Grosvenor Luke P, Whitney Daniel G, Volk Heather E, Fallin M Daniele
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Autism Res Treat. 2021 Nov 15;2021:2981383. doi: 10.1155/2021/2981383. eCollection 2021.
Children with autism spectrum disorder (ASD) have a higher prevalence of pain compared to those without ASD. Pain is a leading cause of morbidity and disability worldwide and may contribute to adverse health outcomes in people with ASD, thus warranting further research on this special population. The present study used data from 1,423 children with ASD and 46,023 children without ASD and their mothers from the combined 2016-2017 National Survey of Children's Health. Mothers reported child pain and ASD status and their own mental health status. Mothers reporting a status of "Fair or Poor" were considered as having maternal mental health conditions (MMHCs) for the purposes of this study. Children with and without ASD who had mothers with MMHCs had higher odds of pain compared to children with mothers without MMHCs. These increased odds did not attenuate as a result of controlling for co-occurring neurological conditions, which have been associated with increased pain in children with ASD. Thus, parent mental health may alter perception and/or reports of pain on behalf of children with and without ASD. Future research should include more detailed assessments of parent mental health and clinical assessments of children in order to explore the role of parent mental health in the experiences of pain and other symptoms present in children with ASD.
与没有自闭症谱系障碍（ASD）的儿童相比，患有ASD的儿童疼痛发生率更高。疼痛是全球发病和致残的主要原因，可能会导致ASD患者出现不良健康后果，因此有必要对这一特殊人群进行进一步研究。本研究使用了2016 - 2017年全国儿童健康综合调查中1423名患有ASD的儿童、46023名未患ASD的儿童及其母亲的数据。母亲们报告了孩子的疼痛情况、ASD状况以及她们自己的心理健康状况。在本研究中，将报告“一般或较差”状态的母亲视为患有母亲心理健康问题（MMHCs）。与母亲没有MMHCs的孩子相比，母亲患有MMHCs的患有和未患有ASD的儿童疼痛几率更高。由于对同时存在的神经系统疾病进行了控制，这些增加的几率并未减弱，而这些神经系统疾病与ASD儿童疼痛增加有关。因此，父母的心理健康可能会改变患有和未患有ASD的儿童对疼痛的感知和/或报告。未来的研究应包括对父母心理健康更详细的评估以及对儿童的临床评估，以探讨父母心理健康在ASD儿童疼痛及其他症状体验中的作用。
