Highlights
- •Peer victimization is commonly experienced by youth with and without chronic pain.
- •Thirty-six percent of youth experienced distressing peer victimization during the monitoring week.
- •Chronic victimization predicted worse mood, sleep, pain, and activity limitations.
- •Peer victimization may influence pain outcomes through its negative impact on mood.
Abstract
This study aims to 1) examine the temporal influence of peer victimization on mood,
sleep quality, pain, and activity limitations in clinical and community samples of
youth, and 2) test mood and sleep as mediators of peer victimization-pain pathways.
One hundred fifty-six adolescents (n = 74 chronic pain group) completed a week of
online diary monitoring assessing their daily peer victimization experiences, negative
mood, sleep quality, pain intensity, and pain-related activity limitations. In multilevel
models controlling for group status, person-mean peer victimization (averaged across
days) significantly predicted worse mood, pain, and activity limitations (all Ps < .01) while daily victimization predicted worse mood (P < .05). Results from within-person mediation indicated a significant indirect effect
of daily peer victimization on next-day activity limitations, through daily negative
mood. Results from between-person mediation indicated that negative mood significantly
mediated the relation between peer victimization and pain and the relation between
peer victimization and activity limitations. Peer victimization is associated with
negative health indicators in clinical and community samples of youth and may exert
its influence on pain and pain-related activity limitations through negative mood.
Perspective
This article examines the temporal influence of peer victimization on pain in adolescents
with and without chronic pain, and examines mood and sleep quality as mechanisms linking
victimization to pain. This information may be useful for pain prevention researchers
as well as providers who assess and treat pain in childhood.
Key words
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Article info
Publication history
Published online: May 30, 2019
Accepted:
May 8,
2019
Received in revised form:
April 23,
2019
Received:
February 28,
2019
Footnotes
This study was supported by the American Pain Society’s Future Leaders in Pain Research grant mechanism, awarded to JF. There are no conflicts of interest to disclose.
Identification
Copyright
© 2019 by United States Association for the Study of Pain, Inc.
