{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:42:16Z","timestamp":1786326136120,"version":"build-2736575974"},"reference-count":65,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,21]],"date-time":"2023-05-21T00:00:00Z","timestamp":1684627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Co\u2010occurring chronic pain and mental health issues are prevalent in adolescents, costly to society and can lead to increased risk of complications throughout the lifespan. While research has largely examined paediatric chronic pain and mental health in isolation, little is known about the unique challenges faced by adolescents who experience these co\u2010occurring symptoms. This idiographic study examined the lived experience of adolescents with co\u2010occurring chronic pain and mental health symptoms to identify salient issues for this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured telephone interviews were conducted with seven adolescents (11\u201319\u2009years) self\u2010reporting diagnoses of both pain and mental health issues for a duration of 3\u2009months or longer. Participants were recruited from UK\u2010based schools, pain clinics and charities. Interview transcripts were analysed using interpretative phenomenological analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analyses generated two themes \u2018a whirlwind of everything\u2019 and \u2018putting up fronts\u2019, which describe how the experience of co\u2010occurring chronic pain and mental health symptoms typically disrupted adolescents' ability to regulate their physical, psychological and social wellbeing and identity. Adolescents described their symptom experience as like an internal storm over which they had no control. Such experiences required adolescents to embrace a variety of symptom management strategies, with adolescents reporting deliberate efforts to minimize their symptoms to external individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Co\u2010occurring pain and mental health symptoms may be experienced in similar ways to individually experienced pain or mental health symptoms, but together, the experience may be both more difficult to manage and more socially isolating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Adolescents with co\u2010occurring chronic pain and mental health symptoms describe the experience as if there was a storm inside of them disrupting their sense of physical, emotional and social wellbeing. This inner chaos interferes with their self\u2010identity and relationships with others. Challenges articulating their experiences, and negative encounters associated with their symptoms, further impact feelings of isolation and difficulties accessing support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2140","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T06:10:30Z","timestamp":1684735830000},"page":"981-994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["\u2018A whirlwind of everything\u2019: The lived experience of adolescents with co\u2010occurring chronic pain and mental health symptoms"],"prefix":"10.1002","volume":"27","author":[{"given":"Jenny","family":"Corser","sequence":"first","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7355-0706","authenticated-orcid":false,"given":"Line","family":"Caes","sequence":"additional","affiliation":[{"name":"Division of Natural Sciences University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9975-8572","authenticated-orcid":false,"given":"Sharon","family":"Bateman","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-8055","authenticated-orcid":false,"given":"Melanie","family":"Noel","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1595-5574","authenticated-orcid":false,"given":"Abbie","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00049530.2021.1904499"},{"key":"e_1_2_9_3_1","unstructured":"Bateman S. Caes L. Eccleston C. Noel M. &Jordan A.(2018).A double burden? A multi\u2010method investigation into the experiences of paediatric chronic pain and mental health symptoms. [Open Science Framework].https:\/\/scholar.googleusercontent.com\/scholar?q=cache:AxUsXvSZwZIJ:scholar.google.com\/+sharon+bateman+adolescent&hl=en&as_sdt=0 5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12662"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000000667"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20190060"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_9_8_1","volume-title":"How to do qualitative interviewing","author":"Brett B. M.","year":"2021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31827a6dd8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare5040093"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2021.100742"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.130.3.355"},{"key":"e_1_2_9_13_1","volume-title":"Childhood and society","author":"Erikson E. H.","year":"1993"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.18061\/dsq.v37i1"},{"key":"e_1_2_9_15_1","unstructured":"Field Studies Council. (2023).English IMD postcode checker. Charles Roper.https:\/\/www.fscbiodiversity.uk\/imd\/"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1306"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14674"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa245"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.879"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.10.015"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0894439319893612"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe7120"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsaa101"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/cpp0000215"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2017.04.003"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/children6090101"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2043"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001065"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201013\u2010272"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201012\u2010236"},{"key":"e_1_2_9_33_1","unstructured":"Met Office. (2022).Weather fronts. Crown Copyright.https:\/\/www.metoffice.gov.uk\/weather\/learn\u2010about\/weather\/atmosphere\/weather\u2010fronts"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta23220"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002086"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001732"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(22)00187-0"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jesp.2014.01.002"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.13079"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1854404"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000522"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.14691\/CPPJ.20.1.7"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)61238\u20100"},{"key":"e_1_2_9_44_1","unstructured":"Qualtrics. (2022).Qualtrics.https:\/\/www.qualtrics.com"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.07.002"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsab126"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00403"},{"issue":"12","key":"e_1_2_9_48_1","first-page":"6","article-title":"\u201cWe could be diving for pearls\u201d: The value of the gem in experiential qualitative psychology","author":"Smith J. A.","year":"2011","journal-title":"Qualitative Methods in Psychology Bulletin"},{"issue":"8","key":"e_1_2_9_49_1","first-page":"46","article-title":"The person becomes the universe of exploration","volume":"34","author":"Smith J. A.","year":"2021","journal-title":"Psychologist"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1037\/0000259-000"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/0000259-000"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1080\/14768320600941756"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/2049463714541642"},{"key":"e_1_2_9_54_1","volume-title":"Interpretative phenomenological analysis: Theory method and research","author":"Smith M. F. P.","year":"2009"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/ajp.0000000000000723"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002879"},{"key":"e_1_2_9_57_1","volume-title":"Pediatric pain management","author":"Standards Council of Canada","year":"2023"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000151"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.06.009"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/ewjm.172.2.124"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.03.004"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010018\u20100594\u20107"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.11.010"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsab122"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18084315"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440008400302"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.2140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T06:06:09Z","timestamp":1692684369000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.2140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,21]]},"references-count":65,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1002\/ejp.2140"],"URL":"https:\/\/doi.org\/10.1002\/ejp.2140","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,21]]},"assertion":[{"value":"2023-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}