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1.北京大学第六医院/北京大学精神卫生研究所/国家卫生健康委员会精神卫生学重点实验室(北京大学)/国家精神心理疾病临床医学研究中心 北京 100083
2.北京阿叟阿巴科技有限公司 北京 100085
孙秉玺 博士;研究方向:儿童精神病学
蔡赵娜 硕士;研究方向:儿童早期干预
刘靖,E-mail:ljyuch@bjmu.edu.cn
纸质出版日期:2024-09-15,
收稿日期:2024-07-12,
移动端阅览
孙秉玺,蔡赵娜,李雪等.数字化认知干预对孤独症谱系障碍儿童认知能力的改善效果[J].中国听力语言康复科学杂志,2024,22(05):550-554.
SUN Bing-xi,CAI Zhao-na,LI Xue,et al.The Improvement Effects of Digital Cognitive Intervention on Cognitive Ability of Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):550-554.
孙秉玺,蔡赵娜,李雪等.数字化认知干预对孤独症谱系障碍儿童认知能力的改善效果[J].中国听力语言康复科学杂志,2024,22(05):550-554. DOI: 10.3969/j.issn.1672-4933.2024.05.025.
SUN Bing-xi,CAI Zhao-na,LI Xue,et al.The Improvement Effects of Digital Cognitive Intervention on Cognitive Ability of Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):550-554. DOI: 10.3969/j.issn.1672-4933.2024.05.025.
目的
2
探究数字化认知干预对孤独症谱系障碍(autism spectrum disorder,ASD)儿童认知功能的改善效果。
方法
2
选取某康复机构2~8岁ASD儿童43例,随机分为数字化认知干预组(n=24)和常规干预组(n=19)。数字化认知干预组在常规线下干预的基础上接受10周数字化认知干预,常规干预组仅接受10周常规线下干预。使用心理教育量表中文修订第3版(the third edition of the revised chinese version of psycho-educational profile,C-PEP-3)评估两组儿童干预前(基线)和干预后(终点)认知功能和整体发展。
结果
2
终点时,数字化认知干预组C-PEP-3各领域及总发展月龄均显著高于基线时(
P
<
0.05),常规干预组除手眼协调领域外,其余各领域及总发展月龄均显著高于基线时(
P
<
0.05);在认知表现领域和总发展月龄上,数字化认知干预组得分差值(终点值-基线值)显著大于常规干预组(
P
<
0.05);数字化认知干预平均每天训练回合数与C-PEP-3认知表现领域和总发展月龄得分差值呈中度正相关(
r
=0.42~0.57,
P
<
0.05)。
结论
2
数字化认知干预能够有效促进ASD儿童的认知发展和总体能力发展,且训练数量越多,进步越大。
Objective
2
To explore the efficacy of digital cognitive intervention on the cognitive function of children with autism spectrum disorder (ASD).
Methods
2
Forty-three children aged 2-8 years with ASD were recruited from a rehabilitation and randomly divided into a digital cognitive intervention group (n=24) and a conventional intervention group (n=19). The both groups received conventional offline intervention training
while the children in the digital cognitive intervention group received digital cognitive intervention training on this basis for a total of 10 weeks. The cognitive function and overall development of the two groups of children were evaluated before training (baseline) and after training (endpoint) using the Third Edition of the Revised Chinese Version of Psycho-Educational Profile (C-PEP-3).
Results
2
In the digital cognitive intervention group
the developmental months in all fields and total developmental months of C-PEP-3 were significantly higher at the end of training than at baseline (
P
<
0.05). Except for hand-eye coordination
the developmental months of C-PEP-3 in the conventional intervention group were also significantly higher at the end of training than at baseline (
P
<
0.05). The digital cognitive intervention group showed significantly greater progress (endpoint minus baseline) in cognitive performance and overall development of C-PEP-3 than conventional intervention group (
P
<
0.05). The average number of daily training rounds of digital cognitive intervention for children was moderately positively correlated with the progress of cognitive performance and overall development of C-PEP-3 (
r
=0.42-0.57
P
<
0.05).
Conclusion
2
Digital cognitive intervention could effectively promote the cognitive development and overall development of children with ASD
and the more the ASD children participate in the training of digital cognitive intervention
the greater the progress of their cognitive development and overall development.
孤独症谱系障碍数字化认知干预儿童
Autism spectrum disorderDigital cognitive interventionChildren
李雪, 刘靖, 杨文, 等. 高功能孤独症儿童执行功能和心理推理能力特点及临床症状[J]. 中国心理卫生杂志, 2012, 26(8): 584-589.
Yeargin-Allsopp M, Rice C, Karapurkar T, et al. Prevalence of Autism in a US Metropolitan Area [J]. JAMA, 2003, 289(1): 49-55.
Baird G, Simonoff E, Pickles A, et al. Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special needs and Autism Project (SNAP)[J]. Lancet, 2006, 368(9531): 210-215.
Liu J, Bian Y, Yuan Y, et al. Designing and deploying a mixed-reality aquarium for cognitive training of young children with autism spectrum disorder[J]. Sci. China Inf. Sci, 2021, 64(05): 209-211.
Sallows GO, Graupner TD. Intensive behavioral treatment for children with autism: four-year outcome and predictors [J]. AJMR, 2005, 110(6): 417-438.
Virués-Ortega J. Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes [J]. Clin Psychol Rev, 2010, 30(4): 387-399.
Sitdhisanguan K, Chotikakamthorn N, Dechaboon A, et al. Evaluation the efficacy of Computer-Based training using tangible user interface for Low-Function children with autism[C/OL].2008 Second IEEE International Conference on Digital Game and Intelligent Toy Enhanced Learning, IEEE 2008. 70-74.
Zhang Y, Song W, Tan Z, et al. Could social robots facilitate children with autism spectrum disorders in learning distrust and deception [J]. Comput. Hum. Behav, 2019, 98(9): 140-149.
Vyshedskiy A, Khokhlovich E, Dunn R, et al. Novel prefrontal synthesis intervention improves language in children with autism [J]. Healthc, 2020, 8(4): 566-587.
Whitehouse AJ, Granich J, Alvares G, et al. A randomised controlled trial of an iPad-based application to complement early behavioral intervention in Autism Spectrum Disorder [J]. J Child Psychol Psyc, 2017, 58(9): 1042-1052.
Association AP. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition[M]. American Psychiatric Publishing: American Psychiatric Association, 2013. 39-44.
于松梅, 贾美香, 杨晓玲, 等. 孤独症儿童心理教育量表中文版修订的效度和信度[J].中国心理卫生杂志.2015, 29(9): 697-702.
Learn the signs. Act early[J/OL].AAP News,2015,36(2):26-26.
Makrygianni MK, Gena A, Katoudi S, et al. The effectiveness of applied behavior analytic interventions for children with Autism Spectrum Disorder: A meta-analytic study [J]. Res Autism Spectr Disord, 2018, 51(1): 18-31.
Lovaas OI. Behavioral treatment and normal educational and intellectual functioning in young autistic children [J]. J Consult Clin Psychol, 1987, 55(1): 3-9.
Howlin P, Magiati I, Charman T. Systematic review of early intensive behavioral interventions for children with autism [J]. AJIDD, 2009, 114(1): 23-41.
Diamond A, Liang DS. Conclusions about interventions, programs, and approaches for improving executive functions that appear justified and those that, despite much hype, do not [J]. Dev Cogn Neuros-Neth, 2016, 18(6): 34-48.
Giacomo AD, Craig F, Cristella A, et al. Can pep-3 provide a cognitive profile in children with ASD? A comparison between the developmental ages of pep-3 and IQ of Leiter-R[J]. J Appl Res Intellect, 2016, 29(6): 566-573.
Reed P, Osborne LA, Corness M. Relative effectiveness of different home-based behavioral approaches to early teaching intervention [J]. J Autism Dev Disord, 2007, 37(9): 1815-1821.
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