{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T12:43:03Z","timestamp":1771332183050,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2014,7,8]],"date-time":"2014-07-08T00:00:00Z","timestamp":1404777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To develop a deeper understanding of suffering and useful transition strategies in patients after participation in a chronic pain management programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic pain is a complex, multifaceted, individual experience. Limitations in patients' ability to perform their usual activities, as well as social isolation, are frequently reported. This condition may include a state of suffering that leads to challenges with transitions, for which support, guidance and achievement of useful strategies are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative study with a descriptive and explorative design from a phenomenological perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A phenomenological\u2013hermeneutic approach was used to analyse interviews with 12 participants in a group\u2010based cognitive\u2013behavioural therapy management programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Suffering from chronic pain means handling difficult thoughts and feelings. Expression of these thoughts and feelings through group support and therapeutic writing alleviates suffering. In addition, new perspectives through active involvement in the cognitive\u2013behavioural therapy programme indicate a transition towards adaptation to the chronic pain situation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Qualitative analysis of participation in a cognitive\u2013behavioural therapy programme deepens our understanding of both patient suffering and helpful transition strategies towards adaptation. Group participation in the programme appeared to be useful in improving patients' ability to handle challenging experiences with transitions. It is essential that the patients play an active role in adaptive transitions by developing new perspectives and insight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>It is an important activity for nurses or other healthcare workers to assist in the transition process so that the patient can take an active role to achieve alleviation. Focus on transition conditions seems to be helpful because it considers the factors that might facilitate successful transitions towards optimal adaptation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12651","type":"journal-article","created":{"date-parts":[[2014,7,8]],"date-time":"2014-07-08T07:59:12Z","timestamp":1404806352000},"page":"707-716","source":"Crossref","is-referenced-by-count":13,"title":["Suffering and transition strategies in adult patients attending a chronic pain management programme"],"prefix":"10.1111","volume":"24","author":[{"given":"Bodil","family":"Furnes","sequence":"first","affiliation":[{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd Karin","family":"Natvig","sequence":"additional","affiliation":[{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"},{"name":"Department of Global Public Health and Primary Care Faculty of Medicine and Dentistry University of Bergen Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elin","family":"Dysvik","sequence":"additional","affiliation":[{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.4324\/9780203448182","volume-title":"Writing Cures: Introductory Handbook of Writing in Counselling and Psychotherapy","author":"Bolton G","year":"2004"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.06.009"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2004.02103.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195156164.001.0001"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03637.x"},{"key":"e_1_2_13_7_1","volume-title":"Caring for People in Pain","author":"Davis BD","year":"2000"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2005.00334.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2006.00403.x"},{"key":"e_1_2_13_10_1","first-page":"619","volume-title":"Handbook of Pain Assessment","author":"Dworkin SF","year":"2001"},{"key":"e_1_2_13_11_1","unstructured":"DysvikE(2006)Health\u2010related Quality of Life and Coping in Rehabilitation of People Suffering from Chronic Pain. PhD Dissertation.University of Bergen Bergen Norway."},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12270"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.1992.tb00134.x"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195333121.001.0001"},{"key":"e_1_2_13_15_1","volume-title":"Chronic Pain. An Integrated Biobehavioral Approach","author":"Flor H","year":"2011"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1999.01192.x"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S10580"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04268.x"},{"key":"e_1_2_13_19_1","volume-title":"The Clinician's Guide to Chronic Disease Management for Long\u2010term Conditions: A Cognitive\u2010Behavioural Approach","author":"Furze G","year":"2008"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2012.04.004"},{"key":"e_1_2_13_21_1","volume-title":"Perspectives on Loss: A Sourcebook","author":"Harvey JH","year":"1998"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-090310-120430"},{"key":"e_1_2_13_23_1","volume-title":"Interviews: Learning the Craft of Qualitative Research Interviewing","author":"Kvale S","year":"2009"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1108\/09654280610637201"},{"key":"e_1_2_13_25_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9798894550077","volume-title":"Introduction to Time\u2010limited Group Psychotherapy","author":"MacKenzie KR","year":"1990"},{"key":"e_1_2_13_26_1","volume-title":"Care and Vulnerability","author":"Martinsen K","year":"2006"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004650-200311000-00002"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-200009000-00006"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-200109000-00007"},{"key":"e_1_2_13_30_1","first-page":"569","volume-title":"Philosophies and Theories in Advanced Nursing Practice","author":"Morse JM","year":"2011"},{"key":"e_1_2_13_31_1","volume-title":"Bereavement: Studies of Grief in Adult Life","author":"Parkes CM","year":"1986"},{"key":"e_1_2_13_32_1","volume-title":"Nursing Research. Generating and Assessing Evidence for Nursing Practice","author":"Polit DF","year":"2008"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2004.00281.x"},{"key":"e_1_2_13_34_1","volume-title":"Interpretation Theory: Discourse and Surplus of Meaning","author":"Ricoeur P","year":"1976"},{"key":"e_1_2_13_35_1","volume-title":"The Roy Adaptation Model","author":"Roy C","year":"2009"},{"key":"e_1_2_13_36_1","first-page":"247","volume-title":"Systematic Reviews in Pain Research: Methodology Refined","author":"Smith BH","year":"2008"},{"key":"e_1_2_13_37_1","first-page":"21","volume-title":"Perspectives on Loss: A Sourcebook","author":"Thompson SC","year":"1998"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20315"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006247-197112000-00009"},{"key":"e_1_2_13_40_1","first-page":"138","volume-title":"Psychological Approaches to Pain Management: A Practitioner's Handbook","author":"Turk DC","year":"2002"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1615\/CritRevPhysRehabilMed.v18.i1.10"},{"key":"e_1_2_13_42_1","volume-title":"Pain and Behavioural Medicine: A Cognitive Behavioural Perspective","author":"Turk DC","year":"1983"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.11.017"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.09.005"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.03.007"},{"key":"e_1_2_13_46_1","first-page":"1","article-title":"Psychological therapies for the management of chronic pain (excluding headache) in adults (Review)","volume":"2","author":"Williams ACDC","year":"2013","journal-title":"The Cochrane Collaboration"},{"key":"e_1_2_13_47_1","first-page":"7","volume-title":"Writing Cures: Introductory Handbook of Writing in Counselling and Psychotherapy","author":"Wright JK","year":"2004"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12651","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.12651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T18:10:48Z","timestamp":1746295848000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.12651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,8]]},"references-count":46,"journal-issue":{"issue":"5-6","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1111\/jocn.12651"],"URL":"https:\/\/doi.org\/10.1111\/jocn.12651","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7,8]]}}}