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Kurz R, Hebron C. "Finding a new normal: the lived experience of persons' journey towards coping with persistent low back pain". Physiother Theory Pract 2024; 40:983-998. [PMID: 36373211 DOI: 10.1080/09593985.2022.2144782] [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: 06/29/2022] [Revised: 11/01/2022] [Accepted: 11/01/2022] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Persistent low back pain (PLBP) is the biggest global cause of disability. Persons with PLBP experience biographic disruption and existential crisis. Guidelines recommend a biopsychosocial approach to management, with the emphasis on coping strategies. PURPOSE However, there is a paucity of research exploring the lived experience of persons who self-identify as coping with PLBP. METHOD The study used an interpretive phenomenological approach, analyzing transcripts from 1:1 interviews with six persons who self-identify as coping with PLBP. Poetic language was used to elicit empathic, embodied relational understanding and convey a richer understanding of the phenomenon that authentic quotations might not able to reveal. FINDINGS AND CONCLUSION Participants' descriptions conveyed the sense of a journey, starting with the loss of a sense of self as they engaged in the pain battle, followed by a transition toward a new 'normal,' in which time, acceptance and trust in their own intuition were meaningful components. Although anxiety and fear were a continued presence, but they became more manageable. Society's role in the coping process was significantly meaningful and is something which requires reflections from therapists' and more widely.
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Affiliation(s)
- Raffaela Kurz
- School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne BN20 7UR, UK
- Physiotherapy MSK Department, Sussex Community NHS Foundation Trust, Horsham Hospital, Hurst Road, Horsham RH12 2DR, UK
| | - Clair Hebron
- School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne BN20 7UR, UK
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Kästner A, Petzke F. Personality systems interactions theory: an integrative framework complementing the study of the motivational and volitional dynamics underlying adjustment to chronic pain. FRONTIERS IN PAIN RESEARCH 2024; 5:1288758. [PMID: 38634004 PMCID: PMC11021701 DOI: 10.3389/fpain.2024.1288758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 03/13/2024] [Indexed: 04/19/2024] Open
Abstract
In the endeavor to advance our understanding of interindividual differences in dealing with chronic pain, numerous motivational theories have been invoked in the past decade. As they focus on relevant, yet different aspects of the dynamic, multilevel processes involved in human voluntary action control, research findings seem fragmented and inconsistent. Here we present Personality Systems Interactions theory as an integrative meta-framework elucidating how different motivational and volitional processes work in concert under varying contextual conditions. PSI theory explains experience and behavior by the relative activation of four cognitive systems that take over different psychological functions during goal pursuit. In this way, it may complement existing content-related explanations of clinical phenomena by introducing a functional, third-person perspective on flexible goal management, pain acceptance and goal maintenance despite pain. In line with emerging evidence on the central role of emotion regulation in chronic pain, PSI theory delineates how the self-regulation of positive and negative affect impacts whether behavior is determined by rigid stimulus-response associations (i.e., habits) or by more abstract motives and values which afford more behavioral flexibility. Along with testable hypotheses, multimodal interventions expected to address intuitive emotion regulation as a central process mediating successful adaptation to chronic pain are discussed.
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Affiliation(s)
- Anne Kästner
- Department of Anesthesiology, Pain Clinic, University Hospital, Georg-August-University of Goettingen, Goettingen, Germany
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De-Diego-Cordero R, Velasco-Domínguez C, Aranda-Jerez A, Vega-Escaño J. The Spiritual Aspect of Pain: An Integrative Review. JOURNAL OF RELIGION AND HEALTH 2024; 63:159-184. [PMID: 37573533 PMCID: PMC10861647 DOI: 10.1007/s10943-023-01890-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/01/2023] [Indexed: 08/15/2023]
Abstract
Pain is an unpleasant sensory and emotional experience that affects individuals in various ways involving biological, psychological, social, and spiritual aspects. There is currently no comprehensive treatment that effectively addresses all aspects of pain. This integrative review aimed to analyze the spiritual aspect of pain relief. Following the specified methodological criteria, a total of 20 articles were selected. There evidenced a lack of spiritual care provided by healthcare professionals, even though its correlation with pain and its potential benefits have been widely demonstrated in the literature. Fortunately, some patients put into practice existential and religious tools to self-control and cope with their pain, although not always with a successful response.
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Affiliation(s)
- Rocío De-Diego-Cordero
- Research Group PAIDI-CTS 969 Innovation in HealthCare and Social Determinants of Health, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009, Seville, Spain
| | | | - Alicia Aranda-Jerez
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009, Seville, Spain
| | - Juan Vega-Escaño
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, C/ Avenzoar 6, 41009, Seville, Spain.
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Georgiadis E, Johnson MI. Incorporating personal narratives in positive psychology interventions to manage chronic pain. FRONTIERS IN PAIN RESEARCH 2023; 4:1253310. [PMID: 37869366 PMCID: PMC10588179 DOI: 10.3389/fpain.2023.1253310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 09/26/2023] [Indexed: 10/24/2023] Open
Abstract
In this perspective paper, we argue for incorporating personal narratives in positive psychology interventions for chronic pain. Narratives refer to the telling and retelling of events. Narratives detail accounts of events and provide rich, in-depth information on human interactions, relationships, and perspectives. As such, narratives have been used to understand people's experiences with pain and pain coping mechanisms-as well as to facilitate therapeutic outcomes. Furthermore, narrative research has shown that narration can help restore and promote relief, calm, hope, self-awareness, and self-understanding in chronic pain sufferers. Positive psychology interventions have been successful in improving the lives of people living with chronic pain, but these psychology interventions do not typically incorporate personal narratives. Still, narrative, and positive psychology scholarship foci overlap, as both aim to enhance people's quality of life, happiness, and well-being, and to promote the understanding of psychosocial strengths and resources. In this article, we provide a rationale for incorporating personal narratives as an agentic form of positive psychology intervention. To that aim, we outline areas of convergence between positive psychology and narrative research and show how combining positive psychology exercises and narration can have additive benefits for pain sufferers. We also show how integrating narration in positive psychology intervention research can have advantages for healthcare research and policy.
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Affiliation(s)
- Emmanouil Georgiadis
- School of Social Sciences and Humanities, University of Suffolk, Ipswich, United Kingdom
| | - Mark I. Johnson
- Centre for Pain Research, School of Health, Leeds Beckett University, Leeds, United Kingdom
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Upsdell A, Fia'ali'i J, Lewis GN, Terry G. Health and illness beliefs regarding pain and pain management of New Zealand resident Sāmoan community leaders: A qualitative interpretive study based on Pasifika paradigms. Health Promot J Austr 2023. [PMID: 37749071 DOI: 10.1002/hpja.800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 08/16/2023] [Accepted: 08/17/2023] [Indexed: 09/27/2023] Open
Abstract
ISSUE ADDRESSED Ethnic disparities in chronic pain exist in Aotearoa New Zealand, including a greater impact of pain, less access to chronic pain services and less benefit from treatment for Pasifika people. This study investigated Sāmoan health perceptions and beliefs in relation to pain and how it is managed. METHODS An interpretive descriptive study was undertaken involving interviews with nine Sāmoan key informants from Aotearoa New Zealand. Interviews explored their beliefs in relation to interpretations of pain and experiences of and preferences for pain management. Interviews were recorded and transcribed. Data were analysed using thematic analysis. RESULTS Four main themes were constructed from the data. Pain is interpreted holistically described the attribution of pain to many causes, without limitation to physiological explanations. Stoicism is a character virtue described the predominant belief that pain should be endured without display or complaint. Strength in connectivity described the inherent pain coping strategies that are present within Sāmoan communities. To improve healthcare is to nurture vā described the disconnect Sāmoan people feel from healthcare services and the need to foster relationships to improve health delivery. CONCLUSIONS Sāmoan people have beliefs and perceptions about pain and its management that extend beyond traditional Western interpretations. While pain is often endured using traditional strengths within the 'āīga (family) and community, the Sāmoan community faces challenges in receiving healthcare from mainstream pain services. SO WHAT?: Clinicians need to foster stronger relationships with Sāmoan individuals and their 'āīga and appreciate the wider psychosocial context of pain, including spirituality.
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Affiliation(s)
- Angela Upsdell
- Chronic Pain Service, Te Whatu Ora Counties-Manukau, Auckland, New Zealand
| | - Jessee Fia'ali'i
- Chronic Pain Service, Te Whatu Ora Counties-Manukau, Auckland, New Zealand
| | - Gwyn N Lewis
- Department of Physiotherapy, Auckland University of Technology, Auckland, New Zealand
| | - Gareth Terry
- Centre for Person Centred Research, Auckland University of Technology, Auckland, New Zealand
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Walton DM, Nazari G, Bobos P, MacDermid JC. Exploratory and confirmatory factor analysis of the new region-generic version of Fremantle Body Awareness-General Questionnaire. PLoS One 2023; 18:e0282957. [PMID: 36947566 PMCID: PMC10032497 DOI: 10.1371/journal.pone.0282957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 02/27/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND As the field of pain evaluation grows, newer and more targeted tools are being published for patient-centric evaluation of specific aspects of the pain experience. The Fremantle Back Awareness Questionnaire (FreBAQ) is intended to capture alterations in bodily awareness or perception. To date only region-specific (back, neck, shoulder, knee) versions have been published. OBJECTIVES The purpose of our study was to report on the properties of a new region-generic version of the FreBAQ, the FreBAQ-general. Structural validity, internal consistency, and convergent validity against external criteria were evaluated in a sample of Canadian military veterans with chronic pain, with results compared against those published for the region-specific FreBAQ versions. METHODS Eligible participants were those that had prior military service, were at least 18 years of age and self-identified as having chronic pain. We used a split-sample approach to Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) on independent random samples. Factor structure, internal consistency, and associations with external criteria were used to compare against prior versions. RESULTS 328 respondents (74% of consented) completed at least 7 of the 9 FreBAQ-general questions. EFA and CFA on two independent samples offered support for both 6- and 7-item versions. Comparisons against the external criteria (pain severity, interference, catastrophizing) indicated no statistical superiority of one over the other, so in the interest of parsimony the 6-item FreBAQ-general was endorsed. CONCLUSIONS The Fremantle Body Awareness Questionnaire (FreBAQ-general) showed psychometric properties very much in alignment with those previously reported for the region-specific versions, and sound factorial validity accomplished with fewer items (6 vs. 9). We believe this version can be implemented in practice for those seeking a shorter scale without the need to have multiple region-specific versions on hand, though suggest that those seeking direct comparability with previously published work will still wish to use the original versions.
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Affiliation(s)
- David M Walton
- Faculty of Health Science, School of Physical Therapy, Western University, London, ON, Canada
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London ON, Canada
| | | | - Pavlos Bobos
- Faculty of Health Science, School of Physical Therapy, Western University, London, ON, Canada
| | - Joy C MacDermid
- Faculty of Health Science, School of Physical Therapy, Western University, London, ON, Canada
- Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada
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Three-Dimensional Wisdom and Perceived Stress among College Students. JOURNAL OF ADULT DEVELOPMENT 2020. [DOI: 10.1007/s10804-020-09358-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Holtrop JS, Fisher M, Martinez DE, Simpson M, Awadallah NS, Nease DE, Zittleman L, Westfall JM. What Works for Managing Chronic Pain: An Appreciative Inquiry Qualitative Analysis. J Prim Care Community Health 2020; 10:2150132719885286. [PMID: 31747822 PMCID: PMC6873267 DOI: 10.1177/2150132719885286] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Background: Chronic pain is a prevalent and dynamic condition for
both patients and providers. Learning how patients with chronic pain
successfully manage their pain may prove helpful in guiding health care
providers in their treatment of other patients with chronic pain. This research
sought to identify successful strategies for managing chronic pain from
interviews with individuals experiencing chronic pain who were able to do “most
of what they want on most days.” Methods: Qualitative, descriptive
study. Patients were from metro Denver, Colorado, USA and were recruited from
community and health care settings. Appreciative inquiry (AI) was used as an
approach to elicit stories of successful pain management. We conducted
one-on-one, in person interviews using a semistructured interview guide.
Analysis was completed using a grounded hermeneutic editing approach.
Results: Twenty-four interviews were completed representing a
range of adult ages, genders, race/ethnicities, and underlying reasons for
chronic pain. Consistent themes were found in that all patients had developed
multiple strategies for ongoing pain management and prevention, as well as a
mental approach embedded with elements of positive beliefs and determination.
Friends, family, support group members, and health care providers were key in
support and ongoing management. Although 10 patients regularly used opioid pain
medications, none were dependent, and all stated an active desire to avoid these
medications. Conclusions: Successful chronic pain management seems
possible as displayed from the patient narratives but requires persistence
through individual trial and error. Recommendations for health care provider
teams are made to apply these findings to assist patients with chronic pain.
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Affiliation(s)
| | - Mary Fisher
- University of Colorado Denver School of Medicine, Aurora, CO, USA
| | | | - Matthew Simpson
- University of Colorado Denver School of Medicine, Aurora, CO, USA
| | - Nida S Awadallah
- University of Colorado Denver School of Medicine, Aurora, CO, USA
| | - Donald E Nease
- University of Colorado Denver School of Medicine, Aurora, CO, USA
| | - Linda Zittleman
- University of Colorado Denver School of Medicine, Aurora, CO, USA
| | - John M Westfall
- University of Colorado Denver School of Medicine, Aurora, CO, USA
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Liutsko L. The integrative model of personality and the role of personality in a Planetary Health context. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019. [DOI: 10.1016/j.paid.2019.109512] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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10
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Brown SL, Wright MR. Divorce Attitudes among Older Adults: Two Decades of Change. JOURNAL OF FAMILY ISSUES 2019; 40:1018-1037. [PMID: 31749514 PMCID: PMC6867609 DOI: 10.1177/0192513x19832936] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The authors used data from the 1994, 2002, and 2012 General Social Survey (N = 1,450) to examine whether support for divorce has increased among adults aged 50 and older. Consistent with the rise in the gray divorce rate, today's older adults were more accepting of divorce than their predecessors were two decades ago. Attitudinal change was modest between 1994 and 2002 but accelerated after 2002. The acceleration was primarily due to period rather than cohort change, signaling the role of broader shifts in the meaning of marriage as it has become deinstitutionalized. Older birth cohorts and individuals who were either divorced or remarried were especially likely to hold supportive attitudes toward divorce.
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Affiliation(s)
- Susan L Brown
- Department of Sociology, Bowling Green State University, Bowling Green, OH 43403, (419) 372-9521,
| | - Matthew R Wright
- Department of Criminology, Sociology, and Geography, Arkansas State University, Jonesboro, AR 72467, (870) 972-3276,
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Alhosseini F, Ferrari M. Effects of Causal Attribution and Implicit Mind-Set on Wisdom Development. Int J Aging Hum Dev 2019; 90:319-336. [PMID: 30887826 DOI: 10.1177/0091415019836098] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study investigates the relationship between motivation and the development of wisdom. Eighty Canadian participants were interviewed and completed Ardelt's Three-Dimensional Wisdom Scale (3D-WS). Using a mixed method design, we assessed wisdom definitions, interpersonal causal attributions, and mind-set about developing wisdom. A chi-square analysis revealed a significant relationship between attribution and mind-set about wisdom development. Two multivariate analyses of variance showed that both factors significantly influenced wisdom scores on the 3D-WS. These results suggest that people who consider wisdom development to be controllable and believe that their personal wisdom can be developed (i.e., growth mind-set) tend to be wiser, regardless of their definition of wisdom. By introducing the importance of mind-set and attribution, this study will open new avenues for research on teaching for wisdom and allow educators to develop programs to cultivate wisdom that focus on altering attribution and mind-set.
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Borghuis EM, Reneman MF, Schiphorst Preuper HR. Assessing discrepancies in outcomes of pain rehabilitation: “these questionnaires don’t measure results that are relevant to me”. Disabil Rehabil 2019; 42:2374-2380. [DOI: 10.1080/09638288.2018.1561956] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Ellen M.C. Borghuis
- Department of Rehabilitation Medicine, University of Groningen University Medical Center Groningen, Groningen, Netherlands
| | - Michiel F. Reneman
- Department of Rehabilitation Medicine, University of Groningen University Medical Center Groningen, Groningen, Netherlands
| | - Henrica R. Schiphorst Preuper
- Department of Rehabilitation Medicine, University of Groningen University Medical Center Groningen, Groningen, Netherlands
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13
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Li H, Wang F. Real-time measurement of wise personality cognition: Evidence from mouse tracking. CURRENT PSYCHOLOGY 2017. [DOI: 10.1007/s12144-017-9732-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Nøst TH, Steinsbekk A, Riseth L, Bratås O, Grønning K. Expectations towards participation in easily accessible pain management interventions: a qualitative study. BMC Health Serv Res 2017; 17:712. [PMID: 29126444 PMCID: PMC5681789 DOI: 10.1186/s12913-017-2668-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 11/02/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND People with chronic pain use a range of healthcare services, but they also report a high degree of dissatisfaction with treatments. One reason for dissatisfaction might be participants' expectations towards treatments. The aim of this study was to explore expectations of people with chronic pain towards participation in easily accessible pain management interventions delivered in public primary care. METHODS A qualitative study using semi-structured individual face-to-face interviews with 21 informants. The informants were recruited among participants enrolled in a randomised controlled trial on the effect of an easily accessible self-management course for people with chronic pain. The data were analysed thematically using Systematic Text Condensation. RESULTS Having experienced pain for a long time, there was no specific expectation of a cure or a significant alleviation of the pain. The informants' expectations mainly concerned a hope that participation could lead to a better everyday life. The informants said that hope was important as it motivated them to keep going and continue self-care activities. The hope acted as a driving force towards trying new interventions and maintaining motivation to do activities they experienced as beneficial. Both concrete aspects of the current intervention and an understanding of what interventions in general could offer contributed to the informants hope. The expectations centred about the interventions being something new, as they had not previously tried this service, an opportunity to gain and reinforce skills, to help them continue to grow as a person, to meet others in similar situations, and to access professional support in an easy manner. Participating in interventions provided by healthcare services was seen by some as an act of self-care, where they did something active to manage their health. CONCLUSIONS Expectations towards the interventions were related to a hope for participation leading to a better everyday life. The role of hope for peoples' motivation to self-care implies that service providers should be aware of and help to maintain hope for a better everyday life. The importance of social support as part of self-care should be acknowledged when developing interventions targeting chronic pain. TRIAL REGISTRATION ClinicalTrials.gov: NCT02531282 . Registered on August 21 2015.
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Affiliation(s)
- Torunn Hatlen Nøst
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway. .,Centre for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.
| | - Aslak Steinsbekk
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway
| | - Liv Riseth
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway.,3T- Fitness Center, Trondheim, Norway
| | - Ola Bratås
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway.,Centre for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Kjersti Grønning
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway.,Centre for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
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Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation. Pain Res Manag 2017; 2016:9570581. [PMID: 28070161 PMCID: PMC5192338 DOI: 10.1155/2016/9570581] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 10/27/2016] [Indexed: 11/17/2022]
Abstract
Chronic pain negatively impacts health, well-being, and social participation. Effective rehabilitation often hinges on long-term changes in pain-related perceptions and behaviors. However, there are important gaps in understanding how patients perceive these changes. The present pilot study addresses this gap by using qualitative and quantitative methodologies to explore how patients perceive and experience changes in function, participation, and pain-related factors following a chronic pain rehabilitation program. A mixed-method design was used in which the core method was qualitative. Descriptive quantitative data was used to further characterize the sample. Semistructured interviews were conducted 1-6 months following treatment completion. Questionnaires were administered before and after treatment and at follow-up. Interview data was analyzed thematically. Participants' individual descriptive data was compared to established cut-scores and criteria for change. A major theme of personal growth emerged in the qualitative analysis. Participants also discussed the factors that facilitated personal growth and the ongoing challenges to this growth. The quantitative data revealed limited improvement on measures of pain, disability, catastrophizing, and depression. These findings suggest that, despite limited improvement on treatment-related questionnaires, patients can experience an important and enduring sense of personal growth. Clinical and theoretical implications are discussed.
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Wright ST, Breier JM, Depner RM, Grant PC, Lodi-Smith J. Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death. COUNSELLING PSYCHOLOGY QUARTERLY 2017. [DOI: 10.1080/09515070.2016.1274253] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Scott T. Wright
- Division of Counseling Psychology, University at Albany, State University of New York, Albany, NY, USA
| | | | - Rachel M. Depner
- The Center for Hospice and Palliative Care, Cheektowaga, NY, USA
| | - Pei C. Grant
- The Center for Hospice and Palliative Care, Cheektowaga, NY, USA
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