头皮针刺对自闭症儿童情绪及情绪相关行为问题的影响

Chuen Heung Yau
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摘要

背景:自闭症谱系障碍(ASD)儿童经常表现出各种情绪和情绪相关的行为问题。他们可能会表现出外在的困难,如发脾气、攻击、甚至自残,以及内在的问题,如焦虑、恐惧、抑郁和不耐烦。头皮针灸已被发现可以改善认知、社会和行为问题。我们的临床观察发现,在头皮针灸治疗后,ASD儿童的情绪和情绪相关行为问题发生了巨大的变化。方法:将2 ~ 10岁ASD患儿分为治疗组(n=45)和对照组(n=44)。数据分析采用配对样本t检验。治疗组接受头皮针刺治疗,共30次,疗程约6个月,对照组不接受针灸治疗。比较两组的表现差异。结果:针刺后患者在脾气暴躁、攻击他人、急躁、恐惧、焦虑等方面的表现均有显著改善。考虑到疾病的自然过程,头皮针灸已经显示出对脾气暴躁和攻击性项目的显著影响。结论:头皮针刺可有效缓解ASD患儿的情绪及情绪相关行为问题,尤其是脾气和攻击问题。
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The Effect of Scalp Acupuncture on Emotional and Emotion Related Behavioral Problems in Children with Autism
Background: Children with Autistic Spectrum Disorder (ASD) often manifest various emotion and emotion related behavioral problems. They may exhibit externalizing difficulties such as temper tantrum, aggression, even self-injury, together with internalizing problems such as anxiety, fear, depression and impatience. Scalp acupuncture had been found to improve the cognitive, social, as well as behavioral problems. Our clinical observation noted a drastic change in emotional and emotion- related behavioral problems in children with ASD upon the therapy of scalp acupuncture. Methods: Children with ASD aged 2 to 10 were assessed as a treatment group (n=45) and a comparison group (n=44). Data were analyzed by the paired sample t-test. The treatment group received scalp acupuncture therapy of a total of 30 sessions in about 6 months, while the comparison group received no acupuncture treatment. The differences in performance were compared between the two groups. Results: There were significant improvements in performance of temper tantrum, aggression to others, impatience, fears and anxiety after scalp acupuncture. Scalp acupuncture had shown to exhibit prominent influence to items of temper tantrum and aggression take into account the natural course of the disorder. Conclusion: Scalp acupuncture is effective in alleviating emotional and emotion-related behavioral problems especially temper tantrum and aggression problems in children with ASD.
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