strained Meaning in the Cambridge English Dictionary
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Meaning of “strained” in the English Dictionary

"strained" in British English

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strainedadjective

uk   us   /streɪnd/
If a ​relationship is strained, ​problems are ​spoiling it: Relations between the two ​countries have ​become strained (= ​difficult)recently. showing that someone is ​nervous or ​worried: She was ​looking strained and had ​darkcircles beneath her ​eyes. Jean ​feltuncomfortable but ​managed to ​force a strained ​smile.
(Definition of strained from the Cambridge Advanced Learner’s Dictionary & Thesaurus © Cambridge University Press)

"strained" in American English

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strainedadjective

 us   /streɪnd/

strained adjective (WORRIED)

nervous, ​worried, or having ​problems: She had a strained ​expression on her ​face.

strained adjective (INJURED)

injured by too much use or ​effort: a strained ​knee
(Definition of strained from the Cambridge Academic Content Dictionary © Cambridge University Press)
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