PMID: 15340585Sep 2, 2004Paper

The life adjustment process in chronic pain: psychosocial assessment and clinical implications

Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
Ann-Christine Gullacksen, Jan Lidbeck

Abstract

Previously, the subjective dimension of suffering from chronic pain has only infrequently been reported in the literature. However, in recent years qualitative psychosocial research has added new perspectives that describe how suffering from chronic pain affects life. The present paper refers to a qualitative study on the subjective experience of women diagnosed with chronic musculoskeletal pain. In a model for life adjustment, turning points and passages are described in three stages. In Stage I, there was increasing pain, disability, and physical and mental exhaustion. Alongside frustration and chaos there was a struggle to restore daily life; therefore, the picture of a healthy future was still intact. Acknowledging that pain may not be temporary marked the transition into Stage II, which was characterized by sorrow and loss, and the picture of the future faded. Once given an explanation of pain (a 'pain diagnosis'), a new understanding developed, with gradual improvement of coping skills. Adjustment eventually progressed into Stage III with the constructive use of past experiences, and competence and control increased. A new picture of the future emerged that could be handled. However, living with pain still required regula...Continue Reading

Citations

Aug 31, 2007·Disability and Rehabilitation·Immy HollowayJan Walker
Apr 5, 2012·Chronic Illness·Clare M DowSue Ziebland
Dec 20, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Francine ToyeKaren Barker
Aug 31, 2007·Scandinavian Journal of Caring Sciences·Maria AfrellCarl Edvard Rudebeck
Mar 31, 2010·Disability and Rehabilitation·Margaretha RydstadMonika Löfgren
Jan 13, 2019·Disability and Rehabilitation·Bronwyn Lennox ThompsonRay Kirk
Aug 10, 2007·Physiotherapy Theory and Practice·Mari LundbergJennifer Bullington
Jul 2, 2020·BMC Musculoskeletal Disorders·Miriam SvenssonKatarina Aili
Dec 15, 2011·Qualitative Health Research·Asa AudulvKarl-Gustaf Norbergh
Mar 21, 2007·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Beatrice Sofaer-BennettJoseph O'dwyer
Jan 14, 2016·Scandinavian Journal of Occupational Therapy·L Mårtensson, G M Liedberg

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