title: Pain self-management in HIV-infected individuals with chronic pain: a qualitative study.
abstract: OBJECTIVE
  Chronic pain in individuals with HIV is a common, impairing condition. Behavioral interventions for chronic pain specifically tailored to this population have yet to be developed. We assert that understanding self-management strategies already used by persons living with these conditions is an essential first step, and is the objective of this investigation.
  
  
  METHODS
  We conducted a thematic analysis of qualitative data from 25 in-depth interviews with individuals with HIV and chronic pain.
  
  
  RESULTS
  The primary pain self-management strategies articulated by participants were: physical activity; cognitive and spiritual strategies; spending time with family and friends and social support; avoidance of physical/social activity; medication-centric pain management; and substance use.
  
  
  CONCLUSIONS
  Some of these strategies may be viewed as beneficial and overlap with known HIV self-management strategies (cognitive strategies), whereas others may have negative health consequences (substance use). Interventions that incorporate healthy self-management strategies may be particularly effective in improving both HIV and pain outcomes.
authors: Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors: Jessica S
authors: JS
authors: Merlin
authors: Melonie
authors: M
authors: Walcott
authors: Robert
authors: R
authors: Kerns
authors: Matthew J
authors: MJ
authors: Bair
authors: Kathryn L
authors: KL
authors: Burgio
authors: Janet M
authors: JM
authors: Turan
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000628:therapy* / Q000821:virology; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D036301:Qualitative Research; D012648:Self Care / Q000379:methods*
keywords: Chronic Pain; HIV; Pain Psychology; Self-Management
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