The effect of occupation-focused therapy to improve behavior of an inpatient with autism spectrum disorder and severe behavioral disturbances during long-term treatment in a seclusion room

Ujii Naoki, Matsuoka Taichi, Harada Miwako, Nakamura Miyuki, Kawaguchi Takayuki, Watanabe Aki

doi:10.32178/jotr.42.3_337

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強度行動障害を呈する長期間保護室対応の自閉スペクトラム症者に対する作業に焦点を当てた実践の効果
キョウドコウドウショウガイオテイスルチョウキカンホゴシツタイオウノジヘイスペクトラムショウシャニタイスルサギョウニショウテンオアテタジッセンノコウカ

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Abstract

<p>This study examined the effect of individual occupational therapy focusing on personal and meaningful occupations for an inpatient with autism spectrum disorder who had spent a long time in a seclusion room because of severe behavioral disturbances. In this single-case experimental study, the effect of the intervention was assessed by counting and comparing the number of behaviors based on severe behavioral disturbance and panic pre- and post-treatment. The results showed that the number of behaviors based on severe behavioral disturbance and panic of the patient decreased from the initial month of individual occupational therapy, indicating an immediate effect of the intervention. In addition, with the aid of the occupational therapist, the patient was able to reflect on his panic situations and began to think about how to cope with panic, which made it possible for him to move to and use a multi-bed room for a few days a month. These results suggest that individual occupational therapy focusing on personal and meaningful occupations could be effective in improving behavior based on severe behavioral disturbances of patients with autism spectrum disorder.</p>

Journal

Japanese Occupational Therapy Research

Japanese Occupational Therapy Research 42 (3), 337-344, 2023-06-15

Japanese Association of Occupational Therapists

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