Brief report: Reduced anxiety following Pivotal Response Treatment in young children with Autism Spectrum Disorder.
Brief report: Reduced anxiety following Pivotal Response Treatment in young children with Autism Spectrum Disorder.
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DOI：
10.1016/j.rasd.2017.09.002
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发表时间：
2017-11
影响因子：
2.5
通讯作者：
Ventola P
中科院分区：
文献类型：
--
作者：
Lei J;Sukhodolsky DG;Abdullahi SM;Braconnier ML;Ventola P
高达40%的自闭症谱系障碍（ASD）儿童表现出共同发生的焦虑症状。尽管最近成功地减轻了自闭症学龄儿童（平均年龄>9岁）的焦虑症状，使用适应版本的认知行为疗法，但对年幼儿童的潜在治疗结果知之甚少。为了解决文献中的差距，这项开放标签研究评估了在4-8岁ASD儿童中进行为期16周的开放标签试验后焦虑的变化。PRT是一种基于应用行为分析原则的行为治疗，其主要目的是通过自然强化来提高ASD儿童的社交技能。为了最大限度地减少焦虑和其他共同发生的症状，如破坏性行为和注意力缺陷多动障碍的混淆，我们使用儿童和青少年症状量表（CASI）的自闭症焦虑子量表测量焦虑。我们观察到显着的焦虑减少超过16周的PRT。此外，焦虑减少是独立的自闭症症状严重程度的变化。这项研究显示了PRT作为减少ASD幼儿焦虑的干预措施的有希望的结果。
Up to 40% of children with Autism Spectrum Disorder (ASD) exhibit co-occurring anxiety symptoms. Despite recent success in mitigating anxiety symptoms in school-aged children with ASD (mean age >9 years) using adapted versions of Cognitive Behavioural Therapy, little is known about potential treatment outcomes for younger children. To address the gap in the literature, this open-label study evaluated change in anxiety following a 16-week open-label trial of Pivotal Response Treatment (PRT) in children with ASD aged 4–8 years. PRT is a behavioural treatment based on the principles of Applied Behaviour Analysis and has a primary aim of increasing social communication skills in children with ASD through natural reinforcements. To minimise conflation of anxiety and other co-occurring symptoms such as disruptive behaviour and attention-deficit hyperactivity disorder, we measured anxiety using the autism anxiety subscale of the Child and Adolescent Symptom Inventory (CASI) devised by. We observed significant anxiety reduction over 16-weeks of PRT. Furthermore, anxiety reduction was independent of changes in autism symptom severity. This study shows promising results for PRT as an intervention for reducing anxiety in young children with ASD.
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