Dubois Amandine, Rattaz Cécile, Pry René, Baghdadli Amaria
Centre de Ressources Autisme L-R, Centre Hospitalier Régional Universitaire de Montpellier, Université Montpellier, France.
Pain Res Manag. 2010 Jul-Aug;15(4):245-53. doi: 10.1155/2010/749275.
The purpose of the present article was to assess the available literature concerning pain and autism. First, authors summarized the published articles on pain reactivity in people with autism. Second, the hypotheses envisaged to explain the presence of expressive particularities in people with autism spectrum disorders were reviewed; these included endogenous opioid excess theory, sensorial abnormalities and sociocommunicative deficit. Finally, the present review dealt with the tools available to assess and manage pain in people with autism. In conclusion, the authors revealed the need for more research to obtain more consensual data and provided some recommendations in this domain that were under exploited by the scientific community. From a clinical point of view, more knowledge about pain in people with autism should enable the development of specific assessment tools and, consequently, better pain management in daily care.
本文的目的是评估有关疼痛与自闭症的现有文献。首先，作者总结了已发表的关于自闭症患者疼痛反应性的文章。其次，回顾了为解释自闭症谱系障碍患者存在表达特殊性而设想的假设；这些假设包括内源性阿片类物质过量理论、感觉异常和社会沟通缺陷。最后，本综述探讨了可用于评估和管理自闭症患者疼痛的工具。总之，作者揭示了需要更多研究以获得更具共识的数据，并在这一科学界未充分利用的领域提供了一些建议。从临床角度来看，对自闭症患者疼痛的更多了解应有助于开发特定的评估工具，从而在日常护理中实现更好的疼痛管理。
