Low social acceptance among peers increases the risk of persistent musculoskeletal pain in adolescents. Prospective data from the Fit Futures Study

Henriette Jahre, Margreth Grotle, Kaja Smedbråten, Kåre Rønn Richardsen, Pierre Côté, Ólöf Anna Steingrímsdóttir, Christopher Nielsen, Kjersti Storheim, Milada Småstuen, Synne Øien Stensland, Britt Elin Øiestad, Henriette Jahre, Margreth Grotle, Kaja Smedbråten, Kåre Rønn Richardsen, Pierre Côté, Ólöf Anna Steingrímsdóttir, Christopher Nielsen, Kjersti Storheim, Milada Småstuen, Synne Øien Stensland, Britt Elin Øiestad

Abstract

Background: Musculoskeletal pain has a high prevalence in adolescence and causes huge consequences for the individuals and the society. Little knowledge exists on social risk factors for musculoskeletal pain in adolescents. This study aimed to investigate if low social acceptance among peers during the first year of upper secondary school was associated with persistent and severe persistent musculoskeletal pain 2 years later and if psychological distress modified this association.

Methods: Longitudinal data from the Norwegian Fit Futures Study was used. Students in the first year of upper secondary school answered an electronic questionnaire, covering health status, pain, social acceptance among peers, and psychological distress. Persistent musculoskeletal pain was measured 2 years later. Multiple logistic regression analyses and moderation analyses were conducted adjusting for sex and chronic diseases. Main analyses were conducted on participants without persistent musculoskeletal pain at baseline, and secondary analyses were conducted on all participants with and without persistent musculoskeletal pain at baseline.

Results: Of 775 participants (52% females), 556 (71.7%) were pain-free at baseline and included in the main analyses. Significant associations between low social acceptance among peers and persistent musculoskeletal pain 2 years later were found in crude (Odds ratio (OR) = 1.8, 95%CI [1.0-3.1]) and adjusted analyses (OR = 1.8, 95%CI [1.0-3.2]). No statistically significant effect modification of psychological distress (p = 0.89) on this association was found. A significant association between low social acceptance and persistent musculoskeletal pain was found in adjusted secondary analyses of all the students (n = 692) (OR = 1.6, 95%CI [1.0-2.3]).

Conclusions: Our results indicate that low social acceptance among peers increases the risk of future persistent musculoskeletal pain in adolescents. Thus, interventions strengthening adolescent's social arenas may be helpful to prevent persistent musculoskeletal pain.

Trial registration: Retrospective registered at clinicaltrials.org NCT04526522 .

Keywords: Adolescents; Musculoskeletal pain; Psychological distress; Risk factor; Social acceptance.

Conflict of interest statement

The authors declare they have no competing interests.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Flow-chart of study participants. Main analysis = without pain at baseline, secondary analysis = all study participants
Fig. 2
Fig. 2
Conceptual diagram of the moderation model. MSK = musculoskeletal; Social acceptance measured by a subscale from Self-perception profile for adolescents. Low social acceptance ≤3. Psychological distress measured by Hopkins symptom check list-10 (1–4), psychological distress ≥1.85

References

    1. Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2013;2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211–1259. doi: 10.1016/S0140-6736(17)32154-2.
    1. Hoftun GB, Romundstad PR, Zwart JA, Rygg M. Chronic idiopathic pain in adolescence--high prevalence and disability: the young HUNT study 2008. Pain. 2011;152(10):2259–2266. doi: 10.1016/j.pain.2011.05.007.
    1. Jahre H, Grotle M, Smedbråten K, Richardsen KR, Bakken A, Øiestad BE. Neck and shoulder pain in adolescents seldom occur alone: results from the Norwegian Ungdata survey. 2021;25(8):1751–9.
    1. Holley AL, Wilson AC, Palermo TM. Predictors of the transition from acute to persistent musculoskeletal pain in children and adolescents: a prospective study. Pain. 2017;158(5):794–801. doi: 10.1097/j.pain.0000000000000817.
    1. Brattberg G. Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain. 2004;8(3):187–199. doi: 10.1016/j.ejpain.2003.08.001.
    1. Huguet A, Tougas M, Hayden J, McGrath P, Stinson J, Chambers PDC. A systematic review with meta-analysis of childhood and adolescent risk and prognostic factors for musculoskeletal pain. Pain. 2016;157:1. doi: 10.1097/j.pain.0000000000000685.
    1. Andreucci M, Alessandro CP, Dunn KM. Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review. Sleep. 2017;40(7).
    1. McElhaney KB, Antonishak J, Allen JP. “They like me, they like me not”: popularity and adolescents’ perceptions of acceptance predicting social functioning over time. Child Dev. 2008;79(3):720–731. doi: 10.1111/j.1467-8624.2008.01153.x.
    1. Viner RM, Ross D, Hardy R, Kuh D, Power C, Johnson A, et al. Life course epidemiology: recognising the importance of adolescence. J Epidemiol Community Health. 2015;69(8):719. doi: 10.1136/jech-2014-205300.
    1. Forgeron PA, King S, Stinson JN, McGrath PJ, MacDonald AJ, Chambers CT. Social functioning and peer relationships in children and adolescents with chronic pain: a systematic review. Pain Res Manag. 2010;15(1):27–41. doi: 10.1155/2010/820407.
    1. Gini G, Pozzoli T. Bullied children and psychosomatic problems: a meta-analysis. Pediatrics. 2013;132(4):720. doi: 10.1542/peds.2013-0614.
    1. Batley S, Aartun E, Boyle E, Hartvigsen J, Stern PJ, Hestbaek L. The association between psychological and social factors and spinal pain in adolescents. Eur J Pediatr. 2019;178(3):275–286. doi: 10.1007/s00431-018-3291-y.
    1. Wurm M, Anniko M, Tillfors M, Flink I, Boersma K. Musculoskeletal pain in early adolescence: a longitudinal examination of pain prevalence and the role of peer-related stress, worry, and gender. J Psychosom Res. 2018;111:76–82. doi: 10.1016/j.jpsychores.2018.05.016.
    1. Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007;369(9569):1302–1313. doi: 10.1016/S0140-6736(07)60368-7.
    1. Schwartz-Mette RA, Shankman J, Dueweke AR, Borowski S, Rose AJ. Relations of friendship experiences with depressive symptoms and loneliness in childhood and adolescence: a meta-analytic review. Psychol Bull. 2020;146(8):664–700. doi: 10.1037/bul0000239.
    1. Winther A, Dennison E, Ahmed LA, Furberg AS, Grimnes G, Jorde R, et al. The Tromsø study: fit futures: a study of Norwegian adolescents’ lifestyle and bone health. Arch Osteoporos. 2014;9:185. doi: 10.1007/s11657-014-0185-0.
    1. Opdal IM, Morseth B, Handegård BH, Lillevoll K, Ask H, Nielsen CS, et al. Change in physical activity is not associated with change in mental distress among adolescents: the Tromsø study: fit futures. BMC Public Health. 2019;19(1):916. doi: 10.1186/s12889-019-7271-6.
    1. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344–349. doi: 10.1016/j.jclinepi.2007.11.008.
    1. Fejer R, Jordan A, Hartvigsen J. Categorising the severity of neck pain: establishment of cut-points for use in clinical and epidemiological research. Pain. 2005;119(1–3):176–182. doi: 10.1016/j.pain.2005.09.033.
    1. Wichstrøm L. Harter’s self-perception profile for adolescents: reliability, validity, and evaluation of the question format. J Pers Assess. 1995;65(1):100–116. doi: 10.1207/s15327752jpa6501_8.
    1. Harter S. Manual for the self-perception profile for adolescents. Denver: University of Denver; 1988.
    1. Jozefiak T, Backer-Grøndahl A. Måleegenskaper ved den norske versjonen av Self-Perception Profile for Adolescents (SPPA) PsykTestBarn. 2019;1:1.
    1. Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins symptom checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974;19(1):1–15. doi: 10.1002/bs.3830190102.
    1. Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36) Nord J Psychiatry. 2003;57(2):113–118. doi: 10.1080/08039480310000932.
    1. Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012;7(4):284–294. doi: 10.1111/j.2047-6310.2012.00064.x.
    1. Hestbaek L, Leboeuf-Yde C, Kyvik KO. Is comorbidity in adolescence a predictor for adult low back pain? A prospective study of a young population. BMC Musculoskelet Disord. 2006;7:29. doi: 10.1186/1471-2474-7-29.
    1. Malmborg J, Bremander A, Olsson MC, Bergman A-C, Brorsson A, Bergman S. Worse health status, sleeping problems, and anxiety in 16-year-old students are associated with chronic musculoskeletal pain at three-year follow-up. BMC Public Health. 2019;19:1565. doi: 10.1186/s12889-019-7955-y.
    1. Kristman VL, Manno M, Côté P. Methods to account for attrition in longitudinal data: do they work? A simulation study. Eur J Epidemiol. 2005;20(8):657–662. doi: 10.1007/s10654-005-7919-7.
    1. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford publications; 2017.
    1. Eisenberger NI, Lieberman MD, Williams KD. Does rejection hurt? An FMRI study of social exclusion. Science. 2003;302(5643):290–292. doi: 10.1126/science.1089134.
    1. Kross E, Berman MG, Mischel W, Smith EE, Wager TD. Social rejection shares somatosensory representations with physical pain. Proc Natl Acad Sci U S A. 2011;108(15):6270–6275. doi: 10.1073/pnas.1102693108.
    1. Sturgeon JA, Zautra AJ. Social pain and physical pain: shared paths to resilience. Pain Manag. 2016;6(1):63–74. doi: 10.2217/pmt.15.56.
    1. Eisenberger NI. Social pain and the brain: controversies, questions, and where to go from here. Annu Rev Psychol. 2015;66:601–629. doi: 10.1146/annurev-psych-010213-115146.
    1. Eisenberger NI. The neural bases of social pain: evidence for shared representations with physical pain. Psychosm Med. 2012;74(2):126–135. doi: 10.1097/PSY.0b013e3182464dd1.
    1. Waddell G. 1987 Volvo award in clinical sciences. A new clinical model for the treatment of low-back pain. Spine (Phila Pa 1976) 1987;12(7):632–644. doi: 10.1097/00007632-198709000-00002.

Source: PubMed

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