并发多动症和自闭症谱系障碍的沟通问题。评估方法和有针对性的干预措施:微型综述。

Postepy psychiatrii neurologii Pub Date : 2024-09-01 Epub Date: 2024-11-21 DOI:10.5114/ppn.2024.145214
Maria Theodoratou
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引用次数: 0

摘要

目的:这篇微型综述介绍了评估和治疗并发注意力缺陷/多动障碍(ADHD)和自闭症谱系障碍(ASD)患者沟通障碍的策略。语言基础临床评估 "和 "语言发展测试 "等标准化评估提供了定量分析,而 "实用语言技能量表 "和 "社交沟通问卷 "等实用工具则提供了社交沟通技能的定性测量。综合评估还整合了临床访谈、多语境观察和观点:观点:要有效治疗沟通障碍,需要采取符合个人需要的多方面方法。有证据表明,社交技能训练、有组织的小组治疗课程以及以表达性、接受性和实用性语言技能为重点的言语和语言治疗都能带来益处。辅助和替代性交流系统可为语言能力有限的人提供支持。此外,个体化教育计划或个体化适应计划等支持性学术框架的制定涉及环境改造以及包括心理学家、教育工作者和家庭在内的合作教育规划:结论:合并多动症和自闭症会严重影响沟通能力,因此有必要进行精确评估并采取多模式干预措施,如社交技能培训以及辅助和替代性沟通工具。以证据为基础的合作方法可以提高受影响个体的功能结果和生活质量。
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Communication issues in co-occurring ADHD and autism spectrum disorders. Evaluative approaches and targeted interventions: mini review.

Purpose: This mini-review presents strategies for assessing and treating communication difficulties in individuals with comorbid attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Standardized assessments such as the Clinical Evaluation of Language Fundamentals and the Test of Language Development provide quantitative insights, while pragmatic tools, such as the Pragmatic Language Skills Inventory and the Social Communication Questionnaire provide qualitative measures of social communication skills. A comprehensive assessment also integrates clinical interviews, multi-contextual observations.

Views: A multifaceted approach tailored to individual needs is required to effectively treat communication difficulties. Evidence suggests benefits from social skills training, structured group therapy sessions, and speech and language therapy focusing on expressive, receptive, and pragmatic language skills. Augmentative and alternative communication systems provide support for individuals with limited verbal skills. In addition, the development of supportive academic frameworks, such as Individualized Education Programs or Individualized Accommodation Plans, involves environmental modifications and collaborative educational planning including psychologists, educators, and families.

Conclusions: Comorbid ADHD and ASD significantly impair communication, necessitating precise evaluation and multimodal interventions such as social skills training and augmentative and alternative communication tools. Collaborative, evidence-based approaches enhance functional outcomes and quality of life in affected individuals.

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