犬辅助干预对孤独症家庭功能的影响

doi:10.3969/j.issn.1006-9771.2021.10.010

Abstract

Abstract:

Objective To evaluate the effect of canine-assisted therapy on family function of autism spectrum disorder.Methods The randomized controlled trials (RCT) about the effect of canine-assisted therapy on family function of autism spectrum disorder were retrieved from the Cochrane Library, PubMed, Web of Science, CNKI, CBM, VIP, and Wanfang Data from establishment to February, 2021. Brief Family Assessment Measure-III-General Scale (FAM-III-GS) was used to access the family function, and Children's Depression Inventory-Second Edition (CDI-2) and Spence Children's Anxiety Scale (SCAS) were used to access the psychological behavior. The quality of included studies was evaluated according to the method recommended by the Cochrane Collaboration and Joanna Briggs Institute Reviewers' manual. RevMan 5.4 software was used for meta-analysis.Results Finally, four RCTs involving 190 patients were included. There were too less RCTs to do a meta-analysis. Two RCTs showed that the score of FAM-III-GS improved in the experimental group than in the control group. Conclusion Canine-assisted therapy might improve the family function of patients with autism spectrum disorder.

Key words: autism spectrum disorder, canine-assisted therapy, family function, meta-analysis

CLC Number:

R749.9

HU Jin-jing,BAI Zi-rong,MIAO Shi-yao,WANG Yan,WANG Meng,GAO Hai-xia. Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(10): 1199-1204.

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References 22

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纳入研究	国家	n(试验组/对照组)	平均年龄(岁)	干预措施	疗程	具体方法	评估时间点	结局指标
Wright等^[10](2015)	英国	42/28	8.67±3.34	试验组：养犬对照组：空白	3~10周	养犬	干预前17周、干预3~10周后、干预25~40周后随访	FAM-III-GS评分改善;SCAS评分下降
Hall等^[11](2016)	英国	22/14	(11.63±0.06)/(11.21±1.19)	试验组：养犬对照组：空白	3~10周	养犬	干预前17周、干预2年后随访	FAM-III-GS评分改善;PSI-SF评分下降
Joanna等^[12](2017)	美国	17/14	(10±1.7)/ (12±1.6)	试验组：犬辅助社交训练对照组：传统社交训练	每周1 h,共12周	与犬互动：包括抚摸犬、与犬打招呼、牵犬、为犬梳毛等	干预前、干预12周后	CDI-2、RMET、SLDT、SRS-2均于治疗后改善,但两组间无显著性差异
Wijker等^[13](2020)	荷兰	27/26	18~60	试验组：犬辅助治疗对照组：空白	每周1 h一对一治疗,共10周	1对1结构化治疗	干预前、干预10周后、随访10周	PSS、SCL90-R、RSES、SRS-A均无显著性改善

纳入研究	条目1	条目2	条目3	条目4	条目5	条目6	条目7	条目8	条目9	条目10	条目11	条目12	条目13	证据等级
Wright等^[10](2015)	是	不清楚	是	否	否	是	是	否	是	是	是	是	否	A
Hall等^[11](2016)	是	不清楚	是	否	否	是	是	是	是	是	是	是	否	A
Joanna等^[12](2017)	是	否	是	否	否	是	否	否	是	是	是	是	否	B
Wijker等^[13](2020)	是	不清楚	是	否	否	是	是	是	是	是	是	是	否	A

Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder

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