研究影响复发的临床变量:重新分析 46 份申请。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of applied behavior analysis Pub Date : 2024-05-29 DOI:10.1002/jaba.1091
Brianna Laureano, Joel Ringdahl, John M. Falligant
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引用次数: 0

摘要

尽管行为干预很有效,但在成功治疗后,挑战性行为(如攻击、自伤)仍有可能卷土重来。应用工作的重点是确定与治疗相关的变量,这些变量被认为会影响复发的发生和程度。目前的研究描述了在住院环境中进行的 46 例挑战行为治疗应用的回顾性连续对照案例系列中,几个变量(即阶段持续时间、基线和治疗中的反应率、获得的强化率、强化步幅的下移)与复发之间的关系。其中,只有强化(如缩减日程表)步长的下移与复发程度相关。这些结果与最近的研究结果一致,即治疗持续时间和其他因素对挑战行为复发的影响并不一致。
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Examination of clinical variables affecting resurgence: A reanalysis of 46 applications

Despite the efficacy of behavioral interventions, resurgence of challenging behavior (e.g., aggression, self-injury) following successful treatment can still occur. Applied work has focused on identifying treatment-related variables thought to affect the occurrence and magnitude of resurgence. The current study describes the relation between several variables (i.e., phase duration, response rates in baseline and treatment, obtained rates of reinforcement, downshift in reinforcement step size) and resurgence in a retrospective consecutive controlled case series of 46 treatment applications for challenging behavior conducted in an inpatient setting. Only the downshift in reinforcement (e.g., schedule-thinning) step size was correlated with the magnitude of resurgence. These results are consistent with recent findings suggesting that treatment duration and other factors have inconsistent effects on resurgence of challenging behavior.

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来源期刊
Journal of applied behavior analysis
Journal of applied behavior analysis PSYCHOLOGY, CLINICAL-
CiteScore
5.80
自引率
20.70%
发文量
61
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