e-journal

How do people with chronically painful joint hypermobility syndrome make decisions about activity?

---

Abstract:
Background: The model of activity avoidance prompted by fear of increased pain and/or harm dominates understanding and research into activity limitation in chronic pain. Yet, the accounts of people with chronic pain on decisions about activity limitation are rarely heard beyond the confines of fear and avoidance questionnaires.
Methods: We used semi-structured interviews to explore the decisions of 11 women attending a pain
management clinic with chronically painful Joint Hypermobility Syndrome (JHS).
Results: Six themes emerged from Interpretative Phenomenological Analysis: the overall aim of keeping pain to a manageable level, considering whether the planned activity was worth it and, running through all judgements, the influence of pain intensity. The decision was tipped towards avoidance by unpredictability of pain and by high emotional cost and towards going ahead with the activity by the wish to exert control and by low emotional cost. Many accounts described a specifiable cost–benefit analysis of individual decisions, weighing the importance of each activity against its potential aversive consequences, which only in a minority of cases was dominated by fear of pain or injury.
Conclusion: Assumptions of fear as the basis of activity avoidance should not be used uncritically in clinical settings. Decisions about activity should explore beyond pain expectancy, incorporating goals, values, and decision processes.

---

Ketersediaan

Tidak ada salinan data

Informasi Detail

Judul Seri

Journal of Pain

No. Panggil

-

Penerbit

: SAGE, British Journal of Pain., 2015

Deskripsi Fisik

British Journal of Pain 2015, Vol. 9(3) 157– 166

Bahasa

English

ISBN/ISSN

DOI: 10.1177/2049463

Klasifikasi

-

Tipe Isi

-

Tipe Media

-

Tipe Pembawa

-

Edisi

2015, Vol. 9(3)

Subjek

Pain

Info Detail Spesifik

-

Pernyataan Tanggungjawab

deliza

Versi lain/terkait

Lampiran Berkas

Komentar

---

Anda harus masuk sebelum memberikan komentar