Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27799
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: A developmental arrest? Interruption and identity in adolescent chronic pain
Author(s): Jordan, Abbie
Noel, Melanie
Caes, Line
Connell, Hannah
Gauntlett-Gilbert, Jeremy
Keywords: Adolescence
Chronic pain
Development
Identity
Autonomy
Issue Date: 1-Sep-2018
Citation: Jordan A, Noel M, Caes L, Connell H & Gauntlett-Gilbert J (2018) A developmental arrest? Interruption and identity in adolescent chronic pain. PAIN Reports, 3, Art. No.: e678. https://doi.org/10.1097/pr9.0000000000000678.
Abstract: Introduction Whilst the pediatric pain literature has explored the role of developmental factors in young children’s acute pain, relatively less is known about specific developmental challenges in adolescents with chronic pain. Objectives To meet this knowledge gap, this study sough to adopt an idiographic phenomenological approach to examine how adolescents make sense of their own development in the context of living with chronic pain. Methods Semi-structured interviews were conducted with ten adolescents (12-17 years; 7 female) recruited from a tertiary care pain treatment programme. Interview data was transcribed verbatim and analysed using Interpretative Phenomenological Analysis. Results Study findings identified two themes: “An externally imposed lens on identity” and “Paradoxes of developmental progress”. The first theme highlighted an understanding of how adolescent identity is perceived. Some adolescents perceived identity as distinct from pain, whilst others perceived identity as part of their chronic pain condition. This theme also detailed how identity was negotiated by adolescents and others through engagement with valued activities. The second theme represented an understanding of how chronic pain disrupts and alters adolescent developmental trajectories at an individual level, suggesting possibilities of enhanced and delayed trajectories. Enhanced trajectories were associated with increased management of emotionally difficult situations and resulted in mastery of complex interpersonal skills. Conclusions Findings provided a nuanced understanding of developmental progress in the context of adolescent chronic pain and suggested challenges with drawing normative comparisons. Future research could extend findings by adopting a longitudinal approach to studying adolescent development and eliciting accounts from broader social groups.
DOI Link: 10.1097/pr9.0000000000000678
Rights: Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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