運用實證－丹佛早療家長模式治療提升幼童社交溝通能力與親職效能及彈性特質：個案研究報告

Implemented Evidence-Based Treatment of Parent-ESDM Enhances the Social-Communication Ability of the Toddler, Parenting Functions and Flexibility of Personal Phenotype: A Case Report

范盛棻(Sheng-Fen Fan) ； 曾頌惠(Sung-Hui Tseng)

《台灣復健醫學雜誌》 48卷1期 (2020/06) Pp. 63-70

https://doi.org/10.6315/TJPMR.202006_48(1).0007

摘要

自閉症類群障礙症在臨床上以社會溝通及侷限重複的行為做為核心缺陷表徵。丹佛早療家長模式（P-ESDM）已被證實能有效介入。然而，是否適用台灣文化仍未有研究報告。本研究希冀透過個案療程報告，提升家長操作P-ESDM技巧應用於日常生活，觀察家長透過學習技巧後是否減低親職壓力及改變互動，提供孩子較多的溝通學習機會。透過12周的療程，孩子在溝通發展上有顯著提升溝通能力，且家長的親職壓力減少，對親職的效能及滿意度提升；同時在性格特質部份上有較有彈性；本個案研究結論：家長在P-ESDM技巧上的精熟習得，能協助家長很自然的落實訓練學習在作息及八種日常類型活動應用，協助孩子在生活中有較多的機會學習，提升整體溝通及適應的表現。

關鍵字

自閉症類群障礙症（autism spectrum disorder） ； 丹佛早療模式（early start denver model） ； 丹佛早療家長模式（parent-ESDM）

並列摘要

Clinically, individuals with the autism spectrum disorder display difficulties with social communication and restricted, repetitive behaviors. The parent-implemented version of the Early Start Denver Model (P-ESDM) has proven to be an effective intervention. However, there is yet to be research on whether it is suitable for Taiwanese culture. This study aimed to increase the application of P-ESDM techniques to daily life through a case therapy report and observed whether parents can reduce their parenting stress through learning and change the way they interact with their autistic child so as to provide him or her with more learning opportunities in communication. Following a twelve-week therapy program, the autistic child in our case displayed significant improvements in communication skills. The parent experienced less parenting stress and were more effective in and satisfied with their parenting. In addition, there was more flexibility in parent's personality style after training. The conclusion of this study was as follows. Mastering P-ESDM techniques can help parent naturally implement training and learning in eight kinds of everyday routines and provide their children with more learning opportunities in daily life so that they can adapt better and improve their overall communication skills.

並列關鍵字

autism spectrum disorder ； early start denver model ； parent-ESDM

參考文獻

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