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目的:探讨早期介入丹佛模式(ESDM)在孤独症儿童早期干预中的应用效果。方法:孤独症患儿40例随机分为观察组和对照组,每组各20例。对照组接受常规干预,观察组在常规干预的基础上给予ESDM为指导的康复干预。干预前后采用儿童孤独症评定量表(CARS)进行评估。结果:经过8周共80节的干预课程后,观察组儿童在人际关系、模仿、情感反应、感知觉、语言交流等能力上有显著提高(P<0.05);观察组和对照组儿童的CARS总得分存在显著差异(P<0.05),接受ESDM干预的儿童的孤独症行为表现改善明显。结论:早期介入丹佛模式方法可以改善3-5岁孤独症儿童在社交互动、沟通交流、情感反应等方面的行为表现。
Objective: To investigate the effect of interventional early-intervention Denver model (ESDM) in the early intervention of children with autism. Methods: 40 children with autism were randomly divided into observation group and control group, with 20 cases in each group. The control group received routine intervention, and the observation group received ESDM-guided rehabilitation intervention on the basis of routine intervention. Children’s autism questionnaire (CARS) was used to evaluate before and after intervention. Results: After 8 weeks of 8 weeks of intervention courses, children in observation group had significantly improved ability of interpersonal relationship, imitation, emotional reaction, sensory perception and language communication (P <0.05). In observation group and control group, children’s CARS The total score was significantly different (P <0.05), children receiving ESDM intervention autistic behavior improved significantly. CONCLUSIONS: The early intervention of the Denver model can improve behavioral performance in children aged 3 to 5 years with regard to social interaction, communication, and emotional responses.