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Vasthare R, Lim Y R A, Bagga A, Nayak PP, Bhat B, S S. The phenomenological approach in dentistry - a narrative review. Int J Qual Stud Health Well-being 2024; 19:2341450. [PMID: 38634343 PMCID: PMC11028029 DOI: 10.1080/17482631.2024.2341450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 04/06/2024] [Indexed: 04/19/2024] Open
Abstract
PURPOSE Phenomenology is a branch of philosophy that focuses on human lived experience. Illness including dental diseases can affect this living experience. Within the dental literature, there is very little reported on the use of phenomenology compared to other healthcare sciences. Hence, the aim was to review the literature and provide an overview of various applications of phenomenology in dental research. METHODS This study was a narrative review using literature in the last 10 years identified by web-based search on PubMed and Scopus using keywords. A total of 33 articles that were closely related to the field and application in dentistry were included. The methodology, main results, and future research recommendations, if applicable, were extracted and reviewed. RESULTS The authors in this study had identified several areas such as orofacial pain and pain control research, dental anxiety, dental education, oral healthcare perceptions and access, living with dental diseases and dental treatment experience in which the phenomenological method was used to gain an in-depth understanding of the topic. CONCLUSIONS There are several advantages of using the phenomenological research method, such as the small sample size needed, the diverse and unique perspective that can be obtained and the ability to improve current understanding, especially from the first-person perspective.
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Affiliation(s)
- Ramprasad Vasthare
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Arron Lim Y R
- Department of Orthodontics, National University of Malaysia, Bangi, Malaysia
| | - Aayushi Bagga
- Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
| | - Prajna P. Nayak
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Bhargav Bhat
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Sahana S
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
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2
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Katzman JG, Gallagher RM. Pain: The Silent Public Health Epidemic. J Prim Care Community Health 2024; 15:21501319241253547. [PMID: 38742616 PMCID: PMC11095171 DOI: 10.1177/21501319241253547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 04/16/2024] [Accepted: 04/18/2024] [Indexed: 05/16/2024] Open
Abstract
More than 50 million Americans suffer from chronic pain, costing our society an estimated 565 to 635 billion dollars annually. Its complexity and training deficits in healthcare providers result in many patients receiving ineffective care. Large health inequities also exist in access to effective pain care for vulnerable populations. The traumatic history of indigenous people and people of color in regards to the experience of pain care perpetuates a lack of trust in the healthcare system, causing many to hesitate to seek medical treatment for painful events and conditions. Other vulnerable populations include those with sickle cell disease or fibromyalgia, whose experience of pain has not been well-understood. There are both barriers to care and stigma for patients with pain, including those taking prescribed doses of long-term opioids, those with known substance use disorder, and those with mental health diagnoses. The suffering of patients with pain can be "invisible" to the clinician, and to one's community at large. Pain can affect all people; but those most vulnerable to not getting effective care may continue to suffer in silence because their voices are not heard. Since 1973, pain societies around the globe have worked tirelessly to bring clinicians together to advance pain and opioid education, research, and patient care. These improvements consist of pain education, integrative treatment, and the understanding that a therapeutic alliance is critical to effective pain management. Pain education for both pre and post-licensure health professionals has increased substantially over the last decade. In addition, integrative and interdisciplinary approaches for clinical pain management are now considered best practices in pain care for patients with moderate to severe pain in addition to the development of a strong therapeutic alliance.
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Affiliation(s)
- Joanna G. Katzman
- University of New Mexico School of Medicine, Albuquerque, NM, USA
- Department of Neurosurgery, University of New Mexico, Albuquerque, USA
- Public Health Initiatives Project ECHO, Albuquerque, USA
| | - Rollin Mac Gallagher
- American Academy of Pain Medicine, Chicago, IL, USA
- Center for Health Equities Research and Promotion (CHERP), Michael J Crescenz VA Medical Center, Philadelphia, USA
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3
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Andreucci A, Skovdal Rathleff M, Ørskov Reuther F, Hussein M, Rahimzai S, Linnemann TD, Johansen SK. “I had already tried that before going to the doctor” – exploring adolescents’ with knee pain perspectives on ‘wait and see’ as a management strategy in primary care; a study with brief semi-structured qualitative interviews. Scand J Pain 2022; 23:341-352. [PMID: 36279174 DOI: 10.1515/sjpain-2022-0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 09/26/2022] [Indexed: 11/15/2022]
Abstract
Abstract
Objectives
The aim of this study was to examine how the “wait-and-see” recommendation affects adolescents’ understanding of their illness and symptoms and their care-seeking behavior.
Methods
This study included brief qualitative, semi-structured online interviews. Adolescents (age 10–19 years) with long-term knee pain, who had been recommended “wait-and-see” by their general practitioner (GP), were recruited via previous studies and social media. Two researchers conducted brief semi-structured interviews through Microsoft Teams. An interview guide with open questions was created prior to the interviews and updated as new questions emerged. The extracted data was transcribed and analyzed via a reflexive thematic approach in NVivo.
Results
Eight adolescents (mean age 17.8) with longstanding or recurrent knee pain (mean duration 3.5 years) were included. The analysis identified four main themes: (1) The perception of wait and see over time, (2) The GP’s acknowledgement and consideration, (3) experienced limitation from knee pain and (4) the importance of getting a diagnosis. The perception of “wait-and-see” approach changed from positive to negative when adolescents received the recommendation multiple times. Adolescents experienced frustration with their situation and a lack of consideration from their GP made them cautious about seeking additional care. Knee pain significantly limited the adolescents’ physical-and social activities. Receiving a diagnosis was important and helped adolescents dealing with their pain.
Conclusions
The connotation of wait-and-see changed from positive to negative for adolescents when receiving the recommendation multiple times. The participants felt getting a clinical diagnosis was a relief. Furthermore, the lack of consideration and acknowledgement from the GP plays an essential role in the adolescent’s understanding of their knee pain.
Implications
Recommending adolescents to “wait-and-see” multiple times in relation to their knee problems can lead adolescents experience frustration and a lack of consideration from their GP. It would be advisable for GPs to provide adolescents with a diagnosis as it can facilitate them in dealing with their pain and to use simple language when explaining adolescents their condition to improve communication.
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Affiliation(s)
- Alessandro Andreucci
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
| | - Michael Skovdal Rathleff
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
- Department of Health Science and Technology, Faculty of Medicine , Aalborg University , Aalborg , Denmark
| | - Frederikke Ørskov Reuther
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
| | - Mariann Hussein
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
| | - Sultana Rahimzai
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
| | - Trine Dorthea Linnemann
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
| | - Simon Kristoffer Johansen
- Department of Clinical Medicine , Center for General Practice at Aalborg University, Aalborg University , Aalborg East , Denmark
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4
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Geremek A, Ruby L, Lindner C, Niederberger U, Schild U, Jung M, Soyka O, Siniatchkin M. Child and adolescent psychiatry staff's knowledge on pain management. Clin Child Psychol Psychiatry 2022:13591045221125334. [PMID: 36062462 DOI: 10.1177/13591045221125334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To assess the level of child and adolescent psychiatric staff's knowledge regarding pain management, to determine group differences between the medically more educated (physicians, nurses) and the less educated (psychologists, educators, special therapists) and to investigate the influence of gender, age, or professional experience as well as staff's own pain experiences. METHODS A total of 193 staff members from different professional backgrounds from three independent child and adolescent psychiatry clinics in Northern Germany were tested using the German version of the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Shriner's revision (PNKAS-Sr). RESULTS In total, the staff scored correctly 66% of the inventory questions. There was no difference between medically more educated and less educated staff members regarding the knowledge of pain management. The main factors influencing PNKAS score were age, profession, and pain education training. CONCLUSIONS Although chronic pain is not one of the main aspects of continuing education in child and adolescent psychiatry, the resulting level of knowledge was comparable to results of similar surveys with paediatric staffs. Nevertheless, further education is needed to enhance knowledge and understanding of children's pain in child psychiatry staff in order to professionally treat patients with chronic somatic and mental illnesses.
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Affiliation(s)
- Adam Geremek
- 440814Psychosomatikum, Kiel, Germany.,Child and Adolescent Psychiatric Clinic, 440814Helios Klinikum Schleswig, Schleswig, Germany
| | - Lisa Ruby
- Child and Adolescent Psychiatric Clinic, 440814Helios Klinikum Schleswig, Schleswig, Germany
| | | | - Uwe Niederberger
- Institute for Medical Psychology and Sociology, University of Kiel, Kiel, Germany
| | - Ursula Schild
- Child and Adolescent Psychiatric Clinic, 440814Psychiatrische Kliniken, Lüneburg, Germany
| | | | - Oliver Soyka
- Child and Adolescent Psychiatric Clinic, 581931Vorwerker Diakonie, Lübeck, Germany
| | - Michael Siniatchkin
- 39718University Clinic for Child and Adolescent Psychiatry, Bielefeld, Germany
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5
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Schultze M, Breuning M, von der Heyde M, Kaiser M, Müller-Nordhorn J, Holmberg C. Presenting scientifically-derived illness experiences online - Evaluation of the use of the DIPEx Germany website. PATIENT EDUCATION AND COUNSELING 2022; 105:2328-2337. [PMID: 34823923 DOI: 10.1016/j.pec.2021.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 10/21/2021] [Accepted: 10/22/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To evaluate the real-time usage of krankheitserfahrungen.de, a website providing scientifically collected and analyzed experiences of persons with various chronic illnesses. METHODS Web analytics of website use of www.krankheitserfahrungen.de in 2016. Qualitative content analysis of the 150 most and least opened video/audio clip titles in 2018-19. RESULTS In 2016, krankheitserfahrungen.de had 19,703 unique visits, of which 3925 were returning visits. Between new and returning visits, the latter were characterized by more actions and more time spent on the website. Thematic pages were clicked more often during new visits and person pages were more frequented during returning visits. In 2018-19, video/audio clip titles related to topics around uncertainties and/or decision making were most often clicked, whereas the least clicked clips dealt with topics like illness management, problem-solving, giving advice to others and emotionally difficult topics such as suffering, death and burden for the family. CONCLUSION A website with balanced, scientifically collected and analyzed patient experiences attracts a sufficient number of users and is used for further explorations. PRACTICE IMPLICATIONS Using multiple formats, broad topics and diverse personal experiences being accessible through themes or persons is necessary when a scientifically based website on patients' experiences is designed.
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Affiliation(s)
- Martin Schultze
- Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Martina Breuning
- University of Education Freiburg, Department of Public Health and Health Education, Germany
| | | | - Maleen Kaiser
- Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Jacqueline Müller-Nordhorn
- Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Christine Holmberg
- Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.
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6
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Rettke H, Naef R, Rufer M, Peng-Keller S. [Spirituality and health care. The perspective of patients with chronic pain]. Schmerz 2021; 35:333-342. [PMID: 33416931 PMCID: PMC8452578 DOI: 10.1007/s00482-020-00524-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/07/2020] [Accepted: 12/08/2020] [Indexed: 11/30/2022]
Abstract
Hintergrund Chronischer Schmerz betrifft alle menschlichen Lebensdimensionen und wirft auch spirituelle Fragen auf, die im Rahmen eines multimodalen Behandlungsmodells berücksichtigt werden sollten. Ziel der Arbeit Wir untersuchten die Perspektive von Patienten mit chronischen Schmerzen zu spirituellen Themen und deren möglicher Integration in den Behandlungsprozess. Material und Methoden Es wurden fünf Fokusgruppen- und zwei Kleingruppeninterviews an fünf Studienzentren durchgeführt. Daran nahmen 42 Patienten mit chronischen Schmerzen teil, die aktuell in ambulanter oder stationärer Schmerzbehandlung waren. Die Interviews wurden transkribiert und einer thematischen Analyse unterzogen. Ergebnisse Drei Themen traten hervor: 1. Chronischer Schmerz durchdringt die gesamte menschliche Existenz. 2. Spirituelle Ressourcen stellen eine Möglichkeit im Umgang mit chronischen Schmerzen dar. 3. Patienten ist es ein Anliegen, mit Fachpersonen in einen Dialog treten zu können, der auch für spirituelle Themen offen ist. Diese haben aus Sicht der Teilnehmenden große Relevanz. Sie verknüpften sie vielfach, aber nicht ausschließlich mit religiösen Überzeugungen. Häufig wurde geschildert, in der Schmerzerfahrung nicht ernst genommen zu werden. Diskussion Strategien für einen effektiven Umgang mit chronischem Schmerz zu finden, stellt einen Wendepunkt im Leben dar. In diesem Prozess unterstützt ein offener Dialog mit Fachpersonen, der auch spirituellen Themen Rechnung trägt.
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Affiliation(s)
- Horst Rettke
- Zentrum für Klinische Pflegewissenschaft, UniversitätsSpital Zürich, Rämistrasse 100 (SHM 26 B6), 8091, Zürich, Schweiz.
| | - Rahel Naef
- Zentrum für Klinische Pflegewissenschaft, UniversitätsSpital Zürich, Rämistrasse 100 (SHM 26 B6), 8091, Zürich, Schweiz
| | - Michael Rufer
- Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich, Zürich, Schweiz
| | - Simon Peng-Keller
- Professur für Spiritual Care, Theologische Fakultät, Universität Zürich, Zürich, Schweiz
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7
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De Sola H, Maquibar A, Failde I, Salazar A, Goicolea I. Living with opioids: A qualitative study with patients with chronic low back pain. Health Expect 2020; 23:1118-1128. [PMID: 32558064 PMCID: PMC7696128 DOI: 10.1111/hex.13089] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 05/16/2020] [Accepted: 05/19/2020] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects. OBJECTIVE To explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids. DESIGN Qualitative study. SETTING AND PARTICIPANTS We conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment. METHODS The interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework. MAIN RESULTS We developed one overarching theme-Living with opioids: dependence and autonomy while seeking relief-and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix. DISCUSSION The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients. CONCLUSIONS Patients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.
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Affiliation(s)
- Helena De Sola
- The Observatory of Pain, University of Cádiz, Cádiz, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain.,Preventive Medicine and Public Health Area, Cádiz, Spain
| | - Amaia Maquibar
- Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Bizkaia, Spain
| | - Inmaculada Failde
- The Observatory of Pain, University of Cádiz, Cádiz, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain.,Preventive Medicine and Public Health Area, Cádiz, Spain
| | - Alejandro Salazar
- The Observatory of Pain, University of Cádiz, Cádiz, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain.,Department of Statistics and Operational Research, University of Cádiz, Cádiz, Spain
| | - Isabel Goicolea
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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8
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Rettke H, Naef R, Rufer M, Peng-Keller S. Spiritual Care und chronischer Schmerz: Die Sicht von Fachpersonen. Eine qualitative Untersuchung. ACTA ACUST UNITED AC 2020. [DOI: 10.1515/spircare-2019-0072] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Zusammenfassung
Chronischer Schmerz ist ein komplexes Phänomen, das alle Lebensdimensionen betrifft: die psychische, soziale und spirituelle nicht weniger als die physische. Diesem Umstand muss in der Behandlung dieser Patientengruppe Rechnung getragen werden. Wir untersuchten, an welche Voraussetzungen dafür im Deutschschweizer Raum bereits angeknüpft werden kann. An fünf Studienzentren wurden insgesamt 34 Fachpersonen in interprofessionell gemischten Fokusgruppen dazu interviewt, welche spirituellen Anliegen und Bedürfnisse von Patient/-innen mit chronischen Schmerzen sie wahrnehmen und wie diese im Behandlungsprozess berücksichtigt werden können. Eine thematische Analyse zeigte drei Kernthemen: die Relevanz spiritueller Aspekte in der multimodalen Schmerztherapie, handlungsleitende Überzeugungen und die Kompetenz zu Spiritual Care. Die Befragten waren der spirituellen Thematik gegenüber generell aufgeschlossen. Aus ihrer Sicht stellt die Integration spiritueller Anliegen und Bedürfnisse im Behandlungsprozess einen Mehrwert für die Behandlungsqualität in dieser Patientengruppe dar. Dies konsequent umzusetzen, stellt sie jedoch vor teilweise ungelöste Herausforderungen. Hier braucht es Befähigung und institutionelle Unterstützung, um Spiritual Care den entsprechenden Raum zu geben.
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Affiliation(s)
- Horst Rettke
- UniversitätsSpital Zürich – Zentrum Klinische Pflegewissenschaft Zürich Switzerland
| | - Rahel Naef
- Universitätsspital Zürich , Zentrum Klinische Pflegewissenschaft. Switzerland
| | - Michael Rufer
- Psychiatrische Universitätsklinik Zürich . Switzerland
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9
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Schatman ME, Patterson E, Shapiro H. Patient Interviewing Strategies to Recognize Substance Use, Misuse, and Abuse in the Dental Setting. Dent Clin North Am 2020; 64:503-512. [PMID: 32448454 DOI: 10.1016/j.cden.2020.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Brief and effective clinical interviewing is critical for identifying patient risk factors, including those associated with substance use. Dental practitioners may perceive identifying patient substance misuse and abuse as a complex undertaking or may consider this clinical assessment beyond the scope of their training and practice. This article describes interviewing strategies that will help dental providers communicate effectively and empathically with their patients to collect relevant clinical information related to substance use, misuse, and abuse and provide better care for their patients.
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Affiliation(s)
- Michael E Schatman
- Department of Diagnostic Sciences, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA 02111, USA; Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
| | - Ellen Patterson
- Department of Comprehensive Care, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA 02111, USA
| | - Hannah Shapiro
- Department of Biopsychology, Tufts University, Robinson Hall, 200 College Avenue, Medford, MA 02155, USA
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10
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Johnson MI. The Landscape of Chronic Pain: Broader Perspectives. MEDICINA (KAUNAS, LITHUANIA) 2019; 55:E182. [PMID: 31117297 PMCID: PMC6572619 DOI: 10.3390/medicina55050182] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 05/09/2019] [Accepted: 05/16/2019] [Indexed: 02/06/2023]
Abstract
Chronic pain is a global health concern. This special issue on matters related to chronic pain aims to draw on research and scholarly discourse from an eclectic mix of areas and perspectives. The purpose of this non-systematic topical review is to précis an assortment of contemporary topics related to chronic pain and its management to nurture debate about research, practice and health care policy. The review discusses the phenomenon of pain, the struggle that patients have trying to legitimize their pain to others, the utility of the acute-chronic dichotomy, and the burden of chronic pain on society. The review describes the introduction of chronic primary pain in the World Health Organization's International Classification of Disease, 11th Revision and discusses the importance of biopsychosocial approaches to manage pain, the consequences of overprescribing and shifts in service delivery in primary care settings. The second half of the review explores pain perception as a multisensory perceptual inference discussing how contexts, predictions and expectations contribute to the malleability of somatosensations including pain, and how this knowledge can inform the development of therapies and strategies to alleviate pain. Finally, the review explores chronic pain through an evolutionary lens by comparing modern urban lifestyles with genetic heritage that encodes physiology adapted to live in the Paleolithic era. I speculate that modern urban lifestyles may be painogenic in nature, worsening chronic pain in individuals and burdening society at the population level.
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Affiliation(s)
- Mark I Johnson
- Centre for Pain Research, School of Clinical and Applied Sciences, City Campus, Leeds Beckett University, Leeds LS1 3HE, UK.
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11
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Rolbiecki AJ, Teti M, Crenshaw B, LeMaster JW, Ordway J, Mehr DR. Exploring Lived Experiences of Chronic Pain Through Photo-Elicitation and Social Networking. PAIN MEDICINE 2018; 20:1202-1211. [DOI: 10.1093/pm/pny175] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | - Michelle Teti
- Health Sciences, University of Missouri, Columbia, Missouri
| | | | - Joseph W LeMaster
- Department of Family Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
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12
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Frenkel L, Swartz L. Chronic pain as a human rights issue: setting an agenda for preventative action. Glob Health Action 2018; 10:1348691. [PMID: 28766405 PMCID: PMC5645677 DOI: 10.1080/16549716.2017.1348691] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Background: Historically, chronic pain has been viewed primarily as a medical issue, and research has been focused on the individual and predominantly on pain sufferers in high-income countries. Objectives: This article argues the need for a broader understanding of the context of chronic pain and its complex aetiologies and maintenance. It is suggested that the interaction between chronic pain and social context has been inadequately explored. Methods: A single case study is used of a man living in a violent urban environment in South Africa accessing a pain clinic at a tertiary hospital. Following the case-study approach, as used in the chronic traumatic stress field by Kaminer et al., the case material is utilised to develop an argument for a new research agenda. Results: Analysis of the case material demonstrates the complex interplay between bodily and psychological experiences, with chronic pain being contextually maintained and exacerbated by very difficult life circumstances, ongoing violence, and marginalisation. Conclusions: It is suggested that a research agenda be developed which explores the links between chronic pain and ongoing chronic traumatisation in contexts of continuous violence, oppression, and disempowerment – common features of much of the contemporary majority world.
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Affiliation(s)
- Louise Frenkel
- a Department of Psychiatry and Mental Health , University of Cape Town , Cape Town , South Africa
| | - Leslie Swartz
- b Department of Psychology , Stellenbosch University , Stellenbosch , South Africa
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13
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Schütze R, Rees C, Slater H, Smith A, O'Sullivan P. ‘I call it stinkin’ thinkin’’: A qualitative analysis of metacognition in people with chronic low back pain and elevated catastrophizing. Br J Health Psychol 2017; 22:463-480. [DOI: 10.1111/bjhp.12240] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Revised: 03/05/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Robert Schütze
- School of Psychology and Speech Pathology; Curtin University; Perth Western Australia Australia
| | - Clare Rees
- School of Psychology and Speech Pathology; Curtin University; Perth Western Australia Australia
| | - Helen Slater
- School of Physiotherapy and Exercise Science; Curtin University; Perth Western Australia Australia
| | - Anne Smith
- School of Physiotherapy and Exercise Science; Curtin University; Perth Western Australia Australia
| | - Peter O'Sullivan
- School of Physiotherapy and Exercise Science; Curtin University; Perth Western Australia Australia
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14
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Breivik H. Invisible pain - Complications from too little or too much empathy among helpers of chronic pain patients. Scand J Pain 2015; 6:31-32. [PMID: 29911582 DOI: 10.1016/j.sjpain.2014.09.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Harald Breivik
- University of Oslo, Oslo, Norway.,Oslo University Hospital, Department of Pain Management and Research, Nydalen PB 4950, 0424 Oslo, Oslo Norway
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