自闭症谱系障碍的纵向跨学科研究。

IF 2.1 4区 医学 Q2 PEDIATRICS
Aline Kabarite, Glória Maria Marques Ferreira, José Carlos Pitangueira, Rayana de Souza Arimatéa, Renata da Costa Rebello de Mendonça, Roberta Sousa Marcello, Thais Giudice Schulz, Rudimar Dos Santos Riesgo, Kamila Castro
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引用次数: 0

摘要

背景/目的:自闭症谱系障碍(ASD)呈现出复杂的发展挑战,需要协调、个性化的干预措施。本研究旨在评估跨学科、以家庭为中心的方法在改善儿童和青少年ASD的临床和功能结局方面的有效性。方法:对53名年龄在2至16岁之间,均确诊为ASD的参与者进行了一项纵向研究。在基线、6个月和12个月时进行评估。参与者接受由跨学科团队在跨学科模式下提供的个性化、循证干预。治疗以个人和小组形式进行,并根据每个参与者不断变化的需求量身定制灵活的干预阶段。使用临床整体印象(CGI)、整体功能评估(GAF)和异常行为检查表(ABC)来测量结果。结果:在12个月期间观察到临床和功能改善。大多数参与者在研究结束时达到了较高的功能水平。护理人员报告了支持需求的显著减少,而治疗师的评分则证实了更温和的改善。观察到行为挑战、感觉困难和睡眠障碍的减少,以及适应性和功能性游戏的增加。更多的家庭参与与更有利的结果相关。结论:跨学科、以家庭为中心的干预模式有利于支持儿童和青少年ASD的发展进步。研究结果强调了灵活的、以团队为基础的护理的重要性,并强调了家庭参与在实现积极的长期结果方面的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Longitudinal Transdisciplinary Approach for Autism Spectrum Disorder.

Background/Objectives: Autism Spectrum Disorder (ASD) presents complex developmental challenges that require coordinated, individualized interventions. This study aimed to evaluate the effectiveness of a transdisciplinary, family-centered approach in improving clinical and functional outcomes in children and adolescents with ASD. Methods: A longitudinal study was conducted with 53 participants aged 2 to 16 years, all with confirmed ASD diagnoses. Assessments were performed at baseline, 6 months, and 12 months. Participants received personalized, evidence-based interventions provided by a multidisciplinary team working within a transdisciplinary model. Therapies were delivered individually and in groups, with flexible intervention phases tailored to each participant's evolving needs. Outcomes were measured using the Clinical Global Impression (CGI), Global Assessment of Functioning (GAF), and the Aberrant Behavior Checklist (ABC). Results: Clinical and functional improvements were observed over the 12-month period. Most participants reached high functional levels by the end of the study. Caregivers reported notable reductions in support needs, while therapist ratings confirmed more moderate improvements. Decreases in behavioral challenges, sensory difficulties, and sleep disturbances were observed, alongside gains in adaptability and functional play. Greater family involvement was associated with more favorable outcomes. Conclusions: A transdisciplinary, family-centered intervention model was beneficial in supporting developmental progress in children and adolescents with ASD. The findings highlight the importance of flexible, team-based care and emphasize the critical role of family engagement in achieving positive long-term outcomes.

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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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