The lived experience of chronic headache: a systematic review and synthesis of the qualitative literature
AuthorNichols, VP; Ellard, DR; Griffiths, FE; Kamal, A; Underwood, M; Taylor, SJC
Source TitleBMJ Open
PublisherBMJ PUBLISHING GROUP
University of Melbourne Author/sGriffiths, Frances
Document TypeJournal Article
CitationsNichols, V. P., Ellard, D. R., Griffiths, F. E., Kamal, A., Underwood, M. & Taylor, S. J. C. (2017). The lived experience of chronic headache: a systematic review and synthesis of the qualitative literature. BMJ OPEN, 7 (12), https://doi.org/10.1136/bmjopen-2017-019929.
Access StatusOpen Access
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.
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References