June 2009. Volume 5. Number 2

Behavioral intervention seems not to be superior to standard care for children with autistic spectrum disorder

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Spreckley M, Boyd R. Efficacy of applied behavioral Intervention in preschool children with autism for improving cognitive, language, and adaptive behavior: A systematic review and meta-analysis. J Pediatr. 2009;154:338-44
Reviewers: Cuestas Montañés E1, Olivares Grohnert M2.
1Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
2Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile. Santiago. Región Metropolitana. Chile.
Correspondence: Eduardo José Cuestas Montañés. Email: eduardo.cuestas@gmail.com
Reception date: 24/04/2009
Acceptance date: 05/05/2009
Publication date: 01/06/2009

Abstract

Authors´ conclusions: currently there is a lack of evidence that applied behavioral intervention has better outcomes than standard care for children with autism.

Reviewers´ commentary: the meta-analysis has methodological weaknesses that make the results vulnerable to bias. There is a need for further meta-analysis that adhere to strict scientific methodology and for primary studies that make comparisons between different treatment options with an adequate number of participants and a long-term follow up. In the meantime, it is suggested that clinical care be based on patient needs and availability of resources.

How to cite this article

Cuestas E, Olivares Grohnert M. La terapia conductual aplicada no parece superior a los cuidados estándar en el tratamiento del trastorno del espectro autista. Evid Pediatr. 2009;5:45.

AVC | Critically appraised articles

Spreckley M, Boyd R. Efficacy of applied behavioral Intervention in preschool children with autism for improving cognitive, language, and adaptive behavior: A systematic review and meta-analysis. J Pediatr. 2009;154:338-44
Reviewers: Cuestas Montañés E1, Olivares Grohnert M2.
1Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
2Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile. Santiago. Región Metropolitana. Chile.
Correspondence: Eduardo José Cuestas Montañés. Email: eduardo.cuestas@gmail.com
Reception date: 24/04/2009
Acceptance date: 05/05/2009
Publication date: 01/06/2009

How to cite this article

Cuestas E, Olivares Grohnert M. La terapia conductual aplicada no parece superior a los cuidados estándar en el tratamiento del trastorno del espectro autista. Evid Pediatr. 2009;5:45.

References

  1. Charkrabarti S, Fombonne E. Pervasive developmental disorders in preschool: confirmation of high prevalence. Am J Psychiatr. 2005;162:1133-41.
  2. Lovaas OI. Behavioral treatment and normal education and intellectual functioning in young autistic children. J Consult Clin Psicol. 1987;55:3-9.
  3. Msall ME. Establishing a traslational science for autistic spectrum disorders for children and their families: optimizing function, participation, and well-being. J Pediatr. 2009;154:319-21.
  4. Ospina MB, Krebs Seida J, Clark B, Karhaneh M, Hartling L, Tjosvold L, et al. Behavioural and developmental interventions for autism spectrum disorder: a clinical systematic review. PloS ONE 2008;3:e3755.
01/06/2009

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