"If It Ever Really Hurts, I Try Not to Let Them Know:" The Use of Concealment as a Coping Strategy Among Adolescents With Chronic Pain.
"If It Ever Really Hurts, I Try Not to Let Them Know:" The Use of Concealment as a Coping Strategy Among Adolescents With Chronic Pain.
复制标题
DOI：
10.3389/fpsyg.2021.666275
复制
发表时间：
2021
影响因子：
3.8
通讯作者：
Zempsky WT
中科院分区：
文献类型：
--
作者：
Wakefield EO;Puhl RM;Litt MD;Zempsky WT
尽管有相当多的证据表明青少年慢性疼痛及其对他们的健康和福祉的不良后果，但对这些青少年面临的与疼痛有关的耻辱感知之甚少，例如他人对疼痛的怀疑。患有慢性疼痛的青少年可能会隐瞒自己的症状，作为一种应对策略，以避免与疼痛有关的耻辱，从而导致进一步的社会孤立和医疗中断。在目前的研究中，我们使用焦点小组方法来研究青少年使用隐瞒的动机，以及这种形式的应对可能带来的好处和有害后果。作为一项更大研究的一部分，进行了5个焦点组，每组3-5名患有慢性疼痛疾病的青少年（12-17岁）（N = 18），以评估疼痛相关污名的影响和反应。患者从儿科疼痛管理门诊招募。焦点小组会议的成绩单进行了分析，使用定向内容分析的主要研究，产生预期的耻辱和隐瞒类别。这些类别，然后探索使用归纳内容分析，为当前的研究。青少年描述了他们的疼痛症状的隐藏。我们的分析揭示了隐瞒的三个社会动机：（1）避免判断;（2）避免成为社会负担;（3）希望被正常对待，以及隐瞒的两个有害后果：（1）社会孤立和（2）认知负担。对疼痛症状的不信任可能会加剧这一人群的社会孤立和疾病相关负担。讨论了隐匿性疼痛症状的临床意义，并提出了干预要点。
Despite considerable evidence of chronic pain in adolescents, and its adverse consequences for their health and well-being, less is known about pain-related stigma that these youth face, such as pain disbelief by others. Adolescents with chronic pain may conceal their symptoms as a coping strategy to avoid pain-related stigma, contributing to further social isolation and disruptions in medical treatment. In the current study, we used focus group methodology to examine adolescent motivations for using concealment and the possible benefits and harmful consequences of this form of coping. Five focus groups of 3–5 adolescents (ages 12–17) with chronic pain conditions (N = 18) were conducted as a part of a larger study to evaluate the impact of, and reaction to, pain-related stigma. Patients were recruited from an outpatient pediatric pain management clinic. Transcripts of focus group sessions were analyzed using directed content analysis for the main study, yielding anticipatory stigma and concealment categories. These categories were then explored using inductive content analysis for the current study. Adolescents described engaging in concealment of their pain symptoms. Our analysis revealed three social motivations for concealment: (1) avoidance of judgment; (2) avoidance of being a social burden; and (3) desire to be treated normally, and two harmful consequences of concealment: (1) social isolation and (2) cognitive burden. Disbelief of pain symptoms may exacerbate the social isolation and disease-related burden in this population. Clinical implications of concealing pain symptoms are discussed, and points of intervention are proposed.
登录
查看更多内容
影响因子：
2.9
作者：
Forgeron, Paula A.;Evans, Joan;Finley, G. Allen
通讯作者：
Finley, G. Allen
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
4.6
作者：
PENNEBAKER, JW;BEALL, SK
通讯作者：
BEALL, SK
DOI：
10.1111/j.1526-4637.2009.00650.x
发表时间：
2009-09
期刊：
Pain medicine (Malden, Mass.)
影响因子：
--
作者：
Meldrum ML;Tsao JC;Zeltzer LK
通讯作者：
Zeltzer LK
影响因子：
5.4
作者：
Quinn, Diane M.;Weisz, Bradley M.;Lawner, Elizabeth K.
通讯作者：
Lawner, Elizabeth K.