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Illness-related complaints in women with chronic widespread pain: importance of a contextual approach

Andersson, Sven Ingmar LU and Hovelius, Birgitta LU (2005) In Stress and Health 21(4). p.235-244
Abstract
The study, comprising 125 sick-listed women aged 25-64 (m = 46.9 years) with widespread chronic pain, aimed at evaluating biopsychosocial problems as perceived by these women, studying such problems within a contextual framework, relating the findings to sociodemographic and medical data. Musculoskeletal complaints, fatigue, inability to work, sleep disturbances and uncertainty about the future were the problems, other than pain, most frequently reported. The women's written accounts of their musculoskeletal or somatic problems reflected being troubled by their unpaid household work and duties. Their psychological symptoms and social problems generally concerned paid work, unemployment or being on sick leave. The women's biomedical... (More)
The study, comprising 125 sick-listed women aged 25-64 (m = 46.9 years) with widespread chronic pain, aimed at evaluating biopsychosocial problems as perceived by these women, studying such problems within a contextual framework, relating the findings to sociodemographic and medical data. Musculoskeletal complaints, fatigue, inability to work, sleep disturbances and uncertainty about the future were the problems, other than pain, most frequently reported. The women's written accounts of their musculoskeletal or somatic problems reflected being troubled by their unpaid household work and duties. Their psychological symptoms and social problems generally concerned paid work, unemployment or being on sick leave. The women's biomedical orientation appeared to be a function of their extended pharmaceutical and surgical treatment and their efforts to be recognized, particularly by insurance authorities, as clearly having a somatic disease. The study indicates the importance of a situational approach to gaining an understanding of illnesses in women with widespread pain. It is argued that, in a society accepting only medical grounds for sicklisting, physicians and other health care workers serve to reinforce a biomedical perspective in women suffering from biomedically 'unexplained' somatic symtoms, tending to result in medicalization, surgery and heavy use of pharmaceutical drugs. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
medicalization, biopsychological problems, women, sicklisting, widespread pain
in
Stress and Health
volume
21
issue
4
pages
235 - 244
publisher
John Wiley & Sons
external identifiers
  • wos:000233102400004
  • scopus:27744448948
ISSN
1532-3005
DOI
10.1002/smi.1060
language
English
LU publication?
yes
id
ad5e7e4a-7591-46c5-b984-e1a428209b1b (old id 213632)
date added to LUP
2007-08-15 08:30:54
date last changed
2017-01-01 04:35:17
@article{ad5e7e4a-7591-46c5-b984-e1a428209b1b,
  abstract     = {The study, comprising 125 sick-listed women aged 25-64 (m = 46.9 years) with widespread chronic pain, aimed at evaluating biopsychosocial problems as perceived by these women, studying such problems within a contextual framework, relating the findings to sociodemographic and medical data. Musculoskeletal complaints, fatigue, inability to work, sleep disturbances and uncertainty about the future were the problems, other than pain, most frequently reported. The women's written accounts of their musculoskeletal or somatic problems reflected being troubled by their unpaid household work and duties. Their psychological symptoms and social problems generally concerned paid work, unemployment or being on sick leave. The women's biomedical orientation appeared to be a function of their extended pharmaceutical and surgical treatment and their efforts to be recognized, particularly by insurance authorities, as clearly having a somatic disease. The study indicates the importance of a situational approach to gaining an understanding of illnesses in women with widespread pain. It is argued that, in a society accepting only medical grounds for sicklisting, physicians and other health care workers serve to reinforce a biomedical perspective in women suffering from biomedically 'unexplained' somatic symtoms, tending to result in medicalization, surgery and heavy use of pharmaceutical drugs.},
  author       = {Andersson, Sven Ingmar and Hovelius, Birgitta},
  issn         = {1532-3005},
  keyword      = {medicalization,biopsychological problems,women,sicklisting,widespread pain},
  language     = {eng},
  number       = {4},
  pages        = {235--244},
  publisher    = {John Wiley & Sons},
  series       = {Stress and Health},
  title        = {Illness-related complaints in women with chronic widespread pain: importance of a contextual approach},
  url          = {http://dx.doi.org/10.1002/smi.1060},
  volume       = {21},
  year         = {2005},
}