自闭症治疗复兴的时机已经成熟:来自临床医生的证据。

IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Frontiers in Integrative Neuroscience Pub Date : 2023-01-01 DOI:10.3389/fnint.2023.1229110
Elizabeth B Torres, Goldie Twerski, Hannah Varkey, Richa Rai, Mona Elsayed, Miriam Tirtza Katz, Jillian Tarlowe
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引用次数: 1

摘要

导读:最近诊断标准的变化导致了自闭症谱系障碍的扩大,使得临床医生在治疗高度异质性的谱系方面装备不足,现在包括幼儿和有感觉和运动问题的儿童。方法:为了揭示临床医生在自闭症领域的关键需求,我们与临床医生自己合作进行了调查。委员会认证的行为分析师(bcba)和发展模型(DM)临床医生从他们的认证委员会获得许可,并设计调查来评估他们相应领域的需求和偏好。结果:92.6%的bcba对多学科结合方面的多元化治疗持开放态度;82.7%的DMs也支持这种多样化,其中21.8%的人重视bcba投入,40.6%的人重视神经科投入;85.9%的bcba和85.3%的dm主张使用可穿戴设备客观地跟踪社交交换中的细微行为;76.9%的bcba和57.0%的DMs认为,增加他们对自闭症神经系统(神经科学研究)的知识,以加强治疗和计划方案,将使他们受益;50.0%的bcba认为他们可以通过更多的培训来教育家长。讨论:两种互补的哲学正在融合成一种更协作、更综合的方法,有利于可扩展的数字技术和神经科学。自闭症从业者似乎已经准备好以一种新的合作模式拥抱数字神经科学革命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The time is ripe for the renaissance of autism treatments: evidence from clinical practitioners.

Introduction: Recent changes in diagnostics criteria have contributed to the broadening of the autism spectrum disorders and left clinicians ill-equipped to treat the highly heterogeneous spectrum that now includes toddlers and children with sensory and motor issues.

Methods: To uncover the clinicians' critical needs in the autism space, we conducted surveys designed collaboratively with the clinicians themselves. Board Certified Behavioral Analysts (BCBAs) and developmental model (DM) clinicians obtained permission from their accrediting boards and designed surveys to assess needs and preferences in their corresponding fields.

Results: 92.6% of BCBAs are open to diversified treatment combining aspects of multiple disciplines; 82.7% of DMs also favor this diversification with 21.8% valuing BCBA-input and 40.6% neurologists-input; 85.9% of BCBAs and 85.3% of DMs advocate the use of wearables to objectively track nuanced behaviors in social exchange; 76.9% of BCBAs and 57.0% DMs feel they would benefit from augmenting their knowledge about the nervous systems of Autism (neuroscience research) to enhance treatment and planning programs; 50.0% of BCBAs feel they can benefit for more training to teach parents.

Discussion: Two complementary philosophies are converging to a more collaborative, integrative approach favoring scalable digital technologies and neuroscience. Autism practitioners seem ready to embrace the Digital-Neuroscience Revolutions under a new cooperative model.

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来源期刊
Frontiers in Integrative Neuroscience
Frontiers in Integrative Neuroscience Neuroscience-Cellular and Molecular Neuroscience
CiteScore
4.60
自引率
2.90%
发文量
148
审稿时长
14 weeks
期刊介绍: Frontiers in Integrative Neuroscience publishes rigorously peer-reviewed research that synthesizes multiple facets of brain structure and function, to better understand how multiple diverse functions are integrated to produce complex behaviors. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Our goal is to publish research related to furthering the understanding of the integrative mechanisms underlying brain functioning across one or more interacting levels of neural organization. In most real life experiences, sensory inputs from several modalities converge and interact in a manner that influences perception and actions generating purposeful and social behaviors. The journal is therefore focused on the primary questions of how multiple sensory, cognitive and emotional processes merge to produce coordinated complex behavior. It is questions such as this that cannot be answered at a single level – an ion channel, a neuron or a synapse – that we wish to focus on. In Frontiers in Integrative Neuroscience we welcome in vitro or in vivo investigations across the molecular, cellular, and systems and behavioral level. Research in any species and at any stage of development and aging that are focused at understanding integration mechanisms underlying emergent properties of the brain and behavior are welcome.
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