治疗性聆听对孤独症谱系障碍儿童社会交往功能的疗效

doi:10.3969/j.issn.1006-9771.2024.03.015

摘要/Abstract

摘要：

目的观察治疗性聆听对孤独症谱系障碍(ASD)儿童在社会交往功能方面的影响。

方法 2022年1月至2023年1月，北京博爱医院ASD儿童40例随机分为A组(n = 20)和B组(n = 20)，两组均接受基础康复治疗和常规作业治疗，B组在常规作业治疗的同时进行治疗性聆听训练，共8周。治疗前后采用残疾儿童功能评定量表(PEDI)、儿童孤独症评定量表(CARS)、孤独症行为量表(ABC)、Peabody运动发育量表第2版(PDMS-2)和加拿大作业活动行为评估(COPM)进行评定。

结果治疗后，两组各项指标均明显改善(|t| > 3.194, P < 0.01)，除ABC评分外， B组各项指标均优于A组(|t| > 2.122, P < 0.05)。

结论在常规作业治疗的基础上进行治疗性聆听训练，可以更有效地改善ASD儿童的感觉处理障碍和社会交往功能。

关键词: 孤独症谱系障碍, 治疗性聆听, 作业治疗, 社会交往

Abstract:

Objective To observe the effect of therapeutic listening on social interaction function in children with autism spectrum (ASD) disorder.

Methods From January, 2022 to January, 2023, 40 ASD children in Beijing Bo'ai Hospital were randomly divided into group A (n = 20) and group B (n = 20). Both groups received routine rehabilitation and occupational therapy, while group B received therapeutic listening as occupational therapy, for eight weeks. They were assessed with Pediatric Evaluation of Disability Inventory (PEDI), Childhood Autism Rating Scale (CARS), Autism Behavior Checklist (ABC), Peabody Developmental Motor Scales 2 (PDMS-2) and Canadian Occupational Performance Measure (COPM) before and after treatment.

Results All the indexes improved in both groups after treatment (|t| > 3.194, P < 0.01), and they were better in group A than in group B (|t| > 2.122, P < 0.05), except the score of ABC.

Conclusion Combination of therapeutic listening is more effective on sensory processing and social interaction in ASD children.

Key words: autism spectrum disorders, therapeutic listening, occupational therapy, social interaction

中图分类号:

R749.94

刘萍, 及翔, 王林平, 黄富表. 治疗性聆听对孤独症谱系障碍儿童社会交往功能的疗效[J]. 《中国康复理论与实践》, 2024, 30(3): 362-367.

LIU Ping, JI Xiang, WANG Linping, HUANG Fubiao. Effect of therapeutic listening on social interaction function in children with autism spectrum disorder[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(3): 362-367.

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组别	n	性别(男/女)/n	年龄/岁	疾病严重程度 (轻中度/重度)/n
A组	20	13/7	4.52±1.22	10/10
B组	20	16/4	4.53±0.95	11/9
χ²/t值		0.129	0.030	0.100
P值		0.288	0.976	0.752

组别	n	试验前	试验后	t值	P值
A组	20	38.98±12.48	42.12±10.46	-4.962	< 0.001
B组	20	44.73±14.34	51.55±13.33	-5.033	< 0.001
t值		-1.351	-2.488
P值		0.185	0.018

组别	n	试验前	试验后	t值	P值
A组	20	38.10±5.54	37.10±5.51	4.110	0.001
B组	20	37.33±5.49	32.80±4.57	6.821	< 0.001
t值		0.444	2.689
P值		0.660	0.011

组别	n	试验前	试验后	t值	P值
A组	20	67.05±19.46	64.20±19.07	3.194	0.005
B组	20	68.65±18.38	54.90±15.63	6.735	< 0.001
t值		-0.267	1.687
P值		0.791	0.100

组别	n	试验前	试验后	t值	P值
A组	20	88.05±25.47	93.00±26.63	-3.709	0.001
B组	20	95.40±22.93	109.15±21.20	-8.486	< 0.001
t值		-0.959	-2.122
P值		0.344	0.041