Sensibilité accrue à la douleur et anxiété liée à la douleur chez les personnes autistes

Titre original en anglais : Increased pain sensitivity and pain-related anxiety in individuals with autism

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Failla, M. D., Gerdes, M., Williams, Z. J., Moore, D., & Cascio, C. J. (2020). Increased pain sensitivity and pain-related anxiety in individuals with autism. PAIN Reports, 5(6), e861. https://doi.org/10.1097/pr9.0000000000000861

Date de publication: 01/11/2020 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
5
Auteur·ices de la publication identifié·es comme autistes
1 / 5 (20,0 %)
  1. Michelle D. Failla
  2. Madison Gerdes
  3. Zachary J. Williams *
  4. David Moore
  5. Carissa J. Cascio

Résumé

INTRODUCTION : Les personnes présentant un trouble du spectre de l'autisme (TSA) manifestent souvent des différences dans la réactivité à la douleur. Cette réactivité altérée pourrait être liée aux difficultés de communication sociale associées au TSA, aux différences sensorielles ou à un traitement altéré des stimuli douloureux. Des travaux antérieurs de neuroimagerie suggèrent qu'une évaluation altérée de la douleur pourrait contribuer à l'anxiété liée à la douleur dans le TSA. OBJECTIFS : Nous avons émis l'hypothèse que les personnes présentant un TSA rapporteraient une sensibilité accrue à la douleur et exprimeraient davantage d'anxiété liée à la douleur, par rapport à des témoins au développement typique. MÉTHODES : Nous avons recruté 43 adultes (TSA, n = 24 ; développement typique, n = 19) pour 3 tâches de douleur thermique (appliquées au mollet). Nous avons mesuré les seuils de douleur thermique à l'aide d'une approche par méthode des limites, d'une courbe d'évaluation de la douleur (7 températures entre 40 et 48 °C, 5 secondes, 5 essais chacune) et d'une tâche de douleur thermique soutenue avec alternance de températures basses (42 °C) et élevées (46 °C) (21 secondes, 6 essais chacune). Les différences individuelles concernant l'anxiété liée à la douleur, la peur de la douleur, la catastrophisation situationnelle de la douleur, les symptômes dépressifs et la communication sociale liée à l'autisme ont été évaluées par auto-évaluation. RÉSULTATS : Il n'y avait aucune différence entre les groupes concernant les seuils de douleur. Pour les tâches supraliminaires, les évaluations moyennes de la douleur étaient plus élevées dans le TSA pour la courbe d'évaluation de la douleur comme pour les tâches de douleur thermique soutenue, mais les réponses dans le groupe TSA étaient plus variables. L'anxiété liée à la douleur (PASS-Total) et la peur liée à la douleur (FOP-III-Total) étaient plus élevées dans le groupe TSA et étaient positivement associées aux évaluations de la douleur. CONCLUSIONS : Nos résultats suggèrent que les expériences sensorielles et cognitives de la douleur sont toutes deux accentuées et interagissent réciproquement chez les adultes présentant un TSA. De futures études sont nécessaires pour évaluer l'incidence de l'anxiété liée à la douleur sur la recherche de traitement et les comportements liés à la douleur, compte tenu des niveaux plus élevés d'anxiété liée à la douleur dans le TSA.

INTRODUCTION: Individuals with autism spectrum disorder (ASD) often exhibit differences in pain responsivity. This altered responsivity could be related to ASD-related social communication difficulties, sensory differences, or altered processing of pain stimuli. Previous neuroimaging work suggests altered pain evaluation could contribute to pain-related anxiety in ASD. OBJECTIVES: We hypothesized that individuals with ASD would report increased pain sensitivity and endorse more pain-related anxiety, compared to typically developing controls. METHODS: We recruited 43 adults (ASD, n = 24; typically developing, n = 19) for 3 heat pain tasks (applied to the calf). We measured heat pain thresholds using a method of limits approach, a pain-rating curve (7 temperatures between 40 and 48°C, 5 seconds, 5 trials each), and a sustained heat pain task with alternating low (42°C) and high (46°C) temperatures (21 seconds, 6 trials each). Individual differences in pain-related anxiety, fear of pain, situational pain catastrophizing, depressive symptoms, and autism-related social communication were assessed by self-report. RESULTS: There were no group differences in pain thresholds. For suprathreshold tasks, mean pain ratings were higher in ASD across both the pain-rating curve and the sustained heat pain tasks, but responses in the ASD group were more varied. Pain anxiety (PASS-Total) and pain-related fear (FOP-III-Total) were higher in the ASD group and were positively associated with pain ratings. CONCLUSIONS: Our results suggest that both sensory and cognitive experiences of pain are heightened and interact reciprocally in adults with ASD. Future studies are needed to evaluate the impact of pain-related anxiety on treatment-seeking and pain behaviors, given higher levels of pain-related anxiety in ASD.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
61
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
1 / 61 (1,6 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
1 / 284 (0,4 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 1 / 45 (2,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 1 / 265 (0,4 %).
Occurrences citées rattachées à la base AutiHub
45 / 284 (15,8 %)
Auteurices cité·es distinct·es rattaché·es : 31 / 265 (11,7 %)
Occurrences rattachées, non identifiées comme autistes
44 / 45 (97,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 44 / 284 (15,5 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 30 / 31 (96,8 %).
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