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【目的】通过整合疗法干预孤独症儿童,观察他们共同注意行为和情绪认知在干预前后的变化,探讨整合疗法对孤独症儿童社会认知的临床效果。【方法】将孤独症患儿42例分为干预组24例、对照组18例。干预组采用整合疗法进行干预,时间6个月;对照组为未能接受系统干预的孤独症儿童。干预前后,分别对两组孤独症患儿的共同注意行为发生情况、识别他人面部表情的正确率进行记录、处理和统计分析。【结果】干预前,干预组和对照组的共同注意行为与识别他人面部表情的正确率差异无显著性(P>0.05)。干预后,干预组共同注意行为的发生和识别他人面部表情的正确率明显提高,与对照组差异有显著性(P<0.05)。【结论】整合疗法有助于改善和促进孤独症儿童社会认知的发展,可以作为临床上干预孤独症儿童的操作模式之一。
【Objective】 To investigate the effect of integrated therapy on the social cognition of children with autism through interventional treatment of autistic children, observing the changes of their common attention behavior and emotion cognition before and after intervention. [Methods] 42 children with autism were divided into intervention group (24 cases) and control group (18 cases). The intervention group was treated with integrated therapy for 6 months, while the control group was autistic children who did not receive systematic intervention. Before and after intervention, the incidence of common attention behavior in children with autism in both groups were recorded, processed and statistically analyzed to identify the correct rate of facial expressions of other people. [Results] Before intervention, there was no significant difference between the common attention behavior of the intervention group and the control group and the recognition rate of the facial expression of other people (P> 0.05). After the intervention, the correct attention rate of behavior and occurrence of facial expression in the intervention group was significantly increased, which was significantly different from the control group (P <0.05). 【Conclusion】 Integrated therapy can help to improve and promote the social cognition of children with autism, and can be used as one of the operation modes of intervention for children with autism.