مجله علوم پزشکی صدرا

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اعضای هیات تحریریه

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پیوندهای مفید

فرایند داوری مقالات

تأثیر موسیقی‌درمانی بر توجه اشتراکی، پردازش حسی و مهارت‌های اجتماعی- ارتباطی در کودکان اُتیسم

نوع مقاله : مقاله پژوهشی

نویسندگان

گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

10.30476/smsj.2025.100960.1468

چکیده

مقدمه: مشکل اصلی کودکان مبتلا به اختلال طیف اُتیسم، ضعف در مهارت‌های اجتماعی-ارتباطی است و اختلال در توجه ‌اشتراکی و نقص در پردازش ‌حسی تشدیدکنندۀ این ضعف هستند. این پژوهش با هدف بررسی تأثیر موسیقی‌درمانی بر توجه ‌اشتراکی، پردازش ‌حسی و مهارت‌های اجتماعی-ارتباطی در کودکان اُتیسم انجام شد.
مواد و روش‌ها: روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون و گروه گواه همراه با دوره پیگیری بود. جامعه پژوهش کلیۀ کودکان با اختلال اُتیسم با عملکرد بالا به‌همراه مادرانشان بودند که در مرکز یاوران زینب شهر اصفهان در سال‌های 1401-1402 خدمات دریافت می‌کردند. 30 کودک اُتیسم-مادر به‌عنوان نمونه به‌روش در دسترس انتخاب و در دو گروه آزمایش و گواه گمارده شدند. برای اجرای پیش‌آزمون مقیاس ارتباط اجتماعی اولیه (ESCS) توسط محققان و پرسشنامه وضعیت حسی وین‌دان (SP) و نیمرخ مهارت‌های اجتماعی (ASSP) توسط مادران تکمیل گردید. گروه آزمایش 12 جلسه موسیقی‌درمانی دریافت کرد. گروه گواه در این مدت در لیست انتظار بود. پس از اتمام جلسات و 45 روز بعد مجدداً پرسشنامه‌ها تکمیل شدند. تحلیل‌های آماری با استفاده از آزمون واریانس با اندازه‌گیری مکرر و به‌وسیله نرم‌افزارSpss 24 انجام گردید.
یافته‌ها: طبق نتایج اثر متغیر درون‌گروهی بر توجه ‌اشتراکی، پردازش ‌حسی و مهارت‌های اجتماعی-ارتباطی معنادار بود (0/05≥P)، همچنین اثر متغیر بین گروهی مداخله نیز در افزایش توجه ‌اشتراکی (0/831=E)، پردازش ‌حسی (0/177=E) و مهارت‌های اجتماعی-ارتباطی (0/265=E) معنادار محاسبه شد (0/05≥P)؛ یعنی موسیقی‌درمانی نمرات توجه ‌اشتراکی، پردازش ‌حسی و مهارت‌های اجتماعی-ارتباطی را نسبت به گروه گواه بهبود بخشیده است.
نتیجه‌گیری: به‌منظور بهبود توجه اشتراکی، پردازش ‌حسی و مهارت‌های اجتماعی- ارتباطی کودکان اُتیسم می‌توان از موسیقی‌درمانی استفاده نمود. 

تازه های تحقیق

Farzaneh Kiyanpoor (Google Scholar)

Akram Dehghani (Google Scholar)

کلیدواژه‌ها

مراجع
  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Translated by Yanes HA, Hashemi Minabad H, Arab Qahestani D. Tehran: Rushd Publications; 2023. [Persian].
  2. Ganji M. DSM-5 Diagnostic and Statistical Manual of Mental Disorders. Tehran: Salavan; 2023. [Persian].
  3. Vahidi MB, Khanzadeh A, Nedaee N. The Impact of Training Mothers of Autistic Children for Effective Communication Skills on Social Skills Improvement in Autistic Children. MEJDS. 2017;7:55-70. [Persian].
  4. Maenner MJ. Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR Surveillance Summaries. 2023;72.
  5. Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z, et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ. 2018;67(6):1-23.
  6. Samadi SA, McConkey R. Screening for Autism in Iranian Preschoolers: Contrasting M-CHAT and a Scale Developed in Iran. J Autism Dev Disord. 2015;45(9):2908-16.
  7. Hassannattaj F, Taghipour Javan A, Pourfatemi F, Aram S. Screening and epidemiology of autism spectrum disorder in 3 to 6 year-old children of kindergartens supervised by mazandaran welfare organization. QJ Child Mental Health. 2020;7(3):205-18. [Persian].
  8. Ghadiri F, Soleimani E. Designing a Curriculum for Executive Functions and Evaluating its Effectiveness on Improving the Theory of Mind in Children with High Performance Autism Spectrum Disorder. Clinical Psychology Studies. 2020;11(39):105-34. [Persian].
  9. Amani-Babadi M, Ghiasian MS, Zandi B, Ahadi H. The study of the effect of audio-visual social stories and pragmatic exercises on improving (non) verbal communication skills in children with autism. Language Related Research. 2021;12(6):707-40. [Persian].
  10. Sauer AK, Stanton J, Hans S, Grabrucker A. Autism spectrum disorders: etiology and pathology. Brisbane: Exon Publications; 2021. p. 1-15.
  11. Vogan VM, Francis KE, Morgan BR, Smith ML, Taylor MJ. Load matters: neural correlates of verbal working memory in children with autism spectrum disorder. J Neurodev Disord. 2018;10(1):19.
  12. Shultz S, Klin A, Jones W. Neonatal Transitions in Social Behavior and Their Implications for Autism. Trends Cogn Sci. 2018;22(5):452-69.
  13. Baziar M. Investigating group play therapy on the level of joint attention of children with high-functioning autism. 3rd National Conference of Psychopathology. 2023. [Persian].
  14. Graham KE, Buryn-Weitzel JC, Lahiff NJ, Wilke C, Slocombe KE. Detecting joint attention events in mother-infant dyads: Sharing looks cannot be reliably identified by naive third-party observers. PLoS One. 2021;16(7):e0255241.
  15. Mundy P, Sullivan L, Mastergeorge AM. A parallel and distributed-processing model of joint attention, social cognition and autism. Autism Res. 2009;2(1):2-21.
  16. Adamson LB, Bakeman R, Suma K, Robins DL. An Expanded View of Joint Attention: Skill, Engagement, and Language in Typical Development and Autism. Child Dev. 2019;90(1):e1-e18.
  17. Sadock B, Sadock V and Ruiz P. Psychiatry Summary of Behavioral Sciences/Clinical Psychiatry. Translated by Farzin Rezaei. Tehran: Arjmand. 2023. [Persian].
  18. Cilia F, Touchet C, Vandromme L, Driant BL. Initiation and response of joint attention bids in autism spectrum disorder children depend on the visibility of the target. Autism Dev Lang Impair. 2020;5:2396941520950979.
  19. Mundy PC. Autism and joint attention: Development, neuroscience, and clinical fundamentals. New York: Guilford Publications; 2016.
  20. Mundy P, Jarrold W. Infant joint attention, neural networks and social cognition. Neural Netw. 2010;23(8-9):985-97.
  21. Dellapiazza F, Michelon C, Oreve MJ, Robel L, Schoenberger M, Chatel C, et al. The Impact of Atypical Sensory Processing on Adaptive Functioning and Maladaptive Behaviors in Autism Spectrum Disorder During Childhood: Results From the ELENA Cohort. J Autism Dev Disord. 2020;50(6):2142-52.
  22. Cummings KK, Lawrence KE, Hernandez LM, Wood ET, Bookheimer SY, Dapretto M, et al. Sex Differences in Salience Network Connectivity and its Relationship to Sensory Over-Responsivity in Youth with Autism Spectrum Disorder. Autism Res. 2020;13(9):1489-500.
  23. Chiang WC, Tseng MH, Fu CP, Chuang IC, Lu L, Shieh JY. Exploring Sensory Processing Dysfunction, Parenting Stress, and Problem Behaviors in Children With Autism Spectrum Disorder. Am J Occup Ther. 2019;73(1):7301205130p1-p10.
  24. Baker AE, Lane A, Angley MT, Young RL. The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: a pilot study. J Autism Dev Disord. 2008;38(5):867-75.
  25. Ben-Sasson A, Cermak SA, Orsmond GI, Tager-Flusberg H, Carter AS, Kadlec MB, et al. Extreme sensory modulation behaviors in toddlers with autism spectrum disorders. Am J Occup Ther. 2007;61(5):584-92.
  26. Sanz-Cervera P, Pastor-Cerezuela G, Gonzalez-Sala F, Tarraga-Minguez R, Fernandez-Andres MI. Sensory Processing in Children with Autism Spectrum Disorder and/or Attention Deficit Hyperactivity Disorder in the Home and Classroom Contexts. Front Psychol. 2017;8:1772.
  27. Jamshidian A, Jalili N, Haqgou H. The effect of sensory processing abilities on participation of children with autism. Daneshvar Medicine. 2020;23(5):33-44. [Persian].
  28. Kadlaskar G, Mao PH, Iosif AM, Amaral D, Wu Nordahl C, Miller M. Patterns of sensory processing in young children with autism: Differences in autism characteristics, adaptive skills, and attentional problems. Autism. 2023;27(3):723-36.
  29. Costescu C, Pitariu D, David C, Rosan A. Social communication predictors in autism spectrum disorder. Theoretical review. Journal of Experimental Psychopathology. 2022;13(3):20438087221106955.
  30. Posserud M, Hysing M, Helland W, Gillberg C, Lundervold AJ. Autism traits: The importance of “co-morbid” problems for impairment and contact with services. Data from the Bergen Child Study. Res Dev Disabil. 2018;72:275-83.
  31. Faramarzi S, Abbasi S, Gholami M, Vahabi RS, Pour Sadoghi A. Effectiveness of sensory integration exercises on social interactions and stereotypical behaviors of children with autism spectrum disorder. Research in Cognitive and Behavioral Sciences. 2021;10(2):71-82. [Persian].
  32. Falahi V, Karimisani P. The effectiveness of Narrative Therapy on improvement of communication and social Interaction of children with autism. Applied Psychological Research. 2015;7(2):81-104. [Persian].
  33. Vakili S, Kashani Vahid L, Karimi Rahmat Abadi H. The effect of drama therapy program on social skills of children with autism spectrum. Tehran: Family Conference, Autism Disorder and Associated Challenges; 2018. [Persian].
  34. Bani CP, Alikhani M, Watankhah H. The effectiveness of play therapy on the social development of children with autism spectrum disorder. Tehran: The first national congress of community empowerment in the field of sociology, educational sciences and social and cultural studies; 2015. [Persian].
  35. Hashemi Razini H, Karampoor M. The effectiveness of executive functions training program on social and communication skills of children who have autism spectrum disorders. Clinical Psychology Studies. 2015;6(20):161-85. [Persian].
  36. Rahmanian M, Oraki M, Shirazi NA, Farzaneh M. Comparison of the Effectiveness of Play Therapy and Active Music Therapy on Eye Contact and Social Skills in Level 2 Autistic Boys. JOEC. 2021;21(3):113-26. [Persian]
  37. Aghili S, Asgari A, Namazi M. The effectiveness of music therapy on aggression and stereotyped behaviors of 9 to 11-year-old children with autism. Exceptional Children Journal. 2022;22(1):143-54. [Persian].
  38. Ke X, Song W, Yang M, Li J, Liu W. Effectiveness of music therapy in children with autism spectrum disorder: A systematic review and meta-analysis. Front Psychiatry. 2022;13:905113.
  39. Applewhite B, Cankaya Z, Heiderscheit A, Himmerich H. A Systematic Review of Scientific Studies on the Effects of Music in People with or at Risk for Autism Spectrum Disorder. Int J Environ Res Public Health. 2022;19(9).
  40. Vlamings PH, Jonkman LM, van Daalen E, van der Gaag RJ, Kemner C. Basic abnormalities in visual processing affect face processing at an early age in autism spectrum disorder. Biol Psychiatry. 2010;68(12):1107-13.
  41. Gardener H, Spiegelman D, Buka SL. Prenatal risk factors for autism: comprehensive meta-analysis. Br J Psychiatry. 2009;195(1):7-14.
  42. DeGrace BW. The everyday occupation of families with children with autism. Am J Occup Ther. 2004;58(5):543-50.
  43. Arjmandnia AA, Abbasi F, Dadvar E, Jafari F, Soleimani S. The effect of music-therapy based on rhythmic activities on visual motor perception of children with autism spectrum disorder. Journal of Pediatric Nursing. 2021;8(2):23-31. [Persian].
  44. Ahmadizadeh F, Kakavand A, Keshavarz S. The effect of active music therapy on sensory processing patterns and motor skills of children with autism spectrum disorder level one. Early Childhood Health and Education Quarterly. 2021;2(3):15-35. [Persian].
  45. Kikha M, Gazme M, Asgharian S, Jafari Shahroudi F, Saravani F. The effectiveness of music on the treatment of children and students with autism in the city of Zabol. Tehran: 7th national conference on innovation and research in management, psychology and education; 2022. [Persian].
  46. Dehghan Manshad M & Khaleghipour, S. The effect of music on establishing communication with children with autism disorder. Tehran: 9th International Conference of Psychology and Social Sciences; 2016. [Persian].
  47. Bharathi G, Venugopal A, Vellingiri B. Music therapy as a therapeutic tool in improving the social skills of autistic children. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2019;55:1-6.
  48. Sharda M, Tuerk C, Chowdhury R, Jamey K, Foster N, Custo-Blanch M, et al. Music improves social communication and auditory-motor connectivity in children with autism. Transl Psychiatry. 2018;8(1):231.
  49. Shi Z-M, Lin G-H, Xie Q. Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis. Chinese Nursing Research. 2016;3(3):137-41.
  50. Geretsegger M, Elefant C, Mossler KA, Gold C. Music therapy for people with autism spectrum disorder. Cochrane Database Syst Rev. 2014;2014(6):CD004381.
  51. Delavar A. Research methods in psychology and educational sciences. Tehran: House Publishing; 2022. [Persian].
  52. Gilliam JE. Gilliam autism rating scale. Examiner’s manual: Pro-ed; 1995.
  53. Pashazadeh Azari Z, Hosseini SA, Rassafiani M, Samadi SA, Dunn W, Hosseinzadeh S. A Contextual Intervention Adapted for Autism Spectrum Disorders: A Pilot Study with Single-Subject Design. Archives of Rehabilitation. 2020;21(1):120-37. [Persian].
  54. Abazari K, Mahdavi M. Cognitive characteristics of high-functioning autistic children and children with normal development. Pediatric Nursing Journal. 2017;5(1):21-9. [Persian]
  55. Mundy P, Delgado C, Block J, Venezia M, Hogan H, Seibert J. A manual for the Early Social Communication Scales (ESCS). MIND Institute, University of California at Davis. 2003.
  56. Laing E, Butterworth G, Ansari D, Gsödl M, Longhi E, Panagiotaki G, et al. Atypical development of language and social communication in toddlers with Williams syndrome. Developmental Science. 2002;5(2):233-46.
  57. Asghari M. The effect of puppet play therapy intervention on communicative skills of autistic children. Journal of Fundamentals of Mental Health. 2011;13(49):42-57.
  58. Dawson G, Meltzoff AN, Osterling J, Rinaldi J, Brown E. Children with autism fail to orient to naturally occurring social stimuli. J Autism Dev Disord. 1998;28(6):479-85.
  59. Dunn W, Saiter J, Rinner L. Asperger syndrome and sensory processing: A conceptual model and guidance for intervention planning. Focus on autism and other developmental disabilities. 2002;17(3):172-85.
  60. Bellini S. Building social relationships: A systematic approach to teaching social interaction skills to children and adolescents with autism spectrum disorders and other social difficulties. Shawnee Mission: Autism Asperger Publishing; 2006.
  61. Bellini S, Hopf A. The development of the Autism Social Skills Profile: A preliminary analysis of psychometric properties. Focus on autism and other developmental disabilities. 2007;22(2):80-7.
  62. Seydanlo T, Bagherpur M. The influence of the use of music on improving reading and writing performance of students with learning disabilities. Journal of Learning Disabilities. 2018;7(2):40-54. [Persian].
  63. Hossein Khanzadeh AA, Imankhah F. The effect of music therapy along with play therapy on social behaviors and stereotyped behaviors of children with autism. Practice in Clinical Psychology. 2017;5(4):251-62. [Persian].
  64. Jacob US, Pillay J. Effectiveness of Music Therapy on Reading Skills of Pupils with Intellectual Disability. Cypriot Journal of Educational Sciences. 2021;16(1):251-65.
مجله علوم پزشکی صدرا
دوره 13، شماره 2
فروردین 1404
صفحه 284-300
فایل ها
هم رسانی
ارجاع به این مقاله
آمار