title: Exploration of the psychosocial issues associated with gastroparesis: a qualitative investigation.
abstract: OBJECTIVE
  To build on the understanding of how individuals experience gastroparesis, how gastroparesis impacts on their lives and how they adapt to living with gastroparesis.
  
  
  BACKGROUND
  Gastroparesis is a neurogastroenterological disorder associated with increased psychological distress and reduced quality of life. Research shows that gastroparesis poses a significant burden across many facets of life; however, less is known about how individuals cope and adapt to living with the condition.
  
  
  METHODS
  The study employed an interpretive phenomenological approach with semistructured interviews and thematic analysis.
  
  
  METHODS
  Ten gastroparesis patients were interviewed over the telephone (n = 8), Skype (n = 1) or face-to-face (n = 1). All interviews were audio-recorded and transcribed.
  
  
  RESULTS
  Key themes identified: (1) frustration, (2) identity and (3) coping and adaptation. Gastroparesis patients experience significant frustration around their diagnostic journey, being misunderstood and the burden of living with the illness. Patients differed in how they identified with the illness, and this appeared to be associated with adaptation and whether they remained socially engaged.
  
  
  CONCLUSIONS
  Gastroparesis is associated with significant frustration and burden; however, some patients adapt to living with the condition more effectively than others. Identity appears to play an important role in this relationship. Support aimed at fostering a health-focused and resilient identity may assist gastroparesis patients in adaptation.
  
  
  CONCLUSIONS
  The findings of this study can help nurses and other healthcare professionals better understand the experience of living with gastroparesis and the factors that help patients best adapt to living with the condition. Nurses can help promote resilience in patients by discussing the importance of being health-focused rather than illness-focused. Nurses can also support patients by helping them problem-solve issues that may arise around social eating and remaining socially engaged.
authors.affiliation: Department of Psychological Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Vic., Australia.
authors.forename: Sally
authors.identifier: http://orcid.org/0000-0003-3129-645X
authors.initials: S
authors.lastname: Woodhouse
authors.affiliation: Department of Gastroenterology, The Royal Melbourne Hospital, RMH, Melbourne, Vic., Australia.|Department of Medicine, University of Melbourne, Parkville, Vic., Australia.
authors.forename: Geoff
authors.initials: G
authors.lastname: Hebbard
authors.affiliation: Department of Psychological Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Vic., Australia.|Department of Gastroenterology, The Royal Melbourne Hospital, RMH, Melbourne, Vic., Australia.|Department of Medicine, University of Melbourne, Parkville, Vic., Australia.|Department of Psychiatry, St Vincent's Hospital, Melbourne, Vic., Australia.
authors.forename: Simon R
authors.initials: SR
authors.lastname: Knowles
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D018589:Gastroparesis / Q000451:nursing / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D036301:Qualitative Research; D011788:Quality of Life; D055500:Resilience, Psychological
keywords: adaptation; anxiety; burden; coping; depression; distress; frustration; gastroparesis; identity; quality of life