Abstract:
BACKGROUND:Pain is a common symptom in people with chronic obstructive pulmonary disease (COPD) which negatively influences quality of life and psychological well-being. However, our understanding of how those with COPD interpret the experience of pain is very limited. OBJECTIVES:To explore how individuals with moderate to severe COPD experience pain. METHODS:Eight patients diagnosed with COPD who reported experiencing pain for greater than three months participated in in-depth interviews. Transcripts were subjected to interpretative phenomenological analysis. RESULTS:Five themes were identified: 1) pain complicates the clinical profile of COPD; 2) uncertainly of the pain experience: frustrations related to health care professionals' explanation for their pain and the need to legitimize; 3) language and behavior of pain: portraying pain as frustrating and unpredictable; 4) psychological reactions toward pain: depression and fear-avoidance behavior; and 5) altered identity perception: reduced self-worth, guilt in not meeting the expectations of others. CONCLUSIONS:Patients report difficulty in explaining the persistence of pain. This fosters a need to legitimize their pain, which influences feelings of frustration and self-worth. An understanding of these responses will assist health care professionals in managing on-going pain in those with COPD.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Lee AL BPhysio, MPhysio, PhD,Harrison SL BSci, MPT, PhD,Goldstein RS MB, ChB, FRCP(UK), FRCP(C), FCCP,Brooks D BSci, MSci, PhDdoi
10.1080/09593985.2018.1425512subject
Has Abstractpub_date
2018-10-01 00:00:00pages
765-772issue
10eissn
0959-3985issn
1532-5040journal_volume
34pub_type
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journal_title:Physiotherapy theory and practice
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