孤独症谱系障碍应用行为分析干预的研究进展

代真真; 姜志梅; 朱俊丽

doi:10.11852/zgetbjzz2020-0350

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中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (6) : 623-626. DOI: 10.11852/zgetbjzz2020-0350

综述

孤独症谱系障碍应用行为分析干预的研究进展

代真真, 姜志梅, 朱俊丽

作者信息 +

Research progress on applied behavioral analysis intervention in autism spectrum disorders

DAI Zhen-zhen, JIANG Zhi-mei, ZHU Jun-li

Author information +

文章历史 +

摘要

孤独症谱系障碍(ASD)是在儿童发育早期出现的一种神经发育性障碍。临床主要表现为社交障碍、刻板行为及兴趣狭窄,共同限制和损害了儿童的日常生活功能。近年来ASD的干预措施越来越多,应用行为分析(ABA)是目前唯一经美国卫生局认可的治疗ASD的方法,其有效性已经被证实,现已广泛应用于ASD儿童的治疗。本文将主要从应用行为分析的基本理论、作用及与其它干预方法的效果比较进行综述。

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder found in early childhood,mainly characterized by social disorder,stereotyped behaviors and restricted interests,all of which limit and impair children's daily life functions.In recent years,there are more and more kinds of interventions for ASD,and applied behavior analysis (ABA) is currently the only form of treatment for ASD endorsed by the US Surgeon General.Its effectiveness has been proven and it is now widely used in the treatment of ASD children.This paper reviews the basic theory,function and effect of ABA compared with other intervention methods.

导出引用

代真真, 姜志梅, 朱俊丽. 孤独症谱系障碍应用行为分析干预的研究进展[J]. 中国儿童保健杂志. 2021, 29(6): 623-626 https://doi.org/10.11852/zgetbjzz2020-0350

DAI Zhen-zhen, JIANG Zhi-mei, ZHU Jun-li. Research progress on applied behavioral analysis intervention in autism spectrum disorders[J]. Chinese Journal of Child Health Care. 2021, 29(6): 623-626 https://doi.org/10.11852/zgetbjzz2020-0350

中图分类号： R749.94

参考文献

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorder (DSM-5)[M].Washington DC:Pilgrim Press,2013.
[2] Baio J,Wiggins L,Christensen DL,et al.Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network,11 sites,United States,2014[J].MMWR Surveill Summ,2018,67(6):1-23.
[3] Edmiston E,Ashwood P,Vand WJ.Autoimmunity,autoantibodies,and autism spectrum disorder[J].Biol Psychiatry,2017,81(5):383-390.
[4] Velmeshev D,Schirmer L,Jung D,et al.Single-cell genomics identifies cell type-specific molecular changes in autism[J].Science,2019,364(6441):685-689.
[5] Geschwind DH.Genetics of autism spectrum disorders[J].Trends Cogn,2018,15(9):409-416.
[6] Pelch KE,Bolden AL,Kwiatkowski CF.Environmental che micals and autism:a scoping review of the human and animal research[J].Environ Health Perspect,2019,127(4):46001-46012.
[7] RoaneHS,Fisher WW,Carr JE.Applied behavior analysis as treatment for autism spectrum disorder[J].J Pediatr,2016,175:27-32.
[8] Dennison A,Lund EM,Brodhead MT,et al.Delivering home-supported applied behavior analysis therapies to culturally and linguistically diverse families[J].Behav Anal Pract,2019,12(4):887-898.
[9] Cidav Z,Munson J,Estes A,et al.Cost offset associated with early start denver model for children with autism[J].J Am Acad Child Adolesc Psychiatry,2017,56(9):777-783.
[10] 邹小兵.孤独症谱系障碍干预原则与BSR模式[J].中国儿童保健杂志,2019,27(1):1-6.
[11] 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.
[12] Markham V,Giles A,May R.Evaluating efficacy and preference for prompt type during discrete-trial teaching[J].Behav Modif,2020,44(1):49-69.
[13] Mohammadzaheri F,Koegel LK,Rezaei M,et al.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.
[14] Jones FN,Skinner BF.The behavior of organisms:an experimental analysis[J].AJP,1939,52(4):659-660.
[15] Richard MF.Applied behavior analysis treatment of autism:the state of the Art[J].Child Adolesc Psychiatr Clin N Am,2008,17(4):821-834.
[16] Bradshaw J,Steiner AM,Gengoux G,et al.Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder:a systematic review[J].J Autism Dev Disord,2015,45(3):778-794.
[17] Vietze P,Lax LE.Early intervention ABA for toddlers with ASD:effect of age and amount[J].Curr Psychol,2018.doi:10.1007/s12144-018-9812-z.
[18] Leaf JB,Leaf R,McEachin J,et al.Applied behavior analysis is a science and,therefore,progressive[J].J Autism Dev Disord,2016,46(2):720-731.
[19] 闫慧慧.行为分析疗法治疗儿童孤独症效果及对患儿社会功能的影响[J].中国疗养医学,2018,27(6):580-582.
[20] Ivy JW,Schreck KA.The efficacy of ABA for individuals with autism across the lifespan[J].Curr Dev Disord Rep,2016,3(1):57-66.
[21] Ithriyah S.Effectiveness ABA therapy for children with special needs of autism:a study of psycholinguistics view[J].Ethical Lingua,2018,5(2):149-158.
[22] Grindle CF,Kovshoff H,Hastings RP,et al.Parents' experiences of home-based applied behavior analysis programs for young children with autism[J].J Autism Dev Disord,2009,39(1):42-56.
[23] Tiura M,Kim J,Detmers D,et al.Predictors of longitudinal ABA treatment outcomes for children with autism:a growth curve analysis[J].Res Dev Disabil,2017,70:185-197.
[24] Bowman RA,Baker JP.Screams,slaps,and love:the strange birth of applied behavior analysis[J].Pediatrics,2014,133(3):364-366.
[25] Stenberg N,Bresnahan M,Gunnes N,et al.Identifying children with autism spectrum disorder at 18 months in a general population sample[J].Paediatr Perinat Epidemiol,2014,28(3):255-262.
[26] Matson JL,Konst MJ.Early intervention for autism:who provides treatment and in what settings[J].Res Autism Spect Dis,2014,8(11):1585-1590.
[27] Stanislaw H,Howard J,Martin C.Helping parents choose treatments for young children with autism:a comparison of applied behavior analysis and eclectic treatments[J].J Am Assoc Nurse Pract,2020,32(8):571-578.
[28] Peterson KM,Piazza CC,Volkert VM.A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorders[J].J Appl Behav Anal,2016,49(3):485-511.
[29] 封敏,肖湘,肖婷,等.以游戏为基础促进交流与行为的干预对孤独症谱系障碍幼儿的疗效[J].中华实用儿科临床杂志,2019,34(8):604-608.
[30] 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,2019,49(2):632-646.
[31] 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.
[32] 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):1-9.
[33] Devescovi R,Monasta L,Mancini A,et al.Early diagnosis and early start denver model intervention in autism spectrum disorders delivered in an Italian public health system service[J].Neuropsychiatr Dis Treat,2016,12:1379-1384.