青少年及成年孤独症谱系障碍患者社交技能训练的疗效Effect of social skills training for adolescence and adult with autism spectrum disorder
阳雨露;王慧;马增慧;尹婷妮;吉兆正;孙娅京;汤欣舟;宫小云;王铎;李磊;李雪;刘靖;
摘要(Abstract):
目的:探讨社交技能训练对青少年和成人孤独症谱系障碍(ASD)患者社会交往障碍的疗效。方法:入组符合美国精神障碍诊断与统计手册第5版(DSM-5)ASD诊断标准的12~30岁被试44例,分为训练组(n=22)和对照组(n=22)。对训练组进行为期14周的社交技能训练,训练前(基线)和训练结束(终点)时,对两组患者进行异常行为量表(ABC)和社交反应量表(SRS)的评定以及心理推理任务和执行功能测查任务的评估。结果:训练组终点的ABC总分和社会退缩因子分,SRS总分和社交知觉、社交认知、社交沟通因子分均低于基线(均P<0.05),心理推理的二级错误信念任务的通过率高于基线(P<0.05),执行功能的Rey复杂图形记忆任务中的延迟记忆结构分、延迟记忆细节分高于基线,连线测验中的数字字母连线时间、B测验完成时-A测验完成时短于基线(均P<0.05)。而对照组在终点时,除ABC社会退缩因子外,其余上述项目与基线时相比差异均无统计学意义(均P>0.05)。结论:社交技能训练能够有效改善青少年和成年ASD患者的整体症状和社会交往障碍,还能有效提高青少年和成年ASD患者的心理推理能力和执行功能。
关键词(KeyWords): 孤独症谱系障碍;社交技能训练;疗效;干预研究
基金项目(Foundation): 国家重点研发计划(2017YFC1309900);; 国家自然科学基金(81571339);; 北京市科技计划(Z171100001017088)
作者(Author): 阳雨露;王慧;马增慧;尹婷妮;吉兆正;孙娅京;汤欣舟;宫小云;王铎;李磊;李雪;刘靖;
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DOI:
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