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dc.contributor.authorNichols, VP
dc.contributor.authorEllard, DR
dc.contributor.authorGriffiths, FE
dc.contributor.authorKamal, A
dc.contributor.authorUnderwood, M
dc.contributor.authorTaylor, SJC
dc.date.accessioned2020-12-17T03:43:41Z
dc.date.available2020-12-17T03:43:41Z
dc.date.issued2017-12-01
dc.identifierpii: bmjopen-2017-019929
dc.identifier.citationNichols, 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.
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/11343/255006
dc.description.abstractOBJECTIVE: 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.
dc.languageEnglish
dc.publisherBMJ PUBLISHING GROUP
dc.titleThe lived experience of chronic headache: a systematic review and synthesis of the qualitative literature
dc.typeJournal Article
dc.identifier.doi10.1136/bmjopen-2017-019929
melbourne.affiliation.departmentGeneral Practice
melbourne.source.titleBMJ Open
melbourne.source.volume7
melbourne.source.issue12
dc.rights.licenseCC BY
melbourne.elementsid1329401
melbourne.contributor.authorGriffiths, Frances
dc.identifier.eissn2044-6055
melbourne.accessrightsOpen Access


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