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Exploring patients' experiences of the whiplash injury-recovery process - a meta-synthesis
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Dept Physiotherapy, Box 883, SE-72123 Vasteras, Sweden..ORCID iD: 0000-0002-4537-030X
Uppsala Univ, Ctr Clin Res Sormland CKFD, Eskilstuna, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
Univ Queensland, Recover Injury Res Ctr, NHMRC Ctr Res Excellence Rd Traff Injury, Herston, Qld, Australia.;Griffith Univ, Menzies Hlth Inst Queensland, Brisbane, Qld, Australia..
Umea Univ, Dept Community Med & Rehabil, Rehabil Med, Umea, Sweden.;Karolinska Inst, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Rehabil Med, Stockholm, Sweden..
2018 (English)In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 11, p. 1263-1271Article, review/survey (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to conduct a meta-synthesis to analyze qualitative research findings and thereby understand patients' experiences of whiplash-associated disorders (WAD) and the injury-recovery process. Materials and methods: A qualitative meta-synthesis, which is an interpretive integration of existing qualitative findings, was performed. The databases PubMed, PsychINFO, Scopus, and Web of Science were searched. The Critical Assessment Skills Programme was used to assess the quality of the included studies. Results: Four studies were included. The synthesis resulted in several codes, 6 categories, and 3 themes (distancing from normalcy, self-efficacy in controlling the life situation after the injury, and readjustment and acceptance) that described the participants' pain beliefs, their WAD-related life situation and their future expectations and acceptance. Changes in self-image were difficult to cope with and likely led to perceived stigmatization. Struggling with feelings of loss of control appeared to lead to low confidence and insecurity. Focusing on increasing knowledge and understanding the pain and its consequences were believed to lead to better strategies for handling the situation. Furthermore, recapturing life roles, including returning to work, was challenging, but an optimistic outlook reinforced symptom improvements and contributed to feelings of happiness. Conclusion: The results of the present study provide a comprehensive understanding of patients' complex, multifaceted experiences of WAD, and the injury-recovery process. The findings can guide us in the development of new ways to evaluate and manage WAD. The results also indicate that a more patient-centered approach is needed to determine the depth and breadth of each patient's problems.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2018. Vol. 11, p. 1263-1271
Keywords [en]
whiplash-associated disorders, control, self-efficacy, happiness, life situation
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-40257DOI: 10.2147/JPR.S158807ISI: 000437149100001PubMedID: 29988716OAI: oai:DiVA.org:mdh-40257DiVA, id: diva2:1233702
Available from: 2018-07-19 Created: 2018-07-19 Last updated: 2018-07-19Bibliographically approved

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Söderlund, Anne

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