{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:55:49Z","timestamp":1792464949804,"version":"4.5.0"},"reference-count":71,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T00:00:00Z","timestamp":1501545600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine how individuals experience the process and consequences of receiving a diagnosis of fibromyalgia syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature search of qualitative studies up to May 2016 was performed. Twenty-eight reports including information on patients\u2019 diagnostic experiences were subjected to an interpretive analysis in accordance with the principles of meta-ethnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Years were normally spent consulting specialists in an attempt to confirm the reality of symptoms and make sense of the illness. Great relief was felt at finally achieving the fibromyalgia syndrome diagnosis. However, relief waned when therapies proved ineffective. Health professionals and others questioned whether individuals were genuinely ill, that the illness had a psychological nature, and whether they were doing their best to recover. The diagnosis did not provide a meaningful explanation of individuals\u2019 suffering and had limited power to legitimate illness. Patients felt blamed for their failure to recover, threatening their personal credibility and moral identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The fibromyalgia syndrome diagnosis has limitations in validating and making sense of patients\u2019 illness experiences and in providing social legitimation of their illness. Social relationships are strained during the diagnostic process and in the course of ineffective therapies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742395317718035","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T09:42:33Z","timestamp":1501580553000},"page":"194-211","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":62,"title":["Diagnostic experience of patients with fibromyalgia \u2013 A meta-ethnography"],"prefix":"10.1177","volume":"14","author":[{"given":"Anne Marit","family":"Mengshoel","sequence":"first","affiliation":[{"name":"Institute of Health and Society, Medical Faculty, University of Oslo, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius","family":"Sim","sequence":"additional","affiliation":[{"name":"Institute for Primary Care and Health Sciences, Keele University, Keele, Newcastle, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte","family":"Ahlsen","sequence":"additional","affiliation":[{"name":"Institute of Health and Society, Medical Faculty, University of Oslo, Oslo, Norway"},{"name":"Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Madden","sequence":"additional","affiliation":[{"name":"Faculty of Medical Science, Anglia Ruskin University, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,8,1]]},"reference":[{"key":"bibr1-1742395317718035","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2008.01152.x"},{"key":"bibr2-1742395317718035","volume-title":"The illness narratives","author":"Kleinman A","year":"1988"},{"key":"bibr3-1742395317718035","first-page":"9","volume":"12","author":"Blaxter M","year":"1978","journal-title":"Soc Sci Med"},{"key":"bibr4-1742395317718035","volume-title":"Creating mental illness","author":"Horwitz A","year":"2002"},{"key":"bibr5-1742395317718035","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.07.030"},{"key":"bibr6-1742395317718035","doi-asserted-by":"publisher","DOI":"10.2307\/2626956"},{"key":"bibr7-1742395317718035","doi-asserted-by":"publisher","DOI":"10.1080\/13698570500532512"},{"key":"bibr9-1742395317718035","volume-title":"Social pathology: A systematic approach to the theory of sociopathic behavior","author":"Lemert E","year":"1951"},{"key":"bibr10-1742395317718035","volume-title":"Negotiation: varieties, contexts, processes and social order","author":"Strauss A","year":"1976"},{"key":"bibr11-1742395317718035","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-20016-0"},{"key":"bibr12-1742395317718035","doi-asserted-by":"publisher","DOI":"10.1177\/0022146510383495"},{"key":"bibr13-1742395317718035","volume-title":"Deviance and medicalization. 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