Psychosocial vulnerability and maintaining forces related to fibromyalgia - In-depth interviews with twenty-two female patients
Psychosocial vulnerability and maintaining forces related to fibromyalgia - In-depth interviews with twenty-two female patients
复制标题
DOI：
10.1080/02839319850163020
复制
发表时间：
1998-01-01
影响因子：
1.9
通讯作者：
Carlsson, SG
中科院分区：
文献类型：
--
作者：
Hallberg, LRM;Carlsson, SG
这项定性研究的目的是从22名妇女（年龄22-60岁）的角度描述纤维肌痛，他们的经验和信念的疼痛及其起源，以及疼痛如何影响家庭和社会生活。开放式访谈通过扎根理论的影响方法进行了分析。七个描述性的类别是基于数据，形成两个高阶概念：心理社会脆弱性和维持力量。这些核心概念中的第一个，心理社会脆弱性，包括类别：创伤性生活史，过度补偿的毅力，悲观的生活观，和不满意的工作情况。在采访中，有大量的例子，早期的损失，高度的责任感在生命的早期，和社会问题的感觉无助和绝望的生活。第二个核心概念，维持力量，包括类别专业护理，疼痛福利和家庭支持，这似乎有助于疼痛的持续性。我们的研究结果表明内心和心理社会层面。这支持了一个假设，即在慢性疼痛患者中，不安全依恋类型的个体比例过高。
The aim of this qualitative study was to describe, from the perspective of 22 women (aged 22-60 years) with fibromyalgia, their experiences and beliefs of the pain and its origin and how the pain affects family and social life. Open-ended interviews were analysed via a method influenced by grounded theory. Seven descriptive categories were grounded in the data, forming two higher-order concepts: psychosocial vulnerability and maintaining forces. The first of these core concepts, psychosocial vulnerability, comprises the categories: traumatic life history, over-compensatory perseverance, pessimistic life view, and unsatisfying work situation. In the interviews, there are abundant examples of early loss, high degree of responsibility early in life, and social problems with feelings of helplessness and hopelessness later in life. The second core concept, maintaining forces, consists of the categories professional care, pain benefits and family support, which seem to contribute to the persistence of pain. Our results indicate intrapsychic and psychosocial dimensions. which support the hypothesis that individuals with insecure attachment styles are overrepresented among patients with chronic pain.