Individuals with Autism Spectrum Disorder may engage in repetitive vocal behaviors which interfere with a structured environment and social inclusion. If untreated, these vocal behaviors maintain into adulthood potentially impeding gainful employment and independent living. This analysis specifically focused on treatments available for presumed or functionally determined automatically reinforced repetitive vocal behaviors, also known as vocal stereotypy. For this review, a systematic keyword search of the literature identified 66 articles and a Tau-U measure of effect size was calculated for 34 eligible studies in order to determine impact of interventions on vocal stereotypy. Of the single-component interventions assessed, three interventions demonstrated a very large effect: interactive activity (0.94), self-management (0.89), and response interruption and redirection (interrupted measurement, 0.86). Additionally, 92% of treatment packages reached a very large effect (0.85–1.00), all of which included stimulus control and/or response cost intervention components. Theoretical and practical applications are discussed, as well as implications for future research.

中文翻译：

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自闭症谱系障碍患者自动强化声音刻板印象的治疗：文献和荟萃分析综述

自闭症谱系障碍患者可能会重复发声行为，这会干扰结构化环境和社会包容性。如果不加以治疗，这些发声行为会持续到成年，可能会阻碍有酬就业和独立生活。该分析特别关注可用于假定或功能确定的自动强化重复性声音行为的治疗方法，也称为声音刻板印象。在本次审查中，对文献进行了系统的关键词搜索，确定了 66 篇文章，并为 34 项符合条件的研究计算了 Tau-U 效应量，以确定干预措施对声音刻板印象的影响。在评估的单组分干预措施中，三种干预措施显示出非常大的效果：互动活动（0.94）、自我管理（0.89）、中断测量，0.86）。此外，92% 的治疗方案达到了非常大的效果（0.85-1.00），所有这些都包括刺激控制和/或响应成本干预组件。讨论了理论和实际应用，以及对未来研究的影响。