中国临床心理学杂志

孤独症儿童信念理解干预的实验研究

作者：钱乐琼¹ 戴峥嵘² 周世杰¹

单位：1 中南大学湘雅二医院医学心理研究所长沙 410011
2 湖南省残疾人康复研究中心长沙 410000

关键词：孤独症儿童信念理解干预

分类号：R395.2

出版年,卷(期):页码：2014,22(3):457-461

摘要：

目的:对孤独症儿童进行信念理解干预,探讨孤独症儿童信念理解干预的效果以及信念干预对心理理论其他两个领域(情绪、愿望理解)的影响。方法:采用对照实验研究设计,以集体授课的形式和视频教学的f方法对两组孤独症儿童进行信念理解干预。结果:①信念理解任务各次测验得分与年龄相关不显著,与言语智力、智商水平呈显著正相关(r=0.565~0.859,P<0.001);②控制或未控制智商时干预组的干预效果均显著优于对照组(P值均小于0.001),但2周后追踪表明信念理解干预的维持效果不佳(P＞0.05);③干预组儿童的情绪理解能力得到了显著提高并得到维持(P<0.05),而愿望理解能力没有明显变化(P＞0.05)。结论:孤独症儿童具备信念理解的可教性,但维持效果不佳;信念理解干预对提高孤独症儿童的情绪理解能力有效果。

Objective: To explore the intervention effects of belief understanding psychotherapy on theory of mind(emo-tions and desires) in the children with autism. Methods: Using case-controlled experimental design, the children with au-tism were randomly assigned into two groups, one group was received 2-week belief understanding therapy through videoteaching, while the other one received no intervention. Results: The scores of belief tasks were significantly and positivelycorrelated with the verbal intelligence and IQ levels(r=0.565~0.859, P<0.001) in all of the children with autism. WhateverIQ was controlled or not, the intervention effect of the training group was significantly better than that of the controlled group(P<0.001), but which was disappeared two weeks later(P>0.05). After intervention, the children' s emotion understanding,but not the desire understanding, was promoted significantly and that promotion was well maintained two weeks later(P<0.05). Conclusion: The belief understanding intervention is an efficient psychotherapy on the autistic children' s emotionunderstanding disability.

基金项目：

国家社会科学基金“十二五”规划2011年度教育学一般课题“孤独症儿童的心理理论发展特点及认知行为干预研究”(BBA110019)

作者简介：

参考文献：

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