中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (6): 626-630.

• 临床研究与分析 • 上一篇    下一篇

影响孤独症谱系障碍儿童短期转归因素的初步探讨

王媛,王吉,梁爽,王佳,孙彩虹,武丽杰   

  1. 哈尔滨医科大学公共卫生学院,黑龙江 哈尔滨 150086
  • 收稿日期:2013-05-06 发布日期:2013-06-06 出版日期:2013-06-06
  • 通讯作者: 武丽杰,E-mail:wulijiehyd@126.com
  • 作者简介:王媛(1986-),女,吉林人,研究生在读,主要研究方向为儿童发育行为问题。
  • 基金资助:
    国家自然科学基金项目(81072298); 黑龙江省教育厅项目(12531409)

Preliminary study on influencing factors of short-term outcome in children with autism spectrum disorder.

WANG Yuan,WANG Ji,LIANG Shuang,WANG Jia,SUN Cai-hong,WU Li-jie.   

  1. Public Health College,Harbin Medical University,Harbin,Heilongjiang 150086,China
  • Received:2013-05-06 Online:2013-06-06 Published:2013-06-06

摘要: 目的 探讨孤独症谱系障碍(autism spectrum disorder,ASD)儿童干预过程中转归的影响因素,为更好地建立综合干预模式提供依据。 方法 收集ASD患儿发育水平(DQ)、沟通能力、行为问题及转归等相关信息,并进行6个月短期追踪,在干预前后进行0、3、6个月共3次评估。 结果 干预6个月与干预0个月相比,PEP-3的沟通和行为变化显著(F=43.61,12.26,P均<0.01)。干预时间越长,患儿的沟通和行为能力的良好转归就越显著(β=3.885 2、5.163 9,P均<0.01)。初始DQ、康复训练持续性和干预训练强度对沟通转归起正性作用(β=0.265 5、0.905 9、0.028 4,P均<0.05);初始DQ、配合家庭训练对行为的转归起正性作用(β=0.227 8、3.889 2,P均<0.01)。 结论 6个月短期干预后,患儿沟通能力和行为特征均有明显改善。初始发育水平、训练持续性和持久性、训练强度、配合家庭训练与否均对其转归有着极为重要的影响。

关键词: 孤独症谱系障碍, 沟通能力, 行为特征, 追踪调查

Abstract: Objective To find out the influencing factors of the short-term intervention outcome for the children with autism spectrum disorder (ASD),and provide a basis for establishing a comprehensive intervention model. Methods The children with ASD were recruited and their information were collected,including DQ level,communication,aberrant behavior and outcome.All ASD patients were followed up for 6 months and they were administered assessments in 0,3 and 6 months after intervention,respectively. Results After intervention 6 months,PEP-3 communication and behavior changed significantly(F=43.61,12.26,all P<0.01).The longer of intervention duration,the better of patients' outcome in communication and behavioral abilities(β=3.885 2,5.163 9,all P<0.01).Initial DQ and training intensity had positive effects on communication outcome(β=0.265 5,0.905 9,0.028 4,all P<0.05),inversely,uncontinuous training played a negative role(β=-0.876 2,P<0.01).Initial DQ and family training had positive effects on behavior outcome (β=0.227 8,3.889 2,all P<0.01). Conclusion There are significant improvements after short-term intervention for six months.Initial DQ,continuous training,training intensity and family training play extremely important roles to intervention outcomes.

Key words: autism spectrum disorder, communication skills, behavioral characteristics, longitudinal survey

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