{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:35:06Z","timestamp":1791221706772,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Endometriosis is a chronic condition in which tissue resembling the endometrium grows outside of the womb, causing severe chronic pain. Research demonstrates the physical, emotional and quality of life impact on people with endometriosis, but pain is reportedly difficult to communicate, resulting in lengthier diagnosis. This work aimed to gain insight into the value of imagery production as a pain communication strategy through a novel synergy of psychological and linguistic\/socio\u2010semiotic approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative, multimodal, participant\u2010generated imagery study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Interpretative phenomenological analysis (IPA) and conceptual metaphor and metonymy analysis were utilized to examine visual representations of endometriosis pain. Data were collected in two focus groups with four and six women, respectively; all with a diagnosis of endometriosis, aged 25\u201340\u2009years old (\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200934.5, SD\u2009=\u20094.2) and a mean diagnosis delay of 8.4\u2009years (SD\u2009=\u20093.6).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overarching theme across visual representations was \u2018Pain as Physical Violence\u2019 with \u2018colour as emotional representation\u2019, \u2018texture as sensory qualities\u2019 and \u2018materials as sensation\u2019 as sub\u2010themes. These are realized through metaphorical and metonymical relations in both the visual representations as well as the accompanying linguistic representation of the process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates the value of a creative mixed\u2010methodologies approach to capture experiential aspects of pain and its impact that are not verbalized in linguistic accounts alone. This can facilitate a deeper understanding of one's pain, acting as a medium for therapeutic adjustment to occur, while facilitating effective and empathic patient\u2013professional conversations surrounding pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12720","type":"journal-article","created":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T21:39:31Z","timestamp":1710106771000},"page":"676-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Visual reconstructions of endometriosis pain: An interdisciplinary visual methodology for illness representation"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7402-0819","authenticated-orcid":false,"given":"Stella","family":"Bullo","sequence":"first","affiliation":[{"name":"Plymouth Marjon University  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5988-5278","authenticated-orcid":false,"given":"Jasmine Heath","family":"Hearn","sequence":"additional","affiliation":[{"name":"Manchester Metropolitan University  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2013.853854"},{"key":"e_1_2_10_3_1","volume-title":"The story of pain","author":"Bourke J.","year":"2014"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.09.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2004.03.014"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1057\/9781137350435"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1750481318771430"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363459318817943"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12472"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2021.764693"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511816802.029"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det284"},{"key":"e_1_2_10_13_1","unstructured":"Endometriosis UK. (2024).Endometriosis facts and figures. Retrieved March 7 2024 fromhttps:\/\/www.endometriosis\u2010uk.org\/endometriosis\u2010facts\u2010and\u2010figures"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2015.1074173"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-2166(01)00007-8"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511816802.028"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1515\/9783110215366"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1075\/msw.3.2.03for"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.21606\/nordes.2019.002"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203197"},{"key":"e_1_2_10_21_1","volume-title":"Language as social semiotic: The social interpretation of language and meaning","author":"Halliday M. A. K.","year":"1978"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12211"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.06.017"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000139"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690800700203"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.2307\/3587959"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/147035720200100306"},{"key":"e_1_2_10_28_1","volume-title":"Multimodality: A social semiotic approach to contemporary communication","author":"Kress G. R.","year":"2010"},{"key":"e_1_2_10_29_1","volume-title":"Reading images: The grammar of visual design","author":"Kress G. R.","year":"1996"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.2307\/2025464"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1075\/celcr.9"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/1472586X.2010.523270"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/medhum-2020-011845"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/1472586X.2017.1363636"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780190638054.003.0019"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1057\/sth.2013.20"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/medhum-2017-011415"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926488.2014.948800"},{"key":"e_1_2_10_39_1","first-page":"177","volume-title":"Collecting and interpreting qualitative materials","author":"Prosser J. D.","year":"2012"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277\u20109536(00)00320\u20108"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/1094428111431110"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203829042"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.01.037"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926488.2010.510926"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-2004-22201"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2010.510659"},{"key":"e_1_2_10_47_1","volume-title":"Interpretive phenomenological analysis: Theory, method and research","author":"Smith J. A.","year":"2009"},{"key":"e_1_2_10_48_1","first-page":"52","volume-title":"Qualitative psychology: A practical guide to research methods","author":"Smith J. A.","year":"2003"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1163\/156916200746256"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780880903121491"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12571"}],"container-title":["British Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjhp.12720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:32:58Z","timestamp":1761744778000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/bjhp.12720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,10]]},"references-count":50,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/bjhp.12720"],"URL":"https:\/\/doi.org\/10.1111\/bjhp.12720","archive":["Portico"],"relation":{},"ISSN":["1359-107X","2044-8287"],"issn-type":[{"value":"1359-107X","type":"print"},{"value":"2044-8287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,10]]},"assertion":[{"value":"2023-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}