Application of early start Denver model in the rehabilitation of children with autism spectrum disorder of different conditions

ZHANG Chao

doi:10.11852/zgetbjzz2022-0971

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (7) : 736-740. DOI: 10.11852/zgetbjzz2022-0971

Application of early start Denver model in the rehabilitation of children with autism spectrum disorder of different conditions

ZHANG Chao

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Abstract

Objective To analyze the effect of Early Start Denver Model (ESDM) in the rehabilitation of children with autism spectrum disorder (ASD) with different degrees of condition. Methods A total of 120 ASD patients treated in Xinzheng Hospital of Traditional Chinese Medicine from February 2018 to April 2019 were enrolled in this study, and were randomly divided into experimental group (n=60) and control group(n=60).Children in each group was divided into grade Ⅰ, Ⅱ, and Ⅲ according to the fifth edition of Diagnostic and Statistical Manual of Mental Disorders(DSM-5).The experimental group was treated with ESDM, while the control group was given traditional rehabilitation.Childhood Autism Rating Scale(CARS) and the Psychoeducational Profile-Third Edition(PEP-3) were used to evaluate the rehabilitation effect before intervention and six months after intervention. Results After 6 months of intervention, the CARS score of children with grade Ⅰ andⅡ ASD in the experimental group was significantly lower than that in the control group(t=4.447, 6.280, P＜0.05).There was no statistically significant difference between the test group and the control group in the grade Ⅲ CARS scores (t=0.159, P=0.875).The scores of imitation, emotional expression, social interaction and nonverbal behavior in the PEP-3 score of children in experimental group of grade Ⅰ and Ⅱ were significantly different from those of the control group (χ²=3.908, 4.910, 6.112, 4.185, P＜0.05), butthere were no significant differences the PEP-3 scores in grade Ⅲ children between the two groups (P＞0.05). Conclusion The ESDM model was more effective in children with mild to moderate autism compared to the conventional intervention model, especially in improving imitation, emotional expression, social activities and nonverbal behavior in children with autism, but no significant advantage is found in children with severe autism.

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Early Start Denver Model / autism spectrum disorder / severity of disease / children

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ZHANG Chao. Application of early start Denver model in the rehabilitation of children with autism spectrum disorder of different conditions[J]. Chinese Journal of Child Health Care. 2023, 31(7): 736-740 https://doi.org/10.11852/zgetbjzz2022-0971

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