Addressing sequelae of developmental regression associated with developmental disabilities: A systematic review of behavioral and educational intervention studies

被引:10
作者
Sigafoos, Jeff [1 ]
O'Reilly, Mark F. [2 ]
Ledbetter-Cho, Katherine [2 ]
Lim, Nataly [2 ]
Lancioni, Giulio E. [3 ]
Marschik, Peter B. [4 ,5 ]
机构
[1] Victoria Univ Wellington, Sch Educ, Wellington, New Zealand
[2] Univ Texas Austin, Dept Special Educ, Austin, TX 78712 USA
[3] Univ Bari, Dept Neurosci & Sense Organs, Bari, Italy
[4] Univ Med Ctr Goettingen, Dept Child & Adolescent Psychiat & Psychotherapy, Gottingen, Germany
[5] Med Univ Graz, Div Phoniatr, Interdisciplinary Dev Neurosci, Graz, Austria
关键词
Developmental regression; Developmental disability; Rett syndrome; Landau-Kleffner syndrome; Childhood disintegrative disorder; Behavioral and educational intervention; Children; Adolescents; Adults; Systematic review; AUTISM SPECTRUM DISORDER; STEREOTYPIC HAND BEHAVIOR; LANDAU-KLEFFNER-SYNDROME; RETT-SYNDROME; COMMUNICATION INTERVENTION; GIRLS; FEEDING SKILLS; YOUNG-CHILDREN; REHABILITATION; SPLINTS;
D O I
10.1016/j.neubiorev.2018.11.014
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Developmental regression is characteristic of Rett syndrome and it also occurs in a number of other develop. mental disabilities. To assist clinicians in identifying promising therapeutic approaches, we identified 38 studies that sought to improve adaptive behavior functioning in cases where developmental regression had either already occurred or was likely to occur. Studies were summarized in terms of (a) participants, (b) intervention, (c) dependent variables, (d) outcomes, (e) study design, and (f) certainty of evidence. The available literature in. eluded 136 participants from preschoolers to adults. Most participants (n = 132) had Rett syndrome. Interventions targeted a range of dependent variables (e.g., challenging behavior, communication, motor, and play skills). Multi-component interventions derived from behavior analytic principles were the norm, suggesting the need for clinical expertise in the application of such principles. However, only 12 studies (with 44 participants) were rated as providing conclusive evidence of a positive intervention effect. Future research on the mechanisms underlying developmental regression might lead to new and more effective interventions.
引用
收藏
页码:56 / 71
页数:16
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