Transcript Herbert H.G. Wettig & Ulrike Franke Evaluation der Wirkung

Herbert H.G. Wettig & Ulrike Frofke
Evaluation
of the Effectiveness of Theraplay
on toddlers and preschool children
with dual diagnoses
of autistic-like lack of social mutuality
and receptive language disorder
2 Studies on the Effectiveness of Theraplay
on toddlers and preschool children with
dual diagnoses of language developmental disorder
and social interaction disorder via coincidence
January 2004
Overview
• Symptoms and Multi morbidity
of toddlers and preschool children with
autistic-like lack of social mutuality within interaction behaviour
• Research: Evaluation of the Effectiveness of Theraplay
– Total sample of the controlled longitudinal and multi-centre study
– Selected samples of toddlers and preschool children with
autistic-like lack of social mutuality within interaction behaviour
• Results: Evaluation of the Effectiveness of Theraplay
– History, parents‘ concerns over child‘s behaviour
– Markedness of the symptoms of toddlers and preschool children
with autistic-like lack of social mutuality within interaction behaviour
– Reduction of symptoms in toddlers and preschool children with
autistic-like lack of social mutuality within interaction behaviour
– Duration of therapy in number of necessary sessions
– Lasting effect of the reduction of symptoms of children with
autistic-like lack of social mutuality within interaction behaviour
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
2
Autistic-like lack of social mutuality
within interaction behaviour of children
based on CASCAP-D (Doepfner et al., 1999)
• The child avoids eye-contact, is unable to mimic
or make gestures in order to regulate social interaction.
• The lack of social (and emotional) mutuality is shown
in various of impairments or deviant reactions towards others.
• Döpfner et al. (1999) hypothize that these children have a lack
of behaviour modulation within a social context or an instable
integration of social, emotional and communicative behaviour.
• Interestingly these children do not have general ratioships
with those of the same age with suitable interests / activities.
• These characteristics are shown in all situations.
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
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Multi morbidity
of the toddlers and preschool children
with autistic-like lack of social mutuality
within interaction behaviour
Examples
• Dual diagnoses of lack of social mutuality and
inattentiveness.
• Dual diagnoses of lack of social mutuality and
uncooperative behaviour.
• Dual diagnoses of lack of social mutuality and
play disorder.
• Dual diagnoses of lack of social mutuality and
receptive language disorder.
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
4
Total sample
of the two research studies CLS and MCS
CLS
Controlled Longitudinal Study
Total sample of the controlled longitudinal study
• N=60 clinically conspicuous toddlers and preschool children* with
coincidence of language developmental- and various social
interaction disorders.
• N=29 follow-up study of children*
2 years after individual discharge from therapy.
N=30 clinically not symptomatic toddlers and preschool
children in same age and gender (matched control sample).
MCS
Multi-Centre Study
Total sample of the multi-centre study
• N=251 clinically conspicuous toddlers and preschool children*with
dual diagnoses of language communication- and various
social interaction disorders.
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
5
Selected Samples
of toddlers and preschool children with dual diagnoses*
of autistic-like lack of social mutuality
and receptive language disorder
CLS
• N= 14 (rd. 23%) toddlers and preschool children*
with autistic-like lack of social mutuality
and receptive language disorders
Sub samples of these
• N= 9 (rd. 15%) toddlers and preschool children*
diagnosed with „early childhood autism” (Kofner)
• N= 30 clinically not symptomatic toddlers and preschool
children in same age and gender (matched sample)
MCS
• N= 42 (rd. 17%) toddlers and preschool children*
with autistic-like lack of social mutuality
and receptive language disorders
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
6
Age, Gender and Status
of toddlers and preschool children
with autism-like lack of social mutuality
and receptive language disorder
• CLS: N=14 children
• MCS: N=42 children
• 86% boys (N=12)
14% girls (N= 2)
6 :1 general ratio b:g
• 3;11 average years of age
3;10 average years - boys
4,06 average years - girls
• 86% 12 legitimate children
7% 1 illegitimate child
7% 1 adopted/foster children
• 71% boys (N=30)
29% girls (N=12)
2,5 :1 general ratio b:g
• 3;11 average years of age
4;00 average years - boys
3;08 average years - girls
• 85% 34 legitimate children
10% 4 illegitimate children
5% 2 adopted/foster children
(2 no answer.)
(1 no answer)
• 64% 9 early childhood autism
7%
1 boy of these is mentally incurable
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
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Family Status of Mother and Upbringing Behaviour
of the language disordered children
with autism-like lack of social mutuality
• CLS: N=14 children
• MCS: N=42 children
• 100% 14 married mothers
• 71% 29 married mothers
7% 3 unmarried living together
10% 4 separated mothers
• 12% 5 single mothers (1 k.A.)
• 85% 35 both involved
15% 6 single parent involved
• 93% 13 both involved
7% 1 single parent involved
(1 k.A.)
•
•
•
•
86% 12 Country of birth Germany
93% 13 mother tongue is German
14% 2 bilingual Upbringing
69% 9 in Kindergarten
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Theraplay Insitut
• 73% 29 Country of birth is Germany
• 88% 36 mother tongue is German
26% 11 bilingual Upbringing
• 56% 23 in Kindergarten
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
8
Degree of Markedness
of symptoms in toddlers and preschool children
with dual diagnoses of autism-like lack of social mutuality
and receptive language disorders
A Comparison
with the ‘norm‘ of clinically not symptomatic children
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
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Autism-like Lack of Social Mutuality
in language disordered children
Average degree of markedness
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Average degree of markedness of clinically conspicuous children
compared to clinically not symptomatic children
Lack of social mutuality in
N=14 children with receptive
language disorder (CLS)
(M=3.1; s=0.8)
3,1
Lack of social mutuality in
N=42 children with receptive
language disorder (MCS)
(M=3.0; s=0.8)
3,0
Lack of social mutuality in
N=30 clinically not
1,0
symptomatic children (CLScontrol group) (M=1.0; s=0)
1
2
3
4
Symptom's average degree of markedness
1 = clinically not symptomatic
strongly impaired symptom = 4
CLS-therapy group
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Theraplay Insitut
MCS-therapy group
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
CLS-control group
10
Uncooperative Behaviour
of toddlers and preschool children
with dual diagnoses of an autism-like lack of social mutuality
and receptive language disorder
Average Degree of markedness
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Comparing the average degree of markedness of clinically conspicuous
children with the control group of clinically not symptomatic children
uncooperative behaviour of N=14 children with
receptive language disorder and lack of social
mutuality (CLS) (M=3.5; s=0.8)
3,5
uncooperative behaviour of N=42 children with
receptive language disorder and lack of social
mutuality (MCS) (M=2.9; s=1.2)
uncooperative behaviour of N=30 clinically not
symptomatic children (CLS-control group) (M=1.1;
s=0.3)
2,9
1,1
1
2
3
4
Symptom's average degree of markedness
1 = clinically not symptomatic
strongly impaired symptom = 4
CLS-therapy group
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Theraplay Insitut
MCS-therapy group
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
CLS-control group
11
Inattentiveness
of toddlers and preschool children
with dual diagnoses of an autism-like lack of social mutuality
and receptive language disorder
Average Degree of markedness
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Comparing the average degree of markedness of clinically conspicuous
children with the control group of clinically not symptomatic children
Inattentiveness of N=14 children with receptive
language disorder and lack of social mutuality (CLS)
(M=3.1; 0.8)
3,1
Inattentiveness of N=42 children with receptive
language disorder and lack of social mutuality (MCS)
(M=3.0; s=0.8)
3,0
Inattentiveness of N=30 clinically not symptomatic
1,2
children (CLS-control group) (M=1.2; s=0.4)
1
2
3
4
Symptom's average degree of markedness
1 = clinically not symptomatic
strongly impaired symptom = 4
CLS-therapy group
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Theraplay Insitut
MCS-therapy group
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
CLS-control group
12
Playing Disorder
of toddlers and preschool children
with dual diagnoses of an autism-like lack of the social mutuality
and receptive language disorder
Average degree of markedness
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Comparing the average degree of markedness of clinically conspicuous
children with the control group of clinically unobtrusive children
Playing disorder of N=14 children with receptive language
disorder and lack of social mutuality (CLS) (M=3.1; s=1.1)
3,1
Playing disorder of N=42 children with receptive language
disorder and lack of social mutuality (MCS)
(M=2.8;
s=1.2)
2,8
Playing disorder of N=30 clinically not symptomatic children
(CLS-control group) (M=1.0; s=0)
1,0
1
2
3
4
Symptom's average degree of markedness
1 = clinically not symptomatic strongly impaired symptom = 4
CLS-therapy group
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Theraplay Insitut
MCS-therapy group
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
MCS-therapy group
13
Langauge Comprehension Disorder /
Receptive Language Disorder
of toddlers and preschool children
with dual diagnoses of an autism-like lack of the social mutuality
and receptive language disorder
Average Degree of markedness
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Comparing the average degree of markedness of clinically conspicuous children
with the control group of clinically not symptomatic children
N=14 children with receptive language disorder and
lack of social mutuality (CLS) (M=3.8; s=0.4)
3,8
N=42 children with receptive language disorder and
lack of social mutuality (MCS)
(M=3.5; s=0.8)
3,5
N=30 clinically not symptomatic children (CLS1,0
control group) (M=1.0; s=0)
1
2
3
4
Symptom's average degree of markedness
1 = clinically not symptomatic
strongly impaired symptom = 4
CLS-therapy group
Copyright 2004
Theraplay Insitut
MCS-therapy group
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
CLS-control group
14
Reduction
of symptoms of toddlers and preschool children
with dual diagnoses of autism-like lack of social mutuality
and receptive language disorder
based on treatment with Theraplay
A Comparison
with the ‘norm‘ of clinically not symptomatic children
Copyright 2004
Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
15
Reduction
of the autism-like lack of social mutuality
of language disordered children
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average Reduction of Symptoms
after being treated with Theraplay
4
Reduction of lack of social mutuality in
N=14 children with receptive language
disorder (CLS)
(TT-B:M=3.1;s=0.8)>(TT-E:M=2.1;s=1.0)
3
Reduction of lack of social mutuality in
N=42 children with receptive language
disorder (MCS)
(TT-B:M=3.0;s=0.8)>(TT-E:M=2.0;s=0.9)
3,1
3,0
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2
2,1
2,0
1
1,0
Lack of social mutuality in N=30 clinically
not symptomatic children (CLS-control
group) (M=1.0; s=0)
start of therapy (TT-B) end of therapy
(TT-E)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
16
Reduction of Uncooperative Behaviour
of language disordered children
with an autistic-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after being treated with Theraplay
4
Reduction of uncooperative behaviour in
N=14 children with receptive language
disorder and lack of social mutuality (CLS)
(TT-B:M=3.5;s=0.8)>(TT-E:M=1.8;s=0.7)
3,5
3
Reduction of uncooperative behaviour in
N=42 children with receptive language
disorder and lack of social mutuality
(MCS)
(TT-B:M=3.0;s=0.8)>(TT-E:M=2.0;s=0.9)
3,0
2
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2,0
1,8
Uncooperative behaviour in N=30
clinically not symptomatic children (CLS –
control group) (M=1.1;s=0.3)
1,1
1
start of therapy (TT-B) end of therapy
(TT-E)
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
17
Reduction of Inattentiveness
of the language disordered children
with an autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms after Theraplay
4
Reduction of inattentiveness in N=14
children with receptive language disorder
and lack of social mutuality (CLS)
(TT-B:M=3.1,s=0.8)>(M=2.6;s=1.1)
3
Reduction of inattentiveness in N=42
children with receptive language disorder
and lack of social mutuality (MCS) (TTB:M=3.1;s=1.1)>(TT-E:M=2.0;s=1.0)
Unaufmerksamkeit der N=30 rezeptiv
sprachgestörten Kinder mit mangelnder
sozialer Gegenseitigkeit (LSSKontrollgruppe) (M=1.2;s=0.4)
3,1
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2,6
2,0
2
1,2
1
start of therapy (TT-B) end of therapy
(TT-E)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
18
Reduction of Play Disorder
of the language disordered children
with an autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after being treated with Theraplay
4
Reduction of playing disorder in N=14
children with receptive language disorder
and lack of social mutuality (CLS)
(TT-B:M=3.1;s=1.1)>(TT-E:M=1.9;s=0.9)
3
Reduction of playing disorder in N=42
children with receptive language disorder
and lack of social mutuality (MCS)
(TT-B:M=2.8;s=1.2)>(TT-E:M=1.8;s=0.9)
3,1
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2,8
2
1,9
1,8
Playing disorder of N=30 clinically not
symptomatic children (CLS–control
group) (M=1.0;s=0)
1,0
1
start of therapy (TT-B) end of therapy
(TT-E)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
19
Reduction of Social Isolation
of the language disordered children
with an autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after being treated with Theraplay
4
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
Reduction of social isolation in N=14
children with receptive language disorder
and lack of social mutuality (CLS)
(TT-B:M=2.2;s=1.3)>(TT-E:M=1.1;s=0.4)
3
Reduction of social isolation in N=42
children with receptive language disorder
and lack of social mutuality (MCS)
(TT-B:M=2.2;s=1.1)>(TT-E:M=1.3;s=0.6)
2,2
2
Social isolation of N=30 clinically not
symptomatic children (CLS – control
group) (M=1.0;s=0)
1,3
1,1
1,0
1
start of therapy (TT-B) end of therapy
(TT-E)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
20
Reduction of Receptive Language Disorder
of the receptive language disordered children
with an autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after being treated Theraplay
4
3,8
Reduction of receptive language disorder
in N=14 children with receptive language
disorder and lack of social mutuality (CLS)
(TT-B:M=3.8;s=0.4)>(TT-E:M=2.9;s=0.7)
3,5
3
Reduction of receptive language disorder
in N=42 children with receptive language
disorder and lack of social mutuality
(MCS)
(TT-B:M=3.5;s=0.8)>(TT-E:M=2.4;s=0.9)
2,9
2,4
2
receptive language disorder of N=30
clinically not symptomatic children (CLS –
control group) (M=1.0;s=0)
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
1
start of therapy (TT-B)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
1,0
end of therapy
(TT-E)
21
Clinical and Statistical Significance
of the reduction of symptoms
based on the treatment with Theraplay
M=means based on CASCAP-D, =change, s=Standard deviation
4-point scale: 1=not symptomatic; Symptom: 2=slightly...,3=impaired, 4= strongly impaired
CLS
MCS
N=14 receptive language
disordered children with lack of
social mutuality
N=42 receptive language
disordered children with lack of
social mutuality
TT-BTT-E
M  M
s
prob.> F
TT-BTT-E
M  M
s
prob.> F
3.8  2.9
0.7
0.0002
3.5  2.4
1.1
0.0001
uncooperative
3.5  1.8
0.9
0.0001
3.0  2.0
1.3
0.0001
playing disorder
3.1  1.9
0.9
0.0001
2.8  1.8
1.1
0.0001
lack of social mutuality
3.1  2.1
0.8
0.0013
3.0  2.0
0.8
0.0001
inattentiveness
3.1  2.6
1.0
0.0104
3.1  2.0
1.3
0.0001
socially isolated
2.2  1.1
1.1
0.0032
2.2  1.3
1.1
0.0001
Symptoms
receptive language
disorder
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The Effectiveness of Theraplay
on autistic-like lack of social mutuality
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Duration of Therapy
Reduction of the symptoms of toddlers and preschool children
with dual diagnoses of autism-like lack of social mutuality
and receptive language disorder
(Number of 30-minutes therapeutic sessions)
Means
Average number of sessions necessary to reduce autism-like lack of
social mutuality of originally receptive language disordered
children.
children with receptive language disorder and lack of social
mutuality (CLS: Min=10; D=26,6 s=10; Max=43)
26,6
Number of therapeutic sessions of N=42 children with
receptive language disorder and lack of social mutuality
(MCS: Min=12; D=25,2;s=12; Max=60)
25,2
0
5
10
15
20
25
30
Average number of 30-minute therapeutic sessions
CLS: number of therapeutic sessions
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Theraplay Insitut
MCS: number of therapeutic sessions
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
23
The Lasting Effect of Reduction of Symptoms
of autism-like lack of social mutuality
and receptive language disorders
2 years after treatment with Theraplay
A Comparison
with the ‘norm‘ of clinically not symptomatic children
Copyright 2004
Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
24
The Lasting Effect
of Reduced Autism-like Lack of Social Mutuality
of the language disordered children
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after treatment with Theraplay
Solely assessed in the longitudinal study!
4
Reduction of lack of social mutuality in
N=14 children with receptive language
disorder (CLS)
(TTB:M=3.1;s=0.8)>(TT-E:M=2.1;s=1.0)
3
statistical significance of change:
(TT-B ~ TT-E: prob.>F=0.0013)
(TT-E ~ 2JnTT: not significant)
2
Lack of social mutuality of N=30 clinically
not symptomatic children (CLS–control
group) (M=1.0; s=0)
1
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Theraplay Insitut
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
3,1
2,1
2,0
1,0
start of therapy end of therapy 2 years after
(TT-B)
(TT-E)
discharge from
therapy
(2JnTT)
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
25
The Lasting Effect
of Reduced Uncooperative Behaviour
of language disordered toddlers and preschool children
with an autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Solely assessed in the longitudinal study!
4
Reduction of uncooperative behaviour in N=14
children with receptive language disorder and
3
lack of social mutuality (CLS)
(TT-B:M=3.5;s=0.8)>(TT-E:M=1.8;s=0.7)
statistical significance of change:
(TT-B ~ TT-E: prob.>F=0.0001)
(TT-E ~ 2JnTT: not significant)
Average reduction of symptoms
after treatment with Theraplay
3,5
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2
Uncooperative behaviour of N=30 clinically not
symptomatic children (CLS–control group)
1
(M=1.1;s=0.3)
1,8
1,1
start of therapy end of therapy
(TT-B)
(TT-E)
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Theraplay Insitut
1,8
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
2 years after
discharge from
therapy
(2JnTT)
26
The Lasting Effect
of Reduced Inattentiveness
of language disordered toddlers and preschool children
with autism-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after treatment with Theraplay
Solely assessed in the longitudinal study!
4
Reduction of inattentiveness in N=14 children with
receptive language disorder and lack of social
3
mutuality (CLS)
(TTB:M=3.1,s=0.8)>(M=2.6;s=1.1)
statistical significance of change:
(TT-B~TT-E: prob.>F=0.0104, significant)
(TT-E~2JnTT: prob.>F=0.9588, not significant)
4 = strongly impaired
3 = impaired
2 = slightly impaired symptom
1 = not noticeable
3,1
2,9
2,6
2
Inattentiveness of N=30 clinically not symptomatic
children (CLS – control group) (M=1.2;s=0.4)
1,2
1
start of therapy
(TT-B)
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Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
end of therapy
(TT-E)
2 years after
discharge from
therapy (2JnTT)
27
The Lasting Effect
of Reduced Autism-like Playing Disorder
of language disordered children
with autistic-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Solely assessed in the longitudinal study!
4
Reduction of playing disorder in N=14
children with receptive language disorder and 3
lack of social mutuality (CLS)
(TT-B:M=3.1;s=1.1)>(TT-E:M=1.9;s=0.9)
statistical significance of change:
(TT-B ~ TT-E: prob.>F=0.0001)
2
(TT-E ~ 2JnaTT: significant)
Playing disorder of N=30 clinically not
symptomatic children (CLS–control group)
(M=1.0;s=0)
1
Average reduction of symptoms
after treatment with Theraplay
3,1
1,9
1,8
1,0
start of therapy
(TT-B)
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Theraplay Insitut
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
end of therapy
(TT-E)
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
2 years after
discharge from
therapy (2JnTT)
28
The Lasting Effect of Reduced Social Isolation
of language disordered children
with autistic-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after treatment with Theraplay
Solely assessed in the longitudinal study!
4
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
Reduction of social isolation in N=14 children
with receptive language disorder and lack of
3
social mutuality (CLS)
(TT-B:M=2.2;s=1.3)>(TT-E:M=1.1;s=0.4)
statistical significance of change:
(TT-B ~ TT-E: prob.>F=0.0032)
(TT-E ~ 2JnTT: not significant)
Social isolation of N=30 clinically not
symptomatic children (CLS–control group)
(M=1.0;s=0)
2,2
2
1
1,0
1,1
start of therapy (TT- end of therapy
B)
(TT-E)
Copyright 2004
Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
1,2
2 years after
discharge from
therapy(2JnTT)
29
The Lasting Effect
of Reduced Receptive Language Disorder
of language disordered children
with autistic-like lack of social mutuality
Assessment methods: CASCAP-D (Döpfner et al., 1999)
Means
Average reduction of symptoms
after treatment with Theraplay
Solely assessed in the longitudinal study!
4
3,8
Reduction of receptive language disorder in
N=14 children with receptive language disorder
and lack of social mutuality (CLS)
(TT-B:M=3.8;s=0.4)>(TT-E:M=2.9;s=0.7)
3
2,9
2,7
statistical significance of change:
(TT-B ~ TT-E: prob.>F=0.0002 significant)
(TT-E ~ 2JnTT: prob.>F=0.1996 not significant)
4 = strongly impaired
3 = impaired
2 = slightly impaired
symptom
1 = not noticeable
2
Receptive language disorder of N=30 clinically
not symptomatic children (CLS–control group)
(M=1.0;s=0)
1
1,0
start of therapy end of therapy
(TT-B)
(TT-E)
Copyright 2004
Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
2 years after
discharge from
therapy (2JnTT)
30
Theraplay Institut
D-71229 Leonberg (Germany) Obere Burghalde 42
Questions about Theraplay:
Ulrike Franke
speech-language pathologist (SLP)
reg. Play Therapist and Supervisor (RPT-S/APT)
certified Theraplay Therapist and Trainer (CTT-T/TTI)
Phone: +49-(0)6202-54051, Office: +49-(0)6221-88-2055, Fax: +49-(0)6202-54958
e-Mail: [email protected]
Questions about the evaluation research:
Herbert H.G. Wettig
Clinical Psychologist
Phone: +49-(0)7152-27062 Fax: +49-(0)7152-22602
e-Mail: [email protected]
® 1996 Theraplay is legally protected by 39518465 and 39518466
Copyright 2004
Theraplay Insitut
The Effectiveness of Theraplay
on autistic-like lack of social mutuality
31