Clinical outcomes of interactive, intensive and individual (3i) play therapy for children with ASD: a two-year follow-up study

Autor: Antoine Tanet, Elodie Tilmont Pittala, Claire Favrot, David Cohen, Catherine Saint-Georges, Yann Saint-Georges-Chaumet
Přispěvatelé: Service de Psychiatrie de l'Enfant et de l'Adolescent [CHU Pitié-Salpêtrière] (SPEA), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Institut des Systèmes Intelligents et de Robotique (ISIR), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Autism Spectrum Disorder
Psychological intervention
Child Behavior
Severity of Illness Index
behavioral disciplines and activities
Social Skills
03 medical and health sciences
0302 clinical medicine
Child Development
Rating scale
030225 pediatrics
Intellectual disability
Play therapy
mental disorders
medicine
Humans
0501 psychology and cognitive sciences
Prospective Studies
Play-therapy
Prospective cohort study
Child
[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics
Autism Diagnostic Interview
business.industry
05 social sciences
lcsh:RJ1-570
Social environment
lcsh:Pediatrics
Developmental intervention
Autism spectrum disorders
medicine.disease
Play Therapy
3. Good health
Child
Preschool
[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health
Pediatrics
Perinatology and Child Health
Autism
Female
business
3i method
050104 developmental & child psychology
Clinical psychology
Follow-Up Studies
Research Article
Zdroj: BMC Pediatrics
BMC Pediatrics, BioMed Central, 2018, 18, pp.165. ⟨10.1186/s12887-018-1126-7⟩
BMC Pediatrics, Vol 18, Iss 1, Pp 1-13 (2018)
ISSN: 1471-2431
DOI: 10.1186/s12887-018-1126-7⟩
Popis: Background The outcomes of psycho-educational interventions for Autism Spectrum Disorders (ASDs) comorbid with severe to moderate intellectual disability (ID) are insufficiently documented. In this prospective study, we examined a developmental individual, interactive and intensive approach, called the ‘3i method’, which is based on play therapy. Methods Twenty DSM-IV-TR ASD subjects (mean chronological age 63.8 ± 37.8 months; mean developmental age 19.5 ± 6.6 months) were included and followed the 3i method for 24 months. Developmental and behavioural skills were assessed at baseline and after 24 months using the VABS, PEP-R and Nadel Imitation scale. Autism severity was evaluated using the Child Autism Rating Scale (CARS) and the Autism Diagnostic Interview (ADI-R). Results After 2 years of the 3i method, our 3 primary outcome variables significantly increased (VABS developmental age of socialization increased by 83%, age of communication by 34%, and Nadel Imitation score by 53%). Almost all VABS and PEP-R domains significantly improved. Additionally, increases in the VABS socialization score were positively correlated with the total number of treatment hours and CARS score; all ADI-R areas significantly decreased; and diagnoses had changed in 47.5% of the subjects (37% for PDD-NOS and even 10.5% for ID without PDD). Conclusion Children who followed the 3i method for 2 years had significantly improved behavioural and developmental skills and showed a clear decrease in autism severity. These results suggest that the 3i method may be useful for autistic children by improving their daily interactions with their social environment. Trial registration was retrospectively registered on May 20th, 2014 by the French Agency for drug and health (ANSM) under number ID-RCB 2014-A00542–45, reference: B148558–31. Electronic supplementary material The online version of this article (10.1186/s12887-018-1126-7) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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