Living with small fiber neuropathy: insights from qualitative focus group interviews

Objective Small fiber neuropathy (SFN) is characterized by chronic neuropathic pain and autonomic dysfunction. Currently, symptomatic pharmacological treatment is often insufficient and frequently causes side effects. SFN patients have a reduced quality of life. However, little is known regarding wh...

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Main Authors: Aysun Damci, Janneke G.J. Hoeijmakers, Jeroen de Jong, Catharina G. Faber, Maria A.C. de Mooij, Jeanine A.M.C.F. Verbunt, Mariëlle E.J.B. Goossens
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221132463
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author Aysun Damci
Janneke G.J. Hoeijmakers
Jeroen de Jong
Catharina G. Faber
Maria A.C. de Mooij
Jeanine A.M.C.F. Verbunt
Mariëlle E.J.B. Goossens
author_facet Aysun Damci
Janneke G.J. Hoeijmakers
Jeroen de Jong
Catharina G. Faber
Maria A.C. de Mooij
Jeanine A.M.C.F. Verbunt
Mariëlle E.J.B. Goossens
author_sort Aysun Damci
collection DOAJ
description Objective Small fiber neuropathy (SFN) is characterized by chronic neuropathic pain and autonomic dysfunction. Currently, symptomatic pharmacological treatment is often insufficient and frequently causes side effects. SFN patients have a reduced quality of life. However, little is known regarding whether psycho-social variables influence the development and maintenance of SFN-related disability and complaints. Additional knowledge may have consequences for the treatment of SFN. For example, factors such as thinking, feeling, and behavior are known to play roles in other chronic pain conditions. The aim of this study was to obtain further in-depth information about the experience of living with SFN and related chronic pain. Methods Fifteen participants with idiopathic SFN participated in a prospective, semi-structured, qualitative, focus group interview study. The focus groups were audio-recorded, transcribed, and analyzed cyclically after each interview. Results The following main themes were identified: “pain appraisal”, “coping”, “social, work, and health environment”, and “change in identity”. Catastrophic thoughts and negative emotions were observed. Living with SFN resulted in daily limitations and reduced quality of life. Conclusions Given the results, it can be concluded that an optimal treatment should include biological, psychological, and social components.
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spelling doaj.art-51939e1bf516416fac9d8a366021ff642022-12-22T03:36:45ZengSAGE PublishingJournal of International Medical Research1473-23002022-11-015010.1177/03000605221132463Living with small fiber neuropathy: insights from qualitative focus group interviewsAysun DamciJanneke G.J. HoeijmakersJeroen de JongCatharina G. FaberMaria A.C. de MooijJeanine A.M.C.F. VerbuntMariëlle E.J.B. GoossensObjective Small fiber neuropathy (SFN) is characterized by chronic neuropathic pain and autonomic dysfunction. Currently, symptomatic pharmacological treatment is often insufficient and frequently causes side effects. SFN patients have a reduced quality of life. However, little is known regarding whether psycho-social variables influence the development and maintenance of SFN-related disability and complaints. Additional knowledge may have consequences for the treatment of SFN. For example, factors such as thinking, feeling, and behavior are known to play roles in other chronic pain conditions. The aim of this study was to obtain further in-depth information about the experience of living with SFN and related chronic pain. Methods Fifteen participants with idiopathic SFN participated in a prospective, semi-structured, qualitative, focus group interview study. The focus groups were audio-recorded, transcribed, and analyzed cyclically after each interview. Results The following main themes were identified: “pain appraisal”, “coping”, “social, work, and health environment”, and “change in identity”. Catastrophic thoughts and negative emotions were observed. Living with SFN resulted in daily limitations and reduced quality of life. Conclusions Given the results, it can be concluded that an optimal treatment should include biological, psychological, and social components.https://doi.org/10.1177/03000605221132463
spellingShingle Aysun Damci
Janneke G.J. Hoeijmakers
Jeroen de Jong
Catharina G. Faber
Maria A.C. de Mooij
Jeanine A.M.C.F. Verbunt
Mariëlle E.J.B. Goossens
Living with small fiber neuropathy: insights from qualitative focus group interviews
Journal of International Medical Research
title Living with small fiber neuropathy: insights from qualitative focus group interviews
title_full Living with small fiber neuropathy: insights from qualitative focus group interviews
title_fullStr Living with small fiber neuropathy: insights from qualitative focus group interviews
title_full_unstemmed Living with small fiber neuropathy: insights from qualitative focus group interviews
title_short Living with small fiber neuropathy: insights from qualitative focus group interviews
title_sort living with small fiber neuropathy insights from qualitative focus group interviews
url https://doi.org/10.1177/03000605221132463
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