Otizm Spektrum Bozukluğu Olan Bir Çocukta DIR/Floortime Müdahalesinin Duyusal İşlemleme ve Uyum Davranışı Üzerine Etkisi: Olgu Sunumu

Year 2020, Volume: 8 Issue: 2, 175 - 184, 09.09.2020

Sinem Kars , Meral Huri , Hülya Kayıhan , Çiğdem Ergül

https://doi.org/10.30720/ered.633482

Cited By: 2

Abstract

Ebeveyn-çocuk
etkileşimi ve oyun becerilerinin geliştirilmesi otizm spektrum bozukluğu (OSB)
olan çocuklarda önemli bir hedeftir. DIR Floortime (Gelişimsel, Bireysel
Farklılık ve İlişki Temelli) bu hedeflere odaklanan bir müdahale yaklaşımıdır.
Çalışmamızdaki amacımız DIR Floortime yaklaşımının kullanıldığı bir yıllık
müdahale programının OSB’li bir çocukta sosyal beceri ve adaptif davranış
üzerine etkisini incelemekti. OSB
tanısı olan 3 yaş 10 aylık erkek çocuk çalışmaya dahil edildi. Duyusal
işlemleme becerilerinin değerlendirilmesinde Duyu Profili; adaptif davranışının
değerlendirilmesinde ise Amerikan Zeka Geriliği Birliği Uyumsal Davranış Ölçeği
(ABS) uygulandı. Müdahale öncesi ve sonrası değerlendirmeler tekrarlandı. Duyusal işlemleme becerilerinde ve
uyumsal davranışta gelişmeler belirlendi. Ayrıca anne, ebeveyn-çocuk
etkileşiminde ve çocuğun iletişim becerilerinde olumlu değişimler olduğunu
belirtti. DIR Floortime yaklaşımı,
çocuğun bireysel farklılıklarının ve fonksiyonel duygusal gelişimsel
kapasitesinin yetişkin-çocuk etkileşimi sırasında dikkate alınmasını
önermektedir. Oyun sırasında, çocuğun liderliğinin takip edilmesi çocuğun oyuna
aktif katılımını sağlayarak OSB’li çocuklarda fonksiyonel gelişim kapasitesinin
güçlenmesini veya oluşmasını sağlayacaktır.

Keywords

otizm spektrum bozukluğu, adaptif davranış, anne-çocuk ilişkileri, oyun terapisi, duyu bozuklukları

Effect of DIR/Floortime Intervention on Adaptive Behavior of a Child with Autism Spectrum Disorder

Abstract

Improving the quality of parent–child interaction and play skills are
important outcomes for children with autism spectrum disorder (ASD). DIR
Floortime (Developmental, Individual difference, and relationship-based) is an
intervention approach that addresses these issues; however, there are few
published studies on its effectiveness. We investigated the effects of 1-year Floortime
intervention in social skills and adaptive behavior of children with ASD. A
three years ten month old boy with ASD participated. Sensory Profile (SP) was
used to analyze child’s sensory processing patterns, AAMR Adaptive Behavior
Scale (ABS) was applied to measure child’s adaptive behaviour. Measurements
were applied pre and post of 12-month (2 session/week) DIR Floortime
intervention programme. According to statistical analysis, the child showed
significant development in sensory processing patterns (p≤0.05) and adaptive
behaviour (p≤0.05) positively. Moreover, the mother perceived positive changes
in their parent-child interactions and child’s communication skills. DIR
Floortime model suggests that child’s biological individual differences and
functional emotional developmental capacities should be considered during
adult-child interactions.  Following the
child’s lead at play increases the active participation of child, which helps
us toward strengthen or construct the functional developmental capacities for
relating, communicating, and thinking of children with ASD.

Keywords

Autism spectrum disorder, adaptive behavior, Sensation disorders, Mother-child relations, Play therapy

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