自閉スペクトラム症児の偏食に対する食物同時提示法の適用  [in Japanese] A study on the simultaneous food presentation for food selectivity in a child with autism spectrum disorder  [in Japanese]

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Abstract

<p>本研究では、同年齢児に比べ食事摂取量が少なく、摂食可能な食物の種類も限られている知的障害特別支援学校小学部3 年の自閉スペクトラム症女児1 名を対象に、児童デイサービス施設の昼食場面において嫌いな食物と好みの食物を同時に提示する方法を適用し、摂食量の増加、摂食内容とローレル指数の改善への効果、さらに、偏食に対する先行子操作に基づく介入の有効性や介入の留意点を検討することを目的とした。摂食に関する全般的アセスメントおよび偏食に関するアセスメントを実施した後、それらの結果を基に保護者と協議して、標的食物を選定した。介入は原則として対象児が施設を全日利用する日の昼食時間30 ~40 分程度であった。その結果、一部の標的食物の摂食量の増加、副菜の摂取量増加、および摂食内容の変化が見られた。ローレル指数については年齢標準には達しなかったものの、介入後に大幅な改善が見られた。以上の結果から、先行子操作に基づく介入方法である食物同時提示法の有効性が示唆され、介入の際の留意点を検討した。</p>

<p>The current study used the simultaneous presentation to increase target food intake and improve feeding categories and the Rohrer index in a child with autism spectrum disorder, who attended third grade at a special needs education school for the mentally challenged. She consumed smaller meal amounts than her age group and could eat only a limited variety of foods. The purpose of this study was to examine the effectiveness of antecedent manipulation for food selectivity and points to be considered for intervention. After general assessment and food selectivity evaluation, target foods were selected, in consultation with her mother. The intervention was typically conducted on the days when she attended the day care service center all day, and the lunch period was approximately 30-40 minutes. As a result, her intake of some target foods and side dishes increased and food variety was altered. The Rohrer index did not reach the age standard, but the improvement was seen after the intervention. The results suggested that simultaneous presentation intervention, a form of intervention based on antecedent manipulation, was effective.</p>

Journal

  • The Japanese Journal of Autistic Spectrum

    The Japanese Journal of Autistic Spectrum 15(2), 37-50, 2018

    The Japanese Academy of Autistic Spectrum

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