This session will focus on the emerging trend of overrepresentation of neurodiverse youth in chronic pain treatment programs. Presenters will share data regarding the prevalence of youth with autism in a multidisciplinary amplified musculoskeletal pain syndrome program and pediatric rheumatology provider perceptions regarding strengths, challenges, and needs for supporting this growing and under-studied population. This work directly pertains to the practice of providers and multidisciplinary teams in both Rheumatology and other pediatric specialties regarding pain assessment, treatment, and care experiences for patients with autism. We hope this session may help to supplement the varied and often lacking training regarding autism in medical education and increase awareness of this patient population, who require a specialized approach and careful consideration to ensure appropriate treatment. Recommendations will be provided for assessment, treatment, and environmental adaptations to best support this population.
Michelle Swanger-Gagne PhD, Institute for the Family, Department of Psychiatry, University of Rochester Medical Center (URMC), Rochester, New York
Hannah Peck OTR/L, Pediatric Occupational Therapist, Pediatric Physical and Occupational Therapy Site Manager, University of Rochester Medical Center,
Han, G. T., Heavner, H. S., Rains, T. R., Hoang, A. H., & Stone, A. L. (2024). Chronic pain in autistic youth: Clinical prevalence and reflections on tailoring evidence-based interventions from an interdisciplinary treatment team. Children, 11(3), 312.
Whitney, D. G., & Shapiro, D. N. (2019). National prevalence of pain among children and adolescents with autism spectrum disorders. JAMA pediatrics, 173(12), 1203-1205.
Bogdanova, O. V., Bogdanov, V. B., Pizano, A., Bouvard, M., Cazalets, J. R., Mellen, N., & Amestoy, A. (2022). The current view on the paradox of pain in autism spectrum disorders. Frontiers in psychiatry, 13, 910824.
Mason, D., Ingham, B., Birtles, H., Michael, C., Scarlett, C., James, I. A., ... & Parr, J. R. (2021). How to improve healthcare for autistic people: A qualitative study of the views of autistic people and clinicians. Autism, 25(3), 774-785.