Musicothérapie centrée sur la famille pour promouvoir l'engagement social chez de jeunes enfants présentant un trouble du spectre de l'autisme sévère : une étude contrôlée randomisée

Titre original en anglais : Family‐centred music therapy to promote social engagement in young children with severe autism spectrum disorder: a randomized controlled study

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Thompson, G., McFerran, K. S., & Gold, C. (2013). Family‐centred music therapy to promote social engagement in young children with severe autism spectrum disorder: a randomized controlled study. Child: Care, Health and Development, 40(6), 840-852. https://doi.org/10.1111/cch.12121

Date de publication: 22/11/2013 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
3
Auteur·ices de la publication identifié·es comme autistes
1 / 3 (33,3 %)
  1. Grace Thompson *
  2. Katrina Skewes McFerran
  3. Christian Gold

Résumé

CONTEXTE : Une capacité limitée d'engagement social est une caractéristique centrale du trouble du spectre de l'autisme (TSA), souvent manifeste tôt dans le développement de l'enfant. Bien que ces compétences soient difficiles à entraîner, certains éléments indiquent que la participation active à la pratique musicale offre des occasions uniques d'interaction sociale entre les participants. La musicothérapie centrée sur la famille (FCMT) vise à soutenir l'engagement social entre l'enfant et le parent dans le cadre d'une pratique musicale active, mais l'ampleur des bénéfices apportés est inconnue. OBJECTIF : Cette étude a examiné les effets de la FCMT sur les capacités d'engagement social. MÉTHODES : Vingt-trois enfants (36-60 mois) présentant un TSA sévère ont reçu soit 16 semaines de FCMT en complément de leurs programmes d'intervention précoce (n = 12), soit uniquement leur programme d'intervention précoce (n = 11). L'évolution de l'engagement social a été mesurée au moyen d'évaluations standardisées rapportées par les parents, d'entretiens avec les parents et d'observations par le clinicien. RÉSULTATS : L'analyse en intention de traiter pour la Vineland Social Emotional Early Childhood Scale a indiqué un effet significatif en faveur de la FCMT. L'analyse qualitative thématique des entretiens avec les parents a montré que la relation parent-enfant s'est renforcée. CONCLUSION : La FCMT améliore les interactions sociales au domicile et dans la communauté ainsi que la relation parent-enfant, mais pas les compétences linguistiques ni la réactivité sociale générale. Cette étude apporte un soutien préliminaire à l'utilisation de la FCMT pour promouvoir l'engagement social chez les enfants présentant un TSA sévère.

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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Références citées
52
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
1 / 52 (1,9 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
1 / 119 (0,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 1 / 25 (4,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 1 / 105 (1,0 %).
Occurrences citées rattachées à la base AutiHub
25 / 119 (21,0 %)
Auteurices cité·es distinct·es rattaché·es : 19 / 105 (18,1 %)
Occurrences rattachées, non identifiées comme autistes
24 / 25 (96,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 24 / 119 (20,2 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 18 / 19 (94,7 %).
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