■鉴于对自闭症谱系障碍(ASD)的补充治疗策略的兴趣日益增加,本研究旨在全面分析动物辅助活动和治疗(AAAT)对各种ASD症状的影响.
■对数据库的细致搜索,包括Scopus和PubMed,为ASD收集AAAT的相关研究。这一过程导致选择了45项研究,包括1,212名参与者。然后对所选择的研究进行荟萃分析以评估AAAT在减轻核心ASD症状中的功效。
■荟萃分析显示,由于AAAT,一些核心ASD症状得到了显着改善。值得注意的是,社会交往有所改善(MD=-4.96,95%CI[-7.49,-2.44]),易怒(MD=-2.38,95%CI[-4.06,-0.71]),多动症(MD=-4.03,95%CI[-6.17,-1.89]),和不同的单词使用技能(MD=20.48,95%CI[7.41,33.55])。然而,社会意识(MD=-1.63,95%CI[-4.07,0.81]),社会认知(MD=-3.60,95%CI[-9.36,2.17]),社交行为(MD=-0.73,95%CI[-2.55,1.09]),社会动机(MD=-1.21,95%CI[-2.56,0.13]),嗜睡(MD=-1.12,95%CI[-3.92,1.68]),和定型行为(MD=-0.23,95%CI[-1.27,0.80])没有显著改善。
■该研究证明了AAAT在改善ASD某些核心症状方面的潜力,比如社交,烦躁,多动症,和单词使用技巧。然而,AAAT在其他ASD症状领域的有效性仍不确定。该研究受到缺乏长期随访数据和现有研究中存在高风险偏倚的限制。因此,虽然研究结果表明了AAAT在特定领域的前景,建议谨慎在所有ASD症状中推广其疗效。
UNASSIGNED: Given the rising interest in complementary therapeutic strategies for autism spectrum disorder (ASD), this research aims to provide a comprehensive analysis of the impact of animal-assisted activities and therapies (AAAT) on various ASD symptoms.
UNASSIGNED: A meticulous search of databases, including Scopus and PubMed, was conducted to gather relevant research on AAAT for ASD. This process led to the selection of 45 studies encompassing 1,212 participants. The chosen studies were then subjected to a meta-analysis to evaluate the efficacy of AAAT in alleviating core ASD symptoms.
UNASSIGNED: The meta-analysis revealed significant improvements in several core ASD symptoms due to AAAT. Notably, there were improvements in social communication (MD = -4.96, 95% CI [-7.49, -2.44]), irritability (MD = -2.38, 95% CI [-4.06, -0.71]), hyperactivity (MD = -4.03, 95% CI [-6.17, -1.89]), and different word usage skills (MD = 20.48, 95% CI [7.41, 33.55]). However, social awareness (MD = -1.63, 95% CI [-4.07, 0.81]), social cognition (MD = -3.60, 95% CI [-9.36, 2.17]), social mannerisms (MD = -0.73, 95% CI [-2.55, 1.09]), social motivation (MD = -1.21, 95% CI [-2.56, 0.13]), lethargy (MD = -1.12, 95% CI [-3.92, 1.68]), and stereotypical behaviors (MD = -0.23, 95% CI [-1.27, 0.80]) did not significantly improve.
UNASSIGNED: The study demonstrates the potential of AAAT in improving certain core symptoms of ASD, such as social communication, irritability, hyperactivity, and word usage skills. However, the effectiveness of AAAT in other ASD symptom domains remains uncertain. The research is limited by the absence of long-term follow-up data and a high risk of bias in existing studies. Therefore, while the findings indicate the promise of AAAT in specific areas, caution is advised in generalizing its efficacy across all ASD symptoms.