Living with difference: Exploring the social self of adolescents with chronic pain

Living with difference: Exploring the social self of adolescents with chronic pain
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DOI:
10.1155/2013/120632
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发表时间:
2013-11-01
影响因子:
2.9
通讯作者:
Finley, G. Allen
Finley, G. Allen
中科院分区:
医学3区
文献类型:
--
作者:
Forgeron, Paula A.;Evans, Joan;Finley, G. Allen

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背景:慢性疼痛对青少年的生活产生负面影响;然而,人们对慢性疼痛对青少年的社会影响知之甚少。更多的是了解一般的同伴关系的青少年与慢性疼痛比他们的亲密友谊。在青春期,亲密的友谊开始变得更加重要,因为这些关系有助于青少年发展个人认同感,并使他们越来越独立于家庭的影响。因此,慢性疼痛可能会产生友谊的挑战,为青少年超出那些通常经历在此发展轨迹,这可能会对他们的能力,以确保社会supports. EQUATIVES:为了更好地了解挑战青少年与慢性疼痛面对的关于他们的friendships.METHODS:一个解释现象学研究,使用个别interviews进行了。“用疼痛重新思考自我”描述了慢性疼痛的侵入性,挑战参与者重新思考他们看待自己的方式和他们在社交网络中的位置。“重新思考友谊”描述了他们的朋友的反应,他们的慢性疼痛的条件,这导致这些青少年花更多的时间由自己,并感到误解和supported.CONCLUSIONS:慢性疼痛对青少年作为一个个体的影响,以及亲密的朋友和其他人在他们的社会网络内的反应,导致了新的友谊的需求的发展。然而,青少年并不总是能够确保这些新的友谊的需要。他们的经历表明,友谊中的因素可以通过干预来改善,从而保持和加强他们的亲密友谊。
BACKGROUND: Chronic pain negatively affects an adolescent's life; however, little is known about the social impact of chronic pain for adolescents. More is known about the general peer relationships of adolescents with chronic pain than their close friendships. Close friendships begin to take on more importance during adolescence as these relationships facilitate the development of an adolescent's sense of personal identity and increasing independence from family influences. Thus, chronic pain may create friendship challenges for adolescents beyond those typically experienced during this developmental trajectory, which may negatively impact their abilities to secure social support.OBJECTIVES: To better understand the challenges adolescents with chronic pain face with regard to their friendships.METHODS: An interpretative phenomenological study using individual interviews was conducted.RESULTS: Two themes emerged. 'Rethinking the self with pain' describes the intrusive nature of chronic pain, challenging the participants to rethink the way they view themselves and their place within their social network. 'Rethinking friendships' describes the interpretation of their friends' reactions to their chronic pain condition, which led to these adolescents spending more time by themselves, and feeling misunderstood and unsupported.CONCLUSIONS: The impact of chronic pain on the adolescent as an individual as well as the responses of close friends and others within their social network resulted in the development of new friendship needs. However, the adolescents were not always able to secure these new friendship needs. Their experiences suggest factors within friendships that may be ameliorated by interventions, thus maintaining and strengthening their close friendships.