Percepção E Enfrentamento Da Dor Em Crianças E Adolescentes Com Fibromialgia Juvenil E Artrite Idiopática Juvenil Poliarticular

Fraga, Melissa Mariti; Terreri, Maria Teresa; Azevedo, Ramiro Anthero de; Hilário, Maria Odete Esteves; Len, Cláudio Arnaldo

doi:10.1590/1984-0462/;2019;37;1;00006

Cited by 5 publications

(1 citation statement)

References 22 publications

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“…Whatever the medical condition or the noxious input, individuals can use a large number of cognitive or behavioral strategies for coping with pain. These reactions include cognitive self-instruction; visual imagery and distraction; body relaxation training; seeking for social support or, alternatively, withdrawing from social contact; worrying or even catastrophizing; each of which can either decrease or increase pain sensation (40). Therefore, pain perception and pain responses form dynamic feedback loops (41)(42)(43).…”

Section: Introductionmentioning

confidence: 99%

The Current View on the Paradox of Pain in Autism Spectrum Disorders

et al. 2022

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder, which affects 1 in 44 children and may cause severe disabilities. Besides socio-communicational difficulties and repetitive behaviors, ASD also presents as atypical sensorimotor function and pain reactivity. While chronic pain is a frequent co-morbidity in autism, pain management in this population is often insufficient because of difficulties in pain evaluation, worsening their prognosis and perhaps driving higher mortality rates. Previous observations have tended to oversimplify the experience of pain in autism as being insensitive to painful stimuli. Various findings in the past 15 years have challenged and complicated this dogma. However, a relatively small number of studies investigates the physiological correlates of pain reactivity in ASD. We explore the possibility that atypical pain perception in people with ASD is mediated by alterations in pain perception, transmission, expression and modulation, and through interactions between these processes. These complex interactions may account for the great variability and sometimes contradictory findings from the studies. A growing body of evidence is challenging the idea of alterations in pain processing in ASD due to a single factor, and calls for an integrative view. We propose a model of the pain cycle that includes the interplay between the molecular and neurophysiological pathways of pain processing and it conscious appraisal that may interfere with pain reactivity and coping in autism. The role of social factors in pain-induced response is also discussed. Pain assessment in clinical care is mostly based on subjective rather than objective measures. This review clarifies the strong need for a consistent methodology, and describes innovative tools to cope with the heterogeneity of pain expression in ASD, enabling individualized assessment. Multiple measures, including self-reporting, informant reporting, clinician-assessed, and purely physiological metrics may provide more consistent results. An integrative view on the regulation of the pain cycle offers a more robust framework to characterize the experience of pain in autism.

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Section: Introductionmentioning

confidence: 99%

The Current View on the Paradox of Pain in Autism Spectrum Disorders

et al. 2022

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A Diagnostic Prediction Model for Separating Juvenile Idiopathic Arthritis and Chronic Musculoskeletal Pain Syndrome

Straalen

Thans

Wulffraat

et al. 2022

The Journal of Pediatrics

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Beliefs About Pain in Pediatric Inflammatory and Noninflammatory Chronic Musculoskeletal Conditions: A Scoping Review

Mountain,

Ali,

Ghio

et al. 2023

Journal of Pediatric Psychology

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Objective The Common Sense Self-Regulatory Model posits that beliefs about pain influence coping behaviors and subsequent physical and mental health outcomes in children/young people with chronic musculoskeletal conditions. It was unclear how and what beliefs had been investigated in this population, and whether there were similarities and differences in beliefs held about pain by those experiencing inflammatory versus noninflammatory musculoskeletal conditions. This scoping review addressed this gap. Methods A systematic search was conducted using four databases (MEDLINE, PsycINFO, Embase, and CINAHL) in November 2021. Primary studies exploring key stakeholders’ (including children, parents, and/or healthcare professionals) beliefs about pain underlying pediatric chronic musculoskeletal conditions were synthesized. Results Eighteen articles were identified. Cross-sectional designs were predominantly used to explore beliefs (n = 6). The majority used questionnaires to assess beliefs (n = 12). Beliefs common across musculoskeletal conditions were that children/young people felt their pain was not understood by others, and pain affected their physical functioning. Differences included children/young people and parents thinking they had some ability to control pain, and causal beliefs relating to underlying disease activity. These pain beliefs were more likely to be held in relation to inflammatory diagnoses. In contrast, children/young people and parents were more likely to view pain as uncontrollable, with more uncertainty regarding underlying causes, relating to noninflammatory diagnoses. Conclusions Methods used to explore pain beliefs were inconsistent. Studies identified similarities and differences which appear to be closely related to the underlying diagnosis. Findings justify further exploration to identify potentially modifiable targets to improve pain outcomes in this population.

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Percepção E Enfrentamento Da Dor Em Crianças E Adolescentes Com Fibromialgia Juvenil E Artrite Idiopática Juvenil Poliarticular

Abstract: Patients with JIA and JFM behave differently in relation to pain perception and the development pain coping mechanisms. Pain should be evaluated from different perspectives for an individualized and efficient treatment of patients.

Cited by 5 publications

References 22 publications

The Current View on the Paradox of Pain in Autism Spectrum Disorders

The Current View on the Paradox of Pain in Autism Spectrum Disorders

A Diagnostic Prediction Model for Separating Juvenile Idiopathic Arthritis and Chronic Musculoskeletal Pain Syndrome

Beliefs About Pain in Pediatric Inflammatory and Noninflammatory Chronic Musculoskeletal Conditions: A Scoping Review

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