结构化模式中情景游戏对孤独症儿童情绪调控的改善效果  

Improvement Effect of Situational Games in Structured Model on Emotional Regulation in Children with Autism Spectrum Disorder

作　　者：黄永 李梦月 陈晓琦 段桂琴[1] HUANG Yong;LI Mengyue;CHEN Xiaoqi;DUAN Guiqin(Department of Pediatric Developmental Behavior Medicine,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第三附属医院儿童发育行为科,河南郑州450000

出　　处：《河南医学研究》2024年第23期4298-4302,共5页Henan Medical Research

摘　　要：目的探究结构化模式中情景游戏在孤独症(ASD)儿童中的应用效果。方法选取2020年1月至2022年2月就诊于郑州大学第三附属医院的81例ASD儿童为研究对象,根据入院顺序分为对照组(40例)和观察组(41例)。对照组接受常规结构化模式治疗,观察组接受常规结构化模式联合情景游戏治疗,对比两组治疗效果及孤独症儿童心理教育评核表第3版(PEP-3)、儿童孤独症评定量表(CARS)、Gesell发育评估量表评分。结果观察组总有效率高于对照组(P<0.05)。干预6个月后,观察组CARS评分降低,Gesell量表中适应性、精细动作、语言、个人与社交、大动作发育商(DQ)评分增加(P<0.05)。干预6个月后,观察组PEP-3中认知、语言理解、语言行为特征、模仿、小肌肉、大肌肉评分增加(P<0.05),两组语言表达、情感表达、社交互动、非语言行为特征差异无统计学意义(P>0.05)。结论结构化模式+情景游戏治疗ASD患儿的效果更优,可更好改善患儿情绪调控能力,减少异常行为,有助于促进患儿身心发育。Objective To explore the application effect of situational games in structured model for children with autism spectrum disorder(ASD).Methods A total of 81 children with ASD who were treated at the Third Affiliated Hospital of Zhengzhou University from January 2020 to February 2022 were selected as the research subjects,40 patients were assigned to the control group and 41 patients to the observation group according to the order of admission.The control group received conventional structured model,while the observation group received conventional structured model combined with situational game therapy.The therapeutic effects of the two groups were compared,as well as the scores of the psychoeducational profile-third edition(PEP-3)for autistic children,the childhood autism rating scale(CARS),and the Gesell developmental assessment scale.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After 6 months of intervention,the CARS score was decreased in the observation group,and the adaptive,fine motor,language,personal and social,and gross motor developmental quotient(DQ)scores were increased in the Gesell scale(P<0.05).After 6 months of intervention,the cognitive,language comprehension,language behavior characteristics,imitation,small muscle,and large muscle scores in the PEP-3 of the observation group were increased(P<0.05),while there was no significant difference in language expression,emotional expression,social interaction and non-verbal behavior between the two groups(P>0.05).Conclusion Structured model+situational game therapy is more effective for children with ASD,which can better improve their emotional regulation ability,reduce abnormal behaviors,and help promote their physical and mental development.

关 键 词：孤独症 结构化 情景游戏 刻板行为 情绪 发育商 

分 类 号：R749.94[医药卫生—神经病学与精神病学]