Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain

Objectives: Chronic nonspecific low-back pain (CLBP) is a prevalent, costly condition that is remarkably resistant to intervention. Substantial evidence suggests that a mismatch exists between the biomedical beliefs held by clinicians and patients and the bio psychosocial nature of CLBP experience....

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Main Authors: Bunzli, Samantha, Watkins, R., Smith, Anne, Schϋtze, R., O'Sullivan, Peter
Format: Journal Article
Published: Lippincott Williams and Wilkins 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/6659
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author Bunzli, Samantha
Watkins, R.
Smith, Anne
Schϋtze, R.
O'Sullivan, Peter
author_facet Bunzli, Samantha
Watkins, R.
Smith, Anne
Schϋtze, R.
O'Sullivan, Peter
author_sort Bunzli, Samantha
building Curtin Institutional Repository
collection Online Access
description Objectives: Chronic nonspecific low-back pain (CLBP) is a prevalent, costly condition that is remarkably resistant to intervention. Substantial evidence suggests that a mismatch exists between the biomedical beliefs held by clinicians and patients and the bio psychosocial nature of CLBP experience. The aim of this metasynthesis of qualitative studies was to provide clinicians with a richer understanding of their patients’ CLBP experience to highlight the importance of moving away from biomedical paradigms in the clinical management of CLBP.Methods: Qualitative studies exploring the CLBP experience from the perspective of the individual were included. Twenty-five articles representing 18 studies involving 713 participants were subjected to the 3-stage analytic process of extraction/coding, grouping, and abstraction.Results: Three main themes emerged: the social construction of CLBP; the psychosocial impact of the nature of CLBP; and coping with CLBP.Discussion: The authors conceptualize the experience of CLBP as biographical suspension in which 3 aspects of suspension are described: suspended “wellness,” suspended “self,” and suspended “future”. The implications of improved clinician understanding of the CLBP experience and directions for future research are discussed.
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spelling curtin-20.500.11937-66592017-09-13T14:36:24Z Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain Bunzli, Samantha Watkins, R. Smith, Anne Schϋtze, R. O'Sullivan, Peter chronic pain low-back pain qualitative research experience Objectives: Chronic nonspecific low-back pain (CLBP) is a prevalent, costly condition that is remarkably resistant to intervention. Substantial evidence suggests that a mismatch exists between the biomedical beliefs held by clinicians and patients and the bio psychosocial nature of CLBP experience. The aim of this metasynthesis of qualitative studies was to provide clinicians with a richer understanding of their patients’ CLBP experience to highlight the importance of moving away from biomedical paradigms in the clinical management of CLBP.Methods: Qualitative studies exploring the CLBP experience from the perspective of the individual were included. Twenty-five articles representing 18 studies involving 713 participants were subjected to the 3-stage analytic process of extraction/coding, grouping, and abstraction.Results: Three main themes emerged: the social construction of CLBP; the psychosocial impact of the nature of CLBP; and coping with CLBP.Discussion: The authors conceptualize the experience of CLBP as biographical suspension in which 3 aspects of suspension are described: suspended “wellness,” suspended “self,” and suspended “future”. The implications of improved clinician understanding of the CLBP experience and directions for future research are discussed. 2013 Journal Article http://hdl.handle.net/20.500.11937/6659 10.1097/AJP.0b013e31827a6dd8 Lippincott Williams and Wilkins fulltext
spellingShingle chronic pain
low-back pain
qualitative research
experience
Bunzli, Samantha
Watkins, R.
Smith, Anne
Schϋtze, R.
O'Sullivan, Peter
Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title_full Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title_fullStr Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title_full_unstemmed Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title_short Lives on hold: A qualitative synthesis exploring the experience of chronic low-back pain
title_sort lives on hold: a qualitative synthesis exploring the experience of chronic low-back pain
topic chronic pain
low-back pain
qualitative research
experience
url http://hdl.handle.net/20.500.11937/6659