| 谯文文,沈雪梅.地板时光疗法对孤独症患儿临床症状及功能性情绪的影响[J].四川精神卫生杂志,2025,(4):352-356.Qiao Wenwen,Shen Xuemei,Effect of floortime therapy on clinical symptoms and functional emotional development in children with autism spectrum disorder[J].SICHUAN MENTAL HEALTH,2025,(4):352-356 |
| 地板时光疗法对孤独症患儿临床症状及功能性情绪的影响 |
| Effect of floortime therapy on clinical symptoms and functional emotional development in children with autism spectrum disorder |
| 投稿时间：2024-08-04 |
| DOI：10.11886/scjsws20240804001 |
| 中文关键词: 孤独症 地板时光疗法 疗效 |
| 英文关键词:Autism spectrum disorders Floor time therapy Efficacy |
| 基金项目:绵阳市卫生健康委员会2022年鼓励科研项目（项目名称：孤独症地板时光治疗疗效及影响因素研究，项目编号：202245） |
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| 中文摘要: |
| 背景 地板时光疗法（FTT）作为一种以儿童为中心的干预方法，在孤独症谱系障碍（ASD）患儿的康复训练中越来越受到广泛关注。目前，国内关于FTT在ASD患儿治疗中的研究有限。目的 探讨FTT对ASD患儿干预的效果，以期为ASD患儿的康复治疗提供参考。方法 纳入2022年1月—2023年12月在绵阳市第三人民医院儿童心理卫生科进行康复训练的、符合《精神障碍诊断与统计手册（第5版）》（DSM-5）ASD诊断标准的儿童为研究对象（n=30）。对ASD患儿进行为期9个月的地板时光疗法治疗。于治疗前和治疗第3、6、9个月后，采用孤独症评定量表（CARS）和功能性情绪评估量表（FEAS）进行评定。结果 ASD患儿CARS评分、FEAS总评分的时间效应均有统计学意义（F=43.184、80.232，P均<0.01）。治疗第3、6、9个月，ASD患儿CARS评分均低于治疗前，差异均有统计学意义（t=5.232、11.997、16.600，P均<0.01），FEAS总评分均高于治疗前，差异均有统计学意义（t=-4.048、-10.566、-14.615，P均<0.01）。结论 FTT治疗可能有助于改善患儿的功能性情绪能力并减轻ASD症状。 |
| 英文摘要: |
| Background Floortime therapy（FTT） as a child-centered intervention approach， has gained increasing attention in the rehabilitation training of children with Autism Spectrum Disorder （ASD）. In recent years， it has shown unique advantages and potentials in the education and treatment of autistic children.Currently， domestic research on the application of FTT in ASD treatment remains limited.Objective To explore the intervention effects of FTT on children with ASD， so as to provide references for rehabilitation treatment.Methods A total of 30 children diagnosed with ASD according to the Diagnostic and Statistical Manual of Mental Disorders， Fifth Edition （DSM-5） criteria，and receiving rehabilitation training at the Child Mental Health Department in the Third Hospital of Mianyang were enrolled from January 2022 to December 2023. All participants received FTT for 9 months. Assessments were conducted using the Childhood Autism Rating Scale （CARS） and the Functional Emotional Assessment Scale （FEAS） at baseline， and the 3rd， 6th， and 9th month of intervention.Results The time effects on CARS score and total FEAS score in children with ASD were both statistically significant （F=43.184， 80.232， P<0.01 ）. At the 3rd， 6th and 9th months of treatment， the CARS scores of ASD children were significantly lower than baseline （t=5.232， 11.997， 16.600， P<0.01 ）， while the total FEAS scores were significantly higher than baseline（t=-4.048， -10.566， -14.615， P<0.01 ）.Conclusion FTT may help to improve the functional emotional capacities and alleviate ASD symptoms in children.［Funded by The 2022 Incentive Research Project of Health Commission of Mianyang City （number，202245）］ |
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