Une analyse inter-neurotype du camouflage et des perceptions de la maladie chez les personnes atteintes de syndromes de sensibilite centrale

Auteurs

Résumé

Contexte : Les syndromes de sensibilité centrale (CSS) constituent un groupe d'affections, comprenant notamment la fibromyalgie et la migraine, qui sont considérées comme partageant un mécanisme commun de sensibilisation centrale, c'est-à-dire une douleur et une hypersensibilité qui prennent naissance dans le système nerveux central. Les recherches suggèrent que les adultes autistes peuvent être plus susceptibles de présenter un CSS, et que les traits autistiques, la sensibilité sensorielle et l'anxiété contribuent tous à cette association. Cette étude visait à examiner si le camouflage autistique pouvait également être lié aux symptômes de CSS chez des adultes autistes et non autistes. En outre, nous avons réalisé une analyse des perceptions de la maladie afin de déterminer si les personnes autistes et non autistes pouvaient vivre la maladie chronique différemment. Méthodes : L'échantillon comprenait 504 adultes (88 hommes, 416 femmes) ayant des diagnostics cliniques d'autisme, de CSS, les deux diagnostics ou aucun des deux (c'est-à-dire un groupe de comparaison), qui ont rempli en ligne des questionnaires validés d'autoévaluation, notamment l'Autism Spectrum Quotient, le Central Sensitization Inventory, le Sensory Perception Quotient, le Camouflaging Autistic Traits Questionnaire, le Brief Illness Perceptions Questionnaire, le Patient Health Questionaire-9 et le Generalized Anxiety Disorder-7. Résultats : Le camouflage a prédit de manière significative les symptômes de CSS dans cet échantillon. Les personnes autistes présentant un CSS avaient des scores de camouflage plus élevés (moyenne : 130.28) que les autres groupes diagnostiques, avec une différence significative entre le groupe de comparaison et le groupe CSS seul (p < 0.001). Les groupes autisme seul et CSS seul avaient des scores de camouflage significativement plus élevés que le groupe de comparaison (p < 001), mais pas l'un par rapport à l'autre (119.35 contre 107.94). Les personnes autistes ont signalé un effet significativement plus négatif de la maladie chronique sur leur vie (f (1333) = 5.289 p = 0.022) ; il y avait peu d'autres différences dans les perceptions de la maladie entre les personnes autistes et non autistes présentant un CSS. Conclusion : Le camouflage autistique est associé aux symptômes de CSS. Les personnes autistes qui reçoivent un diagnostic de CSS sont particulièrement exposées à un risque accru de handicap lié à la maladie, notamment une moins bonne qualité de vie et une moins bonne santé mentale.

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