影响孤独症谱系障碍儿童短期转归因素的初步探讨

王媛; 王吉; 梁爽; 王佳; 孙彩虹; 武丽杰

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (6) : 626-630.

临床研究与分析

影响孤独症谱系障碍儿童短期转归因素的初步探讨

王媛,王吉,梁爽,王佳,孙彩虹,武丽杰

作者信息 +

Preliminary study on influencing factors of short-term outcome in children with autism spectrum disorder.

WANG Yuan,WANG Ji,LIANG Shuang,WANG Jia,SUN Cai-hong,WU Li-jie.

Author information +

文章历史 +

摘要

目的探讨孤独症谱系障碍(autism spectrum disorder,ASD)儿童干预过程中转归的影响因素,为更好地建立综合干预模式提供依据。方法收集ASD患儿发育水平(DQ)、沟通能力、行为问题及转归等相关信息,并进行6个月短期追踪,在干预前后进行0、3、6个月共3次评估。结果干预6个月与干预0个月相比,PEP-3的沟通和行为变化显著(F=43.61,12.26,P均<0.01)。干预时间越长,患儿的沟通和行为能力的良好转归就越显著(β=3.885 2、5.163 9,P均<0.01)。初始DQ、康复训练持续性和干预训练强度对沟通转归起正性作用(β=0.265 5、0.905 9、0.028 4,P均<0.05);初始DQ、配合家庭训练对行为的转归起正性作用(β=0.227 8、3.889 2,P均<0.01)。结论 6个月短期干预后,患儿沟通能力和行为特征均有明显改善。初始发育水平、训练持续性和持久性、训练强度、配合家庭训练与否均对其转归有着极为重要的影响。

Abstract

Objective To find out the influencing factors of the short-term intervention outcome for the children with autism spectrum disorder (ASD),and provide a basis for establishing a comprehensive intervention model. Methods The children with ASD were recruited and their information were collected,including DQ level,communication,aberrant behavior and outcome.All ASD patients were followed up for 6 months and they were administered assessments in 0,3 and 6 months after intervention,respectively. Results After intervention 6 months,PEP-3 communication and behavior changed significantly(F=43.61,12.26,all P<0.01).The longer of intervention duration,the better of patients' outcome in communication and behavioral abilities(β=3.885 2,5.163 9,all P<0.01).Initial DQ and training intensity had positive effects on communication outcome(β=0.265 5,0.905 9,0.028 4,all P<0.05),inversely,uncontinuous training played a negative role(β=-0.876 2,P<0.01).Initial DQ and family training had positive effects on behavior outcome (β=0.227 8,3.889 2,all P<0.01). Conclusion There are significant improvements after short-term intervention for six months.Initial DQ,continuous training,training intensity and family training play extremely important roles to intervention outcomes.

导出引用

王媛,王吉,梁爽,王佳,孙彩虹,武丽杰. 影响孤独症谱系障碍儿童短期转归因素的初步探讨[J]. 中国儿童保健杂志. 2013, 21(6): 626-630

WANG Yuan,WANG Ji,LIANG Shuang,WANG Jia,SUN Cai-hong,WU Li-jie.. Preliminary study on influencing factors of short-term outcome in children with autism spectrum disorder.[J]. Chinese Journal of Child Health Care. 2013, 21(6): 626-630

中图分类号： R749.94

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