مداخلات مربوط به درمان اختلالات خودتنظیمی در کودکان مبتلا به اختلال طیف اوتیسم: بررسی مروری روایی

نوع مقاله : مقاله مروری

نویسندگان

1 گروه آموزشی کاردرمانی، دانشکده‌ی توان‌بخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 استادیار، گروه آموزشی کاردرمانی، دانشکده‌ی علوم توان‌بخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: اختلال طیف اوتیسم، از شایع‌ترین اختلالات رشدی در میان کودکان است که در سال‌های اولیه‌ی کودکی ظهور می‌کند. این کودکان، آشفتگی در خودتنظیمی در سطوح مختلف از جمله جسمی، حسی، روانی، هیجانی و اجتماعی دارند. این در حالی است که ارتباط واضح میان خودتنظیمی و زبان و نیز یادگیری و رشد کلی وجود دارد. بنابراین، قبل از این که بتوانیم مهارت‌های رشدی کودک را مورد هدف قرار دهیم، لازم است با فرایند خودتنظیمی در کودکان آشنا شویم. این مقاله با هدف مرور منابع به منظور بررسی مداخلات مربوط به درمان اختلالات خودتنظیمی در کودکان مبتلا به اختلال طیف اوتیسم تدوین شد.روش‌ها: این مطالعه، یک پژوهش مروری روایی بود. برای یافتن مطالعات مرتبط با هدف پژوهش، جستجو در پایگاه‌های انگلیسی Ot seeker، Google Scholar و Pubmed با استفاده از واژگان کلیدی انگلیسی Autism، Intervention، Self-regulation، Management و پایگاه فارسی Scientific Information Database (SID) با واژگان کلیدی فارسی اوتیسم و خودتنظیمی انجام شد و در نهایت، 18 مطالعه‌ی مرتبط بر اساس معیار ورود انتخاب شد.یافته‌ها: مرور منابع نشان داد مداخلات مربوط به درمان اختلالات خودتنظیمی در این کودکان شامل دارودرمانی، درمان‌های مبتنی بر پردازش و یکپارچگی حسی، درمان‌های رفتاری و شناختی- رفتاری، انواع خاصی از ماساژها، اسب سواری درمانی، مداخلات گروهی و طب چینی می‌باشد.نتیجه‌گیری: به نظر می‌رسد انتخاب و به کارگیری نوع خاصی از مداخله برای هر کودک مبتلا به اختلال طیف اوتیسم، وابسته به سن عقلی، شدت اوتیسم و محیط کودک است. همچنین، عوامل مربوط به فرد، تعامل و محیط، بر توانایی کودک برای تنظیم کردن خود تأثیر می‌گذارند

کلیدواژه‌ها

عنوان مقاله [English]

Interventions for the Treatment of Self-Regulation Disorders in Children with Autism: A Narrative Review

نویسندگان [English]

  • Simin Asadi 1
  • Hosein Sourtiji 2
1 Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Department of Occupational Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Autism spectrum disorder is one of the most common developmental disorders among children that emerges in early childhood. These children have disturbances in self-regulation at various levels including physical, sensory, mental, emotional, and social levels. However, there is a clear link between self-regulation and language as well as learning and overall development. Therefore, before we can target a child's developmental skills, we need to know how the child is regulated. This article aimed to review the resources to study interventions for the treatment of self-regulated disorders in children with autism spectrum disorder.Methods: This was a narrative review study. To find studies related to the purpose of the research, a search was performed on English databases of Ot seeker, Google Scholar, Pubmed, using the keywords autism, intervention, and self-regulation management, and Persian data base of Scientific Information Database (SID) using autism and self-regulation Persian keywords. Finally, 18 related studies were selected based on the inclusion criteria.Findings: The literature review showed that interventions related to the treatment of self-regulation disorders in these children include drug therapy, interventions based on sensory processing and sensory integration, behavioral and cognitive-behavioral therapies, types specialized in massages, horseback riding therapy, group interventions, and Chinese medicine.Conclusion: It seems that the selection and application of a specific type of intervention for each child with autism spectrum disorder is dependent on his/her mental age, severity of autism, and the child's environment. Factors related to the individual, interaction, and environment affect the child's ability to self-regulation.

کلیدواژه‌ها [English]

  • Autism, Self-regulation disorders
  • Intervention

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 38، شماره 590 - شماره پیاپی 590
مهر و آبان 1399
صفحه 655-663

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سابقه مقاله

  • تاریخ دریافت: 28 بهمن 1398
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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