持续唾液包裹导致喂食管依赖:居家行为分析治疗

IF 0.8 4区 心理学 Q4 PSYCHIATRY
Tessa Taylor, Nikolas F. Roglić
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引用次数: 0

摘要

唾液包装可能是最严重的危及生命和最难治疗的行为之一。一名患有自闭症谱系障碍和智力障碍的 9 岁男童对鼻胃管(NG)的依赖性高达 100%,适应行为(说话、如厕、用手、上学、睡眠)明显倒退。他参加了一项强化行为分析儿科喂养治疗计划。尽管他的活动参与度很高,但在所有清醒的情况下,他的唾液包装行为仍然是一种自动维持的无差别行为,因此需要采取额外的餐外治疗方法。他开始吞咽,100% 实现了 21 项目标,体重增加,并消除了对插管的依赖。他达到了所有食物种类、饮料和补充剂的 94 项目标。护理人员接受了培训,并报告了很高的社会效度,在 1 个月的随访中,他的收获得到了推广和保持。据我们所知,这是澳大利亚第一例完全通过居家行为分析干预来消除插管依赖的案例,而且在实施过程中没有出现饥饿刺激、体重减轻或营养种类受限的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Continuous Saliva Packing Resulting in Feeding Tube Dependence: In-Home Behaviour-Analytic Treatment
Saliva packing can be one of the most severe life-threatening and challenging behaviours to treat. A 9-year-old male with autism spectrum disorder and intellectual disability had 100% nasogastric (NG) feeding tube dependence and significant adaptive behaviour regression (in speaking, using the toilet and his hands, school attendance, sleep). He participated in an intensive behaviour-analytic paediatric feeding treatment programme. Saliva packing, as an automatically-maintained undifferentiated behaviour that persisted in all waking contexts despite high engagement in activities, warranted an additional outside of meal approach. He began swallowing, met 100% of his 21 goals, gained weight, and eliminated tube dependence. He reached a variety of 94 across all food groups, drinks, and supplements. Caregivers were trained and reported high social validity, and gains generalised and maintained in 1-month follow-up. This is the first case to our awareness in Australia of an in-home solely behaviour-analytic intervention to eliminate tube dependence, and it was conducted without hunger provocation, weight loss, or limited nutritional variety.
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来源期刊
CiteScore
1.80
自引率
20.00%
发文量
36
期刊介绍: Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.
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