Social functioning and peer relationships in children and adolescents with chronic pain: A systematic review
Open accessAbstract
BACKGROUND: Peer relationships during childhood and adolescence are acknowledged to be negatively impacted by chronic pain; however, to date there has been no synthesis of this literature. OBJECTIVE: To systematically review existing literature describing the social functioning and peer relationships in children and adolescents with recurrent or continuous chronic pain. METHODS: Articles on peer relationship factors studied in samples of children and adolescents with chronic pain published in English or French were identified using EMBASE, Medline, CINAHL and PsycINFO. Two independent reviewers performed initial screenings using study titles and abstracts, and reviewed each eligible article in full. RESULTS: Of 1740 published papers yielded by the search, 42 articles met the inclusion criteria and were included in the present review. Nine studies had peer relationship investigation as the primary purpose of the study; the remaining 33 examined peer relationships as part of a broader study. A range of specific and more general measures was used to examine peer relationships. Across studies, children and adolescents with chronic pain were reported to have fewer friends, be subjected to more peer victimization, and were viewed as more isolated and less likeable than healthy peers. CONCLUSIONS: Children and adolescents with chronic pain have peer relationship deficiencies. However, the majority of studies to date measure peer relationships as part of a broader study and, thus, little attention has been paid specifically to peer relationships in this group. Additional research examining the quality of peer relationships of children and adolescents with chronic pain, as well as development of measures specifically designed to assess these relationships, is needed.
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Youth with pain may have fewer friends and avoid social contexts.
“Youth with pain may have fewer friends and avoid social contexts [4]”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [4]
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- Authors
- Forgeron, P. A., King, S., Stinson, J. N., McGrath, P. J., MacDonald, A. J., & Chambers, C. T.
- Affiliations
- Dalhousie University (CA)
- University of Toronto (CA)
- Corresponding author
- Forgeron, Paula A
- Venue
- Pain Research and Management
- Publisher
- Wiley
- Published
- 2010-01
- Volume
- 15
- Issue
- 1
- Pages
- 27-41
- ISSN
- 1203-6765 (ISSN-L)
- 1918-1523
- PMC
- PMC2855293
- OpenAlex
- W122866296
- Cited by
- 381
- References
- 59
- Citations by year
- 2026: 26 · 2025: 27 · 2024: 33 · 2023: 29 · 2022: 20 · 2021: 43 · 2020: 39 · 2019: 21 · 2018: 31 · 2017: 27 · 2016: 23 · 2015: 18 · 2014: 14 · 2013: 7 · 2012: 13
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Pain Research and Management (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DalSpace (Dalhousie University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Dalhousie University
- SickKids Foundation
- Child and Family Research Institute
- Women and Children’s Health Research Institute
- Manitoba Institute of Child Health
- CCHCSP
- Canadian Arthritis Network
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Keywords
- chronic pain, children, adolescents, peer relationships, social functioning, peer victimization, social isolation, peer rejection, friendship
- MeSH terms
- Adolescent, Child, Child Behavior Disorders, Chronic Disease, Humans, Interpersonal Relations, Pain, Peer Group, Psychiatric Status Rating Scales, Social Adjustment, Databases, Factual, Outcome Assessment, Health Care
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