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首页> 外文期刊>Journal of Autism and Developmental Disorders >Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior
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Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior

机译：行为干预和感觉统合疗法在挑战行为治疗中的比较

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摘要

The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior. Results of these assessments were used to design function-based behavioral interventions for each participant. Recommendations for the sensory-integration treatment were designed by an Occupational Therapist, trained in the use of sensory-integration theory and techniques. The sensory-integration techniques were not dependent on the results of the functional assessments. The study was conducted within an alternating treatments design, with initial baseline and final best treatment phase. For each participant, results demonstrated that the behavioral intervention was more effective than the sensory integration therapy in the treatment of challenging behavior. In the best treatment phase, the behavioral intervention alone was implemented and further reduction was observed in the rate of challenging behavior. Analysis of saliva samples revealed relatively low levels of cortisol and very little stress-responsivity across the SIT condition and the behavioral intervention condition, which may be related to the participants’ capacity to perceive stress in terms of its social significance.
机译：本研究的目的是比较感觉统合疗法（SIT）和行为干预对四名被诊断为自闭症谱系障碍儿童的挑战性行为（包括自我伤害行为）发生率的影响。对每个参与者进行了功能评估，以确定保持挑战性行为的变量。这些评估的结果用于为每个参与者设计基于功能的行为干预。感觉统合治疗的建议是由职业治疗师设计的，他们接受了感觉统合理论和技术的使用培训。感觉统合技术不依赖于功能评估的结果。该研究是在交替治疗设计中进行的，包括初始基线和最终最佳治疗阶段。对于每个参与者，结果表明，行为干预比具有挑战性的行为的感觉统合疗法更有效。在最佳治疗阶段，仅实施了行为干预，并且观察到挑战性行为的发生率进一步降低。唾液样品的分析显示，在SIT条件和行为干预条件下，皮质醇水平相对较低，应激反应性极低，这可能与参与者从社会意义上感知压力的能力有关。

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