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Dyadic differences in friendships of adolescents with chronic pain compared with pain-free peers.
Pain. 2018 Jun; 159(6):1103-1111.PAIN

Abstract

A multisite cross-sectional study was conducted to examine dyadic friendship features between adolescents with chronic pain (ACP) and their friends compared with non-pain adolescent friendship dyads and the association of these friendship features with loneliness and depressive symptoms. Participants completed a battery of standardized measures to capture friendship features (friendship quality, closeness, and perceived social support from friends) and indices of social-emotional well-being. Sixty-one same sex friendship dyads (122 adolescents) participated; 30 friendship dyads included an adolescent with chronic pain and 52 dyads were female. Adolescents with chronic pain scored significantly higher on measures of loneliness and depressive symptoms compared with all other participants. Hierarchical Multiple Regression analysis revealed that friendship features predicted loneliness and depressive symptoms. Chronic pain predicted loneliness and depressive symptoms above and beyond friendship features. Actor Partner Interdependence Modeling found perceived social support from friends had differing associations on loneliness and depressive symptoms for dyads with a chronic pain member compared with pain-free control dyads. Friendship features were associated with loneliness and depressive symptoms for adolescents, but friendship features alone did not explain loneliness and depressive symptoms for ACP. Further research is needed to understand whether pain-related social support improves loneliness and depressive symptoms for ACP. Furthermore, a more nuanced understanding of loneliness in this population is warranted. Strategies to help ACP garner needed social support from friends are needed to decrease rates of loneliness to improve long-term outcomes.

Authors+Show Affiliations

School of Nursing, Faculty of Health Sciences, Unversity of Ottawa. Departments of Anesthesia.Pediatrics and. Psychology and Neuroscience, Dalhousie University. Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Canada.Behavioural Neurosciences and Consultation Liaison Service, Mental Health, Children's Hospital of Eastern Ontario, Ottawa, Canada. School of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, Canada.Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.Anesthesia and Psychology, Dalhousie University, Halifax, Canada. Dr. Stewart Wenning Chair in Pediatric Pain, IWK Health Centre, Halifax, Canada.Children's Hospital for Eastern Ontario, Ottawa, Canada.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

29474206

Citation

Forgeron, Paula A., et al. "Dyadic Differences in Friendships of Adolescents With Chronic Pain Compared With Pain-free Peers." Pain, vol. 159, no. 6, 2018, pp. 1103-1111.
Forgeron PA, Chambers CT, Cohen J, et al. Dyadic differences in friendships of adolescents with chronic pain compared with pain-free peers. Pain. 2018;159(6):1103-1111.
Forgeron, P. A., Chambers, C. T., Cohen, J., Dick, B. D., Finley, G. A., & Lamontagne, C. (2018). Dyadic differences in friendships of adolescents with chronic pain compared with pain-free peers. Pain, 159(6), 1103-1111. https://doi.org/10.1097/j.pain.0000000000001191
Forgeron PA, et al. Dyadic Differences in Friendships of Adolescents With Chronic Pain Compared With Pain-free Peers. Pain. 2018;159(6):1103-1111. PubMed PMID: 29474206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dyadic differences in friendships of adolescents with chronic pain compared with pain-free peers. AU - Forgeron,Paula A, AU - Chambers,Christine T, AU - Cohen,Janice, AU - Dick,Bruce D, AU - Finley,G Allen, AU - Lamontagne,Christine, PY - 2018/2/24/pubmed PY - 2019/6/14/medline PY - 2018/2/24/entrez SP - 1103 EP - 1111 JF - Pain JO - Pain VL - 159 IS - 6 N2 - A multisite cross-sectional study was conducted to examine dyadic friendship features between adolescents with chronic pain (ACP) and their friends compared with non-pain adolescent friendship dyads and the association of these friendship features with loneliness and depressive symptoms. Participants completed a battery of standardized measures to capture friendship features (friendship quality, closeness, and perceived social support from friends) and indices of social-emotional well-being. Sixty-one same sex friendship dyads (122 adolescents) participated; 30 friendship dyads included an adolescent with chronic pain and 52 dyads were female. Adolescents with chronic pain scored significantly higher on measures of loneliness and depressive symptoms compared with all other participants. Hierarchical Multiple Regression analysis revealed that friendship features predicted loneliness and depressive symptoms. Chronic pain predicted loneliness and depressive symptoms above and beyond friendship features. Actor Partner Interdependence Modeling found perceived social support from friends had differing associations on loneliness and depressive symptoms for dyads with a chronic pain member compared with pain-free control dyads. Friendship features were associated with loneliness and depressive symptoms for adolescents, but friendship features alone did not explain loneliness and depressive symptoms for ACP. Further research is needed to understand whether pain-related social support improves loneliness and depressive symptoms for ACP. Furthermore, a more nuanced understanding of loneliness in this population is warranted. Strategies to help ACP garner needed social support from friends are needed to decrease rates of loneliness to improve long-term outcomes. SN - 1872-6623 UR - https://www.unboundmedicine.com/medline/citation/29474206/Dyadic_differences_in_friendships_of_adolescents_with_chronic_pain_compared_with_pain_free_peers_ L2 - https://doi.org/10.1097/j.pain.0000000000001191 DB - PRIME DP - Unbound Medicine ER -