{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T18:41:31Z","timestamp":1788806491391,"version":"build-2803163510"},"reference-count":63,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,3,28]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Around 15%\u201330% of adolescents and young adults (AYAs) experience persistent or chronic pain. The purpose of this study was to synthesise evidence from qualitative primary studies on how AYAs in a non-clinical population experience living with persistent pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A qualitative metasynthesis guided by Sandelowski and Barroso\u2019s guidelines was used. The databases Medline, Embase, Cinahl, PsycINFO, Mednar and ProQuest were searched for studies from 1 January 2005 to 15 February 2021. Inclusion criteria were AYAs aged 13\u201324 years with first-hand experience of living with persistent, recurrent or episodic non-clinical pain in any body site. Pain associated with a medical diagnosis, malignant diseases, medical procedures or sport activities was excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2618 screened records, data from nine studies conducted in a Western cultural context including 184 participants (127 female and 57 male aged 11\u201328 years) were analysed into metasummaries and a metasynthesis. Headaches was the most focused pain condition (n=5), while three of the studies did not specify type of pain. The participants\u2019 experiences were characterised by (1) juggling pain with everyday life; (2) exploring sources of information to manage pain; (3) AYAs\u2019 use of medication to find relief and (4) non-pharmacological strategies for pain relief.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These AYAs experience of how pain influences everyday life, and their striving to find relief from pain by support from family, friends, professionals and the Internet should be strongly respected. Public health nurses and other healthcare professionals encountering AYAs need to respect their pain experiences, and to support them in healthy coping strategies. Further studies on this issue are needed, especially research focusing on AYAs pain in exposed populations and AYAs from non-Western cultures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-043776","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T13:48:37Z","timestamp":1618840117000},"page":"e043776","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Experiences of a non-clinical set of adolescents and young adults living with persistent pain: a qualitative metasynthesis"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5470-8686","authenticated-orcid":false,"given":"Liv","family":"Fegran","sequence":"first","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Vest-Agder, Norway"},{"name":"Department of Pediatrics, S\u00f8rlandet Sykehus HF, Kristiansand, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berit","family":"Johannessen","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Vest-Agder, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9439-380X","authenticated-orcid":false,"given":"Mette Spliid","family":"Ludvigsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Randers Regional Hospital, Randers, Midtjylland, Denmark"},{"name":"Faculty of Nursing and Health Sciences, Nord University, Bod\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Westergren","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Vest-Agder, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3131-5446","authenticated-orcid":false,"given":"Magnhild","family":"H\u00f8ie","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5shild","family":"Sletteb\u00f8","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Rohde","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Vest-Agder, Norway"},{"name":"Department of Clinical Research, S\u00f8rlandet Sykehus HF, Kristiansand, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8lvi","family":"Helseth","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Haraldstad","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Vest-Agder, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"2025121422440971000_11.4.e043776.1","doi-asserted-by":"crossref","unstructured":"Eccleston C , Palermo TM , de C Williams AC . 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