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The lived experience of chronic headache : a systematic review and synthesis of the qualitative literature
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CHESS team (Including: Nichols, Vivien P., Ellard, David R., Griffiths, Frances, Kamal, Atiya, Underwood, Martin and Taylor, Stephanie J. C.). (2017) The lived experience of chronic headache : a systematic review and synthesis of the qualitative literature. BMJ Open, 7 (12). e019929. doi:10.1136/bmjopen-2017-019929
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WRAP-lived-experience-chronic-headache-systematic-review-qualitative-literature-Nichols-2017.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (2366Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/bmjopen-2017-019929
Abstract
Objective To systematically review the qualitative literature of the lived experience of people with a chronic headache disorder.
Background Chronic headaches affect 3%–4% of the population. The most common chronic headache disorders are chronic migraine, chronic tension-type headache and medication overuse headache. We present a systematic review and meta-ethnographic synthesis of the lived experience of people with chronic headache.
Methods We searched seven electronic databases, hand-searched nine journals and used a modified Critical Appraisal Skills Programme checklist to appraise study quality. Following thematic analysis we synthesised the data using a meta-ethnographic approach.
Results We identified 3586 unique citations; full texts were examined for 86 studies and 4 were included in the review. Included studies differed in their foci: exploring, patient-centred outcomes, chronic headache as a socially invisible disease, psychological processes mediating impaired quality of life, and the process of medication overuse. Initial thematic analysis and subsequent synthesis gave three overarching themes: ‘headache as a driver of behaviour’ (directly and indirectly), ‘the spectre of headache’ and ‘strained relationships’.
Conclusion This meta-synthesis of published qualitative evidence demonstrates that chronic headaches have a profound effect on people’s lives, showing similarities with other pain conditions. There were insufficient data to explore the similarities and differences between different chronic headache disorders.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RC Internal medicine | |||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Headache, Migraine, Systematic reviews (Medical research) | |||||||||
| Journal or Publication Title: | BMJ Open | |||||||||
| Publisher: | BMJ | |||||||||
| ISSN: | 2044-6055 | |||||||||
| Official Date: | 1 December 2017 | |||||||||
| Dates: |
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| Date of first compliant deposit: | 3 January 2018 | |||||||||
| Volume: | 7 | |||||||||
| Number: | 12 | |||||||||
| Article Number: | e019929 | |||||||||
| DOI: | 10.1136/bmjopen-2017-019929 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access | |||||||||
| RIOXX Funder/Project Grant: |
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