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Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation

PURPOSE: To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma. MATERIAL AND METHODS: An ethnographic approach was applied to the study....

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Autores principales: S. Battin, Gudrun, Romsland, Grace I., Christiansen, Bjørg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518607/
https://www.ncbi.nlm.nih.gov/pubmed/36128674
http://dx.doi.org/10.1080/07853890.2022.2124447
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author S. Battin, Gudrun
Romsland, Grace I.
Christiansen, Bjørg
author_facet S. Battin, Gudrun
Romsland, Grace I.
Christiansen, Bjørg
author_sort S. Battin, Gudrun
collection PubMed
description PURPOSE: To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma. MATERIAL AND METHODS: An ethnographic approach was applied to the study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 (19 weeks). Interviews with 12 professionals and seven patients were conducted. Data were analysed in an abductive process using thematic analysis. RESULTS: The patients perceived their encounters with interprofessional teams as supportive, with implications for pain stigma. This is presented as two themes: (1) being seen as credible, involving patients being believed in and a concept of being overactive at the expense of their own health, and (2) being helped to see their situation in a new light, which involves enthusiasm about changing and challenging views in a process with professionals who were supportive and united across professions. CONCLUSION: Interprofessional biopsychosocial pain rehabilitation may be an intervention that can diminish internalised stigma in patients suffering from chronic pain. The study contributes to increased understanding of patient perceptions of positive encounters with professionals during a learning process in rehabilitation and of the imbued influence on power relations. This appears to be fundamental to diminishing pain stigma, as the occurrence of stigma is dependent on differences in power. KEY MESSAGES: Interprofessional biopsychosocial pain rehabilitation can be an intervention for diminishing internalised pain stigma in patients. Knowledge on how encounters with professionals induce personal learning processes among people with chronic pain.
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spelling pubmed-95186072022-09-29 Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation S. Battin, Gudrun Romsland, Grace I. Christiansen, Bjørg Ann Med Physical Medicine & Rehabilitation PURPOSE: To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma. MATERIAL AND METHODS: An ethnographic approach was applied to the study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 (19 weeks). Interviews with 12 professionals and seven patients were conducted. Data were analysed in an abductive process using thematic analysis. RESULTS: The patients perceived their encounters with interprofessional teams as supportive, with implications for pain stigma. This is presented as two themes: (1) being seen as credible, involving patients being believed in and a concept of being overactive at the expense of their own health, and (2) being helped to see their situation in a new light, which involves enthusiasm about changing and challenging views in a process with professionals who were supportive and united across professions. CONCLUSION: Interprofessional biopsychosocial pain rehabilitation may be an intervention that can diminish internalised stigma in patients suffering from chronic pain. The study contributes to increased understanding of patient perceptions of positive encounters with professionals during a learning process in rehabilitation and of the imbued influence on power relations. This appears to be fundamental to diminishing pain stigma, as the occurrence of stigma is dependent on differences in power. KEY MESSAGES: Interprofessional biopsychosocial pain rehabilitation can be an intervention for diminishing internalised pain stigma in patients. Knowledge on how encounters with professionals induce personal learning processes among people with chronic pain. Taylor & Francis 2022-09-20 /pmc/articles/PMC9518607/ /pubmed/36128674 http://dx.doi.org/10.1080/07853890.2022.2124447 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Physical Medicine & Rehabilitation
S. Battin, Gudrun
Romsland, Grace I.
Christiansen, Bjørg
Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_full Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_fullStr Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_full_unstemmed Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_short Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_sort diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
topic Physical Medicine & Rehabilitation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518607/
https://www.ncbi.nlm.nih.gov/pubmed/36128674
http://dx.doi.org/10.1080/07853890.2022.2124447
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