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RESEARCH PRODUCT

Revising the negative meaning of chronic pain : A phenomenological study

Kirsi SipiläArja PiirainenTimo SuutamaArja HäkkinenTapio OjalaJaro Karppinen

subject

PsychotherapistDevelopmental psychologyQuality of lifemaleaversive behaviorAdaptation Psychologicalmiddle agedmedicineHumansMeaning (existential)attitude to illnesshumannociceptionQualitative Researchta316clinical articlepatient attitudeHealth Policyadultmanaged careChronic paininterviewta3141General Medicinemedicine.diseaseagedfemalequality of lifelife change eventsPain catastrophizingPersonal experiencePsychologychronic painAttitude to Health

description

Objectives Chronic pain may disable the body, depress the mind and ruin the quality of life. The aim of this study was to use the participants’ personal experiences to explore the meaning of the experience of chronic pain and to find successful ways to manage chronic pain. Methods Thirty-four participants with chronic pain were interviewed. The transcribed interviews were analysed using Giorgi’s phenomenological method consisting of four phases: (1) reading the transcriptions several times, (2) discriminating meaning units, (3) collecting meaning units into groups and (4) the synthesis. Results The participants stated that the key to managing chronic pain was to reconsider the individual meaning of the experience of pain. As a result of the interviews, seven subthemes were found based on the ‘Negativity of chronic pain’, namely, ‘State of reflection’, ‘Reconsidering values’, ‘Acceptance of pain’, ‘Support network’, ‘Altered self’, ‘Joys in life’ and ‘Pain dissociation’. Conclusions Pain is an aversive sensation, which leads to the conclusion that the meaning of the experience is also negative, but it can be reversed. In clinical practice, the focus should be on revising the subjective meaning of pain in order to manage pain and to restore positivity in personal life.

10.1177/1742395314555236https://doi.org/10.1177/1742395314555236