早期介入丹佛模式基础上联合神经反馈训练对孤独症谱系障碍儿童效果的随机对照试验
Effect of neurofeedback training based on early start Denver model on children with autism spectrum disorder:a randomized controlled trial
吕倩倩 1王萌萌 1吴易凌 2杨晓真 3马玲玲 1赵亚萍 1肖瑶 1桑杲4
作者信息
- 1. 杭州市儿童医院康复科,浙江杭州市 310005
- 2. 浙江中医药大学,浙江杭州市 310005
- 3. 杭州师范大学,浙江杭州市 310005
- 4. 杭州市儿童医院康复科,浙江杭州市 310005;浙江中医药大学,浙江杭州市 310005
- 折叠
摘要
目的 分析在早期介入丹佛模式(ESDM)基础上联合神经反馈训练对孤独症谱系障碍(ASD)儿童的效果.方法 2020年8月至2024年5月,杭州市儿童医院60例ASD儿童随机分为对照组和观察组,每组30例.对照组接受ESDM治疗,观察组接受神经反馈训练联合ESDM治疗,共6个月.治疗前后采用中文版孤独症治疗评定量表(ATEC)和中文版儿童心理教育评估第3版(PEP-3)进行评定.结果 治疗后,观察组ATEC评分低于对照组(t=3.545,P<0.05),PEP-3认知(t=2.236,P=0.029)、情感表达(t=2.293,P=0.025)、问题行为(Z=2.099,P=0.036)评分高于对照组;观察组ATEC评分治疗前后差值(Z=3.620,P<0.001),以及PEP-3认知(Z=2.920,P=0.004)、问题行为(Z=4.209,P<0.001)治疗前后差值均高于对照组.结论 联合神经反馈训练能促进ESDM对ASD儿童的效果.
Abstract
Objective To analyze the effect of neurofeedback training based on early start Denver model(ESDM)on children with autism spectrum disorder(ASD).Methods From August,2020 to May,2024,a total of 60 children with ASD from Hangzhou Children's Hospital were randomly divided into control group(n=30)and observation group(n=30).The control group received ESDM intervention,while the observation group received neurofeedback training in addition,for six months.They were assessed with Autism Treatment Evaluation Checklist(ATEC)and Psycho-Educational Profile-3rd Edition(PEP-3).Results After treatment,the score of ATEC was lower in the observation group than in the control group(t=3.545,P<0.05),the scores of cognition(t=2.236,P=0.029),emotional expression(t=2.293,P=0.025)and problem be-havior(Z=2.099,P=0.036)were higher in the observation group than in the control group.The score differenc-es of ATEC(Z=3.620,P<0.001),and cognition(Z=2.920,P<0.05)and problem behaviors(Z=4.209,P<0.05)of PEP-3 before and after intervention were higher in the observation group than in the control group.Conclusion Combination of neurofeedback training could improve the effect of ESDM on ASD.
关键词
孤独症谱系障碍/儿童/神经反馈训练/早期介入丹佛模式/随机对照试验Key words
autism spectrum disorder/children/neurofeedback training/early start Denver model/randomized controlled trial引用本文复制引用
基金项目
杭州市卫生科技计划重点项目(ZD20200135)
出版年
2024
国家科技期刊平台
NSTL
万方数据