團體諮商對改善亞斯伯格症兒童人際關係之成效

Effectiveness of Group Counseling on Interpersonal Relationship for Children with Asperger's Disorder

黃宜靜(Yi-Jing Huang) ； 王怡仁(I-Jen Wang) ； 林家興(Chia-Hsin Lin) ； 洪淑霞(Shu-Hsia Hung) ； 許豪沖(Hao-Chung Hsu)

《北市醫學雜誌》 10卷3期 (2013/09) Pp. 217-228

https://doi.org/10.6200/TCMJ.2013.10.3.05

摘要

目的：本研究旨在探討團體諮商對改善亞斯伯格症兒童人際關係之成效。方法：採用A-B-A'單一受試實驗設計，研究對象為2名經精神科醫師診斷為亞斯伯格症兒童，在介入期進行半結構式人際團體，自變項為團體諮商方案，依變項為溝通表達能力之改變情形，以「溝通表達行為觀察量表」作為資料收集工具。結果：團體諮商介入時，參與兒童之溝通表達行為得分明顯上升，顯示團體諮商能立即且有效提升亞斯伯格症兒童之人際能力，但一位兒童呈現穩定上升趨勢、另一位雖上升但為多變狀態，亦即不同兒童仍有差異。結論：本研究發現團體諮商可協助亞斯伯格症兒童提升人際關係能力，並針對結論，提出具體建議，以供臨床諮商人員及未來研究參考。

關鍵字

亞斯伯格症 ； 團體諮商 ； 人際關係 ； 單一受試實驗設計

並列摘要

Objective: This study aimed to explore the effectiveness of group counseling targeting interpersonal relationship for children with Asperger's Disorder. Methods: This research adopted an A-B-A' single-subject experimental design. The participants were two children diagnosed with Asperger's Disorder by a board certified psychiatrist. The first child was a first grade student while the second was a second grader. The participants received group counseling in the intervention phase but not in baseline or maintenance phase. The two children participated in 10 semi-structured sessions of interpersonal relationship group each lasting 70 minutes. The independent variable was the group counseling program and the dependent variable was the communication and expression ability. Behavior Observation Checklist on Communication and Expression was used for the assessment of ability to communicate and expression, and a higher ability in the domain. Results: The communication and expression ability of the two participants improved after intervention. In the baseline and maintenance phase, the tendency of communication and expression behavior decreased stably. The first child's score increased stably, while the score in the second child increased with fluctuations, meaning a difference between subjects in response to group counseling. Conclusion: Group counseling enhances the effectiveness on interpersonal relationship for children with Asperger's Disorder.

並列關鍵字

Asperger's Disorder ； group counseling ； interpersonal relationship ； single-subject experimental design

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