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Emotions related to participation restrictions as experienced by patients with early rheumatoid arthritis: A qualitative interview study (The Swedish TIRA project)
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-3068-5384
Linköpings universitet. (TIRA)
Linköpings universitet, Sweden. (TIRA)
Linköpings universitet, Sweden. (TIRA)
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2014 (Engelska)Ingår i: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 33, nr 10, s. 1403-1413Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Psychological distress is a well-known complication in rheumatoid arthritis (RA), but knowledge regarding emotions, and their relationship to participation restrictions, is scarce.

Objectives: To explore emotions related to participation restrictions by patients with early RA. 

Method: In this study, 48 patients with early RA, aged 20-63 years, were interviewed about participation restrictions using Critical Incident Technique. Information from transcribed interviews was converted into dilemmas and linked to ICF participation codes. The emotions described were condensed and categorized.

Results: Hopelessness and sadness were described when trying to perform daily activities such as getting up in the mornings, getting dressed, or not being able to perform duties at work. Sadness was experienced in relation to not being able to continue leisure activities or care for children. Examples of fear descriptions were found in relation to deteriorating health and fumble fear, which made the individual withdraw from activities as a result of mistrusting the body. Anger and irritation were described in relation to domestic and employed work, but also in social relations where the individual felt unable to continue valued activities. Shame or embarrassment was described when participation restrictions became visible in public.

Conclusions: Feelings of grief, aggressiveness, fear and shame are emotions closely related to participation restrictions in everyday life in early RA. Emotions related to disability need to be addressed both in clinical settings in order to optimize rehabilitative multi-professional interventions and in research to achieve further knowledge.

 

Ort, förlag, år, upplaga, sidor
2014. Vol. 33, nr 10, s. 1403-1413
Nyckelord [en]
critical incidents, lived experiences, emotions, participation, patients’ perspectives
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:mdh:diva-24954DOI: 10.1007/s10067-014-2667-2ISI: 000342197400007PubMedID: 24838364Scopus ID: 2-s2.0-84937512127OAI: oai:DiVA.org:mdh-24954DiVA, id: diva2:715388
Tillgänglig från: 2014-05-05 Skapad: 2014-05-05 Senast uppdaterad: 2019-01-29Bibliografiskt granskad

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