Yulin Yang1, Rui Huang2, Hanna Grol-Prokopczyk2, Jacqueline M Torres3. 1. Department of Epidemiology and Biostatistics, University of California, San Francisco. San Francisco, CA, USA. Electronic address: yulin.yang@ucsf.edu. 2. Department of Sociology, University at Buffalo, State University of New York. Buffalo, NY, USA. 3. Department of Epidemiology and Biostatistics, University of California, San Francisco. San Francisco, CA, USA.
Abstract
OBJECTIVE: This study examines how onset of chronic pain affects characteristics of personal social networks among adults aged 51+ across Europe. METHODS: We used population-based data from the Survey of Health, Ageing and Retirement in Europe (SHARE; 2011-2015; n = 12,647). Using a change score analysis approach, we tracked changes in personal social networks of respondents experiencing new-onset chronic pain (n = 3803) compared to pain-free counterparts (n = 8844) in 11 European countries over four years. RESULTS: Overall, consistent with network activation theory, respondents with new-onset mild-to-moderate chronic pain reported increases in sizes and diversity of their personal social networks, compared to their pain-free counterparts. However, consistent with the "pain as threat to the social self" theory, respondents with new-onset moderate pain or mild-to-moderate pain reported a decrease over time in perceived satisfaction and closeness with networks, respectively. Estimates from interactions between new-onset pain severity and sex show that men with new-onset pain experienced greater decreases in network satisfaction (mild pain) and closeness (severe pain) than did women. DISCUSSION: This study highlights the complex social consequences of chronic pain, which may vary based on pain severity, gender, and type of social outcome considered.
OBJECTIVE: This study examines how onset of chronic pain affects characteristics of personal social networks among adults aged 51+ across Europe. METHODS: We used population-based data from the Survey of Health, Ageing and Retirement in Europe (SHARE; 2011-2015; n = 12,647). Using a change score analysis approach, we tracked changes in personal social networks of respondents experiencing new-onset chronic pain (n = 3803) compared to pain-free counterparts (n = 8844) in 11 European countries over four years. RESULTS: Overall, consistent with network activation theory, respondents with new-onset mild-to-moderate chronic pain reported increases in sizes and diversity of their personal social networks, compared to their pain-free counterparts. However, consistent with the "pain as threat to the social self" theory, respondents with new-onset moderate pain or mild-to-moderate pain reported a decrease over time in perceived satisfaction and closeness with networks, respectively. Estimates from interactions between new-onset pain severity and sex show that men with new-onset pain experienced greater decreases in network satisfaction (mild pain) and closeness (severe pain) than did women. DISCUSSION: This study highlights the complex social consequences of chronic pain, which may vary based on pain severity, gender, and type of social outcome considered.
Authors: Lisa M Jaremka; Rebecca R Andridge; Christopher P Fagundes; Catherine M Alfano; Stephen P Povoski; Adele M Lipari; Doreen M Agnese; Mark W Arnold; William B Farrar; Lisa D Yee; William E Carson; Tanios Bekaii-Saab; Edward W Martin; Carl R Schmidt; Janice K Kiecolt-Glaser Journal: Health Psychol Date: 2013-08-19 Impact factor: 4.267
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