Psychology Department, Bath Spa University, Bath, UK.
Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UK.
J Pediatr Psychol. 2022 Apr 8;47(4):432-445. doi: 10.1093/jpepsy/jsab109.
To explore beliefs about worries, beliefs about pain, and worries about pain held by adolescents with and without chronic pain.
Adolescents with and without chronic pain aged 14-19 completed an online survey with free text questions about pain and worry. We collected demographics and used the Penn State Worry Questionnaire and Pain Catastrophizing Scale for Children to contextualize the qualitative data, which was analyzed with reflexive thematic analysis.
Eighty-one participants completed the survey, 36 with chronic pain and 45 without (mean age: 16.73). Compared to adolescents without chronic pain, adolescents living with chronic pain reported significantly higher general worry and pain catastrophizing. Thematic analysis generated two themes, "Worry changes perceptions of selfhood" and "Pain changes perceptions of selfhood." Each theme comprised two sub-themes showing how current and future identity trajectories were distorted by worry and pain. The theme "Pain changes perceptions of selfhood" also included a third sub-theme: "Pain impedes future working choices." Worry content as well as process was problematic in all adolescents. Adolescents experiencing chronic pain had specific, additional worries that pain reduces future career progression. These worries appeared highly salient and challenging.
Adolescents may need greater support in recognizing worry as part of normative development. Adolescents in pain may benefit from specific support identifying and reducing how pain-related worries interact with their futures and careers, and from school-based and vocational interventions to reduce the realistic risks they face negotiating modern labor markets.
探讨患有慢性疼痛和无慢性疼痛的青少年对担忧、疼痛信念的看法。
14-19 岁患有慢性疼痛和无慢性疼痛的青少年完成了一项在线调查，内容包括关于疼痛和担忧的自由文本问题。我们收集了人口统计学数据，并使用宾夕法尼亚州担忧问卷和儿童疼痛灾难化量表来对定性数据进行背景分析，使用反思性主题分析对其进行分析。
81 名参与者完成了调查，其中 36 名患有慢性疼痛，45 名没有（平均年龄：16.73 岁）。与无慢性疼痛的青少年相比，患有慢性疼痛的青少年报告的一般担忧和疼痛灾难化程度明显更高。主题分析生成了两个主题，“担忧改变自我认知”和“疼痛改变自我认知”。每个主题都包含两个子主题，展示了担忧和疼痛如何扭曲当前和未来的身份轨迹。主题“疼痛改变自我认知”还包括第三个子主题：“疼痛阻碍未来工作选择”。所有青少年的担忧内容和过程都存在问题。患有慢性疼痛的青少年有特定的、额外的担忧，即疼痛会降低未来的职业发展。这些担忧似乎非常突出且具有挑战性。
青少年可能需要更多的支持，以认识到担忧是正常发育的一部分。患有疼痛的青少年可能需要特定的支持，以识别和减少与疼痛相关的担忧如何与他们的未来和职业相互作用，并需要学校和职业干预措施，以减少他们在协商现代劳动力市场时面临的实际风险。
