Objective To analyse the efficacy of different age to begin comprehensive intervention and duration of comprehensive intervention of children with autism spectrum disorders (ASD),and to provide a reference for improving the quality of life of children with ASD. Methods A total of 221 children were diagnosed as ASD according to American Psychiatric Diagnostic Statistical Manual 4th edition criteria (DSM-Ⅳ) and conducted the self controlled study of comprehensive intervention treatment.Autism Behavior Checklist (ABC) was used to analyse the efficacy. Results There were significant differences in scores of feeling,sports,language,and social/self-control factors of ABC between before and after therapy,between different age to start comprehensive intervention and comprehensive intervention duration(P<0.000 1).Started earlier and the longer duration of comprehensive intervention,the differences of the each factor and total scores of ABC rating scale were statistically significant. Conclusions Comprehensive intervention can improve the ASD abilities of feeling,sports,language,and social/self-control.At the same time,the more effective is by younger to start comprehensive intervention and longer duration of comprehensive intervention.
Key words
autism spectrum disorders /
early stage /
long-term /
comprehensive training /
effect /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 杜亚松.孤独症谱系障碍的早期筛查和干预进展[J].中国儿童保健杂志,2013,21(6):561-564.
[2] 樊越波,黄丹,伍小云.孤独症谱系障碍儿童的综合干预模式[J].中国康复,2014,29(4):338-341.
[3] Vivanti G,Paynter J,Duncan E,et al.Effectiveness and feasibility of the early start denver model implemented in a group-based community childcare setting[J].J Autism Dev Disord,2014,44(12):3140-3153.doi:10.1007/s10803-014-2168-9.
[4] Bailey AJ.Autism in adults[J].Autism Res,2012,5(1):1-2.
[5] Reichow B.Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders[J].J Autism Dev Disord,2012,42(4):512-520.
[6] 刘靖,贾美香,杨晓玲,等.2~6岁儿童广泛性发育障碍的3年后随访[J].中国心理卫生杂志,2012,26(6):460-465.
[7] 阿尔祖古丽·牙合甫,阿斯木古丽·克力木,热依拉·阿不拉,等.综合干预训练对不同年龄段孤独症患儿的效果及对策分析[J].中国妇幼保健,2016,31(2):732-734.
[8] Green G,Brian A,Joseph N,et al.National Standards Project[M].America:National Autism Center,2009:52-53.
[9] 桑德伯格,黄伟合,李丹.VB-MAPP语言行为里程碑评估及安置程序[M].北京:北京大学医学出版社有限公司,2014:15-22.
[10] 中华人民共和国卫生部.儿童孤独症诊疗康复指南(卫办医政发[[2010]123号)[J].中国儿童保健杂志,2013,19(3):289-293.
[11] 吕兰秋,钱莹莹,胡燕丽,等.儿童孤独症谱系障碍早期筛查管理模式研究[J].中国儿童保健杂志,2015,23(12):1313-1315