Efficiency of Relational Development Intervention Program for Children with Autism

Na Wang, Yuhua Wang, Huimin Han
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Abstract

Background: Relational Development Intervention (RDI) program is widely used for the treatment of children with autism. However, its effectiveness in different countries under local hospital conditions is various. This study assessed the efficiency of a modified RDI program that was adapted in Qiqihar Hospital in China. Methods: forty-two children with autism at the Mental Health Center of Qiqihar Medical University were divided into both a test group and a control group, according to the matching principals of their ages and IQ scores evaluated by ABC and C-WISC forms. General treatments of language and speech training, sensory integration training and group training were used in both groups. In addition, the RDI program that has been adapted to local conditions was applied to the test group. The autism treatment evaluation scale (ATEC) form was used to assess clinical syndromes after 3 and 6-month treatments. Results: At the end of 3 month of training, the total scores, language factor scores and the social factor scores, but not the sensory scores and behavior scores on ATEC in the test group were statistically lower than those in the control group (p < 0.05). At the end of 6 month training, all scores on ATEC in the test group were significantly lower than those in the control groups (p < 0.05), and all scores in the test group at the end of 6 month were also statistically lower than those at the end of 3 month (p < 0.05). Conclusion: The modified RDI improved the treatment of children with autism within 6 months at Qiqihar Hospital, China.
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自闭症儿童关系发展干预方案的效果分析
背景:关系发展干预(RDI)被广泛应用于自闭症儿童的治疗。然而,它在不同国家的当地医院条件下的有效性是不同的。本研究评估了中国齐齐哈尔医院改进后的RDI方案的有效性。方法:选取齐齐哈尔医科大学心理健康中心的42例自闭症患儿,根据年龄与ABC量表和C-WISC量表智商得分的匹配原则,将其分为试验组和对照组。两组均采用语言言语训练、感觉统合训练和分组训练的综合治疗。此外,对试验组实施了因地制宜的RDI方案。采用自闭症治疗评估量表(ATEC)对治疗3个月和6个月后的临床症状进行评估。结果:训练3个月时,实验组的ATEC总分、语言因子得分和社会因子得分均低于对照组,而感觉得分和行为得分均不低于对照组(p < 0.05)。6个月训练结束时,实验组ATEC总分均显著低于对照组(p < 0.05), 6个月训练结束时,实验组ATEC总分均显著低于3个月训练结束时,差异有统计学意义(p < 0.05)。结论:齐齐哈尔医院改良RDI改善了自闭症患儿6个月内的治疗效果。
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