PDF(Pubmed)
Abstract：
The literature acknowledges the presence of psychiatric comorbidities in pediatric chronic pain populations. Few studies have focused on comorbidity with autism spectrum disorders. We describe the case of a 10-year-old patient at the onset of his care by the chronic pain team. This boy had been experiencing refractory multifocal chronic pain for three years and had undergone multiple medical examinations that had not identified the cause of the pain or provided sufficient pain relief. During our consultations, the behavioral peculiarities (averted gaze, inhibition), the atypical description of this boy\'s pain (pain in the hair), and sensory peculiarities (intolerance to noise) led us to suspect an autism spectrum disorder. A multidisciplinary approach, including a thorough developmental history and evaluation by an autism resource center, confirmed this suspicion. The diagnosis of an underlying autism spectrum disorder allowed us to guide our management by integrating the specific sensory aspects of this boy. Concurrently, we facilitated the family\'s better understanding of the young boy\'s issues and addressed his social and communication difficulties. Through multidisciplinary care and the integration of these various aspects, our patient\'s clinical situation improved. Multidisciplinary management is essential in chronic pain teams.
摘要：
文献承认儿科慢性疼痛人群中存在精神病合并症。很少有研究关注自闭症谱系障碍的合并症。我们描述了一名10岁患者在慢性疼痛小组开始治疗时的情况。这个男孩已经经历了三年的难治性多灶性慢性疼痛，并且经历了多次医学检查，这些检查没有确定疼痛的原因或提供足够的疼痛缓解。在我们的磋商中，行为特点(避免凝视，抑制)，这个男孩的疼痛（头发疼痛）的非典型描述，和感官特性（对噪音不耐受）使我们怀疑自闭症谱系障碍。多学科方法，包括全面的发展历史和自闭症资源中心的评估，证实了这一怀疑。潜在的自闭症谱系障碍的诊断使我们能够通过整合这个男孩的特定感官方面来指导我们的管理。同时,我们促进了家庭对小男孩问题的更好理解，并解决了他的社交和沟通困难。通过多学科的关怀和这些各个方面的整合，我们的病人的临床情况好转。多学科管理在慢性疼痛团队中至关重要。
