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Related Experiment Videos

Pain's impact on adaptive functioning.

L M Breau1, C S Camfield, P J McGrath

  • 1Pediatric Pain Management Program, IWK Health Centre, Halifax, Nova Scotia, Canada. lbreau@ns.sympatico.ca

Journal of Intellectual Disability Research : JIDR
|January 16, 2007
PubMed
Summary
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Children with intellectual disabilities (ID) show reduced skill performance when experiencing pain. This pain-related functional decline may hinder long-term development and adaptive abilities.

Area of Science:

  • Pediatrics
  • Developmental Disabilities
  • Pain Management

Background:

  • Pain significantly impacts typical children's functioning.
  • The effect of pain on children with intellectual disabilities (ID) remains unexamined.

Purpose of the Study:

  • To investigate the impact of pain on the functional abilities of children with intellectual disabilities (ID).

Main Methods:

  • Caregivers observed 63 children, recording pain presence, cause, intensity, duration, and skill performance over 1-week diaries.
  • Proportions of displayed skills during pain and pain-free states were compared.
  • Fifty caregivers completed a second observation set to validate findings.

Main Results:

  • Children displayed significantly fewer abilities when in pain (54%) compared to when pain-free (64%).

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  • Pain affected all functional areas, including communication, daily living, social, and motor skills.
  • Children with more severe ID experienced the greatest impact on functioning due to pain.

    • Conclusions:

    • Pain presence leads to a reduction in adaptive skill performance in children with ID.
    • Reduced skill practice due to pain may negatively influence long-term functional development.