The sands of time: Adolescents' temporal perceptions of peer relationships and autonomy in the context of living with chronic pain.
adolescence
chronic pain
development
longitudinal
Journal
Paediatric & neonatal pain
ISSN: 2637-3807
Titre abrégé: Paediatr Neonatal Pain
Pays: United States
ID NLM: 101777799
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
13
05
2021
revised:
02
12
2021
accepted:
10
01
2022
entrez:
3
10
2022
pubmed:
4
10
2022
medline:
4
10
2022
Statut:
epublish
Résumé
The incidence of chronic and recurrent pain increases in adolescence. Prevalence of adolescent chronic pain is estimated to be 11%-44%, with approximately 5% adolescents experiencing moderate-to-severe chronic pain. Adolescents with chronic pain also report unwanted changes in emotional, social, and developmental functioning. Very little is known about how adolescents with chronic pain make sense of their development, the role of pain in that development, and how such developmental trajectories progress over time. A multi-methods qualitative study was designed to explore how adolescents make sense of their experience of chronic pain in the context of development. Nine adolescents (8 girls) aged 12-22 years old (Mean = 15.7, SD = 2.8) were recruited from a UK national pain service. Adolescents completed an interview on entering the service, and a follow-up interview 12 months later. They also completed monthly diaries in this 12-month period. Data comprised 18 interviews and 60 diary entries, which were analyzed using inductive reflexive thematic analysis. Analyses generated one overarching theme entitled "tug of war: push and pull," demonstrating developmental tension related to pain, and the cumulative impact these had over time. This overarching theme comprised two subthemes which capture these tensions across the developmental domains of peer relationships and autonomy. The first subtheme, "the shifting sands of peer relationships," explores the ever-changing closeness between self and peers. The second subtheme referred to "restricted choices" and how pain limited the participants' autonomy but that this, over time could push development forward. These results extend previous cross-sectional research on the developmental consequences of chronic pain, showing the dynamic fluctuations and alterations to developmental trajectories over time.
Identifiants
pubmed: 36188159
doi: 10.1002/pne2.12071
pii: PNE212071
pmc: PMC9485819
doi:
Types de publication
Journal Article
Langues
eng
Pagination
110-124Informations de copyright
© 2022 The Authors. Paediatric and Neonatal Pain published by John Wiley & Sons Ltd.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
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