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The meaning making model applied to community-dwelling adults with chronic pain

2021Journal article Open access
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dc.contributor.authorFerreira-Valente, Maria Alexandra
dc.contributor.authorFontes, Fernando
dc.contributor.authorPais-Ribeiro, José
dc.contributor.authorJensen, Mark
dc.date.accessioned2021-11-04T16:45:56Z
dc.date.available2021-11-04T16:45:56Z
dc.date.issued2021
dc.description.abstractPurpose: Chronic pain is a multidimensional experience that is influenced by biological, psychological, social, and spiritual factors. The Meaning Making Model is a recent cognitive behavioral model that has been developed to understand how psychosocial factors influence adjustment to stressful events, such as having a chronic illness. This qualitative study aims to understand the potential utility of this model for understanding the role of meaning making in adjustment to chronic pain. Materials and Methods: Eighteen community-dwelling adults with chronic low back pain or chronic pain due to osteoarthritis participated in four focus groups. Participants were asked open-ended questions about their pain experience, pain-related beliefs, meaning of pain, and the perceived association between pain and their meaning in life and sense of purpose. Data were submitted to thematic analysis and the identified themes were considered in light of the Meaning Making Model. Results: Three overarching themes emerged, each of which included two themes. The first overarching theme – “appraised meaning of pain” – included the themes “causal attributions” and “primary appraisals.” The second – “meaning making processes” – included the themes “assimilation” and “accommodation.” The third – “meanings made” – included the themes “pain as an opportunity” and “acceptance.” Conclusion: The key themes that emerged as individuals with chronic pain discussed pain and its impact are consistent with those that would be hypothesized as important from the Meaning Making Model, providing preliminary support for the utility of this model in the context of chronic pain. People with chronic pain appear to appraise pain in terms of its cause, controllability, threat, loss, or challenge. When a discrepancy between the appraised meaning of pain and one’s global meaning emerged, participants engaged in meaning making processes (accommodation and assimilation), resulting in meanings made, such as a reappraised meaning of pain, perceptions of growth, and acceptance.pt_PT
dc.description.sponsorshipFundação para a Ciência e Tecnologia - FCTpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira-Valente, A., Fontes, F., Pais-Ribeiro, J., & Jensen, M. P. (2021). The Meaning Making Model Applied to Community-Dwelling Adults with Chronic Pain. Journal of Pain Research, 14, 2295–2311pt_PT
dc.identifier.doi10.2147/JPR.S308607pt_PT
dc.identifier.issn11787090
dc.identifier.urihttp://hdl.handle.net/10400.12/8342
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherDove Medical Press Ltd.pt_PT
dc.relationDL57/2016/ CP1341/CT0007pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectChronic painpt_PT
dc.subjectMeaning in lifept_PT
dc.subjectMeaning of painpt_PT
dc.subjectThematic analysispt_PT
dc.titleThe meaning making model applied to community-dwelling adults with chronic painpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/61508/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/157608/PT
oaire.citation.conferencePlaceNew Zealandpt_PT
oaire.citation.endPage2311pt_PT
oaire.citation.startPage2295pt_PT
oaire.citation.titleJournal of Pain Researchpt_PT
oaire.citation.volume14pt_PT
oaire.fundingStreamOE
oaire.fundingStream6817 - DCRRNI ID
person.familyNameFerreira-Valente
person.familyNameFontes
person.familyNameJensen
person.givenNameMaria Alexandra
person.givenNameFernando Gabriel Neves
person.givenNameMark
person.identifier.ciencia-id2912-CE3A-0EC5
person.identifier.ciencia-id0F1A-93F8-D4C2
person.identifier.orcid0000-0002-3684-5561
person.identifier.orcid0000-0001-8792-262X
person.identifier.orcid0000-0003-4494-6693
person.identifier.ridL-6915-2015
person.identifier.ridG-9131-2012
person.identifier.scopus-author-id46461198300
person.identifier.scopus-author-id56030095600
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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