Outcome for children with autism receiving early and intensive behavioral intervention in mainstream preschool and kindergarten settings

Outcome for children with autism receiving early and intensive behavioral intervention in mainstream preschool and kindergarten settings
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DOI:
10.1016/j.rasd.2011.09.002
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发表时间:
2012-04-01
影响因子:
2.5
通讯作者:
Karlsson, Peter
Karlsson, Peter
中科院分区:
医学3区
文献类型:
--
作者:
Eikeseth, Svein;Klintwall, Lars;Karlsson, Peter

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自闭症儿童早期强化行为干预(EIBI)的证据在几项有效性研究中得到了充分的证实。然而,只有少数研究调查了EIBI在社区环境中的有效性。本研究探讨了接受一年EIBI的儿童(N = 35)是否会比接受常规治疗的儿童(TAU; N = 24)在适应行为方面获得更大的收益。在摄入量,组没有显着不同的实足年龄或适应行为的水平。治疗一年后,EIBI组的儿童在适应行为的所有量表上的得分均显著高于接受TAU的儿童。此外,EIBI组的儿童在治疗一年后在适应行为,适应不良行为和自闭症症状方面表现出显着改善,这种变化持续到治疗的第二年,尽管程度较低。该研究的局限性包括缺乏对接受EIBI的儿童的独立评估,以及缺乏将参与者随机分配到治疗组。(C)2011爱思唯尔有限公司保留所有权利。
The evidence for Early and Intensive Behavioral Intervention (EIBI) for children with autism is well founded in several efficacy studies. However, only a few studies have investigated the effectiveness of EIBI in community settings. This study examined whether children receiving one year of EIBI (N = 35) would make larger gains in adaptive behaviors than a group of children receiving treatment as usual (TAU; N = 24). At intake, the groups did not differ significantly on chronological age or level of adaptive behavior. After one year of treatment, children in the EIBI group scored significantly higher on all scales of adaptive behavior as compared to the children receiving TAU. Moreover, children in the EIBI group showed significant improvements in adaptive behaviors, maladaptive behaviors, and autism symptoms after one year of treatment, and this change continued into the second year of treatment, albeit to a lesser degree. Limitations of the study include lack of independent assessments of children receiving EIBI, and lack of random assignment of participants to treatment groups. (C) 2011 Elsevier Ltd. All rights reserved.