目的 实施基于证据支持的社交技能干预训练,提高孤独谱系障碍(ASD)患儿社交能力,降低母亲的抑郁、焦虑情绪和不确定感。方法 2017年10-12月采用中文版结构式同伴互助社交训练教育和促进社交技能的项目(PEERS)手册,对ASD患儿和母亲共同进行3个半月的干预。每周一次,每次90 min,儿童以小组训练的形式,母亲以团体形式。同时调整母亲的疾病不确定感、认知、焦虑和抑郁情绪。对干预前后ASD患儿症状、社交行为以及母亲的情绪进行评估,对母亲疾病不确定感半年后随访。结果 母亲抑郁情绪贝克抑郁量表(BDI)(t=-4.585,P<0.01)、儿童孤独症症状评定(CARS)(t=-3.945,P<0.01)、孤独症儿童异常行为评定(ABC)(t=-2.068,P<0.05)、儿童社交问卷(t=-2.315,P<0.05)的前后测之间差异有统计学意义,训练组优于对照组。结论 中文版PEERS社交训练能帮助ASD患儿提高社交技能,同时降低母亲抑郁情绪。
Abstract
Objective To implement the evidence-based social skills interventions,in order to enhance the social skills of children with autism spectrum disorder (ASD) and to reduce their mothers' depression,anxiety and uncertainty. Methods Chinese version of structural and peer-coaching social training manual of PEERS were adopted. ASD children and their mothers were simultaneously intervened for three and a half months once a week with 90 minutes each time. Children were conducted in group training while parents were conducted in group. Meanwhile,maternal disease uncertainty,cognition,anxiety and depression were also adjusted. Children's symptoms,social behavior as well as mothers' mood before and after intervention were evaluated. Maternal disease uncertainty was reassessed in six months. Results Significant differences existed on mothers' depression(t=-4. 585,P<0. 01),children's symptom(t=-3. 945,P<0. 01),behavior(t=-2. 068,P<0. 05) and sociality (t=-2. 315,P<0. 05) after intervention between intervention group and control group. Moreover,the difference was significant in intervention group before and after intervention(P＜0. 05). Conclusion The Chinese version of PEERS social training can help improve social skills of ASD children,and reduce their depression.
关键词
孤独谱系障碍 /
母亲 /
教育和促进社交技能的项目 /
社交训练
Key words
autism spectrum disorder /
mother /
the program for the education and enrichment of relational skills /
social skill training
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基金
上海市卫生计生委智慧医疗专项研究项目(2018ZHYL0210);国家重点研发计划“重大慢性非传染性疾病防控研究子课题”(2017YFC1309903)
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