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題名:輕度自閉症類群障礙年輕成人患者特定日間留院治療方案--三例個案報告
書刊名:臺灣職能治療研究與實務雜誌
作者:林宛儀丘彥南楊智涼李素貞 引用關係蕭媺妮劉有寶黃琳婉郭純雅李姿誼
作者(外文):Lin, Wan-yiChiu, Yen-nanYang, Chih-liangLi, Su-chenHsiao, Mei-niLau, Winnie Yu PowHuang, Lin-wanKuo, Chun-yaLee, Tzu-i
出版日期:2015
卷期:11:1
頁次:頁59-70
主題關鍵詞:輕度自閉症類群障礙年輕成人職業重建社區融合日間留院治療Mild autism spectrum disorderYoung adultVocational rehabilitationCommunity integrationDay hospitalization
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:54
目的:針對輕度自閉症類群障礙年輕成人患者,探討完整的日間留院治療模式,以提升患者人際互動、職業適應與社區獨立生活功能,進而改善其生活品質。方法:招募輕度自閉症類群障礙成人患者,進行為期半年的半天日間留院治療,治療內容包括心理諮詢、人際互動、工作適應、社區融合、休閒安排、自我照顧等層面;使用成人自閉症量表(Autism-Spectrum Questionnaire)、同理心量表(Empathy Questionnaire)、友誼量表(Friendship Questionnaire)、臺灣簡明版世界衛生組織生活品質問卷等評估工具,並佐以質性分析評估療效。結果:三位患者在自閉症量表及生活品質量表中對環境滿意度的分數皆出現逐步下降及提升之狀況,其中有兩位患者於此方案治療中或治療後短期內順利就業。結論:此短期積極治療方案具有相當的挑戰性,然而是可行的。它可協助患者改善自閉症症狀,增進環境生活品質滿意度,並提升就業成功率與社區參與度。其中,患者有明確的復健目標、工作動機強烈、家庭支持度高、家人對患者有適切的期待以及未合併其他情緒問題,可能是患者順利進入職場與融入社區的有利因子。
Objective: This study was aimed to develop a comprehensive day care model for young adults with mild autism spectrum disorder. The treatment program was designed to enhance those young people's functions in interpersonal skills, occupation and community participation, which hence to improve their quality of life. Methods: We conducted a specific six-month comprehensive day care program which included physical and mental health selfmanagement, interpersonal skill training, preoccupational training, community resource utilization and leisure activities arrangement for young adults with mild autism spectrum disorder. Autism-Spectrum Questionnaire, Empathy Questionnaire, Friendship Questionnaire and Quality of life Questionnaire (WHOQOL-BREF: Taiwan Version) were used in combination with data gathered from observation for quality analysis of treatment effectiveness. Results: Three patients with mild autism spectrum disorder were recruited. All the patients showed improvements in Autism-Spectrum Quotient and the environmental satisfaction subscale of Quality of life Questionnaire. Two of them got employed soon after this intervention. Conclusion: This specific day care program was workable, though challenging enough. It did help these young adults with mild autism spectrum disorder in reduction of autistic symptoms and in improving their quality of life. It also enhanced their successful vocational placement and community participation. We found that factors, such as clear and practical goals, strong motivation for employment, high family support with appropriate expectations, and no comorbidity of other psychiatric disorders, are probably related with better outcomes.
期刊論文
1.Howlin, P.、Goode, S.、Hutton, J.、Rutter, M.(2004)。Adult outcome for children with autism。Journal of Child Psychology and Psychiatry,45(2),212-229。  new window
2.張萬烽(20111100)。自閉症成人之就業困境與職業復健上之需求。南屏特殊教育,2,23-34。new window  延伸查詢new window
3.簡伶寧、梁碧明(20090600)。高功能自閉症與亞斯伯格症學生生涯轉銜之探討。特教論壇,6,26-35。new window  延伸查詢new window
4.Baron-Cohen, S.、Wheelwright, S.(2003)。The Friendship Questionnaire: An investigation of adults with Asperger syndrome or high-functioning autism, and normal sex differences。Journal of Autism and Developmental Disorders,33(5),509-517。  new window
5.Baron-Cohen, S.、Wheelwright, S.、Skinner, R.、Martin, J.、Clubley, E.(2001)。The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians。Journal of Autism and Developmental Disorders,31(1),5-17。  new window
6.Cederlund, M.、Hagberg, B.、Billstedt, E.、Gillberg, I. C.、Gillberg, C.(2008)。Asperger syndrome and autism: A comparative longitudinal follow-up study more than 5 years after original diagnosis。Journal of Autism and Developmental Disorders,38(1),72-85。  new window
7.Eaves, L. C.、Ho, H. H.(2008)。Young adult outcome of autism spectrum disorders。Journal of Autism and Developmental Disorders,38(4),739-747。  new window
8.Hendricks, D. R.、Wehman, P.(2009)。Transition from school to adulthood for youth with autism spectrum disorders。Focus on Autism and Other Developmental Disabilities,24,77-88。  new window
9.Hillier, A.、Fish, T.、Cloppert, P.、Beversdorf, D. Q.(2007)。Outcomes of a social and vocational skills support group for adolescents and young adults on the autism spectrum。Focus on Autism and Other Developmental Disabilities,22,107-115。  new window
10.Howlin, P.、Moss, P.、Savage, S.、Rutter, M.(2013)。Social outcomes in mid- to later adulthood among individuals diagnosed with autism and average nonverbal IQ as children。Journal of the American Academy Child Adolescent Psychiatry,52(6),572-581。  new window
11.Lau, Winnie Yu-Pow、Gau, Susan Shur-Fen、Chiu, Yen-Nan、Wu, Yu-Yu、Chou, Wen-Jiun、Liu, Shih-Kai、Chou, Miao-Chun(2013)。Psychometric properties of the Chinese version of the autism spectrum quotient (AQ)。Research in Developmental Disabilities,34(1),294-305。  new window
12.Lin, L. Y.、Yu, S. N.、Yu, Y. T.(2012)。A study of activities of daily living and employment in adults with autism spectrum disorders in Taiwan。International Journal of Rehabilitation Research,35(2),109-115。  new window
13.Nesbitt, S.(2000)。Why and why not? Factors influencing employment for individuals with Asperger syndrome。Autism,4(4),357-369。  new window
14.Taylor, J. L.、McPheeters, M. L.、Sathe, N. A.、Dove, M. D.、VanderWeele, J.、Warren, Z.(2013)。A systematic review of vocational interventions for young adults with autism spectrum disorders。Pediatrics,130(3),531-538。  new window
15.Baron-Cohen, S.、Wheelwright, S.(2004)。The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences。Journal of Autism and Developmental Disorders,34(2),163-175。  new window
16.Hurlbutt, K.、Chalmers, L.(2004)。Employment and adults with Asperger syndrome。Focus on Autism and Other Developmental Disabilities,19(4),215-222。  new window
17.Howlin, P.(2000)。Outcome in adult life for more able individuals with autism or asperger syndrome。Autism,4(1),63-83。  new window
會議論文
1.Chiu, Y. N.、Yang, C. L.、Li, S. C.、Hsiao, M. N.、Lau, W. Y. P.、Lin, W. Y.(2011)。A preliminary model of interpersonal structure group therapy for young adults with mild Autistic Spectrum Disorders。The 50th Annual Congress of Taiwanese Society of Psychiatry。Kaohsiung。  new window
研究報告
1.衛生福利部統計處(2013)。身心障礙者人數。  延伸查詢new window
圖書
1.姚開屏(2005)。台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北:世界衛生組織生活品質問卷台灣簡明版發展小組。  延伸查詢new window
2.American Psychiatric Association(2013)。Diagnostic And Statistical Manual Of Mental Disorders。American Psychiatric Association。  new window
 
 
 
 
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