title: [Prospective assessment of children with pervasive developmental disorder after 2 years of day-hospital treatment].
abstract: The treatment of children with pervasive developmental disorders (PDD) has not been systematically assessed in French day-care units. In this prospective study, 11 children with a diagnosis of PDD were followed up for 2years in a day-care unit in the Marseille university hospital. The treatment they received is based on an initial assessment by the "Centre Ressources Autisme" (CRA PACA) and further included a continued observation of the child and an assessment of the child's abilities and needs. This treatment used various therapeutic approaches 10h weekly and also included parental counseling and coordinated work with schools. Treatment in our day-care unit can be categorized as eclectic, non-intensive therapy. It is based on methods such as TEACCH (Treatment and Education of Autistic and related Communication handicapped Children), Floor Time Play, speech and language therapy, developmental therapy, and psychotherapy. International studies on intensive behavioral therapies suggest that this treatment is superior to non-behavioral and/or non-intensive treatment. They suggest its efficiency is due both to the nature of the treatment (behavioral) and to its intensity (more than 25h a week). In this study, the CRA diagnosed children using the ADI and ADOS. The 11 children (mean age, 3years 5months) were tested twice, with the Vineland and CARS scales. The first assessment was on admission to the day hospital and the second was 2years later. The results showed developmental progress with a mean increase of 13.5 months at the Vineland Scale, and a decrease of the autism severity score on the CARS. The treatment presented here proves to be efficient; if compared to similar results in international studies, we obtained better results than their eclectic intensive or non-intensive treatment comparison group.
authors.affiliation: Service de pédopsychiatrie, hôpital Sainte-Marguerite, CHU de Marseille, Marseille cedex, France. francois.poinso@ap-hm.fr
authors.forename: F
authors.initials: F
authors.lastname: Poinso
authors.forename: B
authors.initials: B
authors.lastname: Dubois
authors.forename: C
authors.initials: C
authors.lastname: Chatel
authors.forename: M
authors.initials: M
authors.lastname: Viellard
authors.forename: D
authors.initials: D
authors.lastname: Bastard-Rosset
authors.forename: A-M
authors.initials: AM
authors.lastname: Girardot
authors.forename: P
authors.initials: P
authors.lastname: Grandgeorge
authors.forename: S
authors.initials: S
authors.lastname: De Martino
authors.forename: M
authors.initials: M
authors.lastname: Sokolowsky
authors.forename: X
authors.initials: X
authors.lastname: Salle-Collemiche
authors.forename: D
authors.initials: D
authors.lastname: Da Fonseca
mesh_terms: D001321:Autistic Disorder / Q000628:therapy; D002659:Child Development Disorders, Pervasive / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003631:Day Care, Medical / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education; D010552:Personality Assessment; D015397:Program Evaluation; D011446:Prospective Studies; D013070:Speech Therapy / Q000379:methods