Low social acceptance among peers increases the risk of persistent musculoskeletal pain in adolescents. Prospective data from the Fit Futures Study.


Journal

BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565

Informations de publication

Date de publication:
13 Jan 2022
Historique:
received: 09 08 2021
accepted: 03 01 2022
entrez: 14 1 2022
pubmed: 15 1 2022
medline: 18 1 2022
Statut: epublish

Résumé

Musculoskeletal pain has a high prevalence in adolescence and causes huge consequences for the individuals and the society. Little knowledge exists on social risk factors for musculoskeletal pain in adolescents. This study aimed to investigate if low social acceptance among peers during the first year of upper secondary school was associated with persistent and severe persistent musculoskeletal pain 2 years later and if psychological distress modified this association. Longitudinal data from the Norwegian Fit Futures Study was used. Students in the first year of upper secondary school answered an electronic questionnaire, covering health status, pain, social acceptance among peers, and psychological distress. Persistent musculoskeletal pain was measured 2 years later. Multiple logistic regression analyses and moderation analyses were conducted adjusting for sex and chronic diseases. Main analyses were conducted on participants without persistent musculoskeletal pain at baseline, and secondary analyses were conducted on all participants with and without persistent musculoskeletal pain at baseline. Of 775 participants (52% females), 556 (71.7%) were pain-free at baseline and included in the main analyses. Significant associations between low social acceptance among peers and persistent musculoskeletal pain 2 years later were found in crude (Odds ratio (OR) = 1.8, 95%CI [1.0-3.1]) and adjusted analyses (OR = 1.8, 95%CI [1.0-3.2]). No statistically significant effect modification of psychological distress (p = 0.89) on this association was found. A significant association between low social acceptance and persistent musculoskeletal pain was found in adjusted secondary analyses of all the students (n = 692) (OR = 1.6, 95%CI [1.0-2.3]). Our results indicate that low social acceptance among peers increases the risk of future persistent musculoskeletal pain in adolescents. Thus, interventions strengthening adolescent's social arenas may be helpful to prevent persistent musculoskeletal pain. Retrospective registered at clinicaltrials.org NCT04526522 .

Sections du résumé

BACKGROUND BACKGROUND
Musculoskeletal pain has a high prevalence in adolescence and causes huge consequences for the individuals and the society. Little knowledge exists on social risk factors for musculoskeletal pain in adolescents. This study aimed to investigate if low social acceptance among peers during the first year of upper secondary school was associated with persistent and severe persistent musculoskeletal pain 2 years later and if psychological distress modified this association.
METHODS METHODS
Longitudinal data from the Norwegian Fit Futures Study was used. Students in the first year of upper secondary school answered an electronic questionnaire, covering health status, pain, social acceptance among peers, and psychological distress. Persistent musculoskeletal pain was measured 2 years later. Multiple logistic regression analyses and moderation analyses were conducted adjusting for sex and chronic diseases. Main analyses were conducted on participants without persistent musculoskeletal pain at baseline, and secondary analyses were conducted on all participants with and without persistent musculoskeletal pain at baseline.
RESULTS RESULTS
Of 775 participants (52% females), 556 (71.7%) were pain-free at baseline and included in the main analyses. Significant associations between low social acceptance among peers and persistent musculoskeletal pain 2 years later were found in crude (Odds ratio (OR) = 1.8, 95%CI [1.0-3.1]) and adjusted analyses (OR = 1.8, 95%CI [1.0-3.2]). No statistically significant effect modification of psychological distress (p = 0.89) on this association was found. A significant association between low social acceptance and persistent musculoskeletal pain was found in adjusted secondary analyses of all the students (n = 692) (OR = 1.6, 95%CI [1.0-2.3]).
CONCLUSIONS CONCLUSIONS
Our results indicate that low social acceptance among peers increases the risk of future persistent musculoskeletal pain in adolescents. Thus, interventions strengthening adolescent's social arenas may be helpful to prevent persistent musculoskeletal pain.
TRIAL REGISTRATION BACKGROUND
Retrospective registered at clinicaltrials.org NCT04526522 .

Identifiants

pubmed: 35027018
doi: 10.1186/s12891-022-04995-6
pii: 10.1186/s12891-022-04995-6
pmc: PMC8756715
doi:

Banques de données

ClinicalTrials.gov
['NCT04526522']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

44

Informations de copyright

© 2022. The Author(s).

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Auteurs

Henriette Jahre (H)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway. henriett@oslomet.no.

Margreth Grotle (M)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.
Research and communication unit for musculoskeletal health (FORMI), Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.

Kaja Smedbråten (K)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.

Kåre Rønn Richardsen (KR)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.

Pierre Côté (P)

Faculty of Health Sciences, Ontario Tech University, Oshawa, Canada.

Ólöf Anna Steingrímsdóttir (ÓA)

Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.

Christopher Nielsen (C)

Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Department of Pain Management and Research, Oslo University Hospital, Oslo, Norway.

Kjersti Storheim (K)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.
Research and communication unit for musculoskeletal health (FORMI), Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.

Milada Småstuen (M)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.

Synne Øien Stensland (SØ)

Research and communication unit for musculoskeletal health (FORMI), Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.
Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway.

Britt Elin Øiestad (BE)

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Postboks 4 St. Olavs plass, 0130, Oslo, Norway.

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Classifications MeSH