Meanings of “acceptance” for patients with long-term pain when starting rehabilitation

Biguet, Gabriele; Wikmar, Lena Nilsson; Bullington, Jennifer; Flink, Berit; Löfgren, Monika

doi:10.3109/09638288.2015.1076529

Cited by 22 publications

(20 citation statements)

References 105 publications

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“…This is a concern because acceptance may imply resignation or giving up to some respondents. For example, a qualitative study in chronic pain patients found that acceptance was perceived by some participants as an empowerment process, while others thought of acceptance as a personal failure [74].…”

Section: Methodological Limitations Of the Included Studiesmentioning

confidence: 99%

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Aaby

Ravn

Kasch³

et al. 2019

Spinal Cord

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Study Design: Systematic review. Objectives: To identify, critically appraise, and synthesize research findings on the associations between acceptance, quality of life (QOL), and mental health outcomes in individuals living with spinal cord injury (SCI). Methods: Five databases (PubMed, PsycINFO, Embase, Web of Science, and Scopus) were systematically searched. Studies were included if they provided findings on the association between acceptance and QOL, mental health outcomes, or both in an SCI population aged 16 years or older. Only peer-reviewed original quantitative and qualitative studies were included. Screening, quality assessment, and data extraction were conducted independently by two researchers. Findings were tabulated and synthesized by outcome. Results: Forty-one studies were included. Greater acceptance was consistently associated with greater global and psychological QOL, life satisfaction, sense of well-being, mental health, and with lower levels of depression and anxiety. Inconsistent evidence was found with regards to social QOL and post-traumatic stress disorder. Acceptance was generally not associated with adjustment outcomes further than two years into the future. Study quality of the quantitative studies was mostly fair (n = 17) followed by good (n = 13), and poor (n = 9). Conclusion: Health-care professionals may regard acceptance as a psychological resource they can aim to support in improving QOL and mental health following SCI. A range of methodological and conceptual limitations were present in the research. Future studies should prioritize longitudinal designs, consider dyadic effects, explore subjective meaning(s) of acceptance, and investigate the effectiveness of therapeutic approaches that stimulate the acceptance process. AA was responsible for designing and writing the review protocol, conducting the literature search, screening identified records, conducting quality assessment, extracting and synthesizing data, interpreting results, creating figures and tables, and writing the manuscript. SLR was responsible for screening identified records, conducting quality assessment, and extracting and synthesizing data. She further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. HK contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. TEA was responsible for arbitrating potentially eligible studies and further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript.

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Section: Methodological Limitations Of the Included Studiesmentioning

confidence: 99%

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Aaby

Ravn

Kasch³

et al. 2019

Spinal Cord

View full text Add to dashboard Cite

show abstract

“…They were also invited to dance their 'yes' and 'no' during this rhythm which gave insights in how to find decisiveness in the dance as well as in life. Biguet et al [43] states that the aspects of acceptance need to be considered during physiotherapy rehabilitation as the meaning given to acceptance is related to the experience of the lived body and the sense of self, as well as getting legitimacy/acceptance by others. The informants expressed appreciation that their physiotherapist could listen to the needs of the group and guide them in accordance with this intuitive listening in the subtheme.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapist-guided Free Movement Dance for patients with persistent pain is empowering in everyday living. A qualitative study

Nordström¹,

Ekhammar²,

Larsson

2018

European Journal of Physiotherapy

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Background: The purpose of this study was to describe how patients with persistent pain experience physiotherapist-guided Free Movement Dance (FMD) as a physiotherapy intervention. Methods: Individual interviews were conducted with 20 patients who had participated in FMD for 1-6 semesters with different guiding physiotherapists. The interviews were transcribed and analysed using qualitative content analysis with an inductive approach as described by Graneheim and Lundman. Results: The analysis resulted in one overarching theme-Physiotherapist-guided Free Movement Dance is empowering in everyday living-and five subthemes: Breaking unhealthy patterns generates physical confidence and strength, Developing greater understanding of the body signals, Accepting pain is important but challenging, Taking responsibility for myself and my well-being and Feeling calmer and happier in life. Conclusions: FMD was experienced as a physiotherapy intervention that enabled the patients to develop an awareness of their own movement, and also leading to the feeling of being empowered in everyday living. FMD can be seen to be in concordance with the core values of physiotherapy that individuals have the capacity to change as a result of their responses to physical, psychological, social and environmental factors.

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“…Prioritizing personal strength and focusing on what is pleasurable in life, instead of situations where the pain dominates, can thus be of importance here. This can be referred to as empowerment, which has been highlighted as a coping mechanism for chronic pain in other studies [30,31].…”

Section: Personal Attributesmentioning

confidence: 98%

Women’s experiences of the journey to chronic widespread pain: a qualitative study

Svensson

Larsson

Aili

2020

BMC Musculoskelet Disord

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Background: Chronic widespread pain (CWP) is a musculoskeletal disorder that affects approximately 10% of the population. It is more common in women than in men. It is important to understand how CWP develops and how it is maintained in order to prevent poor pain prognosis. Long term studies have shown that a mere part improves over time or fluctuates in their CWP condition. Female gender is one of the factors associated with persistence of CWP, suggesting men and women may experience their journey to CWP differently. The aim of the study was to explore women's experiences of the journey to CWP. Methods: 19 women between 45 and 67 years of age who had not reported CWP in the EPIPAIN survey in 1995, but reported CWP in 2016, participated in the study. Data was collected through individual interviews, where openended questions were used to explore the women's experiences of their pain journey. The interviews were analyzed with a manifest qualitative content analysis. Results: The women described their journey to CWP in terms of triggering, aggravating, and consolidating factors, from which three different categories emerged. Experiencing that environmental circumstances affect the pain journey refers to factors outside the women's immediate control, which appeared as unmanageable work-related demands, lack of social support, unfavorable physical environments, and traumatic events. Experiencing that lifestyle affects the pain journey refers to events that are consciously or unconsciously carried out by the women, including different levels of physical efforts and unfavorable behaviors. Experiencing that personal attributes affect the pain journey refers to the women's characteristics in terms of an anxious state of mind and adverse biological impact. Conclusions: The women experienced that environmental circumstances, lifestyle, and personal attributes affected their CWP. How these adversities influenced the pain journey varied among the women. These findings show that women are conscious of the complexity of the condition and can describe the broad context of their pain journey. This study confirms the complexity of pain progress and highlights the individual's awareness of this complexity, which is important to consider when introducing interventions, and when expecting compliance to interventions.

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Meanings of “acceptance” for patients with long-term pain when starting rehabilitation

Cited by 22 publications

References 105 publications

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Physiotherapist-guided Free Movement Dance for patients with persistent pain is empowering in everyday living. A qualitative study

Women’s experiences of the journey to chronic widespread pain: a qualitative study

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