Washington State University.
Seattle Children's Research Institute.
Health Psychol. 2018 Mar;37(3):291-300. doi: 10.1037/hea0000569. Epub 2017 Nov 20.
Prior research has revealed a link between peer victimization and somatic complaints in healthy youth; however, the peer victimization experiences of youth with clinically significant chronic pain have not been examined. This study aims to determine rates of peer victimization among youth seeking treatment for chronic pain and to compare these rates to a community control group. Relationships between peer victimization, depressive symptoms, and functional disability are also examined.
One hundred forty-three adolescents (70 with chronic pain) completed measures assessing their experience of traditional (physical, relational, reputational) and cyber-based peer victimization, as well as measures assessing their depressive symptoms and pain-related functional disability.
Peer victimization experiences were common among youth with and without chronic pain. Within the chronic pain group, there were differences in rates of peer victimization as a function of the adolescent's school setting. Adolescents with chronic pain attending traditional schools reported more frequent peer victimization experiences than adolescents with pain not enrolled in school or attending online/home school. Within the chronic pain sample, peer victimization was moderately associated with depressive symptoms and functional disability. Tests of a simple mediation model revealed a significant indirect effect of peer victimization on functional disability, through depression.
These results are the first to systematically document the peer victimization experiences of adolescents with chronic pain. Peer victimization is commonly experienced, particularly for those enrolled in traditional school settings. Associations with depressive symptoms and functional disability suggest that peer victimization may be a useful target for intervention. (PsycINFO Database Record
先前的研究揭示了同伴侵害与健康青少年躯体抱怨之间存在关联；然而，具有临床显著慢性疼痛的青少年的同伴侵害经历尚未得到研究。本研究旨在确定寻求慢性疼痛治疗的青少年中同伴侵害的发生率，并将这些发生率与社区对照组进行比较。还研究了同伴侵害、抑郁症状和功能障碍之间的关系。
143 名青少年（70 名患有慢性疼痛）完成了评估他们传统（身体、关系、名誉）和基于网络的同伴侵害经历的措施，以及评估他们抑郁症状和与疼痛相关的功能障碍的措施。
同伴侵害经历在患有和不患有慢性疼痛的青少年中都很常见。在慢性疼痛组中，根据青少年的学校环境，同伴侵害的发生率存在差异。在传统学校就读的慢性疼痛青少年比未上学或就读在线/家庭学校的疼痛青少年报告更多的同伴侵害经历。在慢性疼痛样本中，同伴侵害与抑郁症状和功能障碍中度相关。简单中介模型的检验显示，同伴侵害对功能障碍存在显著的间接影响，即通过抑郁。
这些结果首次系统地记录了患有慢性疼痛的青少年的同伴侵害经历。同伴侵害是常见的，尤其是对于那些在传统学校环境中上学的青少年。与抑郁症状和功能障碍的关联表明，同伴侵害可能是干预的一个有用目标。
