目的探讨机构结构化教育联合家庭康复训练模式治疗儿童孤独症的疗效。方法选取100例孤独症儿童,随机分为联合治疗组(n=50)和对照组(n=50)。对照组给予机构结构化教育,联合治疗组给予机构结构化教育联合家庭康复训练。比较两组孤独症儿童行为检查量表(ABC)评分、孤独症治疗评估量表(ATEC)评分、中文版儿童孤独症及相关发育障碍心理教育评定量表(C-PEP)评分。结果训练12个月后,联合治疗组患儿ABC各维度评分及总分均显著低于对照组(P<0.05);联合治疗组患儿ATEC各维度评分及总分均显著低于对照组(P<0.05),而其C-PEP各维度评分及总分均显著高于对照组(P<0.05)。结论机构结构化教育联合家庭康复训练是儿童孤独症的有效治疗模式,值得临床推广应用。
Abstract
Objective To investigate the clinical efficacy of a structured institution-based teaching programme combined with family rehabilitation training in the treatment of childhood autism. Methods One hundred children with autism were divided into a combination therapy group (n=50) and a control group (n=50). The children in the control group received a structured institution-based teaching programme, and the children in the combination therapy group received a family rehabilitation training besides the structured institution-based teaching programme. Comparisons were made between the two groups by the Autism Behavior Checklist (ABC) score, Autism Treatment Evaluation Checklist (ATEC) score, and Chinese version of Psychoeducational Profile (C-PEP) sore. Results After 12-months training, each dimension score and total score of ABC in the combination therapy group were all significantly lower than those in the control group (P<0.05). The combination therapy group had significantly lower dimension scores and total score of ATEC than the control group (P<0.05). Each dimension score and total score of C-PEP were significantly higher in the combination therapy than in the control group (P<0.05). Conclusions As an effective treatment mode for childhood autism, structured institution-based teaching programme combined with family rehabilitation training is worthy of clinical promotion and application.
关键词
结构化教育 /
家庭康复训练 /
孤独症 /
儿童
Key words
Structured teaching /
Family rehabilitation training /
Autism /
Child
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参考文献
[1] Xiong N, Yang L, Yu Y, et al. Investigation of raising burden of children with autism, physical disability and mental disability in China[J]. Res Dev Disabil, 2011, 32(1):306-311.
[2] Baranek GT, Watson LR, Boyd BA, et al. Hyporesponsiveness to social and nonsocial sensory stimuli in children with autism,children with developmental delays, and typically developing children[J]. Dev Psychopathol, 2013, 25(2):307-320.
[3] Dixon MR, Carman J, Tyler PA, et al. PEAK relational training system for children with autism and developmental disabilities: Correlations with peabody picture vocabulary test and assessment reliability[J]. J Dev Physical Disabil, 2014, 26(5): 603-614.
[4] 邹小兵. 儿童孤独症诊断与治疗新动向[J]. 中国儿童保健杂志, 2012, 20(4):294-296.
[5] Kim YS, Fombonne E, Koh YJ, et al. A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample[J]. J Am Acad Child Adolesc Psychiatry, 2014, 53(5):500-508.
[6] 卢建平, 杨志伟, 舒明耀, 等. 儿童孤独症量表评定的信度、效度分析[J]. 中国现代医学杂志, 2004, 14(13):119-121.
[7] Magiati I, Moss J, Yates R, et al. Is the Autism Treatment Evaluation Checklist a useful tool for monitoring progress in children with autism spectrum disorders?[J]. J Intellect Disabil Res, 2011, 55(3):302-312.
[8] Shek DT, Yu L. Construct validity of the Chinese version of the psycho-educational profile-3rd edition(CPEP-3)[J]. J Autism Dev Disord, 2014, 44(11):2832-2843.
[9] 谭晶晶, 高雪屏, 苏林雁. 儿童孤独症病因学研究进展[J]. 中国实用儿科杂志, 2013, 28(2):143-146.
[10] 王佳, 于聪, 孙彩虹, 等. 孤独症患儿236名家庭疾病负担状况调查[J]. 中国学校卫生, 2010, 31(2):138-140.
[11] 黄师菊, 秦秀群, 邹园园, 等. 家庭结构化教育对孤独症儿童母亲焦虑、抑郁的影响[J]. 中国儿童保健杂志, 2013, 21(6): 633-635.
[12] 秦秀群, 陈华丽, 彭碧秀, 等. 家庭结构化教育对孤独症儿童母亲亲职压力影响的研究[J]. 护理研究(中旬版), 2012, 26(11):3017-3018.
[13] 吉彬彬, 陈三妹, 易容芳, 等. 孤独症儿童父母社会支持和应对方式及家庭功能的研究[J]. 广东医学, 2013, 34(10):1594-1596.
[14] 赵冬梅, 杨良政, 张艳卿, 等. 培训-家庭康复训练模式治疗儿童孤独症疗效观察[J]. 中国康复医学杂志, 2014, 29(3): 260-262.
[15] 邹小兵, 邓红珠, 唐春, 等. 以家庭为基地的短期结构化教育治疗儿童孤独症的疗效[J]. 中国儿童保健杂志, 2005, 13(2): 98-100.