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Клиническая и специальная психология

Издатель: Московский государственный психолого-педагогический университет

ISSN (online): 2304-0394

DOI: https://doi.org/10.17759/cpse

Лицензия: CC BY-NC 4.0

Издается с 2012 года

Периодичность: 4 номера в год

Формат: сетевое издание

Язык журнала: русский, английский

Доступ к электронным архивам: открытый

 

Дополнительные и альтернативные вмешательства при расстройствах аутистического спектра: обзор для родителей и клиницистов 291

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Жукова М.А.
кандидат психологических наук, научный сотрудник, Лаборатория междисциплинарных исследований развития человека, Санкт-Петербургский государственный университет (ФГБОУ ВО СПбГУ), Санкт-Петербург, Россия
ORCID: https://orcid.org/0000-0002-3069-570X
e-mail: marina.zhukova@times.uh.edu

Таланцева О.И.
инженер-исследователь, лаборатория междисциплинарных исследований развития человека, Санкт-Петербургский государственный университет, Санкт-Петербург, Россия
ORCID: https://orcid.org/0000-0002-7555-1216
e-mail: talantcevaoksana@gmail.com

Логвиненко Т.И.
инженер-исследователь, лаборатория междисциплинарных исследований развития человека, Санкт-Петербургский государственный университет, Санкт-Петербург, Россия
ORCID: https://orcid.org/0000-0001-7430-1963
e-mail: logvinenkota.spb@gmail.com

Титова О.С.
инженер-исследователь, лаборатория междисциплинарных исследований развития человека, Санкт-Петербургский государственный университет, Санкт-Петербург, Россия
ORCID: https://orcid.org/0000-0002-3839-7555
e-mail: olga.tiitova@gmail.com

Григоренко Е.Л.
доктор психологических наук, ведущий научный сотрудник, Московский государственный психолого-педагогический университет, Москва, Россия
ORCID: https://orcid.org/0000-0001-9646-4181
e-mail: elena.grigorenko@times.uh.edu

Аннотация

Методы дополнительных и альтернативных вмешательств (Complementary and Alternative Therapy, CAT), применяемые в работе с детьми с расстройствами аутистического спектра (РАС), распространены в европейских странах и в Российской Федерации, однако их эффективность и безопасность обычно не рассматриваются клиницистами и родителями составлении рекомендаций и использовании. Данный аналитический обзор посвящен наиболее распространенным дополнительным и альтернативным вмешательствам, применяемым в работе с детьми с РАС. На основе анализа информации, представленной в мета-анализах, систематических обзорах и рандомизированных контролируемых исследованиях в базе данных PubMed, рассматриваются безопасность и эффективность каждого вида вмешательств. Обнаружено, что из всех рассмотренных методов только вмешательства с применением мелатонина можно считать безопасными и эффективными для детей с РАС с сопутствующими нарушениями сна. Методы, которые были классифицированы как безопасные, но не доказавшие свою эффективность, рекомендуется применять только в том случае, если они не противоречат терапии РАС «первой линии» – применению прикладного анализа поведения (Applied Behavioral Analysis, ABA). Методы, доказательств эффективности которых обнаружено не было, такие как терапия слуховой интеграции, биоакустическая коррекция, терапия сенсорной интеграции, микрополяризация, пет-терапия и диета, не должны рекомендоваться в качестве альтернативных методов терапии и могут использоваться только в дополнение к методам лечения на основе ABA-вмешательства. Не рекомендуется использовать хелатирование, гипербарическую кислородную терапию и холдинг- терапию по причине их установленного вредоносного психологического и физического воздействия. При выборе методов дополнительных и альтернативных вмешательств при РАС мы рекомендуем родителям и клиницистам использовать критерии, предложенные Н. Лофтхаусом и коллегами (2012): могут быть рекомендованы только безопасные, простые, экономные и разумные методы вмешательств, тогда как методы лечения, которые являются рискованными, трудно реализуемыми или дорогими, использовать не следует.

Ссылка для цитирования

Финансирование

Подготовка данной статьи была профинансирована Российским Фондом Фундаментальных Исследований (№17-29-02384, руководитель – Е.Л. Григоренко).

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