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Kroniske muskelsmerter kan forklares på mange måter
Open accessAbstract
BACKGROUND: Patients with chronic muscular pain suffer from extensive symptoms although test results are normal. Symptoms considered as "unexplained" are not necessarily unexplainable. Recent research provides relevant frameworks for understanding the interaction of bodily and mental processes and life conditions. Such perspectives can be used as a point of departure for understanding and change of conditions shaping vulnerability and resistance. MATERIAL AND METHODS: The article presents a summary of theoretical perspectives, empirical findings, and clinical experience, with a discussion of how this body of knowledge can be applied in clinical practice. RESULTS: Distress can lead to dysregulation through spinal sensitization and sustained arousal. Psychoneuroimmunology describes how subjective experience, emotions, cognitive functions, the nervous system and physiological stress reactions interact to restore balance through complex signal systems. Responses are influenced by emotional and cognitive processes, dependent on individual vulnerability and strength. Phenomenology focuses on life circumstances, meaning, and interpretation of bodily signals. Through acknowledging patients' experiences doctors can shift the attention from shame to coping. INTERPRETATION: Chronic muscular pain can be explained by the interaction between body, mind and life circumstances. Searching for simple causalities and consistent findings will provide no benefit. Instead, we should encourage coping strategies with the capacity of breaking vicious circles that maintain symptoms.
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A diagnosis can decrease potential fear of other unrevealed diseases.
“A diagnosis can decrease potential fear of other unrevealed diseases (Malterud, Citation2010).”
From The association between pain-related factors and psychological distress in patients with temporomandibular disorder. (2023) · cites this paper as Malterud, 2010
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Metadata
- Authors
- Malterud, K.
- Affiliations
- Uni Research (Norway) (NO)
- Corresponding author
- Malterud, Kirsti
- ORCID
- Malterud, Kirsti
- Venue
- Tidsskrift for Den norske legeforening
- Publisher
- Norwegian Medical Association
- Published
- 2010-12-02
- Volume
- 130
- Issue
- 23
- Pages
- 2356
- ISSN
- 0029-2001 (ISSN-L)
- 0807-7096
- OpenAlex
- W108067424
- Cited by
- 10
- References
- 35
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.23
- Type
- journal article
- Language
- no
- Open access
- diamond
- doi.org
- Licence
- cc-by-nd
- Locations
- Tidsskrift for Den norske legeforening (publishedVersion, cc-by-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- chronic musculoskeletal pain, psychoneuroimmunology, spinal sensitization, emotional distress, coping strategies, vulnerability and resilience, mind-body problem, living conditions, shame, vicious circle, clinical practice
- MeSH terms
- Chronic Disease, Humans, Musculoskeletal Diseases, Pain, Psychophysiologic Disorders, Somatoform Disorders, Stress, Psychological, Fatigue Syndrome, Chronic
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