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KMID : 1123620190170010030
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Journal of Korean Society of Sensory Integration Therapists
2019 Volume.17 No. 1 p.30 ~ p.42
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A Systematic Review on Non-Medication Intervention for Self- Injurious Behavior of Individuals With Autism Spectrum Disorders
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Kim Seul-Gi
Choi Jeong-Sil
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Abstract
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Objective : The purpose of this study is to analyze non-medication interventions for self-injurious behavior of individuals with autism spectrum disorder, using a systematic review, and to provide evidence of appropriate services for individuals with autism spectrum disorders with self-injury behaviors in the clinical practice of occupational therapy.
Method : Using the electronic databases PubMed, Medline (ProQuest), DBpia, RISS, KISS, and NDSL, we searched for articles published in Korean and international journals from December 2004 to November 2018. The main search term were “Autism OR Autism Spectrum Disorder AND Therapy OR Treatment Or Intervention AND Self Injurious Behavior.” Qualitative analysis was performed, and the results are presented in the PICO format.
Results : A total of 12 articles were selected. The quality of the evidence was highest in levelⅣ and level Ⅴ. Single studies with an experimental design were the most common. Behavior therapy was the most common type of intervention. The next most common interventions were behavioral therapy, brain stimulation and control, and sensory integration therapy with behavioral therapy. The self-injury behaviors of individuals autism spectrum disorders were decreased, and was statistically significant.
Conclusions : This study investigated the use of non-medication interventions for children with autism spectrum disorders who showed self-injury behavior. Future research should use higher-level designs, and investigate differences between various non-medication interventions.
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KEYWORD
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autism spectrum disorder, self-injury behavior, treatment
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