Elizabeth R Wolock, Manuela Sinisterra, David A Fedele, Mark D Bishop, Jeff Boissoneault, David M Janicke
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引用次数: 0
Abstract
Objective: There is a need for a systematic review on social functioning and peer relationships among adolescents with chronic pain (ACP) given the high prevalence of chronic pain in adolescence and integral role of peer relationships in adolescent development. This review aims to examine the methods used to evaluate social functioning, the types and extent of peer relationship difficulties, and pain characteristics and sociodemographic factors related to social functioning in ACP.
Methods: A systematic literature search of PubMed, PsycINFO, CINAHL, Web of Science, and Cochrane databases was performed. Included studies were written in English, presented original, quantitative, peer-reviewed research, had a primary focus on social functioning or peer relationships in ACP, and included study participants between the ages of 10 and 18 years. The review was registered in PROSPERO (No. CRD42022364870).
Results: Twenty-eight articles were included in the review. All studies used self-, parent-, or peer-report questionnaires to evaluate social functioning. Most (89%) of the studies were cross-sectional. Findings suggest that ACP experience social difficulties frequently characterized by loneliness, social anxiety, withdrawal, and peer victimization. Studies examining the associations between social functioning and sociodemographic variables, pain location, and pain-related characteristics yielded mixed findings. Study quality was mixed, with 57.14% rated as "good."
Conclusions: Findings from this review emphasize the increased risk of reduced social connectedness and the complexity of underlying mechanisms associated with poorer social functioning among ACP. Additional research utilizing longitudinal methodologies is needed to understand potential moderators and directionality of associations between chronic pain and social functioning.
目的：鉴于青少年慢性疼痛的高患病率和同伴关系在青少年发展中的重要作用，有必要对青少年慢性疼痛（ACP）患者的社会功能和同伴关系进行系统综述。本综述旨在探讨ACP患者社会功能的评估方法、同伴关系困难的类型和程度、疼痛特征和与社会功能相关的社会人口因素。方法：系统检索PubMed、PsycINFO、CINAHL、Web of Science、Cochrane等数据库的文献。纳入的研究以英文撰写，呈现原始的、定量的、同行评议的研究，主要关注ACP的社会功能或同伴关系，研究参与者年龄在10至18岁之间。该评论已在普洛斯彼罗（PROSPERO）注册。CRD42022364870)。结果：共纳入28篇文献。所有的研究都使用自我、父母或同伴报告问卷来评估社会功能。大多数（89%）的研究是横断面的。研究结果表明，ACP经常经历以孤独、社交焦虑、退缩和同伴受害为特征的社交困难。研究社会功能与社会人口学变量、疼痛位置和疼痛相关特征之间的关系，得出了不同的结果。研究质量好坏参半，57.14%评价为“良好”。结论：本综述的发现强调了ACP患者社会联系减少的风险增加以及与社会功能较差相关的潜在机制的复杂性。需要利用纵向方法进行进一步的研究，以了解慢性疼痛和社会功能之间的潜在调节因素和方向性。
期刊介绍：
The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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