父母团体认知行为干预对孤独症谱系障碍儿童及家庭治疗效果的影响

目的 对孤独症谱系障碍(ASD)儿童的父母进行团体认知行为干预,分析该干预措施可能对ASD儿童及家庭治疗效果产生的影响。方法 2014年6月-2015年10月从康复机构抽取实验组、对照组各30例ASD儿童,对实验组儿童的父母进行为期10周的团体认知行为干预;收集并比较干预前后两组父母填写的孤独症治疗评估量表(ATEC)、特质应对方式问卷(TCSQ)相关数据。结果 实验组与对照组的ATEC得分比较,在社交项目、总分上的差异有统计学意义(t=2.595、2.808,P<0.05或<0.01);两组TCSQ得分差异对比,积极应对的得分差异有统计学意义(t=-2.174,P＝0.036);ATEC感知觉项目得分与TCSQ积极应对得分呈负相关(r=-0.202,P＝0.027)。结论 团体认知行为干预可能使ASD儿童的父母更多采用积极应对方式,从而影响ASD儿童的社交、感知觉方面的治疗效果。

Treatment effect of parents' cognitive-behavioral group psychotherapy on children with autism spectrum disorder and their families

Objective To give parents of children with autism spectrum disorders (ASD) the intervention of cognitive-behavioral group psychotherapy (CBGP),and to analyse the treatment effect of this intervention. Methods A total of 60 ASD children were selected from rehabilitation institution from June 2014 to October 2015,and were divided into experiment group (n=30) and control group (n=30). Parents in the experiment group were given CBGP intervention for ten weeks. Before and after the treatment,Autism Treatment Evaluation Checklist (ATEC) and Trait Coping Style Questionnaire (TCSQ) were used to collect related data in two groups,and the differences were compared. Results After 10-week intervention,there were significant differences on sociability subtest score and total score of ATEC (t=2.595,2.808,P<0.05 or <0.01),as well as positive coping score of TCSQ (t=-2.174,P=0.036) between experiment group and control group. And the score of ATEC sensory/cognitive awareness subtest was negatively correlated with positive coping score of TCSQ (r=-0.202,P=0.027). Conclusion CBGP intervention for parents of ASD children may contribute to positive coping style of parents,thereby improving the treatment effect on sociability and sensory/cognitive awareness of ASD children.