自闭症慢性疼痛:一个系统的审查
Helena Garriga-Cazorla1,2, Josep Roman-Juan3, Lorena Martí1,2
1Department of Psychology, Unit for the Study and Treatment of Pain-ALGOS, Research Center for Behavior Assessment (CRAMC).
The Clinical journal of pain
|May 29, 2025
概括
自闭症患者经历慢性疼痛,如腹痛和偏头痛,类似于普通人群. 准确的评估和个性化的管理策略对于有效的治疗至关重要.
科学领域:
- 神经发育障碍 神经发育障碍
- 治疗疼痛的药物 疼痛的药物
- 临床心理学 临床心理学
背景情况:
- 自闭症谱系障碍 (ASD) 是一种神经发育状况,其特点是社会互动和沟通的差异.
- 慢性疼痛在一般人群中是一个重大问题,但其在自闭症患者中的患病率和影响不太清楚.
- 现有的自闭症患者慢性疼痛研究有限,需要对当前知识进行全面综合.
研究的目的:
- 综合当前关于自闭症患者慢性疼痛的研究.
- 检查该人口中慢性疼痛的流行病学,评估和管理.
- 识别文献中的差距,并为临床实践提供信息.
主要方法:
- 科学文献的系统审查.
- 在多个电子数据库中进行了搜索 (PubMed/MedLine,CINHAL,PsychINFO,PubPsych,Scopus,科学网).
- 包括26个符合条件的文章从5603个识别引用中.
主要成果:
- 13篇文章集中在流行病学,10篇关于疼痛评估,3篇关于治疗.
- 常见的疼痛部位包括腹部和头部.
- 评估工具通常由家长/专业人士报告;自我报告措施很少.
- 三项研究探讨了用于疼痛管理的心理干预措施.
结论:
- 自闭症患者经历的慢性疼痛状况与一般人群相似.
- 对自闭症患者慢性疼痛的准确评估和有效治疗存在挑战.
- 需要提高临床医生的意识,早期识别和针对自闭症患者慢性疼痛的量身定制的管理策略.
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