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自闭症谱系障碍成人社交技能训练的系统评价和荟萃分析。

A Systematic Review and Meta-analysis of Social Skills Training for Adults with Autism Spectrum Disorder.

机构信息

Centre de Neurosciences Cognitive, UMR 5229, CNRS &Université Lyon 1, Lyon, France.

Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), Centre Hospitalier Alpes Isère, 8 place du Conseil National de La Résistance, Saint Martin d'Hères, 38400, Grenoble, France.

出版信息

J Autism Dev Disord. 2022 Apr;52(4):1598-1609. doi: 10.1007/s10803-021-05058-w. Epub 2021 May 8.

Abstract

This systematic review and meta-analysis is the first to evaluate the effects of group-based social skills training (SST) on parent-report social responsiveness in adults with autism spectrum disorder (ASD). A total of 18 studies were included in the narrative review and among them five randomized-controlled trials (n = 145) were included in the meta-analysis. SST had large positive effects on social responsiveness. The narrative review identified that SST could improve patient's outcomes in adults with ASD. These results should be interpreted with caution due to the moderate quality of the existing evidence, which could have inflated effect sizes. The absence of active comparator control groups makes unclear whether improvements at post-treatment are treatment-specific or are attributable to common factors to all psychotherapies.

摘要

这篇系统评价和荟萃分析是首次评估基于小组的社交技能训练(SST)对自闭症谱系障碍(ASD)成人父母报告的社交反应能力的影响。在叙述性综述中,共纳入了 18 项研究,其中有 5 项随机对照试验(n=145)纳入了荟萃分析。SST 对社交反应能力有显著的积极影响。叙述性综述发现,SST 可以改善 ASD 成人患者的预后。由于现有证据的质量中等,可能夸大了效应大小,因此这些结果应谨慎解释。缺乏积极的对照组使得治疗后改善是否是特定于治疗还是归因于所有心理治疗的共同因素尚不清楚。

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