The Experience of Loss in Patients Suffering from Chronic Pain Attending a Pain Management Group Based on Cognitive-Behavioral Therapy

Haraldseid, Cecilie; Dysvik, Elin; Furnes, Bodil

doi:10.1016/j.pmn.2012.04.004

Cited by 13 publications

(10 citation statements)

References 18 publications

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“…Most women had mentioned their persistent PGP symptoms to their husband, Talking to family members and other mothers was also mostly considered helpful and was a common source of advice on self-management strategies; a finding which coincides with qualitative studies of peer support in pain management groups (Haraldseid et al 2014). However, the lack of understanding by women who did not experience persistent PGP may be because PPGP subsides after the birth for many women and thus there is a lack of awareness that for some women PGP may persist.…”

Section: Seeking Advice and Supportsupporting

confidence: 63%

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

Wuytack¹,

Curtis²,

Begley

2015

Midwifery

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ObjectiveTo explore the health-seeking behaviours of primiparous women with Pelvic Girdle Pain persisting for more than three months postpartum. DesignA descriptive qualitative design involving face-to-face semi-structured interviews following institutional ethical approval. Transcripts were analysed using thematic analysis. SettingAn urban hospital in (blinded). ParticipantsA purposive, criterion-based sample of 23 consenting first-time mothers with Pelvic Girdle Pain persisting for at least three months postpartum. Findings'They didn't ask, I didn't tell' was a key theme, which included emerging categories of a perceived lack of follow-up postpartum, and feeling ignored by healthcare professionals. The theme 'Seeking advice and support' describes women's role of talking to others, and triggers and barriers to getting help. 'Coping strategies' was the third theme emerging from the interviews, whereby participants described different strategies they used to deal with their symptoms, although many expressed uncertainty about what to do or who to see. 3 Conclusion and implications for practiceOur findings show the importance of appropriate information and follow-up care for women with Pelvic Girdle Pain and highlight barriers they encounter in seeking help.They also question the duration of postnatal care as participants felt that postnatal care was stopped too early. The findings may assist maternity care providers in addressing mothers' expectations and needs related to persistent Pelvic Girdle Pain.

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Section: Seeking Advice and Supportsupporting

confidence: 63%

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

Wuytack¹,

Curtis²,

Begley

2015

Midwifery

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“…Metaphors such as "mask" and "façade" may have reflected the loss of self. This is supported by the findings reported by Haraldseid et al [18], who emphasized how roles and identity can change when the experience of chronic pain prevents participation in meaningful activities in society.…”

Section: Discussionsupporting

confidence: 71%

Narrative Approach for Identifying Movements of Change and the Value of Therapeutic Writing Related to Chronic Pain Management

Dysvik¹,

Drageset²,

Furnes³

2016

OJN

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In this study, we examined extensive narratives prepared by participants who attended a chronic pain management programme where therapeutic writing was included. The aim was to explore how narrators experience the contexts in which their lives unfold following a cognitive behavioural programme. The analysis was based on a three-sphere model for context analysis, which referred to the contexts in which the narrators located their life stories: their immediate inter-subjective relationships, the collective social field, and broad cultural meaning. We identified important change processes related to adaptation. Our examination of the experience of therapeutic writing clearly indicated that therapeutic writing is helpful. We suggest that obtaining a better understanding of living with chronic pain through storytelling as part of therapeutic writing and using a three-sphere model for context analysis could improve understanding and approaches to nursing. Health carers should organize care around the experience of illness and its inter-subjective, social, and cultural consequences, which may provide a deeper understanding of identity and the core themes embedded in life stories.

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“…Recent findings indicate that people with chronic pain experience decreased abilities to engage in meaningful activities and relationships with others and loss of self-worth, and suggest that processing such losses is an important and challenging task when living with chronic pain 10,11. Moreover, support and a sense of community with others in a group are significant for enabling the expression of difficult thoughts and feelings, as well as ways of coping with chronic pain 12.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic elements in a self-management approach: experiences from group participation among people suffering from chronic pain

Furnes¹,

Natvig²,

Dysvik³

2014

PPA

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ObjectiveChronic pain is a complex, multifaceted subjective experience that involves the whole person. Self-management is the dynamic and continuous process of adapting one’s situation to the cognitive, behavioral, and emotional responses necessary to maintain a satisfactory quality of life. Approaches based on cognitive behavioral therapy (CBT) are described as appropriate in assisting people suffering from chronic pain because they challenge maladaptive beliefs and behaviors in relation to pain. This study aimed to explore patients’ experiences of therapeutic elements from group participation in a chronic pain management program.MethodsA qualitative research design with a phenomenological hermeneutic approach was used. Six months after participation in the 8-week course, 34 participants formulated and submitted written reports based on open-ended questions related to their group participation and self-help achievement. These reports were analyzed by elements of qualitative content analysis.ResultsThe analysis resulted in two subthemes: “The significance of active involvement in gaining new insight” and “The significance of community and group support.” These were abstracted in the main theme: “Successful self-management is related to several significant contributions in the group.”ConclusionAn active role with writing, self-revelation, and exchanges of thoughts and feelings in the group seemed to be the key tools for success. In addition, group support and access to other group members’ experiences were significant therapeutic elements. We suggest that successful self-management requires knowledge of essential therapeutic elements. In a CBT-based group approach, such elements may offer an important health care contribution.

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The Experience of Loss in Patients Suffering from Chronic Pain Attending a Pain Management Group Based on Cognitive-Behavioral Therapy

Cited by 13 publications

References 18 publications

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

Narrative Approach for Identifying Movements of Change and the Value of Therapeutic Writing Related to Chronic Pain Management

Therapeutic elements in a self-management approach: experiences from group participation among people suffering from chronic pain

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