促进自闭症谱系障碍儿童的沟通:以家庭为中心的音乐治疗干预

Potheini Vaiouli, Georgia Andreu
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摘要

介绍。自闭症谱系障碍(ASD)是一个连续的特征,可能会对个体的社会和情感能力产生负面影响,包括他们参与能力的挑战,互惠互动的可能限制,以及发起和维持沟通的不灵活性。这些挑战可能会影响语言发展和语言习得。考虑到它们的重要性,本研究探讨了以家庭为中心的音乐治疗干预对促进幼儿自闭症儿童在亲子音乐参与阶段的言语前和言语沟通技能的影响。在为期16周的音乐治疗干预期间,采用混合方法设计收集儿童言语前和言语沟通能力(干预前和干预后数据收集)以及每个二人组的音乐互动数据。定量结果测量包括儿童在日常沟通技能语用学概况(PPECS)和沟通和符号行为量表发展概况(CSBSDP)上的得分,以评估儿童的沟通,表达性言语和符号行为随时间的变化。定性数据通过半结构化访谈、日志和日志收集。来自家庭的报告证实了干预后儿童沟通能力变化的定量结果。讨论与结论。总的来说,目前的研究为在以家庭为中心的方法中使用音乐治疗干预来提高幼儿的言语前和言语沟通技能的潜力提供了证据。
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Promoting Communication for Young Children with Autism Spectrum Disorders: A Family-centered Music Therapy Intervention
Introduction.  Autism Spectrum Disorders (ASD) are a continuum of traits that may negatively affect social and emotional competencies of individuals, including challenges in their engagement abilities, possible limitations in reciprocal interactions, and inflexibility in initiating and sustaining communication. Such challenges may affect language development and speech acquisition. Considering their importance, this study explored the impact of a family-centered, music therapy intervention to promote preverbal and verbal communication skills of young children with ASD during parent–child, music engagement episodes. Method.  A mixed-methods design was implemented to gather data on the children’s preverbal and verbal communication abilities (pre-and-post intervention data collection) and on each dyad’s musical interactions during a 16-week music therapy intervention. Quantitative outcome measures included children’s scores on the Pragmatics Profile of Everyday Communication Skills (PPECS) and the Communication and Symbolic Behavior Scales Developmental Profile (CSBSDP), to assess children’s communication, expressive speech, and symbolic behavior over time. Qualitative data were gathered through semi-structured interviews, logs, and journaling. Results.  Reports from the families corroborate with quantitative results regarding changes on the children’s communication abilities after the intervention. Discussion and Conclusion.  Collectively, the current study provides evidence on the potential of using music therapy interventions within a family-centered approach to enhance young children’s preverbal and verbal communication skills.  
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