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小儿疼痛与神经发育障碍:对行为分析研究与实践的启示

Pediatric Pain and Neurodevelopmental Disorders: Implications for Research and Practice in Behavior Analysis.

作者信息

McKeown Ciobha A, Vollmer Timothy R, Cameron Michael J, Kinsella Liz, Shaibani Sheida

机构信息

University of Florida, 945 Center Drive, Gainesville, FL 32611 USA.

University of Southern California, Los Angeles, CA USA.

出版信息

Perspect Behav Sci. 2022 Jul 7;45(3):597-617. doi: 10.1007/s40614-022-00347-w. eCollection 2022 Sep.

Abstract

Individuals diagnosed with a neurodevelopmental disorder also are commonly diagnosed with a medical comorbidity. Because of this, it is estimated that this population experiences nearly twice the incidence of pain or discomfort as their neurotypical peers. Although behavior analysts consider the effect of biological variables on a client's behavior, considerations of pain appear to be underdiscussed and understudied. The purpose of this article is to discuss how pain may interact with the efficacy of behavior analytic assessments and treatments, provide potential solutions to the barriers associated with pain states, and describe avenues to promote clinical research to improve our behavior analysis of pediatric pain while developing treatments for behavior problems such as aggression.

摘要

被诊断患有神经发育障碍的个体通常也会被诊断出患有一种医学合并症。因此,据估计,这一人群经历疼痛或不适的发生率几乎是神经发育正常的同龄人的两倍。尽管行为分析师会考虑生物变量对客户行为的影响,但对疼痛的考量似乎讨论不足且研究较少。本文的目的是讨论疼痛可能如何与行为分析评估及治疗的效果相互作用,为与疼痛状态相关的障碍提供潜在解决方案,并描述促进临床研究的途径,以改善我们对儿童疼痛的行为分析,同时开发针对攻击性行为等行为问题的治疗方法。

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