{"title":"扩展现实干预对自闭症谱系障碍个体核心缺陷和功能表现的影响：一项系统综述和荟萃分析。","authors":"Yang-Hsiu Sun, Sung-Hui Tseng, Wen-Hsuan Hou, Hung-Chou Chen, Che-Wei Lin, Yuan-Hung Wang","doi":"10.1007/s00787-025-02860-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Recently, extended reality technologies have been increasingly utilized in therapeutic and educational interventions for individuals with autism spectrum disorder (ASD). This systematic review and meta-analysis evaluated the effectiveness of extended reality interventions in addressing core deficits and enhancing functional performance among individuals with ASD.</p><p><strong>Methods: </strong>A systematic literature search was conducted across six databases-namely, PubMed, Embase, Cochrane Library, PsycINFO, CINHAL, and ERIC-from their inception to August 29, 2024, with no language restrictions. Studies were included if they (1) examined participants diagnosed with ASD; (2) employed an intervention utilizing virtual reality, augmented reality, or mixed reality; (3) used outcome measures related to social functioning, behavior, emotion, cognition, and anxiety; and (4) were published in a peer-review journal. The standardized mean difference (SMD) was employed as the primary effect size indicator, while heterogeneity was assessed using the I² statistic. Additionally, the quality of the included studies was systematically analyzed.</p><p><strong>Results: </strong>A meta-analysis of 11 randomized controlled and 20 non-randomized trials was conducted using a random-effects model. The extended reality intervention resulted in significant improvements in social skills (SMD: 0.59, p = 0.04), behavior (SMD: 0.61, p = 0.004), emotion recognition ability (SMD: 0.86, p = 0.0005), and cognitive ability (SMD: 0.92, p < 0.00001) among individuals with ASD.</p><p><strong>Conclusion: </strong>This study's findings substantiate the effectiveness of extended reality interventions for addressing core deficits and enhancing functional performance among individuals with ASD. Therefore, the utilization of extended reality in therapeutic and educational interventions for individuals with ASD is both feasible and promising.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of extended reality interventions on core deficits and functional performance among individuals with autism spectrum disorder: A systematic review and meta-analysis.\",\"authors\":\"Yang-Hsiu Sun, Sung-Hui Tseng, Wen-Hsuan Hou, Hung-Chou Chen, Che-Wei Lin, Yuan-Hung Wang\",\"doi\":\"10.1007/s00787-025-02860-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Recently, extended reality technologies have been increasingly utilized in therapeutic and educational interventions for individuals with autism spectrum disorder (ASD). This systematic review and meta-analysis evaluated the effectiveness of extended reality interventions in addressing core deficits and enhancing functional performance among individuals with ASD.</p><p><strong>Methods: </strong>A systematic literature search was conducted across six databases-namely, PubMed, Embase, Cochrane Library, PsycINFO, CINHAL, and ERIC-from their inception to August 29, 2024, with no language restrictions. Studies were included if they (1) examined participants diagnosed with ASD; (2) employed an intervention utilizing virtual reality, augmented reality, or mixed reality; (3) used outcome measures related to social functioning, behavior, emotion, cognition, and anxiety; and (4) were published in a peer-review journal. The standardized mean difference (SMD) was employed as the primary effect size indicator, while heterogeneity was assessed using the I² statistic. Additionally, the quality of the included studies was systematically analyzed.</p><p><strong>Results: </strong>A meta-analysis of 11 randomized controlled and 20 non-randomized trials was conducted using a random-effects model. The extended reality intervention resulted in significant improvements in social skills (SMD: 0.59, p = 0.04), behavior (SMD: 0.61, p = 0.004), emotion recognition ability (SMD: 0.86, p = 0.0005), and cognitive ability (SMD: 0.92, p < 0.00001) among individuals with ASD.</p><p><strong>Conclusion: </strong>This study's findings substantiate the effectiveness of extended reality interventions for addressing core deficits and enhancing functional performance among individuals with ASD. 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引用次数: 0
摘要
背景：近年来，扩展现实技术越来越多地应用于自闭症谱系障碍（ASD）的治疗和教育干预中。本系统综述和荟萃分析评估了扩展现实干预在解决ASD患者核心缺陷和增强功能表现方面的有效性。方法：对PubMed、Embase、Cochrane Library、PsycINFO、CINHAL和eric六个数据库进行系统的文献检索，从数据库建立到2024年8月29日，无语言限制。如果研究(1)检查了被诊断为ASD的参与者；(2)使用虚拟现实、增强现实或混合现实进行干预；(3)使用与社会功能、行为、情绪、认知和焦虑相关的结果测量；(4)发表在同行评议期刊上。采用标准化平均差（SMD）作为主要效应量指标，采用I²统计量评估异质性。此外，对纳入研究的质量进行了系统分析。结果：采用随机效应模型对11项随机对照试验和20项非随机对照试验进行meta分析。扩展现实干预在社交技能（SMD: 0.59, p = 0.04）、行为（SMD: 0.61, p = 0.004）、情绪识别能力（SMD: 0.86, p = 0.0005）和认知能力（SMD: 0.92, p）方面均有显著改善。结论：本研究结果证实了扩展现实干预在解决ASD个体核心缺陷和增强功能表现方面的有效性。因此，在ASD个体的治疗和教育干预中使用扩展现实是可行的和有希望的。
Impact of extended reality interventions on core deficits and functional performance among individuals with autism spectrum disorder: A systematic review and meta-analysis.
Background: Recently, extended reality technologies have been increasingly utilized in therapeutic and educational interventions for individuals with autism spectrum disorder (ASD). This systematic review and meta-analysis evaluated the effectiveness of extended reality interventions in addressing core deficits and enhancing functional performance among individuals with ASD.
Methods: A systematic literature search was conducted across six databases-namely, PubMed, Embase, Cochrane Library, PsycINFO, CINHAL, and ERIC-from their inception to August 29, 2024, with no language restrictions. Studies were included if they (1) examined participants diagnosed with ASD; (2) employed an intervention utilizing virtual reality, augmented reality, or mixed reality; (3) used outcome measures related to social functioning, behavior, emotion, cognition, and anxiety; and (4) were published in a peer-review journal. The standardized mean difference (SMD) was employed as the primary effect size indicator, while heterogeneity was assessed using the I² statistic. Additionally, the quality of the included studies was systematically analyzed.
Results: A meta-analysis of 11 randomized controlled and 20 non-randomized trials was conducted using a random-effects model. The extended reality intervention resulted in significant improvements in social skills (SMD: 0.59, p = 0.04), behavior (SMD: 0.61, p = 0.004), emotion recognition ability (SMD: 0.86, p = 0.0005), and cognitive ability (SMD: 0.92, p < 0.00001) among individuals with ASD.
Conclusion: This study's findings substantiate the effectiveness of extended reality interventions for addressing core deficits and enhancing functional performance among individuals with ASD. Therefore, the utilization of extended reality in therapeutic and educational interventions for individuals with ASD is both feasible and promising.
期刊介绍：
European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark.
European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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