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A grounded theory of coping among women with chronic pelvic pain.

机译：慢性盆腔疼痛妇女应对的扎根理论。

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摘要

Many women with chronic pelvic pain (CPP) find themselves on a seemingly never-ending "medical merry-go-round" of diagnosis, referral, and treatments that seldom bring them relief. The primary aims of this dissertation research were to develop a theory of coping among women with CPP and to develop the groundwork of an integrated model of CPP in women. The main research question for this dissertation was, How do women with CPP cope with pain and pain-related stress? The researcher employed the grounded theory method to address this central research question within a mixed-methods study design. Sources of data included two sets of interviews with 14 women with CPP and daily tracking forms completed over the course of one menstrual period (or 30 days). The interviews and tracking forms included quantitative measures that yielded data on sense of meaning in life, pain levels, coping efforts, and stressors. Descriptive statistics and descriptions of the data provided an overview of the challenges and coping efforts that the research participants employed and informed the development of the grounded theory. The researcher identified physical, social, cultural, mental, existential, and spiritual dimensions of a core coping process---building self-determination. All of the research participants built self-determination in at least one of these dimensions. This core coping process changed over the course of five phases of living with CPP: (a) ignoring the pain, (b) seeking clarity and lasting relief, (c) recuperating, (d) empowering oneself, and (e) accommodating the pain (with or without substantial relief). Role confusion, existential distress, and demoralization were major sources of distress among the participants. Coping resources such as self-efficacy and self-awareness were important sources of support for the research participants in their processes of building self-determination. The specific kinds of beliefs, appraisals, and meanings of the pain during each phase of living with CPP were identified and mapped onto a model of transitory coping with CPP. The discussion includes a comparison between the process of building self-determination and the construct of self-determination in the literature. The researcher made recommendations for therapeutic interventions that empower women with CPP.
机译：许多患有慢性盆腔疼痛（CPP）的妇女发现自己似乎处于永无休止的诊断，转诊和治疗的“医疗旋转木马”中，这很少使她们感到缓解。本论文研究的主要目的是发展一种应对女性CPP的理论，并为女性CPP综合模型的发展打下基础。本论文的主要研究问题是，患有CPP的女性如何应对疼痛和与疼痛相关的压力？研究人员采用扎根的理论方法来解决混合方法研究设计中的这一核心研究问题。数据来源包括对14名患有CPP的女性进行的两组访谈以及在一个月经期（或30天）内完成的每日跟踪表格。访谈和跟踪表格包括定量度量，这些度量得出有关生活意义，痛苦程度，应对努力和压力的数据。描述性统计数据和数据描述概述了研究参与者采用的挑战和应对方法，并为扎根理论的发展提供了信息。研究人员确定了核心应对过程的物理，社会，文化，精神，存在和精神层面-建立自决。所有研究参与者至少在这些维度之一中建立了自决权。在CPP的五个阶段中，这一核心应对过程发生了变化：（a）忽略痛苦，（b）寻求清晰和持久的缓解，（c）休养生息，（d）增强自我能力，（e）减轻痛苦（有或没有实质性救济）。角色混乱，存在性困扰和士气低落是参与者中困扰的主要根源。诸如自我效能感和自我意识之类的应对资源是支持研究参与者建立自决过程的重要来源。确定了在使用CPP的每个阶段中疼痛的特定种类的信念，评估和含义，并将其映射到使用CPP进行短暂应对的模型中。讨论包括在文献中建立自我决定的过程和建构自我决定的过程之间的比较。该研究人员提出了一些治疗干预措施的建议，这些干预措施使妇女拥有CPP的能力。

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  • 作者

    Hamilton, Erica Shane.;

  • 作者单位

    Saybrook University.;

  • 授予单位 Saybrook University.;
  • 学科 Psychology General.;Womens Studies.;Psychology Physiological.;Sociology Theory and Methods.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 317 p.
  • 总页数 317
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 整形外科学（修复外科学）;
  • 关键词

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