Efficacy of early interventions for infants and young children with, and at risk for, autism spectrum disorders.

Efficacy of early interventions for infants and young children with, and at risk for, autism spectrum disorders.
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DOI:
10.1080/09540261.2018.1432574
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发表时间:
2018-03
期刊:
International review of psychiatry (Abingdon, England)
影响因子:
--
通讯作者:
Landa RJ
Landa RJ
中科院分区:
其他
文献类型:
--
作者:
Landa RJ

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随着该领域在年轻时识别自闭症谱系障碍(ASD)的能力的进步,对早期干预证据基础信息的需求不断增加。这篇关于ASD早期干预(EI)文献的综述主要集中在过去15年内发表的疗效研究。早期干预的神经发育背景下,开始干预的时机,主要干预方法,治疗结果的预测因素进行了讨论。有证据表明,ASD的幼儿受益于EI,他们的父母学习实施儿童响应的参与策略时,提供家长辅导干预。证据支持结合父母介导的和直接的临床医生实施的干预,以最大限度地提高儿童的发展收益。临床实践的建议,根据文献综述。
With advances in the field’s ability to identify autism spectrum disorders (ASD) at younger ages, the need for information about the evidence-base for early intervention continues to rise. This review of the ASD early intervention (EI) literature focuses on efficacy studies published within the past 15 years. The neurodevelopmental context for early intervention, timing of initiating intervention, primary intervention approaches, and predictors of treatment outcomes are discussed. The evidence indicates that young children with ASD benefit from EI, and their parents learn to implement child-responsive engagement strategies when a parent-coaching intervention is provided. Evidence supports combining parent-mediated and direct clinician-implemented intervention to maximize child developmental gains. Clinical practice recommendations are presented, based on the literature reviewed.
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