{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:23:37Z","timestamp":1791491017157,"version":"4.3.4"},"reference-count":62,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003246","name":"Nederlandse Organisatie voor Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["ALWCA.2016.021"],"award-info":[{"award-number":["ALWCA.2016.021"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Long-term chikungunya is a mosquito-borne disease, characterized by disabling rheumatic symptoms persisting for years, after infection with the chikungunya virus. Previous studies focused on assessing the well-being of affected individuals from a quantitative perspective using generic instruments, and have reported physical and psychological impairment. However, a common critique is that generic instrument\u2019s structured responses and pre-defined health domains selected by health professionals, may not capture the full extent of well-being impairment experienced by patients. This study aimed to explore in-depth to which extent long-term chikungunya disease impacts daily living and the physical, psychological, and social well-being from the experiences and perspective of affected individuals.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methodology\/Principal findings<\/jats:title>\n<jats:p>Using open-ended questions, in-depth interviews were conducted with 20 purposively selected individuals with long-term chikungunya disease, in Cura\u00e7ao. Interview audio-recordings were transcribed verbatim. The data were thematically analyzed. Living with persistent rheumatic symptoms affected the participant\u2019s daily living and well-being in several ways: experience of physical impact (restricted physical functioning and limitations in activities of daily life); experience of psychological impact (altered emotional state, fear of walking and running, psychosocial aspects of footwear adaptations, and uncertainty about disease progression and future health); and experience of social impact (social isolation and impaired relational maintenance, social dependency, challenges of social support, at-work productivity loss, and giving up leisure activities after work).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Conclusions\/Significance<\/jats:title>\n<jats:p>This study, the first of its kind, indicated that the adverse impact of long-term chikungunya disease is currently underreported. The persistent rheumatic symptoms had a negative effect on functional ability, which in turn impacted broad aspects of daily life and well-being, beyond what is captured by generic instruments. In the view of the findings, physical exercise programs including manual therapy, aerobics, resistance and stretching exercises, and orthopaedic footwear interventions in a multidisciplinary patient-centred approach may improve physical function and subsequently overall well-being.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pntd.0011793","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T18:27:52Z","timestamp":1701887272000},"page":"e0011793","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["\u201cIt\u2019s very saddening, you keep on wondering when the symptoms will be over\u201d: A qualitative study exploring the long-term chikungunya disease impact on daily life and well-being, 6 years after disease onset"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9875-2758","authenticated-orcid":true,"given":"Churnalisa","family":"Doran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Duits","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Tami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izzy","family":"Gerstenbluth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,12,6]]},"reference":[{"issue":"10","key":"pntd.0011793.ref001","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1038\/s41584-019-0276-9","article-title":"Rheumatic manifestations of chikungunya: emerging concepts and interventions","volume":"15","author":"A. Suhrbier","year":"2019","journal-title":"Nature Reviews Rheumatology"},{"issue":"3","key":"pntd.0011793.ref002","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1016\/j.amjmed.2019.10.005","article-title":"Chronic Chikungunya Arthritis and Rheumatoid Arthritis: What They Have in Common","volume":"133","author":"JK Amaral","year":"2020","journal-title":"Am J Med"},{"issue":"3","key":"pntd.0011793.ref003","doi-asserted-by":"crossref","first-page":"e2137","DOI":"10.1371\/journal.pntd.0002137","article-title":"Chikungunya Virus-associated Long-term Arthralgia: A 36-month Prospective Longitudinal Study","volume":"7","author":"C Schilte","year":"2013","journal-title":"PLOS Neglected Tropical Diseases"},{"key":"pntd.0011793.ref004","doi-asserted-by":"crossref","first-page":"129","DOI":"10.2174\/1874312901610010129","article-title":"A Review of Chikungunya Virus-induced Arthralgia: Clinical Manifestations, Therapeutics, and Pathogenesis","volume":"10","author":"BA Goupil","year":"2016","journal-title":"Open Rheumatol J"},{"key":"pntd.0011793.ref005","doi-asserted-by":"crossref","first-page":"101672","DOI":"10.1016\/j.eclinm.2022.101672","article-title":"An evaluation of global Chikungunya clinical management guidelines: A systematic review","volume":"54","author":"E Webb","year":"2022","journal-title":"EClinicalMedicine"},{"key":"pntd.0011793.ref006","first-page":"14","volume-title":"Outcomes assessment in cancer: Measures, methods, and applications","author":"CE Ferrans","year":"2005"},{"issue":"1","key":"pntd.0011793.ref007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12955-017-0797-3","article-title":"A mixed methods analysis of quality of life among late-life patients diagnosed with chronic illnesses","volume":"15","author":"MS Frazer","year":"2017","journal-title":"Health and Quality of Life Outcomes"},{"issue":"7","key":"pntd.0011793.ref008","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1093\/rheumatology\/kes015","article-title":"Impaired quality of life after chikungunya virus infection: a 2-year follow-up study","volume":"51","author":"E Couturier","year":"2012","journal-title":"Rheumatology (Oxford)"},{"issue":"7","key":"pntd.0011793.ref009","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/j.cmi.2015.02.024","article-title":"Chikungunya infection: self-reported rheumatic morbidity and impaired quality of life persist 6 years later","volume":"21","author":"C Marimoutou","year":"2015","journal-title":"Clin Microbiol Infect"},{"issue":"11","key":"pntd.0011793.ref010","doi-asserted-by":"crossref","first-page":"e7800","DOI":"10.1371\/journal.pone.0007800","article-title":"Impact of Chikungunya virus infection on health status and quality of life: a retrospective cohort study","volume":"4","author":"MK Soumahoro","year":"2009","journal-title":"PLoS One"},{"issue":"1","key":"pntd.0011793.ref011","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1186\/s12879-022-07922-1","article-title":"The clinical manifestation and the influence of age and comorbidities on long-term chikungunya disease and health-related quality of life: a 60-month prospective cohort study in Curacao","volume":"22","author":"C Doran","year":"2022","journal-title":"BMC Infect Dis"},{"issue":"7298","key":"pntd.0011793.ref012","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1136\/bmj.322.7298.1357","article-title":"Are quality of life measures patient centred?","volume":"322","author":"AJ Carr","year":"2001","journal-title":"BMJ"},{"issue":"10","key":"pntd.0011793.ref013","doi-asserted-by":"crossref","first-page":"e0005987","DOI":"10.1371\/journal.pntd.0005987","article-title":"Health-related impact on quality of life and coping strategies for chikungunya: A qualitative study in Cura\u00e7ao","volume":"11","author":"J Elsinga","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"issue":"28","key":"pntd.0011793.ref014","doi-asserted-by":"crossref","first-page":"20855","DOI":"10.2807\/1560-7917.ES2014.19.28.20855","article-title":"Spread of chikungunya from the Caribbean to mainland Central and South America: a greater risk of spillover in Europe?","volume":"19","author":"H Noel","year":"2014","journal-title":"Euro Surveill"},{"key":"pntd.0011793.ref015","unstructured":"Pan American Health Organization. Epidemiological Update for Dengue, Chikungunya and Zika in 2021 2021 [cited 2023 25 September]. https:\/\/www3.paho.org\/data\/index.php\/en\/mnu-topics\/indicadores-dengue-en\/annual-arbovirus-bulletin-2021.html."},{"key":"pntd.0011793.ref016","unstructured":"PAN American Health Organization. Health in the Americas 2017 [March 3, 2021]. https:\/\/www.paho.org\/salud-en-las-americas-2017\/?p=2382."},{"issue":"3","key":"pntd.0011793.ref017","doi-asserted-by":"crossref","first-page":"e0010142","DOI":"10.1371\/journal.pntd.0010142","article-title":"Long-term Chikungunya sequelae and quality of life 2.5 years post-acute disease in a prospective cohort in Curacao","volume":"16","author":"C Doran","year":"2022","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"pntd.0011793.ref018","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1093\/infdis\/jix312","article-title":"Long-term Chikungunya Sequelae in Curacao: Burden, Determinants, and a Novel Classification Tool","volume":"216","author":"J Elsinga","year":"2017","journal-title":"J Infect Dis"},{"issue":"6","key":"pntd.0011793.ref019","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"A Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"key":"pntd.0011793.ref020","first-page":"224","volume-title":"Designing qualitative research","author":"C Marshall","year":"1999","edition":"3"},{"issue":"1","key":"pntd.0011793.ref021","doi-asserted-by":"crossref","first-page":"ofx234","DOI":"10.1093\/ofid\/ofx234","article-title":"The Identification of Risk Factors for Chronic Chikungunya Arthralgia in Grenada, West Indies: A Cross-Sectional Cohort Study","volume":"5","author":"CJ Heath","year":"2018","journal-title":"Open Forum Infectious Diseases"},{"issue":"5","key":"pntd.0011793.ref022","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research","volume":"42","author":"LA Palinkas","year":"2015","journal-title":"Adm Policy Ment Health"},{"issue":"4","key":"pntd.0011793.ref023","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: exploring its conceptualization and operationalization","volume":"52","author":"B Saunders","year":"2018","journal-title":"Qual Quant"},{"issue":"2","key":"pntd.0011793.ref024","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"V Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"pntd.0011793.ref025","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.tmaid.2017.01.004","article-title":"Long-term sequelae of chikungunya virus disease: A systematic review","volume":"15","author":"M van Aalst","year":"2017","journal-title":"Travel Medicine and Infectious Disease"},{"issue":"1","key":"pntd.0011793.ref026","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s41687-021-00286-1","article-title":"A qualitative exploration of the patient experience of erosive and non-erosive hand osteoarthritis","volume":"5","author":"C Panter","year":"2021","journal-title":"J Patient Rep Outcomes"},{"issue":"3","key":"pntd.0011793.ref027","first-page":"103","article-title":"Importance of the functional examination in lower extremities in patients with rheumatoid arthritis","volume":"16","author":"A Warenczak","year":"2014","journal-title":"Acta Bioeng Biomech"},{"issue":"2","key":"pntd.0011793.ref028","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/AJP.0000000000000526","article-title":"Pain-related Activity Management Patterns and Function in Patients With Fibromyalgia Syndrome","volume":"34","author":"M Racine","year":"2018","journal-title":"Clin J Pain"},{"issue":"4","key":"pntd.0011793.ref029","doi-asserted-by":"crossref","first-page":"e0196329","DOI":"10.1371\/journal.pone.0196329","article-title":"Executive function impairments in fibromyalgia syndrome: Relevance of clinical variables and body mass index","volume":"13","author":"C Munoz Ladron de Guevara","year":"2018","journal-title":"PLoS One"},{"issue":"920","key":"pntd.0011793.ref030","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1136\/pmj.78.920.344","article-title":"Older people and ill fitting shoes","volume":"78","author":"SL Burns","year":"2002","journal-title":"Postgrad Med J"},{"issue":"1","key":"pntd.0011793.ref031","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/1757-1146-4-21","article-title":"\"I could cry, the amount of shoes I can\u2019t get into\":A qualitative exploration of the factors that influence retail footwear selection in women with rheumatoid arthritis","volume":"4","author":"S Naidoo","year":"2011","journal-title":"Journal of Foot and Ankle Research"},{"issue":"7","key":"pntd.0011793.ref032","doi-asserted-by":"crossref","first-page":"e008075","DOI":"10.1136\/bmjopen-2015-008075","article-title":"Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study","volume":"5","author":"C Micha\u00eblis","year":"2015","journal-title":"BMJ Open"},{"key":"pntd.0011793.ref033","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2147\/PRBM.S178240","article-title":"Psychological impact of fibromyalgia: current perspectives","volume":"12","author":"CM Galvez-S\u00e1nchez","year":"2019","journal-title":"Psychol Res Behav Manag"},{"issue":"2","key":"pntd.0011793.ref034","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/rheumatology\/41.2.157","article-title":"Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity","volume":"41","author":"LM Bearne","year":"2002","journal-title":"Rheumatology (Oxford)"},{"issue":"6","key":"pntd.0011793.ref035","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/S1297-319X(02)00453-0","article-title":"Isokinetic evaluation of the knee in patients with rheumatoid arthritis","volume":"69","author":"SM Meireles","year":"2002","journal-title":"Joint Bone Spine"},{"issue":"4","key":"pntd.0011793.ref036","doi-asserted-by":"crossref","first-page":"2158244015616163","DOI":"10.1177\/2158244015616163","article-title":"Living in the Present: Women\u2019s Everyday Experiences of Living With Rheumatoid Arthritis","volume":"5","author":"A Barns","year":"2015","journal-title":"SAGE Open"},{"issue":"10","key":"pntd.0011793.ref037","doi-asserted-by":"crossref","first-page":"491","DOI":"10.4276\/030802214X14122630932359","article-title":"Enacting Occupation-Based Practice: Exploring the Disjuncture between the Daily Lives of Mothers with Rheumatoid Arthritis and Institutional Processes","volume":"77","author":"B Prodinger","year":"2014","journal-title":"British Journal of Occupational Therapy"},{"issue":"1","key":"pntd.0011793.ref038","first-page":"N.PAG","article-title":"The relationship between social support and participation in stroke: A systematic review","volume":"7","author":"T Elloker","year":"2018","journal-title":"African Journal of Disability"},{"issue":"8","key":"pntd.0011793.ref039","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1111\/1756-185X.14163","article-title":"Invalidation in fibromyalgia and rheumatoid arthritis and its effect on quality of life in Indian patients","volume":"24","author":"G Singh","year":"2021","journal-title":"Int J Rheum Dis"},{"issue":"11","key":"pntd.0011793.ref040","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.1136\/ard.2009.123224","article-title":"Lack of understanding in fibromyalgia and rheumatoid arthritis: the Illness Invalidation Inventory (3*I)","volume":"69","author":"MB Kool","year":"2010","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"pntd.0011793.ref041","doi-asserted-by":"crossref","first-page":"78","DOI":"10.2307\/2136504","article-title":"Perceived support, received support, and adjustment to stressful life events","volume":"27","author":"E Wethington","year":"1986","journal-title":"J Health Soc Behav"},{"key":"pntd.0011793.ref042","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.sjpain.2017.02.002","article-title":"Adolescents\u2019 experience of complex persistent pain","volume":"15","author":"K S\u00f8rensen","year":"2017","journal-title":"Scand J Pain"},{"issue":"5","key":"pntd.0011793.ref043","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1111\/jan.13174","article-title":"Qualitative meta-synthesis: the experience of chronic pain across conditions","volume":"73","author":"M Crowe","year":"2017","journal-title":"J Adv Nurs"},{"issue":"5","key":"pntd.0011793.ref044","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1002\/art.20694","article-title":"Are there more than cross-sectional relationships of social support and support networks with functional limitations and psychological distress in early rheumatoid arthritis? the European Research on Incapacitating Diseases and Social Support Longitudinal Study","volume":"51","author":"V Demange","year":"2004","journal-title":"Arthritis Rheum"},{"issue":"4","key":"pntd.0011793.ref045","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1002\/jcop.20011","article-title":"Social Support in Women with Fibromyalgia: Is Quality More Important than Quantity?","volume":"32","author":"HM Franks","year":"2004","journal-title":"Journal of Community Psychology"},{"issue":"3","key":"pntd.0011793.ref046","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/2327-6924.12146","article-title":"An exploration of the perceived effects of a support group for individuals with rheumatoid arthritis","volume":"27","author":"A. McCarron","year":"2015","journal-title":"J Am Assoc Nurse Pract"},{"issue":"1","key":"pntd.0011793.ref047","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/1471-2474-13-96","article-title":"Hinders for continued work among persons with fibromyalgia","volume":"13","author":"K Mannerkorpi","year":"2012","journal-title":"BMC Musculoskeletal Disorders"},{"issue":"12","key":"pntd.0011793.ref048","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1080\/09638280400009089","article-title":"Women with fibromyalgia: work and rehabilitation","volume":"27","author":"CM Henriksson","year":"2005","journal-title":"Disabil Rehabil"},{"key":"pntd.0011793.ref049","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1186\/s12891-015-0562-x","article-title":"Productivity at work and quality of life in patients with rheumatoid arthritis","volume":"16","author":"M van Vilsteren","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"key":"pntd.0011793.ref050","volume-title":"WHO healthy workplace framework and model: background and supporting literature and practices","author":"World Health O","year":"2010"},{"issue":"Suppl 2","key":"pntd.0011793.ref051","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.rbr.2017.05.005","article-title":"Recommendations of the Brazilian Society of Rheumatology for the diagnosis and treatment of chikungunya fever. Part 2\u2014Treatment","volume":"57","author":"CDL Marques","year":"2017","journal-title":"Rev Bras Reumatol Engl Ed"},{"key":"pntd.0011793.ref052","doi-asserted-by":"crossref","first-page":"681640","DOI":"10.4061\/2011\/681640","article-title":"Benefits of exercise in rheumatoid arthritis","volume":"2011","author":"JK Cooney","year":"2011","journal-title":"J Aging Res"},{"issue":"12","key":"pntd.0011793.ref053","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1002\/art.24891","article-title":"Effects of high-intensity resistance training in patients with rheumatoid arthritis: A randomized controlled trial","volume":"61","author":"AB Lemmey","year":"2009","journal-title":"Arthritis Care & Research"},{"issue":"6","key":"pntd.0011793.ref054","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1002\/art.22903","article-title":"Predictors of exercise and effects of exercise on symptoms, function, aerobic fitness, and disease outcomes of rheumatoid arthritis","volume":"57","author":"GB Neuberger","year":"2007","journal-title":"Arthritis Care & Research"},{"issue":"2","key":"pntd.0011793.ref055","first-page":"3","article-title":"Physiotherapy in rheumatoid arthritis","volume":"6","author":"V Kavuncu","year":"2004","journal-title":"MedGenMed"},{"issue":"8","key":"pntd.0011793.ref056","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1136\/ard.59.8.615","article-title":"Effect of intensive exercise on patients with active rheumatoid arthritis: a randomised clinical trial","volume":"59","author":"CH van den Ende","year":"2000","journal-title":"Ann Rheum Dis"},{"issue":"11","key":"pntd.0011793.ref057","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1136\/ard.55.11.798","article-title":"Comparison of high and low intensity training in well controlled rheumatoid arthritis. Results of a randomised clinical trial","volume":"55","author":"CH van den Ende","year":"1996","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"pntd.0011793.ref058","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1080\/09638288.2020.1758966","article-title":"Experiences of foot health in patients with rheumatoid arthritis: a qualitative study","volume":"44","author":"AM Laitinen","year":"2022","journal-title":"Disabil Rehabil"},{"issue":"4","key":"pntd.0011793.ref059","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1037\/0033-2909.133.4.581","article-title":"The biopsychosocial approach to chronic pain: scientific advances and future directions","volume":"133","author":"RJ Gatchel","year":"2007","journal-title":"Psychol Bull"},{"issue":"3","key":"pntd.0011793.ref060","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1155\/2002\/493463","article-title":"Can pain-related fear be reduced? The application of cognitive-behavioural exposure in vivo","volume":"7","author":"JW Vlaeyen","year":"2002","journal-title":"Pain Res Manag"},{"issue":"9","key":"pntd.0011793.ref061","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1093\/rheumatology\/36.9.932","article-title":"Foot problems in rheumatology","volume":"36","author":"J Woodburn","year":"1997","journal-title":"Br J Rheumatol"},{"key":"pntd.0011793.ref062","unstructured":"Pan American Health Organization. Preparedness and Response for Chikungunya Virus: Introduction in the Americas 2011 [cited 2023 27 September]. https:\/\/www.paho.org\/en\/documents\/preparedness-and-response-chikungunya-virus-introduction-americas."}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0011793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T18:28:38Z","timestamp":1701887318000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0011793"}},"subtitle":[],"editor":[{"given":"Husain","family":"Poonawala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,12,6]]},"references-count":62,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,6]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0011793","relation":{},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,6]]}}}