Evaluation of the effectiveness of behavioral interventions for autism spectrum disorders: A systematic review of randomized controlled trials and quasi-experimental studies

被引:3
作者
Pruneti, Carlo [1 ,2 ]
Coscioni, Gabriella [3 ]
Guidotti, Sara [1 ,2 ,4 ]
机构
[1] Univ Parma, Dept Med & Surg, Clin Psychol Lab, Parma, Italy
[2] Univ Parma, Dept Med & Surg, Clin Psychophysiol & Clin Neuropsychol Labs, Parma, Italy
[3] Journey Autism & Behav Care Ctr, Charlestown, MA USA
[4] Univ Parma, Dept Med & Surg, Via Volturno 39, I-43126 Parma, Italy
关键词
Effectiveness; behavioral interventions; autism spectrum disorder; systematic review; randomized controlled trials; START DENVER MODEL; PIVOTAL RESPONSE TREATMENT; PRESCHOOL-CHILDREN; YOUNG-CHILDREN; TEACCH PROGRAM; COMMUNICATION; REHABILITATION; SCIENCE; PECS; ABA;
D O I
10.1177/13591045231205614
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The objective of this research was to assess the efficacy of behavioral therapy interventions in the treatment of autism spectrum disorders (ASD). The study utilized the PubMed and Embase databases to locate randomized controlled trials, quasi-experimental treatment studies, and randomized clinical trial comparisons. The experimental group received treatment based on an applied behavioral approach, such as PECS, DTT, PRT, TEACCH, ESDM, and EIBI. After examining seventeen studies, the researchers found that each type of behavioral intervention had a positive impact. Naturalistic protocols that employed PRT and PECS improved ASD symptoms in general, despite their targeting of particular cognitive domains such as language. ESDM enhanced receptive language, particularly in preschool-aged children. Structured and integrated interventions, like EIBI and TEACCH, improved overall adaptive functioning. Combining DTT with a TEACCH program produced greater benefits in linguistic, affective-social, and personal autonomy domains. However, there is a scarcity of high-quality research available on behavioral interventions for ASD. Further comparative studies are necessary to identify cost-efficient interventions. For example, PRT and PECS significantly improved social communication skills in only 15-40 hours over six months. The authors emphasized the need for continued research and the application of evidence-based interventions in specialized settings.
引用
收藏
页码:213 / 231
页数:19
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