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沙盘游戏对自闭症谱系障碍患者康复效果 的Meta 分析
刘晓敏李盈盈林玮佳袁满张雅素
0
()
摘要:
目的 探索沙盘游戏疗法对于自闭症谱系障碍的临床疗效。方法 计算机检索Pubmed、 Web of Science ﹑ Embase ﹑ Cochrane Library、PsycINFO、ScienceDirect、ProQuest、Google Scholar、中国 知网(CNKI)﹑万方数据知识服务平台﹑维普中文期刊数据库(VIP)﹑中国生物医学文献服务系统 (SinoMed),检索从建库至2020 年5 月5 日的随机对照试验,由两位研究人员根据纳入和排除标准独立进 行文献筛选﹑资料提取﹑质量评价和风险评估。运用Review manager 5.3 软件对纳入文章进行数据统 计分析。结果 共纳入11 项随机对照试验,包括853 例患者。结果显示,沙盘游戏可以降低孤独症儿 童行为量表(ABC)评分(MD=-10.06,95%CI=-12.35~-7.77,P< 0.01),降低儿童孤独症评定量表(CARS) 评分(MD=-4.67,95%CI=-7.58~-1.76,P=0.002),降低孤独症治疗评估量表(ATEC)评分(MD=-16.36, 95%CI=-20.22~-12.50,P< 0.01),增加孤独症儿童心理教育评核评定量表评分(PEP-3)(MD=11.65, 95%CI=7.89~15.42,P<0.01)。结论 沙盘游戏可以有效改善自闭症谱系障碍患者心理状况、躯体行为、 感觉认知等方面。
关键词:  自闭症谱系障碍  沙盘游戏  Meta 分析
DOI:10.3969/j.issn.1009-6574.2020.07.002
基金项目:
Effectiveness of sandplay as a treatment for patients with autism spectrum disorder: a systematicreview and meta-analysis
Liu Xiaomin, Li Yingying, Lin Weijia, Yuan Man, Zhang Yasu
()
Abstract:
Objective To explore the clinical curative effect of sandplay therapy for autism spectrum disorder. Methods The randomized controlled trials( RCTs) from Pubmed, Web of Science, Embase, Cochrane Library, PsycINFO, ScienceDirect, ProQuest, Google Scholar, CNKI, Wanfang database, VIP and Chinese Biomedical Database were searched from the inception to May 5, 2020. Two researchers independently performed literature search, data extraction, quality evaluation and risk assessment based on inclusion and exclusion criteria. Review manager 5.3 software was used to analyze the data of the included articles. Results A total of 11 randomized controlled trials were enrolled, including 853 patients. The result showed that sandplay therapy can decrease score of Autism Behavior Checklist( ABC)( MD=-10.06,95%CI=-12.35--7.77,P<0.01), decrease the score of Childhood Autism Rating Scale( CARS)( MD=-4.67,95%CI=-7.58--1.76,P=0.002), decrease the score of Autism Treatment Evaluation Checklist( ATEC)( MD=-16.36,95%CI=-20.22- -12.50,P< 0.01), and increase the score of Psycho-educational Profile 3( PEP-3)( MD=11.65,95%CI=7.89-15.42,P < 0.01). Conclusions The sandplay therapy has clinical efficacy in improving patients' psychological status, speech socialization and sensory cognition.
Key words:  Autism spectrum disorder  Sandplay  Meta-analysis

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