KMCRIC

Family-centred music therapy to promote social engagement in young children with severe autism spectrum disorder: a randomized controlled study.

Thompson GA, McFerran KS, Gold C.

Child Care Health Dev.

2013

40(6)

840-52.

10.1111/cch.12121.

24261547

http://www.ncbi.nlm.nih.gov/pubmed/24261547

Child
Child Development Disorders, Pervasive/psychology*
Child Development Disorders, Pervasive/therapy*
Child, Preschool
Communication
Early Intervention (Education)*
Family Therapy*
Female
Humans
Interpersonal Relations*
Male
Music Therapy*
Parent-Child Relations
Parents/education
Parents/psychology*
Treatment Outcome

autism spectrum disorder; family-centred service; music therapy; randomized trials; social relationships

자폐 스펙트럼 장애; 가족 중심 서비스; 음악 치료; 무작위 실험; 사회적 관계

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BACKGROUND:
Limited capacity for social engagement is a core feature of autism spectrum disorder (ASD), often evident early in the child's development. While these skills are difficult to train, there is some evidence that active involvement in music-making provides unique opportunities for social interaction between participants. Family-centred music therapy (FCMT) endeavours to support social engagement between child and parent within active music-making, yet the extent of benefits provided is unknown.
AIM:
This study investigated the impacts of FCMT on social engagement abilities.
METHODS:
Twenty-three children (36-60 months) with severe ASD received either 16 weeks of FCMT in addition to their early intervention programmes (n = 12), or their early intervention programme only (n = 11). Change in social engagement was measured with standardized parent-report assessments, parent interviews and clinician observation.
RESULTS:
Intention-to-treat analysis for the Vineland Social Emotional Early Childhood Scale indicated a significant effect in favour of FCMT. Thematic qualitative analysis of the parent interviews showed that the parent-child relationship grew stronger.
CONCLUSION:
FCMT improves social interactions in the home and community and the parent-child relationship, but not language skills or general social responsiveness. This study provides preliminary support for the use of FCMT to promote social engagement in children with severe ASD.

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