Volume 22, Issue 7 (10-2024)
Nursing and Midwifery Journal 2024, 22(7): 607-619 |
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Research code: IR.IAU.AHVAZ.REC.1403.022
Ethics code: IR.IAU.AHVAZ.REC.1403.022
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Shiri A, Asgari P, Johari Fard R, Hafezi F. THE EFFECT OF DOHSA-HOU PSYCHOLOGICAL REHABILITATION TREATMENT ON THE CHALLENGING BEHAVIORS OF CHILDREN WITH AUTISM IN URMIA CITY. Nursing and Midwifery Journal 2024; 22 (7) :607-619
URL: http://unmf.umsu.ac.ir/article-1-5229-en.html
URL: http://unmf.umsu.ac.ir/article-1-5229-en.html
1- PhD student of Psychology and Education of Exceptional Children, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2- Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran ,p.askary@iauahvaz.ac.ir
3- Assistant of Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
4- Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2- Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran ,
3- Assistant of Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
4- Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
Abstract: (723 Views)
Background & Aim: Deficits in social skills and daily interactions among children with autism spectrum disorder justify the emergence of challenging behaviors of them. These children require interventions to address these deficits. One method that may be effective in modifying the challenging behaviors of these children is the Dohsa-Hou psychological rehabilitation method. Therefore, this study aimed to determine the impact of Dohsa-Hou psychological rehabilitation therapy on the challenging behaviors of children with autism in Urmia city.
Materials & Methods: This semi-experimental study utilized a pre-test-post-test design. Using convenience sampling, 30 children aged 8 to 12 years with autism from psychological and rehabilitation centers in Urmia city were selected based on inclusion and exclusion criteria and randomly assigned to intervention (Dohsa-Hou psychological rehabilitation therapy) and control groups. The measurement tool for this study was the revised Challenging Behavior Scale by Budfish et al. The intervention group underwent Dohsa-Hou psychological rehabilitation techniques over 12 sessions of 55 minutes each, while the control group did not receive any training during this period. Data analysis was conducted using descriptive and inferential statistics with SPSS version 18 at a significance level of 0.05.
Results: The results indicated that Dohsa-Hou psychological rehabilitation therapy had a statistically significant effect on challenging behaviors and all its dimensions (stereotypical behavior, self-injurious behavior, obsessive behavior, ritualistic behavior, sameness behavior, and restricted behavior) in children with autism, both in the post-test and follow-up assessments (P < 0.05).
Conclusion: The findings suggest the effectiveness of Dohsa-Hou psychological rehabilitation therapy on the challenging behaviors of children with autism. Therefore, this method can be utilized to reduce behavioral and communication problems in children on the autism spectrum.
Materials & Methods: This semi-experimental study utilized a pre-test-post-test design. Using convenience sampling, 30 children aged 8 to 12 years with autism from psychological and rehabilitation centers in Urmia city were selected based on inclusion and exclusion criteria and randomly assigned to intervention (Dohsa-Hou psychological rehabilitation therapy) and control groups. The measurement tool for this study was the revised Challenging Behavior Scale by Budfish et al. The intervention group underwent Dohsa-Hou psychological rehabilitation techniques over 12 sessions of 55 minutes each, while the control group did not receive any training during this period. Data analysis was conducted using descriptive and inferential statistics with SPSS version 18 at a significance level of 0.05.
Results: The results indicated that Dohsa-Hou psychological rehabilitation therapy had a statistically significant effect on challenging behaviors and all its dimensions (stereotypical behavior, self-injurious behavior, obsessive behavior, ritualistic behavior, sameness behavior, and restricted behavior) in children with autism, both in the post-test and follow-up assessments (P < 0.05).
Conclusion: The findings suggest the effectiveness of Dohsa-Hou psychological rehabilitation therapy on the challenging behaviors of children with autism. Therefore, this method can be utilized to reduce behavioral and communication problems in children on the autism spectrum.
Keywords: Challenging Behaviors, Children with Autism Spectrum, Dohsa-Hou Psychological Rehabilitation Treatment
Type of Study: Research |
Subject:
روانپزشکی- روان شناسی
References
1. Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet 2018;392(10146):508-20. [PMID: 30078460] [DOI:10.1016/S0140-6736(18)31129-2]
2. Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T, et al. Autism spectrum disorder. Nat Rev Dis Primers 2020;6(1):1-23. [PMID: 31949163] [DOI:10.1038/s41572-019-0138-4] [PMCID: PMC8900942]
3. Bal VH, Kim SH, Fok M, Lord C. Autism spectrum disorder symptoms from ages 2 to 19 years: implications for diagnosing adolescents and young adults. Autism Res 2019;12(1):89-99. [PMID: 30101492] [DOI:10.1002/aur.2004] [PMCID: PMC6600818]
4. Del Pozzo J, Roché MW, Silverstein SM. Violent behavior in autism spectrum disorders: who's at risk? Aggress Violent Behav 2018;39:53-60. [URL:] [DOI:10.1016/j.avb.2018.01.007]
5. McGuire K, Fung LK, Hagopian L, Vasa RA, Mahajan R, Bernal P, et al. Irritability and problem behavior in autism spectrum disorder: a practice pathway for pediatric primary care. Pediatrics 2016;137(Suppl 2):S136-S48. [PMID: 26908469] [DOI:10.1542/peds.2015-2851L]
6. Fitzpatrick SE, Srivorakiat L, Wink LK, Pedapati EV, Erickson CA. Aggression in autism spectrum disorder: presentation and treatment options. Neuropsychiatr Dis Treat 2016:1525-38. [PMID: 27382295] [DOI:10.2147/NDT.S84585] [PMCID: PMC4922773]
7. Inoue M. Assessments and interventions to address challenging behavior in individuals with intellectual disability and autism spectrum disorder in Japan: a consolidated review. Yonago Acta Med 2019;62(2):169-81. [PMID: 31320821] [DOI:10.33160/yam.2019.06.001] [PMCID: PMC6584262]
8. Newcomb ET, Hagopian LP. Treatment of severe problem behaviour in children with autism spectrum disorder and intellectual disabilities. Int Rev Psychiatry 2018;30(1):96-109. [PMID: 29537889] [DOI:10.1080/09540261.2018.1435513] [PMCID: PMC8793042]
9. Bang S. The effects of dohsa-hou: parental perspectives. 2017. [URL:]
10. Konno Y. Psychotherapeutic approach of Dohsa-hou in Japan. J Spec Educ Res 2016;5(1):11-7. [URL:] [DOI:10.6033/specialeducation.5.11]
11. Naderi F, Delami N. The effectiveness of psycho-motor rehabilitation (Dohsa-hou) method on executive functions, mental flexibility and the theory of mind in high performance autistic children. J Exceptional Children 2019;18(4):41-54. [URL:]
12. Huang AX, Hughes TL, Sutton LR, Lawrence M, Chen X, Ji Z, et al. Understanding the self in individuals with autism spectrum disorders (ASD): a review of literature. Front Psychol 2017;8:1422. [PMID: 28878717] [DOI:10.3389/fpsyg.2017.01422] [PMCID: PMC5572253]
13. Cooper K, Smith LGE, Russell A. Social identity, self-esteem, and mental health in autism. Eur J Soc Psychol 2017;47(7):844-54. [URL:] [DOI:10.1002/ejsp.2297]
14. Takahashi H, Matsushima K, Kato T. The effectiveness of dance/movement therapy interventions for autism spectrum disorder: a systematic review. Am J Dance Ther 2019;41:55-74. [URL:] [DOI:10.1007/s10465-019-09296-5]
15. Wallace S, Parsons S, Bailey A. Self-reported sense of presence and responses to social stimuli by adolescents with autism spectrum disorder in a collaborative virtual reality environment. J Intellect Dev Disabil 2017;42(2):131-41. [URL:] [DOI:10.3109/13668250.2016.1234032]
16. Kawano J, Fujino H. Dohsa-hou intervention for reciprocal interpersonal interaction for a girl with Kabuki syndrome and autism spectrum disorder. Clin Case Rep 2021;9(6):e04296. [PMID: 34194798] [DOI:10.1002/ccr3.4296] [PMCID: PMC8223694]
17. Paivastegar M, Banigamali S, Mohammadkhani A, Dadkhah A. The effectiveness of Dohsa method in social skills improvement and stereotypic behaviors reduction for children with high functioning autism. 2015;10:20. [URL:]
18. Rezaii S, Lavasani M. The relationship between motor skills with social skills and challenging behaviors in children with autism spectrum disorders. Q Psychol Exceptional Individuals 2017;19:7-33. [URL:]
19. Bodfish JW, Symons FJ, Parker DE, Lewis MH. Varieties of repetitive behavior in autism: comparisons to mental retardation. J Autism Dev Disord 2000;30:237-43. [PMID: 11055459] [DOI:10.1023/A:1005596502855]
20. Khamooshi M, Mirmahdi SR. The effectiveness of sensory integration procedure on reduction of stereotypical behaviors in autistic children. Dev Psychol J Iranian Psychologists 2015. [URL:]
21. Hemati G, Rezaei S. The effect of horseback riding on the repetitive behaviors of children with autism spectrum disorders. 2013. [URL:]
22. Peyvastegar M, Sh B, Dadkhah A, Mohammadkhani A. The effectiveness of Dohsa method in social skills improvement and stereotypic behaviors reduction for children with high functioning autism. Q J Psychol Stud 2014;10(2):7-26. [URL:]
23. Gordon K, Pasco G, McElduff F, Wade A, Howlin P, Charman T. A communication-based intervention for nonverbal children with autism: what changes? Who benefits? J Consult Clin Psychol 2011;79(4):447-57. [PMID: 21787048] [DOI:10.1037/a0024379]
24. Kawano J, Fujino H. Dohsa-hou intervention for reciprocal interpersonal interaction for a girl with Kabuki syndrome and autism spectrum disorder. Clin Case Rep 2021;9(6):e04296. [PMID: 34194798] [DOI:10.1002/ccr3.4296] [PMCID: PMC8223694]
25. Demehri F, Khayambashi L, Saeidmanesh M. Effectiveness of rehabilitation using Dohsa-Hou on auditory memory and problem solving in children with learning disorder and auditory discrimination problem. Neuropsychology 2020;6(21):67-80. [URL:]
26. Poorsadooghi A, Dadkhah A, Abbasi S, Kanani Z, Dehghanizade S, Mazidi M, et al. Comparison of the effects of aromatherapy with lavender essential oil and music therapy on sleep quality of burned patients. Complement Med J 2016;6(2):1511-21. [URL:]
27. Nejatifar S, Babarabi M. The effectiveness of psycho-rehabilitation Dohsa-hou on improving sleep problems in children with attention deficit/hyperactivity disorder. Empowering Exceptional Children 2022;12(4):14-25. [URL:]
28. Nejatifar S, Norouzi G, Babarabi M. Effectiveness of Dohsa-Hou Rehabilitation on response inhibition and sustained attention in children with attention deficit hyperactivity disorder. Psychol Stud 2022;18(2). [URL:]
29. Yazdkhasti F, Shahbazi M. The effect of Dohsa-hou psychic rehabilitation on reduction of attention deficit hyperactivity disorder and increase of social skills among students with ADHD age 6 to 11. J Res Rehabil Sci 2013;8(5):877-87. [URL:]
30. Sharif Daramadi P, Fathabadi R, Bakhtiarvand M, Ahmadi A. Effectiveness of sand play therapy on challenging behaviors and anxiety in children with high-functioning autism disorder. Empowering Exceptional Children 2019;10(1):1-14. [URL:]
31. Alibakhshi H, Pahlevanian A, Ayoubi K, Mirshoja MS, Salmani M. Effect of Dohsa-hou psycho-rehabilitation method on the gross motor activity of children aged 12-4 years old with spastic cerebral palsy: a randomized double-blinded clinical trial. Koomesh 2022;24(3):300-5. [URL:]
32. Hosseini FS, Valizadeh A. Effect of psycho-rehabilitation on perceptual-motor proficiency of children with Down syndrome. Motor Behav 2018;10(32):113-28. [URL:]
33. Faramarzi H, Ghanei M. The effectiveness of play therapy based on cognitive-behavioral therapy on challenging behaviors of high functioning autistic children. Psychol Exceptional Individuals 2020;9(36):169-85. [URL:]
34. Bardideh M, Mokhtari R. The effectiveness of behavior management training for parents on the challenging behaviors of high-functioning autism spectrum students. Empowering Exceptional Children 2024;15(1):55-45. [URL:]
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