Evidence of increased non-verbal behavioral signs of pain in adults with neurodevelopmental disorders and chronic self-injury

Frank J. Symons; Vicki N. Harper; Patrick J. McGrath; Lynn M. Breau; James W. Bodfish

doi:10.1016/j.ridd.2008.07.012

Evidence of increased non-verbal behavioral signs of pain in adults with neurodevelopmental disorders and chronic self-injury

Frank J. Symons, Vicki N. Harper, Patrick J. McGrath, Lynn M. Breau, James W. Bodfish

Medicine

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

55 Citas (Scopus)

Resumen

The role of pain in relation to self-injurious behavior (SIB) among individuals with intellectual disabilities is not well understood. Some models of SIB are based on altered endogenous opioid system activity which could result in elevated pain thresholds. In this study, non-verbal behavioral signs indicative of pain as measured by the Non-Communicating Children's Pain Checklist (NCCPC) were compared between matched individuals with (N = 35) and without (N = 35) chronic self-injurious behavior (SIB) and neurodevelopmental disorders. Significant (p < .01) between group differences (SIB Group > Control Group) were found for the NCCPC Total Score, and for the Vocal, Social/Personality, and Eating/Sleeping subscales of the NCCPC. These results are not consistent with models of SIB in which pain sensitivity is assumed to be attenuated because of opioid system activity and are suggestive of intact and possibly amplified pain expression.

Idioma original	English
Páginas (desde-hasta)	521-528
Número de páginas	8
Publicación	Research in Developmental Disabilities
Volumen	30
N.º	3
DOI	https://doi.org/10.1016/j.ridd.2008.07.012
Estado	Published - 2009

Nota bibliográfica

Funding Information:
This research was supported, in part, by NICHD Grant no. 35682, 40782, 47201 to the University of Minnesota and a McKnight Land-Grant Professorship from the University of Minnesota to Frank Symons. We thank Kelly Sutton, Dawn Parker, and Jamie Clary for assistance with data collection and Alicia Vegell for her editorial assistance. Our sincere thanks to the clients, families, and staff of the J. Iverson Riddle Center for their participation in this study.

ASJC Scopus Subject Areas

Developmental and Educational Psychology
Clinical Psychology

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10.1016/j.ridd.2008.07.012

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abstract = "The role of pain in relation to self-injurious behavior (SIB) among individuals with intellectual disabilities is not well understood. Some models of SIB are based on altered endogenous opioid system activity which could result in elevated pain thresholds. In this study, non-verbal behavioral signs indicative of pain as measured by the Non-Communicating Children's Pain Checklist (NCCPC) were compared between matched individuals with (N = 35) and without (N = 35) chronic self-injurious behavior (SIB) and neurodevelopmental disorders. Significant (p < .01) between group differences (SIB Group > Control Group) were found for the NCCPC Total Score, and for the Vocal, Social/Personality, and Eating/Sleeping subscales of the NCCPC. These results are not consistent with models of SIB in which pain sensitivity is assumed to be attenuated because of opioid system activity and are suggestive of intact and possibly amplified pain expression.",

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AU - Bodfish, James W.

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Evidence of increased non-verbal behavioral signs of pain in adults with neurodevelopmental disorders and chronic self-injury

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Nota bibliográfica

ASJC Scopus Subject Areas

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