人际关系发展干预对孤独症儿童亲子互动及社会技能发展的影响  

Preliminary Efficacy of Relationship Development Intervention:Effect on Children with Autism

作　　者：欧阳茜 赖媛 陈杰荣 黄敏施 范方 万国斌 OUYANG Xi;LAI Yuan;CHEN Jie-rong;HUANG Min-shi;FAN Fang;WAN Guo-bin(Department of Child Psychiatry and Rehabilitation,Affiliated Shenzhen Maternity&Child Healthcare Hospital,South Medical University,Shenzhen 518017,China;School of Psychology,Center of Studies of Psychological Application,Key Laboratory of Mental Health and Cognitive Science of Guangdong Province,South China Normal University,Guangzhou 510631,China;Students Affairs Department,Tianping College of Suzhou University of Science and Technology,Suzhou 215000,China)

机构地区：[1]南方医科大学附属深圳妇幼保健院儿童心理与康复科,深圳518017 [2]华南师范大学心理学院/华南师范大学心理应用研究中心,广州510631 [3]苏州科技大学天平学院学工处,苏州215000

出　　处：《中国临床心理学杂志》2021年第5期1110-1114,1098,共6页Chinese Journal of Clinical Psychology

基　　金：广东省重点领域研发计划资助-自闭症诊治的基础和应用研究(2019B030335001);深圳市医学重点学科建设经费-妇幼卫生与儿童保健(SZXK071);深圳市医疗卫生三名工程项目-哈佛大学麻省总院Bruce Rosen院士与孔学君博士自闭症研究团队(SZSM201512009)。

摘　　要：目的:探讨人际关系发展干预对孤独症儿童亲子互动和社会技能的干预效果。方法:20个孤独症儿童家庭接受了12周的人际关系发展干预。由两名独立编码人员使用录像分析法对孤独症儿童的亲子互动及社会技能进行测量。结果:经过12周的干预后,孤独症儿童的亲子互动整体评分较干预前显著提高,且效应量在中等以上。在儿童社会技能方面,孤独症儿童展示社交情感和进行社交沟通的行为频次较干预前均无明显增加。结论:人际关系发展干预能修复和增进孤独症儿童的亲子互动,这为推动孤独症儿童的社会参与和社会性发展提供了机会。但12周的干预时程可能不足以对孤独症儿童的社会技能产生明显影响。Objective:To evaluate the effectiveness of the short-term Relationship Development Intervention on improving parent-child interaction and child’s social skill in children with autism spectrum disorder.Methods:Participants were20 parent-child dyads where the child(18 boys,2 girls)had a diagnosis of autism or PDD-NOS(DSM-4 criteria)and was between the ages of 3 years and 8 years 11 months.Videotapes of parent-child interaction at baseline and 3 months later in treatment were rated and recorded by independent coders,for (a)the quality of parent-child interaction using the Dyadic Coding Scales(and b)the development of child’s social skill measured by the self-designed coding schedule.Results:There were significant treatment effects on parent-child interaction,while no treatment effects were found for child’s social skills.Conclusion:Short-term relationship development intervention can repair and enhance parent-child interaction,which provides an opportunity to promote social engagement and social development of children with autism.

关 键 词：孤独症儿童 社会技能 人际关系发展干预 亲子互动质量 

分 类 号：R395.5[哲学宗教—心理学]