Living with Long-Term Pain after a Stroke
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
The general aim of this thesis was to classify and describe long-term pain two years after a stroke and to describe the experiences of pain, and the consequences it has on the persons’ lives. The studies were conducted from a multidimensional perspective on pain, combining quantitative and qualitative methods. Three types of long-term pain were classified and described among the 43 participants included, aged 33-82 years. These were central post-stroke pain, nociceptive, mainly shoulder pain, and tension-type headache. Pain onset, within one to six months in most of the cases was after discharge from the hospital. Continuous pain or pain almost every day was reported by nearly two-thirds. The pain was mostly described as troublesome, annoying and tiring in all pain groups. The rating of pain intensity revealed individual differences among the participants within the pain groups. In addition to long-term pain, the participants suffered several impairments and nearly half of them were dependent on others, and two-thirds on assistive devices. Several coping strategies were described, most often problem-focused. Their health-related quality of life was decreased, mostly related to their long-term pain and physical impairments. Their experiences of caring revealed the need of improvements in knowledge about longterm pain, attention and understanding among the professionals, and continuity in the contacts.
Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2003. , 78 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 827
stroke, central pain, chronic pain, neuropathic pain, nociceptive pain, shoulder, pain, tension-type headache, pain assessment, disability, activities of daily living, coping, health-related quality of life, mood, caring
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-5228ISBN: 91-7373-518-3OAI: oai:DiVA.org:liu-5228DiVA: diva2:21206
2003-12-12, Aulan, Örbero universitet, Örebro, 13:00 (English)
Ahlström, GerdEk, Anna-Christina
On the day of the public defence the status of article III was: Accepted for publication and the status of article IV was: In press.2004-01-182004-01-182012-01-25Bibliographically approved
List of papers