Lives on Hold: A Qualitative Synthesis Exploring the Experience of Chronic Low-back Pain
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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 biopsychosocial 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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Bunzli, Samantha; Watkins, R.; Smith, Anne; Schϋtze, R.; O'Sullivan, Peter (2013)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 ...
Consumers’ experiences of back pain in rural Western Australia: Access to information and services, and self-management behaviours.Briggs, Andrew; Slater, Helen; Bunzli, S.; Jordan, J.; Davies, S.; Smith, Anne; Quintner, J. (2012)Background: Coordinated, interdisciplinary services, supported by self-management underpin effective management for chronic low back pain (CLBP). However, a combination of system, provider and consumer-based barriers exist ...
Lin, Ivan; O'Sullivan, P; Coffin, Ja; Mak, Donna; Toussaint, S; Straker, Leon (2012)Background: Aboriginal people in Australia have been uniquely identified as less susceptible to chronic low back pain (CLBP) disability when compared to non-Aboriginal populations, reportedly due to cultural beliefs about ...