A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts.

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  • Additional Information
    • Publication Year:
      2017
    • Subject Terms:
    • Author-Supplied Keywords:
      Chronic Pain
      Pain Centrality
      Pain Cognitions
      Qualitative Research
      Veterans
    • NAICS/Industry Codes:
      NAICS/Industry Codes 621498 All Other Outpatient Care Centers
      621499 All other out-patient care centres
      923140 Administration of Veterans' Affairs
      624190 Other Individual and Family Services
    • Abstract:
      Objective. Centrality of pain refers to the degree to which a patient views chronic pain as integral to his or her life or identity. The purpose of this study was to gain a richer understanding of pain centrality from the perspective of patients who live with chronic pain. Methods. Face-to-face interviews were conducted with 26 Veterans with chronic and disabling musculoskeletal pain after completing a stepped care intervention within a randomized controlled trial. Qualitative data were analyzed using an immersion/ crystallization approach. We evaluated the role centrality plays in Veterans' lives and examined whether and how their narratives differ when centrality either significantly decreases or increases after participation in a stepped care intervention for chronic pain. Results. Our data identified three emergent themes that characterized pain centrality: 1) control, 2) acceptance, and 3) preoccupation. We identified five characteristics that distinguished patients' changes in centrality from baseline: 1) biopsychosocial viewpoint, 2) activity level, 3) pain communication, 4) participation in managing own pain, and 5) social support. Conclusions. This study highlights centrality of pain as an important construct to consider within the overall patient experience of chronic pain. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Pain Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      15262375
    • Accession Number:
      121362020
  • Citations
    • ABNT:
      OUTCALT, S. D. et al. A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Medicine, [s. l.], v. 18, n. 2, p. 211, 2017. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020. Acesso em: 2 jun. 2020.
    • AMA:
      Outcalt SD, Nicolaidis C, Bair MJ, Myers LJ, Miech EJ, Matthias MS. A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Medicine. 2017;18(2):211. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020. Accessed June 2, 2020.
    • APA:
      Outcalt, S. D., Nicolaidis, C., Bair, M. J., Myers, L. J., Miech, E. J., & Matthias, M. S. (2017). A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Medicine, 18(2), 211.
    • Chicago/Turabian: Author-Date:
      Outcalt, Samantha D., Christina Nicolaidis, Matthew J. Bair, Laura J. Myers, Edward J. Miech, and Marianne S. Matthias. 2017. “A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts.” Pain Medicine 18 (2): 211. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020.
    • Harvard:
      Outcalt, S. D. et al. (2017) ‘A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts’, Pain Medicine, 18(2), p. 211. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020 (Accessed: 2 June 2020).
    • Harvard: Australian:
      Outcalt, SD, Nicolaidis, C, Bair, MJ, Myers, LJ, Miech, EJ & Matthias, MS 2017, ‘A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts’, Pain Medicine, vol. 18, no. 2, p. 211, viewed 2 June 2020, .
    • MLA:
      Outcalt, Samantha D., et al. “A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts.” Pain Medicine, vol. 18, no. 2, Feb. 2017, p. 211. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020.
    • Chicago/Turabian: Humanities:
      Outcalt, Samantha D., Christina Nicolaidis, Matthew J. Bair, Laura J. Myers, Edward J. Miech, and Marianne S. Matthias. “A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts.” Pain Medicine 18, no. 2 (February 2017): 211. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020.
    • Vancouver/ICMJE:
      Outcalt SD, Nicolaidis C, Bair MJ, Myers LJ, Miech EJ, Matthias MS. A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Medicine [Internet]. 2017 Feb [cited 2020 Jun 2];18(2):211. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=121362020