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Pain in Adults With Autism Spectrum Disorder

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University Hospital, Brest

关键词

抽象

Pain insensibility is often described in people with autism. The aim of this study is to test the pain perception in adults with autistic spectrum disorder without intellectual disability. An experimental model of pain is used to measure endogenous modulation systems. Thermic stimulations (tonic heat pain stimulation and cold-pressor test) are used to test excitatory and inhibitory pain mechanisms. Salivary cortisol and automatic nervous system (heart rate and blood pressure with an electrocardiogram (Brest :system dantec keypoint natus G3 ; Paris: nexfin HD®) are also tested and behavioral response to thermal stimulation assessed by an inspired behavior scale.

描述

Adults with autism without intellectual disability (IQ > 85) are matched with members of siblings and control group (sex and chronological age).

Pain reactivity (Visual analog scale,endogenous modulation systems, salivary cortisol, automatic nervous system and behavioral responses to thermal stimulation assessed by an inspired behavior scale.) in adult with autism is tested using an experimental model of pain. Excitatory and inhibitory modulation systems were elicited using a temporal summation test administered before and after activation of the Diffuse Noxious Inhibitory Control (DNIC) by means of a cold-pressor test.

Demographic and clinical data are also collected (sensory profile, sleep disorders and depression inventory).

日期

最后验证: 09/30/2017
首次提交: 10/20/2014
提交的预估入学人数: 10/26/2014
首次发布: 10/28/2014
上次提交的更新: 10/10/2017
最近更新发布: 10/11/2017
实际学习开始日期: 05/28/2015
预计主要完成日期: 04/04/2017
预计完成日期: 04/04/2017

状况或疾病

Autism
Pain

干预/治疗

Device: thermode

-

手臂组

干预/治疗
Experimental: high functioning Autism
Thermal stimulation with test thermode Thermic stimulations (tonic heat pain stimulation and cold-pressor test) are used to test excitatory and inhibitory pain mechanisms with high functioning Autism
Placebo Comparator: witness
Thermic stimulations (tonic heat pain stimulation and cold-pressor test) are used to test excitatory and inhibitory pain mechanisms with a witness

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Non-specific inclusion criteria:

- intellectual quotient >85

- consent form signed

Inclusion Criteria autism group :

- autism diagnosis (CIM 10) from multidisciplinary evaluation (ADI-r, ADOS)

- sibling without autism or developmental disorder

Non-specific Exclusion Criteria:

- chronic pain

- pregnancy, breast feeding

- consent form no signed

Exclusion criteria sibling and witness groups:

- diagnosis of autism or developmental disorder

结果

主要结果指标

1. Pain as assessed by Computerized Visual analog scale [one day]

次要成果指标

1. salivary cortisol [one day]

2. Behavioral response to thermal stimulation assessed by an inspired EDM-DI behavior scale [one day]

3. heart rate variability [one day]

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