Constellations of pain : a qualitative study of the complexity of women's endometriosis-related pain

© The British Pain Society 2020..

INTRODUCTION: Prior research into endometriosis-related pain has focused on specific aspects of the pain experience such as cyclical pain, emotional aspects of pain and certain types of pain such as dysmenorrhea and dyspareunia. However, research has paid less attention to the diversity and complexity of women's pain experiences, which can lead to failure to recognise some symptoms as part of endometriosis and poor symptom management.

METHODS: We conducted qualitative semi-structured face-to-face interviews with 20 women in the United Kingdom recruited from an endometriosis self-help group with a diagnosis of endometriosis via laparoscopy. A topic guide framed questions around experiences of pain. Interviews were audio-recorded and transcribed verbatim. Transcripts were analysed using inductive thematic analysis.

RESULTS: Women experienced multiple types of pain that they felt were caused by endometriosis and affected many different parts of the body including bowel, bladder, lungs, kidneys, nerves, upper body, lower limbs and head. These pains consisted of different conceptual categories: type, pattern and intensity. These categories came together to create a complex, interrelated experience for each individual that we termed 'constellations of pain' because each woman had a complex set of pain categories and no two individuals appeared to have the same pain experience.

CONCLUSION: The complexity and diversity of endometriosis-related pain found in this study has implications for improving diagnosis, medical and non-medical pain management and improving the clinical encounter between women and healthcare professionals.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

British journal of pain - 15(2021), 3 vom: 04. Aug., Seite 345-356

Sprache:

Englisch

Beteiligte Personen:

Drabble, Sarah J [VerfasserIn]
Long, Jaqui [VerfasserIn]
Alele, Blessing [VerfasserIn]
O'Cathain, Alicia [VerfasserIn]

Links:

Volltext

Themen:

Chronic pain
Dyschezia
Dysmenorrhea
Dyspareunia
Dysuria
Endometriosis
Interviews
Journal Article
Pelvic pain
Qualitative

Anmerkungen:

Date Revised 03.04.2024

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1177/2049463720961413

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329214187