{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T03:55:01Z","timestamp":1790049301770,"version":"4.0.1"},"reference-count":47,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this review was to demonstrate the presence of categories and subcategories of Mishel\u2019s model in the experiences of patients with fibromyalgia by reviewing qualitative studies. Uncertainty is defined as the inability to determine the meaning of disease-related events. A scoping review of qualitative studies was carried out. Twenty articles were included, with sample sizes ranging from 3 to 58 patients. Articles from different countries and continents were included. Three categories of the model and eight subcategories could be shown to be present in the experiences of fibromyalgia patients through the scoping review. The first category, concerning antecedents of uncertainty in patients with fibromyalgia, is constituted by the difficulty in coping with symptoms, uncertainty about the diagnosis and uncertainty about the complexity of the treatment. The second concerns the cognitive process of anxiety, stress, emotional disorder and social stigma. The third category refers to coping with the disease, through the management of social and family support and the relationship with health care professionals.<\/jats:p>","DOI":"10.3390\/ijerph17113756","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T05:35:52Z","timestamp":1590557752000},"page":"3756","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Mishel\u2019s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0969-972X","authenticated-orcid":false,"given":"Ana","family":"Fernandez-Araque","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1031-0451","authenticated-orcid":false,"given":"Julia","family":"Gomez-Castro","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giaquinta-Aranda","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain"},{"name":"Haemodialysis Service, Santa B\u00e1rbara Hospital, 42005 Soria; Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9260-7672","authenticated-orcid":false,"given":"Zoraida","family":"Verde","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Molecular Biology and Physiology, University of Valladolid, 42004 Soria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Torres-Ortega","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain"},{"name":"Emergency Service of the Hospital Santa B\u00e1rbara, 42005 Soria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s10865-006-9054-7","article-title":"Uncertainty of illness relationships with mental health and coping processes in fibromyalgia patients","volume":"29","author":"Reich","year":"2006","journal-title":"J. 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