626.
[16] Estes A,Munson J,Rogers SJ,et al.Long-term outcomes of early intervention in 6-year-old children with autism spectrum disorder[J].Am Acad Child Adolesc Psychiatry,2015,54(7):580-587.
[17] Rogers SJ,Estes A,Lord C,et al.A multisite randomized controlled two-phase trial of the early start Denver model compared to treatment as usual[J].J Am Acad Child Adolesc Psychiatry,2019.pii:S0890-8567(19)30044-30049.
[18] Vivanti G,Dissanayake C.Outcome for children receiving the early start denver model before and after 48 months[J].J Autism Dev Disord,2016,46(7):2441-2449.
[19] Rogers SJ,Estes A,Vismara L,et al.Enhancing low-intensity coaching in parent implemented early start denver model intervention for early autism:a randomized comparison treatment trial[J].J Autism Dev Disord,2018,49(2):632-646.
[20] Zhou B,Xu Q,Li H,et al.Effects of parent-implemented early start denver model intervention on Chinese toddlers with autism spectrum disorder:a non-randomized controlled trial[J].Autism Res,2018,11(4):654-666.
[21] Liao ST,Hwang YS,Chen YJ,et al.Home-based DIR/Flo-ortime intervention program for preschool children with autism spectrum disorders:preliminary findings[J].Phys Occup Ther Pediatr,2014,34(4):356-367.
[22] Praphatthanakunwong N,Kiatrungrit K,Hongsanguansri S.Factors associated with parent engagement in DIR/Floortime for treatment of children with autism spectrum disorder[J].Gen Psychiatr,2018,31(2):e000009.
[23] 张勤良,张俊,刘凤琳,等.结构化教学法对孤独症谱系障碍儿童康复效果的影响研究[J].中国儿童保健杂志,2019,27(1):80-83.
[24] D′Elia L,Valeri G,Sonnino F,et al.A longitudinal study of the teacch program in different settings:the potential benefits of low intensity intervention in preschool children with autism spectrum disorder[J].J Autism Dev Disord,2014,44(3):615-626.
[25] Turner-Brown L,Hume K,Boyd BA.Preliminary efficacy of family implemented TEACCH for toddlers:effects on parents and their toddlers with autism spectrum disorder[J].J Autism Dev Disord,2016.doi:10.1007/s10803-016-2812-7.
[26] Morgan L,Hooker JL,Sparapani N,et al.Cluster randomized trial of the classroom SCERTS intervention for elementary students with autism spectrum disorder[J].J Consult Clin Psychol,2018,86(7):631-644.
[27] Yu L.Effectiveness of a SCERTS Model-Based Intervention for Children with Autism Spectrum Disorder (ASD) in Hong Kong:A Pilot Study[J].J Autism Dev Disord,2018,48(11):3794-3807.
[28] 中华医学会儿科学分会发育行为学组,中国医师协会儿科分会儿童保健专业委员会,儿童孤独症诊断与防治技术和标准研究项目专家组.孤独症谱系障碍儿童早期识别筛查和早期干预专家共识[J].中华儿科杂志,2017,55(12):890-897.
基金
上海市科委医学引导类项目(16411970100);上海市残联康复科研项目(K2018007)
PDF(546 KB)
