How do children with autism spectrum disorders express pain? A comparison with developmentally delayed and typically developing children
Journal Title: BÓL - Year 2015, Vol 16, Issue 1
Abstract
There is a lack of knowledge about pain reactions in children with autism spectrum disorders(ASD), who have often been considered as insensitive to pain. The objective of this study was to describethe facial, behavioral and physiological reactions of children with ASD during venipuncture and to comparethem to the reactions of children with an intellectual disability and nonimpaired control children. We alsoexamined the relation between developmental age and pain reactions. The sample included 35 children withASD, 32 children with an intellectual disability, and 36 nonimpaired children. The children were videotapedduring venipuncture and their heart rate was recorded. Facial reactions were assessed using the Child FacialCoding System (CFCS) and behavioral reactions were scored using the Noncommunicating Children’s PainChecklist (NCCPC). A linear mixed-effects model showed that children’s reactions increased between baselineand venipuncture and decreased between the end of venipuncture and the recovery period. There was nosignificant difference between groups regarding the amount of facial, behavioral and physiological reactions.However, behavioral reactions seemed to remain high in children with ASD after the end of the venipuncture, incontrast with children in the 2 other groups. Moreover, we observed a significant decrease in pain expressionwith age in nonimpaired children, but no such effect was found regarding children with ASD. The datareveal that children with ASD displayed a significant pain reaction in this situation and tend to recover moreslowly after the painful experience. Improvement in pain assessment and management in this population isnecessary
Authors and Affiliations
Cécile Rattaz, Amandine Dubois, Marine Viellard, François Poinso, Amaria Baghdadli
Keywords
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- EP ID EP69192
- DOI 10.5604/1640324x.1151438
- Views 107
- Downloads 0
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