亲子绘画和创意手工疗法对学龄前期孤独症谱系障碍儿童及其母亲效果评价的前瞻性随机对照研究

doi:10.7499/j.issn.1008-8830.2103178

摘要
图/表
参考文献(24)
相关文章 (15)
点击分布统计
下载分布统计

全文: PDF (582 KB) [HTML]
输出: BibTeX | EndNote (RIS) 背景资料

摘要目的探讨亲子绘画和创意手工疗法对学龄前期轻中度孤独症谱系障碍儿童核心症状及其母亲亲职压力和希望水平的影响。方法采用区组随机分组方法，将56对学龄前期轻中度孤独症谱系障碍儿童及其母亲随机分为试验组和对照组，每组各28对。对照组采用应用行为分析法进行干预；试验组在此基础上，采用亲子绘画和创意手工疗法。两组干预时间均为20周。采用孤独症行为评定量表（Autism Behavior Checklist，ABC）、社交反应量表（Social Responsiveness Scale，SRS）、短式亲职压力量表（Parenting Stress Index-Short Form，PSI-SF）和Herth希望指数量表（Herth Hope Index，HHI），评估干预前和干预后（20周的干预时间结束后）儿童核心症状及其母亲的亲职压力和希望水平。结果共49对母子参与了全程研究（试验组25对，对照组24对）。干预后试验组儿童社会交往维度、语言维度、社交沟通维度和社交动机维度得分及ABC总分和SRS总分均低于对照组（P<0.05）。干预后试验组母亲的亲职愁苦维度和亲子互动关系失调维度得分及PSI-SF总分均低于对照组（P<0.05），而试验组母亲的HHI总分及各维度得分均高于对照组（P<0.05）。结论在应用行为分析干预的基础上，采用亲子绘画和创意手工疗法可进一步改善学龄前期轻中度孤独症谱系障碍儿童的核心症状和社交互动，减轻母亲的亲职压力，提高其希望水平。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	刘桂华
	欧萍
	黄龙生
	谢娜妹
	林锦玲
	何迎霜
	胡蓉芳

关键词 ：孤独症谱系障碍, 绘画疗法, 创意手工疗法, 亲职压力, 儿童

Abstract：Objective To study the effects of parent-child painting and creative crafting therapy on the core symptoms of preschool children with mild-to-moderate autism spectrum disorder (ASD) and the parenting stress and hope level of their mothers. Methods A total of 56 preschool children with mild-to-moderate ASD and their mothers were divided into an experimental group and a control group using the block randomization method, with 28 pairs in each group. The subjects in the control group received an applied behavior analytic intervention and those in the experimental group received parent-child painting and creative crafting therapy in addition to the intervention in the control group. The intervention time was 20 weeks for both groups. Autism Behavior Checklist (ABC), Social Responsiveness Scale (SRS), Parenting Stress Index-Short Form (PSI-SF), and Herth Hope Index (HHI) were used to evaluate the core symptoms of children and the parenting stress and hope level of their mothers before and after 20 weeks of intervention. Results Forty-nine child-mother pairs completed the study (25 pairs in the intervention group and 24 pairs in the control group). The children in the experimental group had significantly lower scores of social interaction, language, social communication, and social motivation and total scores of ABC and SRS compared with those in the control group (P<0.05). The mothers in the experimental group had significantly lower scores of parental distress and parent-child dysfunctional interaction and total score of PSI-SF (P<0.05) and significantly higher total score of HHI and scores of each dimension compared with those in the control group (P<0.05). Conclusions The combination of applied behavior analytic intervention with parent-child painting and creative crafting therapy can more effectively improve the core symptoms and social interaction of preschool children with mild-to-moderate ASD, reduce the parenting stress of mothers and improve their hope level.

Key words： Autism spectrum disorder Painting therapy Creative crafting therapy Parenting stress Child

收稿日期: 2021-03-29

基金资助:国家自然科学基金青年项目（81804173）；福建医科大学启航基金项目（2019QH1137）。

通讯作者: 胡蓉芳，女，教授。Email：hulu2886@sina.com。 E-mail: hulu2886@sina.com

作者简介: 刘桂华，女，博士在读研究生，主管护；

引用本文:

刘桂华,欧萍,黄龙生等. 亲子绘画和创意手工疗法对学龄前期孤独症谱系障碍儿童及其母亲效果评价的前瞻性随机对照研究[J]. 中国当代儿科杂志, 2021, 23(8): 779-785.

LIU Gui-Hua,OU Ping,HUANG Long-Sheng et al. Effects of parent-child painting and creative crafting therapy on preschool children with autism spectrum disorder and their mothers: a prospective randomized controlled trial[J]. CJCP, 2021, 23(8): 779-785.

链接本文:

http://www.zgddek.com/CN/10.7499/j.issn.1008-8830.2103178 或 http://www.zgddek.com/CN/Y2021/V23/I8/779

	Lord C, Elsabbagh M, Baird G, et al. Autism spectrum disorder[J]. Lancet, 2018, 392(10146): 508-520. DOI: 10.1016/S0140-6736(18)31129-2. PMID: 30078460. PMCID: PMC7398158.
	Pickles A, Le Couteur A, Leadbitter K, et al. Parent-mediated social communication therapy for young children with autism (PACT): long-term follow-up of a randomised controlled trial[J]. Lancet, 2016, 388(10059): 2501-2509. DOI: 10.1016/S0140-6736(16)31229-6. PMID: 27793431. PMCID: PMC5121131.
	Wang F, Lu L, Wang SB, et al. The prevalence of autism spectrum disorders in China: a comprehensive meta-analysis[J]. Int J Biol Sci, 2018, 14(7): 717-725. DOI: 10.7150/ijbs.24063. PMID: 29910682. PMCID: PMC6001678.
	Maenner MJ, Shaw KA, Baio J, et al. Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2016[J]. MMWR Surveill Summ, 2020, 69(4): 1-12. DOI: 10.15585/mmwr.ss6904a1. PMID: 32214087. PMCID: PMC7119644.
	5 Jalambadani Z. Art therapy based on painting therapy on the improvement of autistic children's social interactions in Iran[J]. Indian J Psychiatry, 2020, 62(2): 218-219. DOI: 10.4103/psychiatry.IndianJPsychiatry_215_18.
	Pongan E, Tillmann B, Leveque Y, et al. Can musical or painting interventions improve chronic pain, mood, quality of life, and cognition in patients with mild Alzheimer's disease? Evidence from a randomized controlled trial[J]. J Alzheimers Dis, 2017, 60(2): 663-677. DOI: 10.3233/JAD-170410. PMID: 28922159.
	Wilk M, Pachalska M, Lipowska M, et al. Speech intelligibility in cerebral palsy children attending an art therapy program[J]. Med Sci Monit, 2010, 16(5): CR222-CR231. PMID:20424549.
	8 Kanareff RL. Utilizing group art therapy to enhance the social skills of children with autism and Down syndrome[D]. Pepper Pike: Ursuline College, 2002.
	Gavron T, Mayseless O. Creating art together as a transformative process in parent-child relations: the therapeutic aspects of the joint painting procedure[J]. Front Psychol, 2018, 9: 2154. DOI: 10.3389/fpsyg.2018.02154. PMID: 30483180. PMCID: PMC6243114.
	10 美国精神医学学会. 精神障碍诊断与统计手册[M]. 5版. 张道龙, 刘春宇, 童慧琦, 等, 译. 北京: 北京大学出版社, 2015: 46-55.
	Virués-Ortega J. Applied behavior analytic intervention for autism in early childhood: meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes[J]. Clin Psychol Rev, 2010, 30(4): 387-399. DOI: 10.1016/j.cpr.2010.01.008. PMID: 20223569.
	12 李恩耀, 于谦, 夏斯曼, 等. 基于应用行为分析的儿童孤独症干预方法探析[J]. 国际精神病学杂志, 2019, 46(2): 217-220. DOI: 10.13479/j.cnki.jip.2019.02.008.
	13 杨玉凤. 儿童发育行为心理评定量表[M]. 北京: 人民卫生出版社, 2016: 203-207.
	14 Gau SSF, Liu LT, Wu YY, et al. Psychometric properties of the Chinese version of the Social Responsiveness Scale[J]. Res Autism Spect Dis, 2013, 7(2): 349-360. DOI: 10.1016/j.rasd.2012.10.004.
	Cen CQ, Liang YY, Chen QR, et al. Investigating the validation of the Chinese Mandarin version of the Social Responsiveness Scale in a Mainland China child population[J]. BMC Psychiatry, 2017, 17(1): 51. DOI: 10.1186/s12888-016-1185-y. PMID: 28166747. PMCID: PMC5292795.
	Yeh CH, Chen ML, Li W, et al. The Chinese version of the Parenting Stress Index: a psychometric study[J]. Acta Paediatr, 2001, 90(12): 1470-1477. DOI: 10.1080/08035250152708914. PMID: 11853348.
	Chan KS, Li HC, Chan SW, et al. Herth Hope Index: psychometric testing of the Chinese version[J]. J Adv Nurs, 2012, 68(9): 2079-2085. DOI: 10.1111/j.1365-2648.2011.05887.x. PMID: 22111952.
	Nayeri ND, Goudarzian AH, Herth K, et al. Construct validity of the Herth Hope Index: a systematic review[J]. Int J Health Sci (Qassim), 2020, 14(5): 50-57. PMID:32952505. PMCID:PMC7475204.
	Stuckey HL, Nobel J. The connection between art, healing, and public health: a review of current literature[J]. Am J Public Health, 2010, 100(2): 254-263. DOI: 10.2105/AJPH.2008.156497. PMID: 20019311. PMCID: PMC2804629.
	20 李晶. 曼陀罗绘画疗法联合注射用鼠神经生长因子治疗自闭症患儿的临床观察[J]. 国际精神病学杂志, 2019, 46(3): 486-488. DOI: 10.13479/j.cnki.jip.2019.03.031.
	21 禄晓平, 陈青萍, 明兰. 曼陀罗绘画疗法对自闭症儿童康复效能评价[J]. 中国学校卫生, 2017, 38(8): 1179-1182. DOI: 10.16835/j.cnki.1000-9817.2017.08.018.
	Korpa T, Pervanidou P, Angeli E, et al. Mothers' parenting stress is associated with salivary cortisol profiles in children with attention deficit hyperactivity disorder[J]. Stress, 2017, 20(2): 149-158. DOI: 10.1080/10253890.2017.1303472. PMID: 28264636.
	Gilson KM, Davis E, Johnson S, et al. Mental health care needs and preferences for mothers of children with a disability[J]. Child Care Health Dev, 2018, 44(3): 384-391. DOI: 10.1111/cch.12556. PMID: 29430692.
	Duncan AR, Jaini PA, Hellman CM. Positive psychology and hope as lifestyle medicine modalities in the therapeutic encounter: a narrative review[J]. Am J Lifestyle Med, 2021, 15(1): 6-13. DOI: 10.1177/1559827620908255. PMID: 33456415. PMCID: PMC7781058.