Pain and development of identity in adolescents who frequently use over‐the‐counter analgesics: A qualitative study

Skarstein, Siv; Lagerløv, Per; Kvarme, Lisbeth Gravdal; Helseth, Sølvi

doi:10.1111/jocn.14513

Cited by 15 publications

(15 citation statements)

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“…The experience of pain appears to be highly linked with coping strategies (Yetwin, Mahrer, John, & Gold, 2018). Among adolescents, continuous analgesic use for reducing pain in association with depressive symptoms could prevent them from learning healthier strategies for coping with stress and depressive symptoms while progressing into and through adulthood (Holmström et al, 2014;Skarstein, Lagerløv, Kvarme, & Helseth, 2018). Moreover, the data present similar results in which female students expressed more depressive symptoms than male students (Asgeirsdottir & Sigfusdottir, 2015).…”

Section: Discussionmentioning

confidence: 72%

“…In conclusion, ignorance of adolescents' psychological health can have significant negative consequences on both their psychological and physiological wellbeing. To help adolescents with the high OTC analgesic consumption in Sweden, it is crucial to consider interventions to provide guidance about pain management and knowledge about analgesics (Skarstein et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

Hena

Leung

Clausson

et al. 2019

Journal of Pediatric Nursing

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To investigate the prevalence of depressive symptoms, pain (headaches and stomachaches), and analgesic consumption in addition to the association between depressive symptoms and analgesic consumption among adolescents. Design and methods: This cross-sectional study was conducted in southern Sweden. The survey was distributed among students in grade 8 (aged 13-15 years, n = 878). Results: The prevalence of depressive symptoms (Center for Epidemiological Studies Depression Scale ≥16) was 37% among girls and 13% among boys. The prevalence rate of analgesic consumption to ease headaches and/or stomachaches during the last several weeks was 57% among girls and 29% among boys. Depressive symptoms are significantly associated with analgesic consumption among adolescents even after controlling for pain. Conclusion:The knowledge that there is a higher use of analgesics in adolescents with depressive symptoms implies that healthcare professionals should focus on complex psychosocial problems, not only physiological pain, in adolescents. Practice implications: Over the counter analgesics are frequently used by adolescents. Head and stomachaches are common reasons for students to visit the school nurse and primary healthcare facility. School nurses and pediatric nurses have to be aware of the link between depressive symptoms and pain in addition to the higher use of analgesics in adolescents with depressive symptoms. It is important to reduce the cause of the pain in order to prevent depressive symptoms and also analgesic overuse.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

Hena

Leung

Clausson

et al. 2019

Journal of Pediatric Nursing

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“…This study was part of a larger study programme aiming to get broader knowledge and deeper understanding of frequent pain and use of non-prescription analgesics among adolescents [24][25][26].…”

Section: Settings and Participantsmentioning

confidence: 99%

How do mothers of adolescents with chronic pain experience their own quality of life?

2020

Self Cite

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Background: Chronic pain is a major health problem globally with severe personal and economic consequences. Maternal chronic pain is associated with their children's pain. Family pain models and shared environmental aspects are important in the understanding of chronic pain among adolescents. Pain in itself impairs the quality of life (QoL). However, satisfaction in the aspects of health and functioning, social and economic, psychological, and family life will together constitute a person's subjective experience of QoL. On this background, we considered it important to gain an understanding of the QoL of mothers who have children with chronic pain. We aimed to gain a broader understanding of the QoL in mothers of children with chronic pain and to investigate how they managed their children's pain. Methods: This study had a qualitative design with face-to-face, in-depth interviews. The concept of QoL was used as a framework for developing a thematic, semi-structured interview guide. Eight mothers of adolescents with chronic pain (two boys and six girls) participated with signed consent. Results: Socioeconomic difficulties and health complaints were common. Psychological stress, because of their children's physical pain and other stressful experiences such as bullying, dominated everyday life. Lack of predictability and of responsible involvement from the fathers' side increased the mothers' burden considerably. Experiencing not being helped by others such as health professionals resulted in feelings of helplessness. Conclusions: These mothers had reduced QoL caused by their own health problems, concern for the child's wellbeing and lack of social support, which affected the child's upbringing and pain management. By improving these mothers' QoL, family-based shared pain management strategies could help in health promotion, leading to a more positive QoL circle. Elements of family and cognitive therapy could be applied when supporting the mothers and children and improving their QoL.

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“…Adolescents frequently use over-the-counter analgesics (OTCA): this paper contends that reliance on analgesia limits the opportunity for development of healthier coping strategies 2. A child’s development shapes the way he or she understands and expresses pain.…”

Section: Contextmentioning

confidence: 99%

“…Skarstein et al 2 is unusual because of the homogeneity of the experiences and perceptions described. In a similar study,5 a small group of girls from families with ‘more than an average number of difficulties’ (p 6), were also deeply invested in the family and had little involvement in activities outside the home.…”

Section: Commentarymentioning

confidence: 99%

Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain

Swift

2019

Evid Based Nurs

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Pain and development of identity in adolescents who frequently use over‐the‐counter analgesics: A qualitative study

Cited by 15 publications

References 30 publications

Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

Association of Depressive Symptoms with Consumption of Analgesics among Adolescents

How do mothers of adolescents with chronic pain experience their own quality of life?

Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain

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