Comparing the Effect of Risperidone, Virtual Reality and Risperidone on Social Skills, and Behavioral Problems in Children with Autism: A Follow-up Randomized Clinical Trial
| Autor: | Seyedeh Manizheh Arabi, Somayeh Zarenezhad, Razieh Khosrorad, Sakineh Soltani Kouhbanani |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Psychological intervention Virtual reality law.invention Social Skills Social skills Randomized controlled trial law medicine Humans Autistic Disorder Child Problem Behavior Risperidone business.industry Virtual Reality General Medicine medicine.disease Social relation Autism spectrum disorder Physical therapy Autism business medicine.drug Follow-Up Studies |
| Zdroj: | Archives of Iranian medicine. 24(7) |
| ISSN: | 1735-3947 |
| Popis: | Background: Improving behavioral and social problems in children with autism requires extensive training programs even with parents at home. The main goal of this study is to design a virtual reality (VR) intervention based on the TEACCH method in combination with risperidone to evaluate its effectiveness on social and behavioral problems. Methods: Forty-three children with autism (6–12 years old) randomly were divided into three groups: risperidone (n = 15), risperidone + VR (n = 15), and control (n = 13). The interventions lasted for 3 months (90 sessions) and post-test assessments were done immediately after intervention. Follow up tests were done 3 months after that. Results: Risperidone + VR group showed significant differences in social skills (MD = 36.59; 95% CI: 30.74 to 38.42, P < 0.001, ŋ2 = 1.51 in post-test; MD = 19.63; 95% CI: 17.27 to 21.63, P < 0.001, ŋ2 = 0.86 in follow up); and behavioral symptoms (MD = -36.12 ; 95% CI: -39.72 to -36.91, P < 0.001, ŋ2 = 1.99 in post-test; MD = -28.82 ; 95% CI: -29.43 to -25.32, P < 0.001, ŋ2 = 1.58 in follow up) compared to the control group. However, the risperidone group showed significant differences in social skills (MD = 2.03; 95% CI: 0.82 to 3.67, P < 0.001, ŋ2 = 0.12) and behavioral symptoms (MD = -36.66; 95% CI: -38.96 to -34.27, P < 0.001, ŋ2 = 1.96) only in post-test. Thus, the experimental groups did not have any significant difference in post-test. Conclusion: Combined interventions such as VR can enhance the effectiveness of risperidone response and boost children’s preparedness to practice and learn social interaction. |
| Databáze: | OpenAIRE |
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