Experience of fibromyalgia. Qualitative study.
OBJECTIVE
To explore illness experiences of patients diagnosed with fibromyalgia.


METHODS
Qualitative method of in-depth interviews.


METHODS
Midsize city in Ontario.


METHODS
Seven patients diagnosed with fibromyalgia.


METHODS
Seven in-depth interviews were conducted to explore the illness experience of patients diagnosed with fibromyalgia. All interviews were audiotaped and transcribed verbatim. All interview transcriptions were read independently by the researchers, who then compared and combined their analysis. Final analysis involved examining all interviews collectively, thus permitting relationships between and among central themes to emerge. The analysis strategy used a phenomenologic approach and occurred concurrently rather than sequentially.


RESULTS
Themes that emerged from the interpretive analysis depict patients' journeys along a continuum from experiencing symptoms, through seeking a diagnosis, to coping with the illness. Experiencing symptoms was composed of four subcategories: pain, a precipitating event, associated symptoms, and modulating factors. Seeking a diagnosis entailed frustration and social isolation. Confirmation of diagnosis brought relief as well as anxiety about the future. After diagnosis, several steps led to creation of adaptive coping strategies, which were influenced by several factors.


CONCLUSIONS
Findings suggest that the conventional medical model fails to address the complex experience of fibromyalgia. Adopting a patient-centred approach is important for helping patients cope with this disease.
Raymond
M C
MC
Family Medicine Unit, Maisonneuve-Rosemont Hospital. marie-claude.raymond@csst.qc.ca
Brown
J B
JB
D000223:Adaptation, Psychological; D000328:Adult; D005194:Family Practice; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome