Cited by 156Musculoskeletal pain and rehabilitationMedicine, History, and PhilosophyPediatric Pain Management Techniques

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Patients’ experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review

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Toye, Francine, Seers, Kate, Allcock, Nick, Briggs, Michelle, Carr, Eloise, Andrews, JoyAnn, Barker, Karen·2013·British Journal of General Practice

DOI 10.3399/bjgp13x675412PMC PMC3839392

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Abstract

BACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND SETTING: Synthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC). METHOD: Databases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion. RESULTS: Out of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain. CONCLUSIONS: This review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain.

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See all 156

Authors: Toye, F., Seers, K., Allcock, N., Briggs, M., Carr, E., Andrews, J., & Barker, K.
Affiliations: University of Warwick (GB)
Glasgow Caledonian University (GB)
Leeds Beckett University (GB)
University of Calgary (CA)
Nuffield Orthopaedic Centre (GB)
ORCID: Seers, Kate
Briggs, Michelle
Barker, Karen
Venue: British Journal of General Practice
Publisher: Royal College of General Practitioners
Published: 2013-12
Volume: 63
Issue: 617
Pages: e829-e841
ISSN: 0960-1643 (ISSN-L)
1478-5242
DOI: 10.3399/bjgp13x675412
PMC: PMC3839392
OpenAlex: W2091768352
Cited by: 156
References: 119
Citations by year: 2026: 13 · 2025: 19 · 2024: 14 · 2023: 18 · 2022: 18 · 2021: 18 · 2020: 10 · 2019: 6 · 2018: 6 · 2017: 12 · 2016: 13 · 2015: 4 · 2014: 5
FWCI: 0.93
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: British Journal of General Practice (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
ResearchOnline (submittedVersion)
Funders: National Institute for Health and Care Research (09/2001/09, PDA/01/05/010)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: patient experience, self-affirmation, pain coping, legitimacy, patient-provider partnership, conceptual model, primary care
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Humans, Interpersonal Relations, Middle Aged, Patient Acceptance of Health Care, Self Concept, Stress, Psychological, Qualitative Research, Young Adult, Chronic Pain, Musculoskeletal Pain

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Patients’ experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review

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