Mishel’s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review

Ana Fernandez-Araque, Julia Gomez-Castro, Andrea Giaquinta-Aranda, Zoraida Verde and Clara Torres-Ortega
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Ana Fernandez-Araque: Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain
Julia Gomez-Castro: Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain
Andrea Giaquinta-Aranda: Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain
Zoraida Verde: Department of Biochemistry, Molecular Biology and Physiology, University of Valladolid, 42004 Soria, Spain
Clara Torres-Ortega: Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain

IJERPH, 2020, vol. 17, issue 11, 1-13

Abstract: The aim of this review was to demonstrate the presence of categories and subcategories of Mishel’s 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.

Keywords: fibromyalgia; stigma; illness uncertainty; scoping review; qualitative research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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