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Comparison of the Effectiveness of Holistic Multidimensional Treatment Model (HMTM) and Applied Behavioral Analysis Approach (ABA) in
Treatment of Children with ASD
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M. M. A., Reebye, P. M. D., Hosainzadeh- Maleki, Z. M. A.
Abstract
Introduction: Currently, several approaches have been presented for treatment of children with Autism Spectrum Disorder (ASD). The aim of the present study was to compare the effectiveness of Holistic Multidimensional Treatment Model (HMTM) with Applied Behavioral Analysis (ABA) in the improvement of clinical symptoms of children with autism spectrum disorder. Method: The present study had a Quasi experimental design. The sample included 20 children who were assigned with convenience sampling and randomly divided to 2 groups of ABA (8 boys and 2 girls) and HMTM (7 boys and 3 girls).The diagnosis was made by a child psychiatrist based on DSM-IV-TR criteria and using Autism Diagnostic Interview-Revised (ADIR) and Autism Diagnostic Observation Schedule (ADOS). Then the children were referred to Noore Hedayat center for the treatment. Childhood Autism Rating Scale (CARS), Bender Gestalt Test, Draw-A-Man Test Goodenough, Raven's Coloured Progressive Matrices Test for children ,Vineland Social Maturity Scale (VSMS) and performance charts of children based on their videotaped behaviors were used. Data analysis was done using ANCOVA test.
Results: Findings showed that in spite of more effectiveness of HMTM compared to ABA, the differences of standard tests except Bender Gestalt Test and performance charts were not significant (P>0.05). Conclusion: In conclusion, HMTM at least had the equal effectiveness to ABA in the treatment of children with Autism Spectrum Disorder. Further researches are needed to compare the effectiveness of these 2 methods without limitations which occurred in this research.
Keywords: Autistic Spectrum Disorders, Holistic Multidimensional Treatment Model (HMTM), Applied Behavioral Analysis (ABA).
*Correspondence E-mail: [email protected]
- . " / Journal of Clinical Psychology
% -0 1 2. 3 2 ) 6 6 6 ( # 3 1389 Vol. 2, No. 2 (6), Summer 2010
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1- Autism Spectrum Disorders (ASD) 2- neurodevelopmental disorders
3- Diagnostic and Statistical Manual of Mental Disorders (DSM IV-TR) American Psychiatric Association
4- autistic Disorder 5- Asperger’s Disorder 6- Rett’s Disorder
7- Childhood Disintegrative Disorder 8- Prevasive Developmental Disorder Non otherwise(PDD Nos) ( OI 49 3 C a %?" . V : - ( ,/ ;"* b]9 :& c+( d . & C U " . - ( ;( : +/ : F " / 8 " & # ;9 +?* " I / - # 6 ;B 4BF &e A & !"# : ( C "C ( ] 10 [ . A & ? : = ( OI - / ;* F 7 ,/ " I : "5 &?./ ) ABA ( 9 ( [ F 10 ) CTM ( ] 7 8 11 [ . "5 &?./ ) ABA ( - 9 ' C f - "9 # & 9 11 C . g ( : &$ - 9 ' C f &$ - 3 e"9 h ?] * +"F ( "5 R H5 4 / "5 V- 9 ( "5 R( 09 ( e"9 "5 - 9 V # &; / f - 3 C . &?./ Q i $ : 12 ( &I :&& / "5 ( &I i , W "5 Q i i $ C g ( 13 A B ; h " W A! ( I j# * W "5 ? 5 \ ]9 14 3-&$ C . "5 ?# i 9 i $ R( * +"F h ?] ( "5 R H5 F "5 V- 9 h ( "5 C . ' 3- 5 "5 b]9 ?# F &$ / C C 3 &, 9 H& . :& c+( & &I ( 15 - 4BF Lk L&+ / H& &C
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9- Applied Behavioral Analysis (ABA) 10- Comprehensive Treatment Models(CTM) 11- Skinner Operant Conditioning
12- functional analysis 13- target behavior 14- baseline 15- follow up
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17- Incidental Teaching (IT)
18- Pivotal Response Training (PRT) 19- Verbal Behavior (VB)
20- Picture Exchange Communication System (PECS) 21- Rogers 22 - Vismara 23- branded intervention 24- Denver Model 25- Lovaas Model 26- Walden Model
27- UCLA Young Autism Project (Lovaas Institute) 28- Treatment and Education of Autistic and Communication Handicapped Children (TEACCH) 29- The Princeton Child Development Institute (PCDI) ] 7 8 11 8 12 8 13 8 14 8 15 [ 3 +( : ( A ; ,/ 3 C !"# %&' !"; ( $ # . h " 4&+( F / - mI 3 # W (- & 09 " W !"# E& / x x : "+B * T : 11 " & 8: +C A # 3 ( a A 9t - & :& c+( &C- 4; : ( ?# V ;B # ( . R( OI : ( 3- T F ( OI A & - 3 e"9 8[ F @A ) ",T ( $O - ( C [7 3 e"9 : 1 -W ? T Q * "5 $ k i +/ 9 C $O + F "# C 8 ,&( 8 e' * ( &$ W . 2 -F * W ( "5 $ k 5 1. C $O p 9 45 # 5 ( . 3 -/6 4& p T e' * P&+* = ;/ &
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33- Childhood Autism Rating Scale (CARS) 34- Schopler, E.
35- Reichler, R. J. 36- Renner, B.
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39- Draw-A-Man Test Goodenough 40- Florence Laura Goodenough 41- Harris, D. B.
42- Vineland Social Maturity Scale(VSMS) 43- Edgar Arnold Doll
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