地板时光治疗对孤独症患儿临床症状及功能性情绪的影响
The Impact of Floortime Therapy on Clinical Symptoms and Functional Emotional Development in Children with Autism Spectrum Disorder
投稿时间:2024-08-04  修订日期:2025-08-31
DOI:
中文关键词:  孤独症,地板时光治疗,疗效
英文关键词:Autism spectrum disorders  Floor time therapy  Efficacy
基金项目:绵阳市卫健委2022年鼓励科研项目
作者单位地址
谯文文 四川省精神卫生中心(绵阳市第三人民医院) 四川省绵阳市涪城区富临东方广场
沈雪梅* 四川省精神卫生中心(绵阳市第三人民医院) 绵阳市第三人民医院
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中文摘要:
      【摘要】 背景 地板时光疗法作为一种以儿童为中心的干预方法,在孤独症(ASD)患儿的康复训练中越来越受到广泛关注,目前国内关于地板时光疗法在ASD患儿治疗中的研究有限。目的 探讨地板时光疗法对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。于治疗前和治疗第3、6、9个月后,采用孤独症评价量表(CARS)和功能性情绪评估量表(FEAS)进行评定。结果 重复测量协方差分析结果显示,不同时间节点CARS评分、FEAS总评分的差异性均有统计学意义(F=43.184、80.232,P均<0.05)。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:
      【Abstract】 Background Floor time therapy, as a child-centered intervention method, especially in the rehabilitation training of autistic children, has attracted more and more attention from the society. In recent years, it has shown unique advantages and potentials in the education and treatment of autistic children. At present, there are limited studies on floor time therapy in the treatment of autistic children in China. Objective To explore the effect of floor time therapy in autism intervention, in order to improve data support and penetration rate of floor time therapy, and provide more powerful support for the recovery and development of children with autism. Methods Among the children who underwent rehabilitation training in the Children's Mental Health Department of Mianyang City Third People's Hospital from February 2022 to October 2022, 30 children with ASD meeting the "Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition)"(DSM-5) were randomly selected, and 30 children (3 to 6 years old) were treated with floor time for 9 months respectively. The children's performance before treatment and after 3 months of treatment were compared. Autism Assessment Scale (CARS) and Functional Emotional Assessment Scale (FEAS) scores after 6 months of treatment and 9 months of treatment. Results The time effects for both the CARS scores and the total FEAS scores in children with ASD were statistically significant (F=43.184, 80.232, P<0.05 ). At the 3rd, 6th and 9th months of treatment, the CARS scores of children with ASD were lower than those before treatment, and the differences were statistically significant (t=5.232, 11.997, 16.600, P<0.01 ). The total scores of FEAS were higher than those before treatment, and the differences were statistically significant (t=-4.048, -10.566, -14.615, P<0.01 ). Conclusion FTT treatment can improve the functional emotional ability of children and reduce the symptoms of autism.
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