中国临床心理学杂志

早期介入丹佛模式在孤独症儿童早期干预中的应用

作者：徐云姚晶杨健

单位：1. 浙江工业大学教育科学与技术学院杭州 310023 2. 杭州市儿童福利院杭州 310000

分类号：R395.5

出版年,卷(期):页码：2017,25(1):188-191

摘要：

目的：探讨早期介入丹佛模式（ESDM）在孤独症儿童早期干预中的应用效果。方法：孤独症患儿40例随机分为观察组和对照组，每组各20例。对照组接受常规干预，观察组在常规干预的基础上给予ESDM为指导的康复干预。干预前后采用儿童孤独症评定量表（CARS）进行评估。结果：经过8周共80节的干预课程后，观察组儿童在人际关系、模仿、情感反应、感知觉、语言交流等能力上有显著提高（P<0.05）；观察组和对照组儿童的CARS总得分存在显著差异（P<0.05），接受ESDM干预的儿童的孤独症行为表现改善明显。结论：早期介入丹佛模式方法可以改善3-5岁孤独症儿童在社交互动、沟通交流、情感反应等方面的行为表现。

Objective: To explore the effect of the Early Start Denver Model (ESDM) for early intervention on autistic children. Methods: 40 children with autism were divided randomly into two groups. The control group (n=20) received routine intervention, while on the basis of routine intervention the observation group (n=20) received treatment guided by ESDM. The Childhood Autism Rating Scale (CARS) was used to assess the children in both groups before and after intervention. Results: After 8 weeks with 80 sections of the intervention program, the ESDM group showed significantly improvement (P<0.05) in interpersonal relationship, imitation, emotional expression, perception, communication abilities, and there were significant differences (P<0.05) in the CARS scores between ESDM group and control group after intervention. And autistic behavior in children who received ESDM intervention were more significant to be improved. Conclusion: The Early Start Denver Model can improve behavioral performance of autistic children aged 3-5 years old in social interaction, communication and emotional expression.

基金项目：

本文为国家社科重大招标项目“自闭症儿童早期发现、干预、教育的跨学科研究”（项目号12&ZD229）阶段性研究成果

作者简介：

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