Longitudinal Follow-Up of Children With Autism Receiving Targeted Interventions on Joint Attention and Play
Longitudinal Follow-Up of Children With Autism Receiving Targeted Interventions on Joint Attention and Play
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DOI：
10.1016/j.jaac.2012.02.019
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发表时间：
2012-05-01
影响因子：
13.3
通讯作者：
Hellemann, Gerhard
中科院分区：
文献类型：
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作者：
Kasari, Connie;Gulsrud, Amanda;Hellemann, Gerhard
目的：本研究调查了患有自闭症谱系障碍 (ASD) 的儿童在接受专注于共同注意力和游戏技能的有针对性的早期干预后 5 年内的认知和语言结果。方法：原始研究中的 40 名儿童 (n = 58) 在 5 年随访中拥有完整的数据。结果：总的来说，80% 的儿童已经实现了口语的功能性使用，基线游戏水平可以预测 5 年随访时的口语水平。对于 8 岁时使用口语的儿童，一些基线行为预测了他们以后的能力，包括进入研究的较早年龄、开始共同注意技能、游戏水平以及分配到共同注意或象征性游戏干预组。只有基线游戏多样性可以预测 8 岁时的认知得分。结论：这项研究是针对参加学前早期干预的儿童进行的唯一一项长期随访研究，旨在解决核心发展困难。研究结果表明，在综合治疗模式中关注共同注意力和游戏技能对于长期口语结果非常重要。 J. Am.阿卡德。儿童青少年。精神病学，2012；51(5)：487-495。
Objective: This study examines the cognitive and language outcomes of children with an autism spectrum disorder (ASD) over a 5-year period after receiving targeted early interventions that focused on joint attention and play skills. Method: Forty children from the original study (n = 58) had complete data at the 5-year follow-up. Results: In all, 80% of children had achieved functional use of spoken language with baseline play level predicting spoken language at the 5-year follow-up. Of children who were using spoken language at age 8 years, several baseline behaviors predicted their later ability, including earlier age of entry into the study, initiating joint attention skill, play level, and assignment to either the joint attention or symbolic play intervention group. Only baseline play diversity predicted cognitive scores at age 8 years. Conclusions: This study is one of the only long-term follow-up studies of children who participated in preschool early interventions aimed at targeting core developmental difficulties. The study findings suggest that focusing on joint attention and play skills in comprehensive treatment models is important for long-term spoken language outcomes. J. Am. Acad. Child Adolesc. Psychiatry, 2012;51(5):487-495.