Hallberg L R, Carlsson S G
Department of Psychology, Göteborg University, Sweden.
Scand J Caring Sci. 1998;12(2):95-103.
The aim of this qualitative study was to describe, from the perspective of 22 women (aged 22-60 years) with fibromyalgia, their experiences and beliefs of the pain and its origin and how the pain affects family and social life. Open-ended interviews were analysed via a method influenced by grounded theory. Seven descriptive categories were grounded in the data, forming two higher-order concepts: psychosocial vulnerability and maintaining forces. The first of these core concepts, psychosocial vulnerability, comprises the categories: traumatic life history, over-compensatory perseverance, pessimistic life view, and unsatisfying work situation. In the interviews, there are abundant examples of early loss, high degree of responsibility early in life, and social problems with feelings of helplessness and hoplessness later in life. The second core concept, maintaining forces, consists of the categories professional care, pain benefits and family support, which seem to contribute to the persistence of pain. Our results indicate intrapsychic and psychosocial dimensions, which support the hypothesis that individuals with insecure attachment styles are overrepresented among patients with chronic pain.
这项定性研究的目的是从22名患有纤维肌痛的女性（年龄在22至60岁之间）的角度，描述她们对疼痛及其起源的经历和看法，以及疼痛如何影响家庭和社会生活。通过一种受扎根理论影响的方法对开放式访谈进行了分析。数据中形成了七个描述性类别，构成了两个高阶概念：心理社会脆弱性和维持因素。这些核心概念中的第一个，心理社会脆弱性，包括以下类别：创伤性生活史、过度补偿性坚持、悲观生活观和不满意的工作状况。在访谈中，有大量早年失去、早年高度责任感以及晚年出现无助和绝望感等社会问题的例子。第二个核心概念，维持因素，由专业护理、疼痛益处和家庭支持等类别组成，这些似乎导致了疼痛的持续存在。我们的研究结果表明了心理内部和心理社会层面，这支持了不安全依恋风格的个体在慢性疼痛患者中占比过高这一假设。
