Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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The Efficacy of Early Start Denver Model Intervention in Young Children with Autism Spectrum Disorder Within Japan: A Preliminary Study

  • Tateno, Yukie (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital)) ;
  • Kumagai, Kahoru (Tokiwa Developmental Support Center (Division Child Welfare of Tokiwa Hospital)) ;
  • Monden, Ryunosuke (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital)) ;
  • Nanba, Kotaro (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital)) ;
  • Yano, Ayumi (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital)) ;
  • Shiraishi, Eri (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital)) ;
  • Teo, Alan R. (VA Portland Health Care System, HSR&D Center to Improve Veteran Involvement in Care) ;
  • Tateno, Masaru (Tokiwa Child Development Center (Division Child Psychiatry of Tokiwa Hospital))
  • Received : 2020.09.25
  • Accepted : 2020.12.17
  • Published : 2021.01.01
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Abstract

Objectives: Among the many intervention programs for children with autism spectrum disorder (ASD), the Early Start Denver Model (ESDM) is one of the few approaches that has succeeded in demonstrating clinical efficacy in randomized control trials. Here, we investigate the clinical efficacy of ESDM intervention in young children with ASD in a community setting within Japan. Methods: All subjects were children with ASD who received ESDM intervention during the study period. Each ESDM session lasted 75 min and occurred once per week for at least 12 weeks. The outcome measures consisted of the Kyoto Scale of Psychological Development (K-test), Aberrant Behavior Checklist-Japanese version (ABC-J), and the Clinical Global Impression-Severity scale (CGI-S). Results: Twenty-seven subjects (29.4±6.4 months old) received ESDM intervention that lasted for 8.0±2.6 months on average. The score on Language and Social developmental quotient on the K-test increased significantly after the intervention. The total scores on the ABC-J and CGI-S significantly decreased after completion of the ESDM intervention. Conclusion: Our results suggest that ESDM intervention could reduce the severity of distinct clinical features of ASD, such as impairments in social interaction and communication assessed by the K-test, and maladaptive behavior rated by the ABC-J and CGI-S. We believe that the ESDM adapted to each institution might become one of the standard options for children with ASD in Japan.

Keywords

Acknowledgement

The authors would like to thank all the subjects and their parents for their participation in this study. We thank all colleagues at the Tokiwa Child Development Center and Tokiwa Developmental Support Center for their assistance during this study, especially Ms. Nie Kaneko and Ms. Ayako Kawachi for their elaborate help in providing ESDM therapy.

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