J Orthop Sports Phys Ther. 2022 May;52(5):243-A102. doi: 10.2519/jospt.2022.10707.
To summarize (1) the emotions, cognitions, and behaviors of people who are living with musculoskeletal disorders related to symptoms and (2) the interactions of emotions, cognitions, and behaviors with the person's environment (family, social, and work roles).
An umbrella review of qualitative research syntheses and meta-summaries (metasynthesis, meta-ethnographies, meta-aggregation, meta-summary).
We searched CINAHL, EMBASE, PsycARTICLES, PsycEXTRA, PsycINFO, PubMed, and PubPsych from database inception to January 2021. We also searched gray literature via Open Grey and Google Scholar.
We included qualitative evidence syntheses evaluating adults with musculoskeletal disorders, based on the multidimensional diagnostic criteria for acute and chronic pain. Emotions, cognitions, and behaviors were the phenomenon of interest.
We developed 3 categories of themes ([1] emotions, [2] cognitions, and [3] behaviors) for each objective. We selected the 3 most common emotions, cognitions, and behaviors that appear as themes in our narrative synthesis.
We included 20 qualitative evidence syntheses that retrieved 284 original qualitative studies. Despair, distress, and fear were the main emotions reported by people living with musculoskeletal disorders. The alterations of the self and how people described their symptoms, what caused them, and how the symptoms impacted their lives were the most common cognitions. Cognitive strategies (ie, acceptance) and perceptions about social support emerged. People often used passive behaviors (eg, social isolation or hiding symptoms) to cope with the challenges that arose related to musculoskeletal symptoms. However, some people actively faced their symptoms, planning their activities or practicing them despite their symptoms.
Clinicians who support people living with musculoskeletal disorders should consider (1) assessing other emotions than pain-related fear (eg, despair and distress), (2) observing their cognitive responses (ie, acceptance), and (3) evaluating what type of behaviors people use (eg, active or passive). .
总结（1）与症状相关的肌肉骨骼疾病患者的情绪、认知和行为，以及（2）情绪、认知和行为与个体环境（家庭、社会和工作角色）的相互作用。
定性研究综合和元综合（元综合、元民族志、元聚合、元综述）的伞式综述。
我们从数据库创建开始到 2021 年 1 月在 CINAHL、EMBASE、PsycARTICLES、PsycEXTRA、PsycINFO、PubMed 和 PubPsych 中进行了检索。我们还通过 Open Grey 和 Google Scholar 检索了灰色文献。
我们纳入了评估肌肉骨骼疾病成年人的定性证据综合研究，基于急性和慢性疼痛的多维诊断标准。情绪、认知和行为是我们关注的现象。
我们为每个目标制定了 3 类主题（[1]情绪、[2]认知和[3]行为）。我们选择了我们叙事综合中作为主题出现的 3 种最常见的情绪、认知和行为。
我们纳入了 20 项定性证据综合研究，这些研究共检索到 284 项原始定性研究。沮丧、痛苦和恐惧是患有肌肉骨骼疾病的人报告的主要情绪。自我改变以及人们如何描述他们的症状、导致症状的原因以及症状如何影响他们的生活是最常见的认知。认知策略（例如，接受）和关于社会支持的看法出现了。人们经常使用被动行为（例如，社交孤立或隐藏症状）来应对与肌肉骨骼症状相关的挑战。然而，有些人会积极面对他们的症状，尽管有症状，他们仍计划自己的活动或练习。
支持患有肌肉骨骼疾病患者的临床医生应考虑（1）评估与疼痛相关的恐惧以外的其他情绪（例如，沮丧和痛苦），（2）观察他们的认知反应（例如，接受），以及（3）评估人们使用的行为类型（例如，主动或被动）。
