The Phenomenon of Pain in Adults With Intellectual Disability: A Qualitative Systematic Review

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Abstract

Background
People with intellectual disability are vulnerable to developing and experiencing pain, indeed more pain, due to comorbidities and secondary conditions. Their pain may also be underestimated or poorly managed, due to difficulties with verbal and non-verbal communication. Improved understanding could have positive implications for pain assessment and management practices.

Method
This systematic review synthesised findings from seven qualitative studies regarding the phenomenon of pain for people with intellectual disability, using a meta-ethnographic approach.

Results
Findings offer different perspectives about the recognition of multiple causes of pain, individual differences in the expression of pain, and decision-making about the assessment and treatment of pain. A tentative model is presented.

Conclusion
There are only a small number of qualitative studies examining this topic. Further research is needed to fully understand pain for people with intellectual disability. Recognition should be given to the impact of wider factors on the pain experience.
Original languageEnglish
Article numbere70093
Pages (from-to)1-15
Number of pages15
JournalJournal of Applied Research in Intellectual Disabilities
Volume38
Issue number4
Early online date10 Jul 2025
DOIs
Publication statusPublished - 10 Jul 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.

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