Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior
Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior
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DOI：
10.1007/s10803-010-1149-x
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发表时间：
2011-10-01
影响因子：
3.9
通讯作者：
Hughes, Brian M.
中科院分区：
文献类型：
--
作者：
Devlin, Sarah;Healy, Olive;Hughes, Brian M.
本研究的目的是比较感觉统合疗法 (SIT) 和行为干预对四名被诊断患有自闭症谱系障碍的儿童的挑战性行为（包括自残行为）发生率的影响。对每个参与者进行功能评估，以确定维持挑战性行为的变量。这些评估的结果用于为每个参与者设计基于功能的行为干预措施。感觉统合治疗的建议由接受过感觉统合理论和技术使用培训的职业治疗师设计。感觉统合技术不依赖于功能评估的结果。该研究是在交替治疗设计中进行的，具有初始基线和最终最佳治疗阶段。对于每位参与者，结果表明，在治疗挑战性行为方面，行为干预比感觉统合疗法更有效。在最佳治疗阶段，仅实施行为干预，观察到挑战行为发生率进一步降低。对唾液样本的分析显示，在 SIT 条件和行为干预条件下，皮质醇水平相对较低，压力反应性也很小，这可能与参与者感知压力的社会意义的能力有关。
The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior. Results of these assessments were used to design function-based behavioral interventions for each participant. Recommendations for the sensory-integration treatment were designed by an Occupational Therapist, trained in the use of sensory-integration theory and techniques. The sensory-integration techniques were not dependent on the results of the functional assessments. The study was conducted within an alternating treatments design, with initial baseline and final best treatment phase. For each participant, results demonstrated that the behavioral intervention was more effective than the sensory integration therapy in the treatment of challenging behavior. In the best treatment phase, the behavioral intervention alone was implemented and further reduction was observed in the rate of challenging behavior. Analysis of saliva samples revealed relatively low levels of cortisol and very little stress-responsivity across the SIT condition and the behavioral intervention condition, which may be related to the participants' capacity to perceive stress in terms of its social significance.