Clinical outcomes of interactive, intensive and individual (3i) play therapy for children with ASD: a two-year follow-up study.
Clinical outcomes of interactive, intensive and individual (3i) play therapy for children with ASD: a two-year follow-up study.
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DOI：
10.1186/s12887-018-1126-7
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发表时间：
2018-05-12
期刊：
影响因子：
2.4
通讯作者：
Saint-Georges C
中科院分区：
文献类型：
--
作者：
Tilmont Pittala E;Saint-Georges-Chaumet Y;Favrot C;Tanet A;Cohen D;Saint-Georges C
自闭症谱系障碍(ASD)合并重度至中度智力残疾(ID)的心理教育干预的结果没有充分的文献记载。在这项前瞻性研究中，我们考察了一种基于游戏疗法的发展个体化、互动性和集约化的方法，称为3i方法。纳入20例DSM-IV-TRASD患者(平均年龄63.8 ± 37.8个月；平均发育年龄19.5 ± 6.6个月)，并遵循3I方法24个月。在基线和24个月后使用VABS、PEP-R和Nadel模仿量表评估发展和行为技能。使用儿童自闭症评定量表(CARS)和自闭症诊断访谈(ADI-R)评估自闭症的严重程度。两年后，我们的三个主要结果变量显著增加(VABs社会化发育年龄增加了83%，交流年龄增加了34%，Nadel模仿评分增加了53%)。几乎所有的VAB和PEP-R结构域都有显著改善。此外，VABs社会化评分的增加与总治疗小时数和CARS评分呈正相关；所有ADI-R区域均显著减少；47.5%的受试者诊断发生了变化(PDD-NOS为37%，无PDD的ID为10.5%)。遵循3i方法2年的儿童行为和发展技能显著改善，自闭症严重程度明显下降。这些结果表明，通过改善自闭症儿童与社会环境的日常互动，3i方法可能对他们有用。于2014年5月20日由法国药品和卫生局(ANSM)追溯注册，编号为ID-RCB 2014-A00542-45，编号：B148558-31。本文的在线版本(10.1186/s12887-0181126-7)包含向授权用户提供的补充材料。
The outcomes of psycho-educational interventions for Autism Spectrum Disorders (ASDs) comorbid with severe to moderate intellectual disability (ID) are insufficiently documented. In this prospective study, we examined a developmental individual, interactive and intensive approach, called the ‘3i method’, which is based on play therapy. Twenty DSM-IV-TR ASD subjects (mean chronological age 63.8 ± 37.8 months; mean developmental age 19.5 ± 6.6 months) were included and followed the 3i method for 24 months. Developmental and behavioural skills were assessed at baseline and after 24 months using the VABS, PEP-R and Nadel Imitation scale. Autism severity was evaluated using the Child Autism Rating Scale (CARS) and the Autism Diagnostic Interview (ADI-R). After 2 years of the 3i method, our 3 primary outcome variables significantly increased (VABS developmental age of socialization increased by 83%, age of communication by 34%, and Nadel Imitation score by 53%). Almost all VABS and PEP-R domains significantly improved. Additionally, increases in the VABS socialization score were positively correlated with the total number of treatment hours and CARS score; all ADI-R areas significantly decreased; and diagnoses had changed in 47.5% of the subjects (37% for PDD-NOS and even 10.5% for ID without PDD). Children who followed the 3i method for 2 years had significantly improved behavioural and developmental skills and showed a clear decrease in autism severity. These results suggest that the 3i method may be useful for autistic children by improving their daily interactions with their social environment. was retrospectively registered on May 20th, 2014 by the French Agency for drug and health (ANSM) under number ID-RCB 2014-A00542–45, reference: B148558–31. The online version of this article (10.1186/s12887-018-1126-7) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/j.jaac.2012.02.019
发表时间：
2012-05-01
影响因子：
13.3
作者：
Kasari, Connie;Gulsrud, Amanda;Hellemann, Gerhard
通讯作者：
Hellemann, Gerhard
影响因子：
1.5
作者：
Alwinesh, Merlin Thanka Jemi;Joseph, Rachel Beulah Jansirani;Russell, Paul Swamidhas Sudhakar
通讯作者：
Russell, Paul Swamidhas Sudhakar
影响因子：
3.9
作者：
Baghdadli, Amaria;Assouline, Brigitte;Pry, Rene
通讯作者：
Pry, Rene
DOI：
10.1016/j.jaac.2012.08.018
发表时间：
2012-11
影响因子：
13.3
作者：
Dawson G;Jones EJ;Merkle K;Venema K;Lowy R;Faja S;Kamara D;Murias M;Greenson J;Winter J;Smith M;Rogers SJ;Webb SJ
通讯作者：
Webb SJ
影响因子：
3.9
作者：
Koegel RL;Bradshaw JL;Ashbaugh K;Koegel LK
通讯作者：
Koegel LK