Résumé
Pour évaluer et prendre en charge la douleur, les soignants doivent disposer d’outils et de connaissances actualisées concernant les enfants et adolescents atteints de déficience intellectuelle légère ou moyenne. Les travaux récents montrent que ces enfants disposent de capacités à exprimer verbalement la douleur et qu’ils utilisent des outils d’autoévaluation de façon adaptée. Par ailleurs, ils connaissent des stratégies de faire-face et semblent privilégier le recours à un soutien extérieur. Enfin, ils montrent des capacités d’imagerie mentale et sont capables d’évoquer des souvenirs autobiographiques. Ces données nouvelles laissent penser que les enfants et adolescents de cette population peuvent bénéficier des protocoles d’hypnoanalgésie et de relaxation.
Abstract
To assess and manage pain, caregivers need tools and updated knowledge about children and adolescents with mild and moderate intellectual disabilities. Recent works show that children are able to verbalize pain and they can accurately use self-assessment tools. Moreover, they know strategies to cope with pain and seem to favor the use of social support. Finally, they show mental imagery abilities and are able to recall autobiographical memories. These new data suggest that children and adolescents in this population may be included in hypno-analgesia and relaxation programs.
Références
Anbar RD (2001) Self-hypnosis for the treatment of functional abdominal pain in childhood. Clin Pediatr (Phila) 40:447–451
Armistead L, McCombs A, Forehan R, et al (1990) Coping with divorce: a study of young adolescents. J Clin Child Psychol 19:79–84
Ball TM, Shapiro DE, Monheim CJ, Weydert JA (2003) A pilot study of the use of guided imagery for the treatment of recurrent abdominal pain in children. Clin Pediatr (Phila) 42:527–532
Benini F, Trapanotto M, Gobber D, et al (2004) Evaluating pain induced by venipuncture in pediatric patients with developmental delay. Clin J Pain 20:156–163
Bennett-Branson SM, Craig KD (1993) Postoperative pain in children: Developmental and family influences on spontaneous coping strategies. Can J Behav Sci 25:355–383
Blanchard-Fields F, Irion JC (1988) The role of coping responses and social resources in attenuating the stress of life events. J Behav Med 4:139–157
Boldingh EJ, Jacobs-van der Bruggen MA, Lankhorst GJ, Bouter LM (2004) Assessing pain in patients with severe cerebral palsy: development, reliability, and validity of a pain assessment instrument for cerebral palsy. Arch Phys Med Rehabil 85:758–766
Breau LM, Camfield CS, McGrath PJ, Finley GA (2003) The incidence of pain in children with severe cognitive impairments. Arch Pediatr Adolesc Med 157:1219–1226
Breau LM, Lotan M, Koh JL (2011) Pain in Individuals with Intellectual and Developmental Disabilities. In: Patel DR, Greydanus DE, Omar HA, Merrick J, Neurodevelopmental Disabilities, Clinical Care for Children and Young Adults. Springer, New York, pp 255–276
Breau LM, McGrath P, Zabalia M (2006) Assessing and Treating Pediatric Pain and Developmental Disabilities. In: Oberlander TF, Symons FJ, Pain in Individuals with Developmental Disabilities, Baltimore, Brookes Publishing, pp 149–175
Burkitt CC, Breau LM, Zabalia M (2011) Parental assessment of pain coping in individuals with intellectual and developmental disabilities. Res Dev Disabil 32:1564–1571
Collignon P, Guisiano B, Combes JC (1999) La douleur chez l’enfant polyhandicapé. In: Ecoffey C, Murat I, La douleur chez l’enfant. Flammarion Médecine Science, Paris, pp 174–178
Davies RB (2010) Pain in children with Down syndrome: assessment and intervention by parents. Pain Manag Nurs 11:259–267
Dehaene S (1992) Varieties of numerical abilities. Cognition 44:1–42
Engel JM (1990) Relaxation training in treating recurrent nonmalignant pediatric headaches. Phys Occup Ther Pediatr 10:47–71
Fanurik D, Koh JL, Harrison RD, et al (1998) Pain assessment in children with cognitive impairment. An exploration of self-report skills. Clin Nurs Res 7:103–119
Gamble M (1994) Perceptions of controllability and other stressor events characteristics as determinants of coping among young adolescents and young adults. J Youth Adolescence 23:65–84
Halstead M, Johnson SB, Cunningham M (1993) Measuring coping in adolescents: An application of the ways of coping checklist. J Clin Child Psychol 22:337–344
Hicks CL, von Baeyer CL, Spafford PA, et al (2001) The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain 93:173–183
Hodgins MJ, Lander J (1997) Children’s coping with venipuncture. J Pain Symptom Manag 13:274–285
Hoffman MA, Levy-Shill R, Sohlherg SC, Zariski J (1992) The impact of stress and coping: Developmental changes in the transition to adolescence. J Youth Adolescence 22:451–469
Holmes JA, Stevenson CA (1990) Differential effects of avoidant and attentional coping strategies on adaptation of chronic and recent-onset pain. Health Psychol 9: 577–584
Hunt A, Mastroyannopoulou K, Goldman, Seers K (2003) Not knowing-the problem of pain in children with severe neurological impairment. Int J Nurs Stud 40:171–183
Huth MM, Broome ME, Good M (2004) Imagery reduces children’s post-operative pain. Pain 110:439–448
Lemétayer F, Chateaux V (2008) Les instruments de mesure des stratégies adaptatives des enfants face à une maladie chronique: une revue de littérature. Arch Pediatr 15:162–169
McGrath PJ, Humphreys P, Goodman JT, et al (1988) Relaxation prophylaxis for childhood migraine: a randomized placebo-controlled trial. Dev Med Child Neurol 30:626–631
McGrath PJ, Walco G, Turk DC, et al (2008) Core outcome domains and measures for pediatric acute and chronic/recurrent pain clinical trials: PedIMMPACT recommandations. J Pain 9:771–783
Piira T, Hayes B, Goodenough B, von Baeyer CL (2006) Effects of attentional direction, age, and coping style on cold-pressor pain in children. Behav Res Ther 44:835–848
Regnard C, Mathews D, Gibson L, Clarke C (2003) Difficulties in identifying distress and its causes in people with severe communication problems. Int J Palliat Nurs 9:173–176
Reid GJ, Lang BA, McGrath PJ (1996) Primary juvenile fibromyalgia: Psychological adjustment, family functioning, coping and functional disability. Arthritis Rheum 40:752–760
Ross DM, Ross SA (1984) Childhood pain: the school-aged child’s viewpoint. Pain 20:179–191
Sallfors C, Hallberg LR, Fasth A (2003) Gender and age differences in pain, coping and health status among children with chronic arthritis. Clin Exp Rheumatol 21:785–793
Schwartz L, Engel JM, Jensen MP (1999) Pain in persons with cerebral palsy. Arch Phys Med Rehabil 80:1243–1246
Sokel B, Devane S, Bentovim A (1991) Getting better with honor: individualized relaxation/selfhypnosis techniques for control of recalcitrant abdominal pain in children. Fam Systems Med 9:83–91
Spicher P (2003) Traduction francophone et validation du Pediatric Pain Coping Inventory (PPCI-F). Douleur et Analgésie 16:3–14
Stallard P, Williams L, Lenton S, Velleman R (2001) Pain in cognitively impaired, noncommunicating children. Arch Dis Child 85:460–462
Taddio A, O’Brien L, Ipp M, et al (2009) Reliability and validity of observer ratings using the visual analog scale (VAS) in infants undergoing immunization injections. Pain 147:141–146
van Schrojenstein Lantman-De Valk HM, Metsemakers JF, Haveman MJ, Crebolder HF (2000) Health problems in people with intellectual disability in general practice: a comparative study. Fam Pract 17:405–407
Varni JW, Katz ER, Colegrove R, Dolgin M (1995) Perceived physical appearance and adjustment of children with newly diagnosed cancer: a path analytic model. J Behav Med 18:261–278
Varni JW, Waldron SA, Cragg RA, et al (1996) Development of the Waldron/Varni pediatric pain coping inventory. Pain 67:141–150
Wong D, Baker C (1988) Pain in children: comparison of assessment scales. Pediatr Nurs 14:9–17
Zabalia M (2005) Auto-évaluation de la douleur: la théorie de Jean Piaget comme cadre interprétatif de l’expression de la douleur chez l’enfant, mise au point et perspectives. Journal de Pédiatrie et de Puériculture 18:176–181
Zabalia M, Breau LM, Burkitt CC, et al (2010) Stratégies de faire-face à la douleur chez des adolescents atteints de déficience intellectuelle. Douleurs 11:165–170
Zabalia M, Breau LM, Wood C, et al (2011) Validation francophone de la grille d’évaluation de la douleur — déficience intellectuelle, version postopératoire. Can J Anesth 58:1016–1023
Zabalia M, Corfec S (2008) Reconnaissance des émotions et évaluation de la douleur chez des enfants et adolescents porteurs de trisomie 21. Enfance 60:357–369
Zabalia M, Duchaux C (2007) Stratégies de faire-face à la douleur chez des enfants porteurs de déficience intellectuelle. Revue francophone de la déficience intellectuelle 17:53–64
Zabalia M, Esquerré F (2009) Prerequisite abilities in the use of hypnosis for pain in children with cognitive impairment. J Pain Manag 2:63–69
Zabalia M, Jacquet D, Breau LM (2005) Rôle du niveau verbal dans l’expression et l’évaluation de la douleur chez des sujets déficients intellectuels. Douleur et Analgésie 18:65–70
Zabalia M, Martel K, Dykstra F (2010) Exprimer la douleur: analyses qualitatives d’interactions adulte/enfant au sein d’une crèche. Douleur et Analgésie 23:233–238
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Zabalia, M. Expression de la douleur et stratégies de faire-face des enfants et adolescents atteints de déficience intellectuelle légère ou moyenne. Douleur analg 26, 24–29 (2013). https://doi.org/10.1007/s11724-012-0320-x
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DOI: https://doi.org/10.1007/s11724-012-0320-x