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On parole: The natural history of recovery from fibromyalgia in women: A grounded theory study
Department of Internal Medicine and Neuromuscular Centre, Department of Neurology, Sahlgrenska University Hospital, Mölndal, Sweden.
Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
2012 (English)In: Journal of Pain Management, ISSN 1939-5914, E-ISSN 1178-7090, Vol. 5, no 2, p. 177-194Article in journal (Refereed) Published
Abstract [en]

Full remission of fibromyalgia symptoms is unusual and this course is unknown. The aim of this study was to elucidate psychological functioning and psychosocial processes expressed by women originally diagnosed with fibromyalgia and presently recovered. Eight women, earlier diagnosed with fibromyalgia but presently subjectively and objectively recovered, were interviewed in-depth. The interviews were analysed in line with Grounded Theory. Result: The women were as children exposed to high levels of mental load. Adult psychological functioning, prior to the onset of fibromyalgia, was characterised by insufficient definition of self and dissociation; psychological strengths were used to cover up or desert psychological ’weaknesses’ as negative effects. Later in process an increase in mental load was accompanied by development of fibromyalgia symptoms. The phase of fibromyalgia held three dimensions; a maintained high level of load, mastering strategies as seeking alternative treatment and use of support from others. The stage of recovery or remission was reached proceeded by a pronounced decrease in mental load as improved life conditions or cease of overexertion of body and mind. The stage of conditional recovery was mirrored by the core concept ’on parole -strengthened enough to be weak’. At this stage of process, absence of symptoms was secured by personal growth and less dissociative functioning including careful management of health needs as pacing of activity. Conclusions: Recovery from fibromyalgia seems to be a recovery on parole. Recovery appears to rely on improved self-regulation including less dissociative psychological functioning and ways of living allowed by prosperous conditions of life. © Nova Science Publishers, Inc.

Place, publisher, year, edition, pages
Hauppauge, NY: Nova Science Publishers, Inc., 2012. Vol. 5, no 2, p. 177-194
Keywords [en]
Dissociation, Fibromyalgia, Grounded theory, Negative effect, Personal growth, Recovery, Self-regulation
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hh:diva-39343Scopus ID: 2-s2.0-84866183669Libris ID: Full textOAI: oai:DiVA.org:hh-39343DiVA, id: diva2:1318582
Funder
Region Västra Götaland
Note

Funding: The Committee for Mental and Physical Disabilities of Västra Götaland Region

Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-28Bibliographically approved

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