Objective To explore the effect of treatment and education of autistic and communication handicapped children (TEACCH) group training in preschool children with autism spectrum disorder (ASD), in order to provide reference for localization of the training mode of TEACCH. Methods Totally 60 preschool children with ASD in Children's Rehabilitation Department of Wuhan Mental Health Center from January 2018 to October 2021 were enrolled in this study, and were randomly assigned to the TEACCH group (n=30) and the control group (n=30).The Chinese version of Psycho-Educational Profile, 3rd ed(PEP-3) was used to assess treatment effects at baseline, posttest, 6-month follow-up and 1-year follow-up after training. Results No significant difference was found between the two groups at baseline (P>0.05). Time effect was significant for all indicators (P＜0.001). The scores of expressive language, receptive language, fine motor, social reciprocity, problem behavior, personal self-care and adaptive behavior in the TEACCH group were significantly improved than those of the control group (F=4.159, 10.447, 4.556, 4.666, 12.922, 4.199, 8.484, P<0.05). The interaction effects between time and group were significant in affective expression, problem behavior and personal self-care scores (F=3.919, 5.071, 9.689, P<0.05). The change scores of expressive language, problem behavior and personal self-care in the TEACCH group were significantly higher than those of the control group at posttest, 6-month follow-up and 1-year follow-up (P<0.05). The change scores of emotional expression and social interaction in the TEACCH group were significantly higher than those of the control group only at posttest and 6-month follow-up (P<0.05). The change scores of receptive language, fine motor and adaptive behavior in the TEACCH group were significantly higher than those of the control group only at posttest and 1-year follow-up (P<0.05). Conclusion Group training based on TEACCH can promote the language, fine motor, emotion, social interaction and behavior of preschool ASD children.
Key words
autism spectrum disorder /
treatment and education of autistic and communication handicapped children /
preschool children
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