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Child appraisals of injustice in the context of acute and chronic pain: An interpretative phenomenological analysis.
Daenen, F; Baert, F; McParland, J; Trost, Z; Schillemans, A; Tanghe, A; Vervoort, T.
Afiliación
  • Daenen F; Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
  • Baert F; Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
  • McParland J; Department of Psychology, Glasgow Caledonian University, Glasgow, UK.
  • Trost Z; Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, USA.
  • Schillemans A; Zeepreventorium, Health Centre De Haan, De Haan, Belgium.
  • Tanghe A; Zeepreventorium, Health Centre De Haan, De Haan, Belgium.
  • Vervoort T; Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
Eur J Pain ; 28(1): 54-69, 2024 01.
Article en En | MEDLINE | ID: mdl-37381085
ABSTRACT

BACKGROUND:

Recent research has found child pain-related injustice appraisals to be associated with adverse pain-related outcomes. However, this evidence is mainly based on research using a measure developed for adults in the context of accident-related injuries, which may not translate to paediatric pain populations. Research on the phenomenology of child pain-related injustice appraisals is lacking. This study aimed to examine the phenomenology of pain-related injustice appraisals among both pain-free children and children living with chronic pain, to compare and contrast their experiences.

METHODS:

Two focus groups were held with pain-free children (n = 16), and three focus groups were held with paediatric chronic pain patients attending a rehabilitation centre (n = 15) in Belgium. Interpretative phenomenological analysis was applied.

RESULTS:

Two injustice-related themes were generated from the focus groups with pain-free children (1) 'Someone else is at fault' and (2) 'I am in pain and he is not'. Two injustice-related themes were generated from the focus groups with paediatric chronic pain patients (1) 'People don't see my pain' and (2) 'I am missing out because of my pain'.

CONCLUSIONS:

This study offers the first exploration of the phenomenology of child pain-related injustice appraisals in both pain-free children and paediatric pain patients. Findings highlight the interpersonal nature of lived injustice experiences caused by chronic pain, which is not fully captured by existing child pain-related injustice measures. Findings further suggest that pain-related injustice notions may not be extrapolated from a chronic to an acute pain context.

SIGNIFICANCE:

The current study offers the first exploration of the phenomenology of child pain-related injustice appraisals in both pain-free children and paediatric chronic pain patients. Findings highlight the interpersonal nature of injustice appraisals that are specific to the experience of chronic rather than acute pain. These appraisals are not fully captured by current child pain-related injustice measures.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Agudo / Dolor Crónico Tipo de estudio: Qualitative_research Límite: Adult / Child / Humans / Male Idioma: En Revista: Eur J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Agudo / Dolor Crónico Tipo de estudio: Qualitative_research Límite: Adult / Child / Humans / Male Idioma: En Revista: Eur J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido