Pain assessment in autism: updating the ethical and methodological challenges through a state-of-the-art review.

Neurol Sci

Unit for Severe Disabilities in Developmental Age and Young Adults (Developmental Neurology and Neurorehabilitation), Scientific Institute IRCCS "E. Medea", Ex Complesso Ospedaliero "A. Di Summa" - Piazza "A. Di Summa", 72100, Brindisi, Italy.

Published: November 2023

AI Article Synopsis

  • - The text discusses the varying sensitivity to pain in individuals with autism, highlighting that previous research has yielded mixed results regarding whether people with autism are more or less sensitive to pain.
  • - It focuses on the use of standardized methods, like Quantitative Sensory Testing (QST), to better understand pain perception in autism, noting that existing studies using these methods are limited, especially for children.
  • - The text emphasizes the need for new or adjusted research protocols to accurately assess pain perception in autistic children, while also addressing complex ethical challenges in obtaining both subjective and objective data.

Article Abstract

Sensory features of autism include hypo- or hyper-reactivity to pain; however, previous studies on pain in autism lead to conflicting results. Here, we present the state of the art and the methodological challenges concerning pain perception in autism, focusing on studies that used standardized protocol as Quantitative Sensory Testing (QST) to measure perception. Despite there are still scant evidences found with the use of QST, they have challenged the presumed hyposensitivity to pain in autisms, which emerged from parents' reports. Both, peripheral and central mechanisms, have been found involved in typical features of perception in autism. Nonetheless, evidences with controlled protocols are still scarce, and even scarcer are studies focused on children. Overall, complex ethical challenges have to be overcome in order to collect subjective and objective measures from autistic children. With heterogeneous neurodevelopmental features, or intellectual disability, novel or modified protocols are needed.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10072-023-06942-2DOI Listing

Publication Analysis

Top Keywords

methodological challenges
8
perception autism
8
pain
5
autism
5
pain assessment
4
assessment autism
4
autism updating
4
updating ethical
4
ethical methodological
4
challenges state-of-the-art
4

Similar Publications

Attention is key to perception and human behavior, and evidence shows that it periodically samples sensory information (<20Hz). However, this view has been recently challenged due to methodological concerns and gaps in our understanding of the function and mechanism of rhythmic attention. Here we used an intensive ∼22-hour psychophysical protocol combined with reverse correlation analyses to infer the neural representation underlying these rhythms.

View Article and Find Full Text PDF

The management of postamputation pain remains a significant clinical challenge, with existing therapeutic approaches often yielding inconsistent outcomes. Neuromodulation techniques, particularly peripheral nerve stimulation (PNS), have emerged as promising interventions. However, the evidence supporting their effectiveness in treating phantom limb pain (PLP) and residual limb pain (RLP) remains limited.

View Article and Find Full Text PDF

An emotion regulation skills training for adolescents and parents: perceptions and acceptability of methodological aspects.

Front Psychiatry

December 2024

Department of Child and Adolescent Psychiatry in Linköping, Region Östergöland, Linköping, Sweden.

Introduction: Difficulties with emotion regulation are associated with the development and maintenance of psychiatric symptoms. Focusing on emotion regulation can be beneficial when treating symptoms and behavioral problems. Here we describe a seven-session transdiagnostic approach to regulating emotions, delivered jointly to adolescents and parents in a child and adolescent psychiatric outpatient setting, and we explore the perceptions and acceptability of the methodological aspects of the intervention.

View Article and Find Full Text PDF

Background: Health technology assessment (HTA) can be conducted at the national, provincial, or hospital level. Although provincial and hospital-based HTAs often focus on non-pharmaceutical interventions, budget impact analysis (BIA) methods for non-pharmaceutical interventions have received less attention in the literature.

Methods: We reviewed HTAs of non-pharmaceutical interventions published since 2015 by a Canadian provincial HTA agency, evaluating the characteristics and challenges of conducting a BIA.

View Article and Find Full Text PDF

Measurement tools used to assess individual health assets among refugee populations: a scoping review.

Health Promot Int

January 2025

School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, 2007, Australia.

Forced migration is increasing globally, which has detrimental effects on the physical and mental health of refugees, who may face significant challenges accessing healthcare services. However, refugees also possess considerable strengths or assets that can protect against various health challenges. Identifying and strengthening the individual health assets of refugees is critical to promoting their health and mitigating these health challenges.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!