A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes.
A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes.
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DOI：
10.1007/s10488-021-01133-7
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Brookman-Frazee L
中科院分区：
文献类型：
--
作者：
Dickson KS;Lind T;Jobin A;Kinnear M;Lok H;Brookman-Frazee L
患有自闭症谱系障碍(ASD)的青少年有很高的共生心理健康需求，需要心理健康干预。鉴于青少年自闭症的独特临床特征，已作出重大努力以适应和测试针对这一人群的心理健康干预措施。然而，对干预适应的性质和类型的定性是有限的，特别是在为患有自闭症的青少年测试的广泛干预措施中，重点是执行因素。此外，对如何在社区服务中实施这些干预措施的了解有限。这项系统审查的目的是确定(1)针对患有自闭症的青少年的共生心理健康状况进行测试的干预类型；(2)对患有自闭症的青少年使用的心理健康干预的适应性；以及(3)心理健康干预的实施战略、结果和决定因素，以便将其转化为社区服务环境。对83篇针对青少年自闭症患者心理健康症状的干预措施进行了综述，其中包括实施因素的分析。应用框架适应、；)实施战略和实施成果分类，分别描述适用于患有自闭症的青年的适应的性质和类型，以及所使用的实施战略、结果和决定因素的类型。在所检查的干预措施中，大多数(64.1%)最初是针对青少年的心理健康问题而设计的，后来被调整用于自闭症。最常见的调整包括对干预内容的调整，特别是在保持核心功能的同时，增加了调整或改进干预方面的要素。有一半的文章描述了在干预测试期间使用的至少一种实现策略。忠诚度和可接受性是最常被审查的执行成果，并对适当性和可行性进行了一些审查。19%的文章描述了这些执行成果的执行决定因素(即障碍/促进者)。对ASD的共同适应为今后的干预发展和培训社区治疗师提供了方向。需要在持续努力中进一步审查、指定和报告实施战略和成果，以调整干预措施，以满足青少年自闭症患者共同出现的心理健康需求，以促进将其转化为社区环境。讨论了未来研究的领域以及临床意义。
Youth with autism spectrum disorder (ASD) have high rates of co-occurring mental health needs that necessitate mental health interventions. Given the unique clinical characteristics of youth with ASD, there have been significant efforts to adapt and test mental health interventions for this population. Yet, characterization of the nature and types of interventions adaptations is limited, especially across the wide range of interventions tested for youth with ASD with a focus on implementation factors. Additionally, understanding how these interventions may be implemented in community services is limited. The aims of this systematic review are to characterize the (1) types of interventions tested for co-occurring mental health conditions for youth with ASD; (2) adaptations to mental health interventions for use with youth with ASD; and (3) implementation strategies, outcomes, and determinants of mental health interventions to inform their translation to community service settings. Eighty-three articles testing interventions targeting mental health symptoms in youth with ASD that included implementation factors in analyses were reviewed. The) FRAME adaptation,;) implementation strategies, and implementation outcomes taxonomies were applied to characterize the nature and types of adaptations for use with youth with ASD and types of implementation strategies, outcomes, and determinants used, when available, respectively. Of the interventions examined, the majority (64.1%) were originally designed to target youth mental health concerns and were then adapted to be used with ASD. The most common adaptations included those to the intervention content, particularly adding elements with tailoring or refining aspects of the intervention while maintaining core functions. Half of the articles described at least one implementation strategy used during intervention testing. Fidelity and acceptability were the most frequently examined implementation outcomes, with some examination of appropriateness and feasibility. Nineteen percent of articles described implementation determinants (i.e., barriers/facilitators) of these implementation outcomes. The common adaptations for ASD provide direction for future intervention development and training community therapists. Further examination, specification, and reporting of implementation strategies and outcomes within ongoing efforts to adapt interventions to meet the co-occurring mental health needs of youth ASD are needed to facilitate their translation to community settings. Areas for future research as well as clinical implications are discussed.
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3.9
作者：
Bearss, Karen;Burrell, T. Lindsey;Scahill, Lawrence
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影响因子：
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