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Are They Still Friends? Friendship Stability of Adolescents With Chronic Pain: 1-Year Follow-Up
Open accessAbstract
Most adolescents identify their best friend as their main source of social support. Adolescents with chronic pain (ACP) report the loss of friendships due to pain. Friendships protect against loneliness and depression, yet adolescents with pain experience increased levels of loneliness and depression compared to peers. This longitudinal study examines the friendship stability of dyads that included an adolescent with chronic pain compared to non-pain friendship dyads as well as the factors contributing to a friendship breakup. Eighty-three participants from 61 same-sex friendship dyads across 3 sites participated in a 1-year follow-up survey designed to capture friendship features, indices of social-emotional well-being, pain characteristics, and friendship stability. Chi-square, repeated measures ANOVA, and logistic regression were used to analyze the data. Dyads that included an ACP experienced higher rates of friendship breakup. The shorter length of friendship and having chronic pain predicted a friendship breakup at time 2. ACP continues to experience worse scores on indices of social-emotional well-being that are not predicted with a friendship breakup. Understanding what contributes to positive long-term friendships for those with pain may inform strategies to maintain and improve friendships for those with pain and who experience social challenges.
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“Five studies assumed that good companionship is associated with better self-esteem perception among teens [66, 67, 78, 79, 93], while only one study suggests the opposite [80, 87].”
From Association between friendship quality and subjective wellbeing among adolescents: a systematic review (2022) · cites this paper as [93]
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“Irrespective of the quality of evidence, the replicability of the same results and conclusions across different populations, stages of adolescence, types of friendship quality in respect to gender and whether it is between best friends only, all supported the hypothesis that positive peer relationships were associated with lower levels of loneliness [55, 62, 67–71, 93].”
From Association between friendship quality and subjective wellbeing among adolescents: a systematic review (2022) · cites this paper as [93]
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Cited by
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Alsarrani, A., Hunter, R. F., Dunne, L., & Garcia, L. (2022) · BMC Public Health · doi:10.1186/s12889-022-14776-4 · Cited by 124
Metadata
- Authors
- Forgeron, P. A., Dick, B. D., Chambers, C., Cohen, J., Lamontagne, C., & Finley, G. A.
- Affiliations
- Dalhousie University (CA)
- University of Alberta (CA)
- University of Ottawa (CA)
- Corresponding author
- Forgeron, Paula A.
- Venue
- Frontiers in Pain Research
- Publisher
- Frontiers Media SA
- Published
- 2022-02-01
- Volume
- 2
- Pages
- 767236-767236
- ISSN
- 2673-561X (ISSN-L)
- PMC
- PMC8915730
- OpenAlex
- W4210650185
- Cited by
- 12
- References
- 7
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 1
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Pain Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Canadian Pain Society
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Keywords
- chronic pain, adolescents, friendship stability, social support, loneliness, depression, social and emotional wellbeing
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