Chronic pain in Autism: A Systematic Review.

IF 2.6 3区医学 Q2 ANESTHESIOLOGY

Clinical Journal of Pain Pub Date : 2025-05-29 DOI:10.1097/AJP.0000000000001296

Helena Garriga-Cazorla, Josep Roman-Juan, Lorena Martí, Ester Solé, Rafael Martínez-Leal, Jordi Miró

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引用次数: 0

Abstract

Objectives: The aim of this systematic review was to synthesize the state-of-the-art in research on chronic pain in autistic individuals, including epidemiology, assessment, and management.

Methods: We conducted a search of the following electronic databases: PubMed/MedLine, CINHAL, PsychINFO, PubPsych, Scopus and Web of Science, from inception to 31 July 2024.

Results: A total of 5,603 citations were identified, 87 articles were deemed eligible for further assessment, and 26 articles were included in the final review. Of these, 13 provided data about the epidemiology of chronic pain, 10 were related to pain assessment, and three focused on chronic pain treatment. The most commonly studied locations of chronic pain were the abdomen and the head. The assessment tools used were frequently completed by parents or professionals/researchers and only one study used self-reported measures. Only three studies were on the management of chronic pain in autistic individuals, in particular psychological interventions.

Discussion: This study provides initial insights into chronic pain in autistic individuals, and shows that they experience conditions such as chronic abdominal pain and migraines as the general population does. It also highlights challenges to the accurate assessment and treatment of chronic pain, and emphasizes the need for heightened clinician awareness, early identification, and personalized management strategies.

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自闭症慢性疼痛：一项系统综述。

目的：本系统综述的目的是综合自闭症患者慢性疼痛的最新研究成果，包括流行病学、评估和管理。方法：检索PubMed/MedLine、CINHAL、PsychINFO、PubPsych、Scopus和Web of Science自成立至2024年7月31日的电子数据库。结果：共检索到5603条引用，有87篇文章被认为符合进一步评价条件，26篇文章被纳入终评。其中，13项提供了慢性疼痛的流行病学数据，10项与疼痛评估有关，3项关注慢性疼痛的治疗。慢性疼痛最常见的部位是腹部和头部。所使用的评估工具通常由父母或专业人员/研究人员完成，只有一项研究使用了自我报告的测量方法。只有三项研究是关于治疗自闭症患者的慢性疼痛，特别是心理干预。讨论：这项研究为自闭症患者的慢性疼痛提供了初步的见解，并表明他们与一般人群一样经历了慢性腹痛和偏头痛等疾病。它还强调了对慢性疼痛的准确评估和治疗的挑战，并强调了提高临床医生意识、早期识别和个性化管理策略的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Journal of Pain 医学-临床神经学

CiteScore

5.40

自引率

3.40%

发文量

118

审稿时长

4-8 weeks

期刊介绍： The Clinical Journal of Pain explores all aspects of pain and its effective treatment, bringing readers the insights of leading anesthesiologists, surgeons, internists, neurologists, orthopedists, psychiatrists and psychologists, clinical pharmacologists, and rehabilitation medicine specialists. This peer-reviewed journal presents timely and thought-provoking articles on clinical dilemmas in pain management; valuable diagnostic procedures; promising new pharmacological, surgical, and other therapeutic modalities; psychosocial dimensions of pain; and ethical issues of concern to all medical professionals. The journal also publishes Special Topic issues on subjects of particular relevance to the practice of pain medicine.