Is there an association between chronic pain and social rejection?

Yes there is - Chronic pain can be incredibly isolating for that person; nobody can see how much it hurts or really understand how the pain can take over other parts of their lives. When people are in constant pain it can affect things such as study, work or going out. This often has a knock on effect on relationships and can create loneliness.

Yes. Both social rejection and loneliness have been shown to increase reported levels of pain and other symptoms. Rejection and isolation also often lead to decreased activity and fewer attempts at social interaction. It's very hard to consciously risk rejection - if you've been rejected, it's easier and feels safer to remain alone. This is especially true if your disability seems like it was all or part of the reason you were rejected. Feeling helpless and powerless are normal reactions to such rejections, as are shame and anger. It's not possible to control your disability but people with disabilities are often judged unfairly. That leads to lots of difficult feelings. It's hard not to judge ourselves in the same mean, irrational ways as others may, but it's very good to try. Social engagement and friendly encounters can reduce pain levels and even reduce how much medication you take. Even having a friendly interaction with the pharmacist or cashier can lessen feelings of rejection. Big thing is, chronic pain can be debilitating and, uh.. chronic. It's like a toddler demanding attention. Just not going to go away because you pretend it's not there. It's just get louder, the it'll start drawing of the walls and decorative the couch with applesauce. So, somehow, it's really vital to find a way to make friends with the toddler... oops, the pain. :) Accepting your body's insistent signals as real and important is good self-care. Learning to not overdo it, and what situations are likely to prompt you to do too much - being around people who don't accept your limitations, for instance - is also important. Eventually, you are likely to be able to engage more socially, with less fear, which is likely to help your symptoms, too. You'll do so with self-knowledge and self-respect. Healthy boundaries make a big difference in determining whether social encounters are draining & rejecting or enriching. 🐑

There can be. Do you feel that your chronic pain causes you to miss social activities? If so, do your friends and family know that your chronic pain is what's causing your absence? Do you tend to withdraw because the pain infringes on your social life? If any of these are occurring in your life, it's very possible that it's causing social difficulty. If you're comfortable opening the communication on your chronic pain, try talking to your friends and family about your concerns. If they are not reciprocating your communication, try joining an online or in-person chronic pain group. You'd be able to meet like-minded people dealing with the same struggles. This may help you be in a social group AND get things off your chest.

Yes, to an extent. Sometimes the chronic pain makes it hard to maintain relationships because sometimes you can't participate with them because of the pain. There are people who will understand, especially if you explain it, and those are ultimately the ones that should matter the most. Social rejection is awful, but if you have a few understanding friends, it will be easier to deal with.

Yes, it can be if there's a stigma or misunderstanding towards the pain. Someone might not believe the pain to be as debilitating as it actually is. Those who refuse to believe the impact of the pain aren't worth the time. Walking, writing, and the like may be unbearable. The pain may be physically isolating. If someone can't make it to a social gathering due to chronic pain, there should be a level of understanding. That's why it's important to have an understanding, supportive friend if life gets lonely. They might know of pain management resources or just be there for you.