نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه فردوسی مشهد

2 مرکز تحقیقات روان پزشکی و علوم رفتاری، دانشگاه علوم پژشکی مشهد

چکیده

هدف پژوهش حاضرطراحی درمان ترکیبی خانواده- محور مبتنی بر مدل تحول یکپارچه‌ی انسان و مقایسه‌ی اثربخشی آن با بازی درمانی فلورتایم بر بهبود نشانه‌های رفتاری اختلال طیف اوتیسم و استرس والدگری مادران آن‌ها می‌باشد. این مطا‌لعه در چهارچوب یک طرح تک آزمودنی در طول 6 ماه روی 12 کودک 8-3 ساله‌ی مبتلا به اختلال طیف اوتیسم و خانواده‌های آن‌ها اجرا شد و نتایج در سه ‌مرحله‌ی پیش ‌آزمون، پس ‌آزمون و پیگیری با مقیاس‌های استرس والدگری ومقیاس درجه‌بندی اوتیسم کودکی بررسی شد. بر اساس نتایج به دست آمده از این پژوهش، درصد بهبودی نشانه‌های رفتاری کودکان شرکتکننده در گروه درمان ترکیبی خانواده- محور به ویژه در خرده مقیاس‌های ارتباط با مردم، پاسخ هیجانی، ترس یا ناآرامی و ارتباط کلامی وهمچنین بهبودی استرس والدگری مادران آن‌ها به ویژه در خرده مقیاس‌های نارسایی توجه/ فزون کنشی، سلامت، دلبستگی و روابط با همسر از 50 درصد بیشتر و از نظر بالینی معنادار بود. اندازه اثر درمان نیز بالاتر از 80/0 برآورد شد. در مجموع می‌توان گفت؛ درمان ترکیبی خانواده- محور که در این مطالعه طراحی شده است، می‌تواند اثربخشی بازی درمانی فلورتایم را افزایش دهد و به عنوان یک رویکرد درمانی اثربخش در درمان این اختلال استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

Designing Family-Centered Combined Treatment Based on the Human Integrated Development Model and Comparing its Effectiveness with Floor time Play Therapy on Behavioral Symptoms of Children with Autism Spectrum Disorder and the Parenting Stress of Their Mothers

نویسندگان [English]

  • Sh. Aali 1
  • S.A. AminYazdi 1
  • M.S. Abdekhodaei 1
  • A. Ghanaei Chamanabad 1
  • F. Moharreri 2

چکیده [English]

The purpose of the current research is to design a combined family-centered treatment based on a human integrated development model and to compare its effectiveness with floor time play therapy in improvingthebehavioral symptoms of children with autism spectrum disorder and the parenting stress of their mothers. The study was performed within a single-subject framework during 6 months on 12 three- to eight-year-old children with ASD and their families. The results were investigated in three stages (pretest, posttest and follow up) using parenting stress scales and the children’s autism scale. Based on the results obtained from the study, the improvement percentage of the behavioral symptoms of the children participating in the family-centered combined treatment group, especially in communicating with others, emotional responses, fear or unrest and verbal communication subscales as well as the parenting stress of their mothers―especially in inattention/ hyperactivity, health, attachment and relationships with spouse subscales―was more than 50 percent and the improvement rate was clinically significant. The effect size of treatment was estimated to be up to 0.80. In conclusion, the family-centered combined treatment designed in this study can increase the effectiveness of floor time and be used as an effective treatment approach in ASD treatment.

کلیدواژه‌ها [English]

  • family-centered combined treatment
  • floor time play therapy
  • family developmental function
  • functional-emotional development
  • autism spectrum disorder
فارسی
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