设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
应用行为分析训练对孤独症儿童生存质量的影响
作者:丁大为  钟燕  成新宁  江淑娟 
单位:湖南省儿童医院儿童保健所  长沙410007 
关键词:孤独症 应用行为分析 生存质量 
分类号:R395.5
出版年,卷(期):页码:2015,23(3):564-566
摘要:

目的:探讨孤独症儿童的生存质量及应用行为分析训练对其生存质量的影响。方法:采用儿童生存质量测定量表分别对66例孤独症儿童及健康儿童进行生存质量评定, 对孤独症儿童进行3个月应用行为分析训练后再次评估其生存质量, 并与训练前进行对比。结果:孤独症儿童在生理功能、情感功能、社交功能及生存质量总得分上均明显低于正常儿童(P 均<0.01);接受了3个月应用行为分析训练后, 孤独症儿童的生理功能较训练前有所改善(P <0.05), 但其情感功能、社交功能及总分在训练前后均无明显改善(P >0.05)。结论:孤独症儿童生存质量存在明显的损害, 且训练对其生存质量改善欠佳。

Objective: To investigate effectiveness of applied behavior analysis training on quality of life in children with autism. Methods: Pediatric Quality of Life Inventory(PedsQLTM4.0) was used to measure the quality of life in 66 children with autism and 66 healthy children. After 3 months with applied behavior analysis training, quality of life in 66 children with autism was measured again. Results: The quality of life of children with autism group was significantly lower than that of healthy children group in physical functioning, emotional functioning, social functioning and the total score(all P <0.01); After 3 months with applied behavior analysis training, physical functioning in children with autism was significantly improved(P <0.05), but emotional functioning, social functioning and the total score had no changes(allP >0.05). Conclusion: Children with autism have poor quality of life, and the applied behavior analysis training may have certain advantages on improving the quality of life.

基金项目:
湖南省卫生厅应用研究指导项目(C2014-25)
作者简介:
参考文献:

1 邹小兵. 孤独症谱系障碍的研究进展. 临床儿科杂志, 2010, 28(8):715-724
2 郭兰婷, 李元媛. 我国儿童孤独症临床研究的发展与展望 (述评). 中国心理卫生杂志, 2011, 25(6):460-463
3 Cottenceau H, Roux S, Blanc R, et a1. Quality of life of adolescents with autism spectrum disorders: Comparison to adolescents with diabetes. Eur Child Adolesc Psychiatry, 2012,2l(5): 289-296
4 刘振寰, 谢巧玲, 林青梅, 等. 自闭症儿童的生存质量及影响因素. 中华实用儿科临床杂志, 2013, 28(12):902-904
5 樊越波. 孤独症谱系障碍康复研究进展. 中国康复理论与实践, 2012, 18(11):1044-1046
6 Peters-Scheffer N, Didden R, Korzilius H, et al. A metaanalytic study on the effectiveness of comprehensive ABAbased early intervention programs for children with autism spectrum disorders. Res Autism Spectrum Disorder, 2011, 5 (1): 60-69
7 卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表Peds QL4.0中文版信度和效度的分析. 中山大学学报(医学科学版), 2008, 29(3):328-331
8 Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P. The PedsQL in pediatric cancer: Reliability and validity of the Pediatric Quality of Life Inventory Generic Core Scales, Multidimensional Fatigue Scale and Cancer Module. Cancer,2002, 94(7): 2090-2106
9 需要应对儿童精神障碍-WHO呼吁在世界自闭症宣导日采取行动. 中国慢性病预防与控制, 2010, 18(2):135
10 俞蓉蓉, 林良华, 徐云, 等. 国内外儿童孤独症研究热点的分析与比较. 中国妇幼保健, 2012, 27(3):364-365
11 Farley MA, McMahon WM, Fombonne E, et a1. Twentyyear outcome for individuals with autism and average or near average cognitive abilities. Autism Res, 2009, 2(2): 109-118
12 中华人民共和国卫生部, 中华人民共和国公安部, 中国残疾人联合会, 等. 2001年中国0岁~6岁残疾儿童抽样调查主要结果. 中国残疾人, 2004, 21(4):43-44
13 郝晓楠, 张岱, 贾美香. 孤独症儿童与其他精神障碍儿童围生期危险因素比较. 中国心理卫生杂志, 2010, 24(1):25-28
14 黄伟合. 用当代科学征服自闭症:来自临床与实验的干预教育方法. 上海:华东师范大学出版社, 2008. 151
15 程秀兰, 王莉, 李丽娥, 等. 孤独症儿童融合教育干预的个案研究. 学前教育研究, 2009, 6:34-38
16 李少梅, 王红叶. 孤独症康复中学校和社区的作用. 中华实用儿科临床杂志, 2014, 29(12):888-890
17 中华人民共和国卫生部. 儿童孤独症诊疗康复指南. 北京:中华人民共和国卫生部, 2010
18 郭海燕, 刘淑华, 杜杨. 孤独症儿童ABA训练随访. 中国儿童保健杂志, 2006, 14(5):517-518
19 Eldevik S, Hastings RP, Hughes JC, et a1. Using participant data to extend the evidence base for intensive behavioral intervention for children with autism. Am J Intellect DevDis abil, 2010, 115(5): 81-405
20 Reichow B. Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. J Autism Dev Disord, 2012, 42(4): 512-520

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com