Reducing maladaptive behaviors in preschool-aged children with autism spectrum disorder using the early start denver model.
Reducing maladaptive behaviors in preschool-aged children with autism spectrum disorder using the early start denver model.
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DOI：
10.3389/fped.2014.00040
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发表时间：
2014
影响因子：
2.6
通讯作者：
Rogers S
中科院分区：
文献类型：
--
作者：
Fulton E;Eapen V;Crnčec R;Walter A;Rogers S
患有自闭症谱系障碍 (ASD) 的年轻人存在适应不良行为，会严重限制他们参与治疗计划，并影响未来的教育和职业机会。本研究旨在探讨早期开始丹佛模式 (ESDM) 治疗方法是否可以减少社区长日托机构中患有自闭症谱系障碍 (ASD) 的学龄前儿童的适应不良行为。在干预期间，使用基于观察的测量方法对 38 名自闭症谱系障碍儿童的适应不良行为水平进行了三个评估：进入时、进入后 12 周和退出时（干预后），平均治疗持续时间为 11.8 个月。在干预过程中，儿童的适应不良行为显着减少，68% 的儿童在 12 周时表现出治疗反应，79% 的儿童在干预结束时表现出治疗反应。这一变化伴随着马伦早期学习量表评估的儿童整体发展水平的提高，但瓦恩兰适应性行为量表 II 或社交沟通问卷没有显着变化。为了确定这些改善背后的具体因素，有必要进行更大样本、控制条件和适应不良行为的额外措施的复制；然而，本研究的结果表明，ESDM 计划不仅可以有效改善核心发展领域，还可以减少学龄前自闭症儿童的适应不良行为。
The presence of maladaptive behaviors in young people with autism spectrum disorder (ASD) can significantly limit engagement in treatment programs, as well as compromise future educational and vocational opportunities. This study aimed to explore whether the Early Start Denver Model (ESDM) treatment approach reduced maladaptive behaviors in preschool-aged children with ASD in a community-based long day care setting. The level of maladaptive behavior of 38 children with ASD was rated using an observation-based measure on three occasions during the intervention: on entry, 12 weeks post-entry, and on exit (post-intervention) over an average treatment duration of 11.8 months. Significant reductions were found in children’s maladaptive behaviors over the course of the intervention, with 68% of children showing a treatment response by 12 weeks and 79% on exit. This change was accompanied by improvement in children’s overall developmental level as assessed by the Mullen scales of early learning, but not by significant changes on the Vineland Adaptive Behavior Scales-II or Social Communication Questionnaire. Replication with a larger sample, control conditions, and additional measures of maladaptive behavior is necessary in order to determine the specific factors underlying these improvements; however, the findings of the present study suggest that the ESDM program may be effective in improving not only core developmental domains, but also decreasing maladaptive behaviors in preschool-aged children with ASD.
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DOI：
10.1046/j.1365-2788.2003.00517.x
发表时间：
2003-09-01
影响因子：
3.6
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.9
作者：
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DOI：
10.1097/chi.0b013e31812f7d8d
发表时间：
2007-10-01
影响因子：
13.3
作者：
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通讯作者：
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