Modelos de intervención en niños con autismo

Introduccion. Los trastornos del espectro autista constituyen un grupo de alteraciones del neurodesarrollo que afectan de manera global distintas funciones cerebrales superiores del individuo, como la inteligencia, la capacidad del lenguaje y la interaccion social. Aunque no existe hoy dia ningun tratamiento curativo del autismo, si hay diversas intervenciones no farmacologicas que pueden modificar el mal pronostico generalmente asociado a este tipo de trastornos. Objetivo. Revisar de manera sucinta las diferentes aproximaciones para la neurorrehabilitacion de los pacientes afectados de trastornos del espectro autista, lo que se conoce habitualmente como metodos de intervencion. Desarrollo. Desde un punto de vista categorico, se pueden distinguir tres tipos de metodos de intervencion, segun que la orientacion sea psicodinamica, biomedica o psicoeducativa. Existen dificultades para comparar los resultados de los distintos metodos de intervencion, pero se han identificado unos elementos comunes que deberian tener para resultar eficaces. Actualmente se prefieren los metodos psicoeducativos, pues son los unicos que han demostrado eficacia en los estudios de investigacion. Conclusiones. La intervencion precoz, en el contexto de los centros de diagnostico y atencion temprana, dentro de modelos de intervencion psicoeducativa mixtos, aunque con gran presencia de elementos conductuales, ha demostrado poder modificar la evolucion de los pacientes con trastornos del espectro autista y constituye hoy dia el abordaje mas indicado.

[1]  C. Corsello,et al.  Early Intervention in Autism , 2005 .

[2]  Sylvia Rodger,et al.  A Review of the Research to Identify the Most Effective Models of Practice in Early Intervention for Children with Autism Spectrum Disorders , 2006 .

[3]  S. Ozonoff,et al.  Effectiveness of a Home Program Intervention for Young Children with Autism , 1998, Journal of autism and developmental disorders.

[4]  C. Hutz,et al.  Psychometric properties of the Psychoeducational Profile Revised: PEP-R , 2004 .

[5]  L. Wing The autistic spectrum , 1997, The Lancet.

[6]  J. Kern,et al.  Effectiveness of N,N-Dimethylglycine in Autism and Pervasive Developmental Disorder , 2001, Journal of child neurology.

[7]  S. Eikeseth Outcome of comprehensive psycho-educational interventions for young children with autism. , 2009, Research in developmental disabilities.

[8]  J. Usón Trastornos generalizados del desarrollo y sueño , 2005 .

[9]  Tristram H. Smith,et al.  Intensive behavioral treatment for preschoolers with severe mental retardation and pervasive developmental disorder. , 1997, American journal of mental retardation : AJMR.

[10]  M. Ferriter,et al.  Gluten- and casein-free diets for autistic spectrum disorder. , 2019, The Cochrane database of systematic reviews.

[11]  O. I. Lovaas,et al.  Behavioral treatment and normal educational and intellectual functioning in young autistic children. , 1987, Journal of consulting and clinical psychology.

[12]  Tristram H. Smith Are other treatments effective , 1996 .

[13]  Tristram Smith,et al.  Randomized Trial of Intensive Early Intervention for Children With Pervasive Developmental Disorder , 2000 .

[14]  Susan R. Sandall,et al.  DEC Recommended Practices : A Comprehensive Guide for Practical Application in Early Intervention/Early Childhood Special Education , 2005 .

[15]  Progress and outcomes for children with autism receiving parent-managed intensive interventions , 2002 .

[16]  K. Williams,et al.  Intravenous secretin for autism spectrum disorder. , 2005, The Cochrane database of systematic reviews.

[17]  S. Rogers,et al.  Evidence-Based Comprehensive Treatments for Early Autism , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[18]  Autism Spectrum Disorders: A Research Review for Practitioners , 2003 .

[19]  R. Tuchman,et al.  [Management of children with autism spectrum disorders]. , 2017, Revista de neurologia.

[20]  M. Ferriter,et al.  Gluten- and casein-free diets for autistic spectrum disorder. , 2008, The Cochrane database of systematic reviews.

[21]  R. Reading Thimerosal and the occurrence of autism: negative ecological evidence from Danish population‐based data , 2004 .

[22]  Glen O Sallows,et al.  Intensive behavioral treatment for children with autism: four-year outcome and predictors. , 2005, American journal of mental retardation : AJMR.

[23]  Tristram H. Smith,et al.  Challenges in Evaluating Psychosocial Interventions for Autistic Spectrum Disorders , 2005, Journal of autism and developmental disorders.

[24]  Amy L. Donaldson,et al.  Randomized, Controlled Trial of an Intervention for Toddlers With Autism: The Early Start Denver Model , 2010, Pediatrics.

[25]  Comments on “Challenges in Evaluating Psychosocial Intervention for Autistic Spectrum Disorders” by Lord et al. , 2005 .

[26]  F. Volkmar Autism and pervasive developmental disorders , 1997 .

[27]  S. Rogers Empirically supported comprehensive treatments for young children with autism. , 1998, Journal of clinical child psychology.

[28]  P Howlin,et al.  The effectiveness of interventions for children with autism. , 2005, Journal of neural transmission. Supplementum.

[29]  F. Mulas,et al.  Bases neurobiológicas de los trastornos específicos de la comunicación (espectro autista) , 2005 .

[30]  Tristram H. Smith,et al.  Early Intensive Behavioral Treatment: Replication of the UCLA Model in a Community Setting , 2006, Journal of developmental and behavioral pediatrics : JDBP.

[31]  J. Olley,et al.  Curriculum and Classroom Structure , 2005 .

[32]  G. Christison,et al.  Elimination diets in autism spectrum disorders: any wheat amidst the chaff? , 2006, Journal of developmental and behavioral pediatrics : JDBP.

[33]  S. Bidwell,et al.  A critical appraisal of the literature , 1998 .

[34]  S. Sheinkopf,et al.  Home-Based Behavioral Treatment of Young Children with Autism , 1998, Journal of autism and developmental disorders.

[35]  B. Vandermeer,et al.  Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review , 2008, PloS one.

[36]  J. Matson Determining treatment outcome in early intervention programs for autism spectrum disorders: a critical analysis of measurement issues in learning based interventions. , 2007, Research in developmental disabilities.

[37]  Svein Eikeseth,et al.  Outcome for Children with Autism who Began Intensive Behavioral Treatment Between Ages 4 and 7 , 2007, Behavior modification.

[38]  Eric Schopler,et al.  Effects of a Model Treatment Approach on Adults with Autism , 2003, Journal of autism and developmental disorders.

[39]  J. Birnbrauer,et al.  The Murdoch Early Intervention Program After 2 Years , 1993, Behaviour Change.

[40]  K. Francis Autism interventions: a critical update. , 2005, Developmental medicine and child neurology.

[41]  V Demicheli,et al.  Vaccines for measles, mumps and rubella in children. , 2013, The Cochrane database of systematic reviews.

[42]  Geraldine Dawson,et al.  Designing Research Studies on Psychosocial Interventions in Autism , 2007, Journal of autism and developmental disorders.

[43]  E. Goldson Educating Children with Autism , 2004 .

[44]  M. J. Corley,et al.  Outcome Survey of Early Intensive Behavioral Intervention for Young Children with Autism in a Community Setting , 2001, Autism : the international journal of research and practice.

[45]  J. Fuentes-Biggi,et al.  Guía de buena práctica para el tratamiento de los trastornos del espectro autista , 2006 .

[46]  F. Volkmar,et al.  Handbook of Autism and Pervasive Developmental Disorders , 1987 .

[47]  R. Koegel,et al.  Educating and understanding autistic children , 1982 .

[48]  Tony Charman,et al.  A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorders. , 2007, Journal of child psychology and psychiatry, and allied disciplines.

[49]  O. I. Lovaas,et al.  Teaching Individuals With Developmental Delays: Basic Intervention Techniques , 2002 .

[50]  M. Wiznitzer,et al.  High-Dose Pyridoxine and Magnesium Administration in Children with Autistic Disorder: An Absence of Salutary Effects in a Double-Blind, Placebo-Controlled Study , 1997, Journal of autism and developmental disorders.

[51]  B. Sulzer-Azaroff,et al.  Behavior analysis for lasting change , 1991 .

[52]  Catherine Lord,et al.  Educating Children with Autism , 2001 .

[53]  P. Howlin Autism and intellectual disability: Diagnostic and treatment issues , 2000, Journal of the Royal Society of Medicine.

[54]  Stephen R. Anderson,et al.  Intensive home-based early intervention with autistic children. , 1987 .

[55]  C. Klier,et al.  Omega-3 Fatty Acids Supplementation in Children with Autism: A Double-blind Randomized, Placebo-controlled Pilot Study , 2007, Biological Psychiatry.

[56]  P. Howlin,et al.  Systematic review of early intensive behavioral interventions for children with autism. , 2009, American journal on intellectual and developmental disabilities.

[57]  K. Williams,et al.  Intravenous secretin for autism spectrum disorders (ASD). , 2012, The Cochrane database of systematic reviews.

[58]  A. Couteur,et al.  Daslne: the challenge of developing a regional database for autism spectrum disorder , 2008, Archives of Disease in Childhood.

[59]  M. C. Etchepareborda PERFILES NEUROCOGNITIVOS DEL ESPECTRO AUTISTA , 2001 .

[60]  Brooke Ingersoll,et al.  Behavioral Interventions to Promote Learning in Individuals with Autism , 2005 .

[61]  F. Mulas,et al.  Atención temprana y programas de intervención específica en el trastorno del espectro autista , 2009 .