Toward a technology of treatment individualization for young children with autism spectrum disorders.
Toward a technology of treatment individualization for young children with autism spectrum disorders.
复制标题
寻求针对患有自闭症谱系障碍的幼儿的个体化治疗技术。
DOI：
10.1016/j.brainres.2010.09.043
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发表时间：
2011
期刊：
影响因子：
2.9
通讯作者：
Cunningham,AllisonB
中科院分区：
文献类型：
--
作者：
Stahmer,AubynC;Schreibman,Laura;Cunningham,AllisonB
虽然自闭症谱系障碍（ASD）的病因和ASD的早期发展尚未得到很好的理解，但最近在自闭症领域的研究非常强调早期干预的重要性（即在4岁之前治疗）。目前，几种方法已被证明对一些儿童有效，但没有治疗完全改善ASD的症状或对所有患有该疾病的儿童有效。这种疾病的异质性和发展性使得一种特定的治疗方法不太可能对所有儿童都是最好的，或者在他或她的教育生涯中对任何一个孩子都有效。因此，本文探讨了早期的研究，验证不同的个性化治疗技术。讨论目前的研究与治疗中的不同结果，包括儿童，家庭和医生的变量相关的治疗前的特点，以及如何具体的干预技术解决这些治疗前的特点。这一系列研究的最终目标是使从业者能够前瞻性地为特定儿童量身定制治疗，并提高自闭症儿童的总体积极结果率。研究，进一步了解如何匹配客户与有效的治疗将减少结果的变化，目前的早期干预研究的特点，并提供最有效的资源分配在关键的早期干预时间段。这种类型的研究尚处于起步阶段，但如果我们要先验地确定哪种治疗方法对特定儿童最有效，则势在必行。
Although the etiology of autism spectrum disorders (ASD) and early development of the ASD are not yet well understood, recent research in the field of autism has heavily emphasized the importance of early intervention (i.e. treatment before the age of 4years). Currently, several methods have been demonstrated to be efficacious with some children however no treatment completely ameliorates the symptoms of ASD or works for all children with the disorder. The heterogeneity and developmental nature of the disorder make it unlikely that one specific treatment will be best for all children, or will work for any one child throughout his or her educational career. Thus, this paper examines early research validating different technologies for individualizing treatment. A discussion of current research on pre-treatment characteristics associated with differential outcomes in treatment, including child, family, and practitioner variables; and how specific intervention techniques address each of those pre-treatment characteristics is provided. The ultimate goal of this line of research is to enable practitioners to prospectively tailor treatments to specific children and increase the overall rate of positives outcomes for children with autism. Research that furthers understanding of how to match clients with efficacious treatments will decrease the outcome variability that characterizes early intervention research at present, and provide for the most efficient allocation of resources during the critical early intervention time-period. This type of research is in its infancy, but is imperative if we are to determine a priori which treatment method will be most effective for a specific child.