摘要
目的:探讨基于行为诱导法的个性化心理干预对孤独症谱系障碍(ASD)患儿社交能力的影响。方法:按照入院先后将某院2020年8月-2022年8月收治的82例ASD患儿分为对照组(n=41,常规干预)和观察组(n=41,基于行为诱导法的个性化心理干预+常规干预);对比两组患儿干预前后自闭程度[儿童孤独症评定量表(CARS)]、刻板行为[重复刻板行为检查量表(RBS-R)]、功能发展情况[相关发育障碍儿童心理教育量表-3(C-PEP-3)]、心理状态[儿童焦虑障碍自评量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)]、智力水平[韦氏儿童智力量表]和社交能力[自闭症治疗评估量表(ATEC)]。结果:干预后,两组CARS、RBS-R量表评分均降低(P<0.05),且观察组低于对照组(t=-6.948,-5.605;P<0.05);干预后,两组C-PEP-3量表中粗动作、精细动作、认知、模仿、手眼协调、感知觉、口语表达各维度得分及总分均高于干预前(P<0.05),且观察组均高于对照组(t=5.722,9.663,10.340,9.904,9.073,8.070,22.067;P<0.05);干预后,两组SCARED、DSRSC评分均降低(P<0.05),且观察组均低于对照组(t=-11.239,-13.830;P<0.05);干预后,两组全量表IQ(FIQ)、言语量表IQ(VIQ)、操作量表IQ(PIQ)、注意/不分心因子(C因子)得分均升高(P<0.05),且观察组均高于对照组(t=2.437,2.024,2.813,2.015;P<0.05);干预后,两组ATEC量表中语言、社交、感知、行为各维度得分及总分均低于干预前(P<0.05),且观察组均低于对照组(t=-8.485,-7.688,-6.896,-8.342;P<0.05)。结论:给予ASD患儿基于行为诱导法的个性化心理干预效果显著,可改善自闭程度和刻板行为,促进功能发展,还可改善患儿心理状态,提升智力水平,提高患儿社交能力。
Objective:To explore the effect of personalized psychological intervention based on behavioral inducement on social ability of children with autism spectrum disorder(ASD).Methods:According to the admission,82 children with ASD admitted to our hospital from August 2020 to August 2022 were divided into control group(n=41,routine intervention)and observation group(n=41,personalized psychological intervention based on behavioral inducement+routine intervention).The degree of autism[Children's Autism Rating Scale(CARS)],stereotyped behavior[Repetitive Stereotyped Behavior Checklist(RBS-R)],functional development[Psychoeducational Scale for Children with Related Developmental Disorders 3(C-PEP-3)],psychological state[Children's Anxiety Disorder Self-rating Scale(SCARED)],and children's depression disorder were compared between the two groups before and after intervention Self-rating Scale(DSRSC),intelligence level[Wechsler Intelligence Scale for Children],and social skills[Autism Treatment Assessment Scale(ATEC)].Results:After intervention,the scores of CARS and RBS-R were decreased in both groups(P<0.05),and the observation group was lower than the control group(t=-6.948,-5.605;P<0.05).After intervention,the scores and total scores of coarse motor,fine motor,cognition,imitation,hand-eye coordination,sensory perception and oral expression in the C-PEP-3 scale in both groups were higher than before intervention(P<0.05).The observation group was higher than the control group(t=5.722,9.663,10.340,9.904,9.073,8.070,22.067;P<0.05).After intervention,SCARED and DSRSC scores of both groups were decreased(P<0.05),and observation group were lower than control group(t=-11.239,-13.830;P<0.05).After intervention,the scores of full scale IQ(FIQ),verbal scale IQ(VIQ),operational scale IQ(PIQ)and attention/non-distraction factor(C factor)in both groups were increased(P<0.05),and the observation group was higher than the control group(t=2.437,2.024,2.813,2.015;P<0.05).After intervention,the scores and total scores of language,social,p
作者
任浩
REN Hao(Department of Pediatrics,The First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)
出处
《中国健康心理学杂志》
2024年第9期1314-1319,共6页
China Journal of Health Psychology
关键词
行为诱导法
孤独症谱系障碍
自闭程度
刻板行为
心理状态
智力
社交能力
Behavioral inducement
Autism spectrum disorder
Degree of autism
Stereotyped behavior
Mental state
Intelligence
Social ability
