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Review

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

1
Department of Nursing, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain
2
Haemodialysis Service, Santa Bárbara Hospital, 42005 Soria; Spain
3
Department of Biochemistry, Molecular Biology and Physiology, University of Valladolid, 42004 Soria, Spain
4
Emergency Service of the Hospital Santa Bárbara, 42005 Soria, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 3756; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17113756
Received: 21 April 2020 / Revised: 17 May 2020 / Accepted: 19 May 2020 / Published: 26 May 2020
(This article belongs to the Special Issue Nursing and Society)
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. View Full-Text
Keywords: fibromyalgia; stigma; illness uncertainty; scoping review; qualitative research fibromyalgia; stigma; illness uncertainty; scoping review; qualitative research
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MDPI and ACS Style

Fernandez-Araque, A.; Gomez-Castro, J.; Giaquinta-Aranda, A.; Verde, Z.; Torres-Ortega, C. Mishel’s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review. Int. J. Environ. Res. Public Health 2020, 17, 3756. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17113756

AMA Style

Fernandez-Araque A, Gomez-Castro J, Giaquinta-Aranda A, Verde Z, Torres-Ortega C. Mishel’s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review. International Journal of Environmental Research and Public Health. 2020; 17(11):3756. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17113756

Chicago/Turabian Style

Fernandez-Araque, Ana, Julia Gomez-Castro, Andrea Giaquinta-Aranda, Zoraida Verde, and Clara Torres-Ortega. 2020. "Mishel’s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review" International Journal of Environmental Research and Public Health 17, no. 11: 3756. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17113756

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