Interviewing older men at an interdisciplinary pain clinic: the journey to chronic pain and treatment experience

Abstract

The relationship between sources of acute pain and its persistence as chronic pain is complex, involving multiple systems that include emotional, cognitive, and interpersonal functioning. This study explored the lived experiences of male patients ( N = 14) at an interdisciplinary chronic pain clinic and is based on two major themes: (1) the journey to chronic pain; and (2) experiences within treatment settings. The purpose of the study was to investigate the lived experiences of men living with chronic pain conditions in relation to masculine identity in their everyday contexts. Interview material was collected in 2019 from 14 male patients at a chronic pain clinic using a life-world interviewing approach. Participant validation interviews took place to verify the findings. Team data analysis, thematic network diagrams, and tabulations were used for a thematic analysis of transcripts and interview data. The narratives included distress, losses, adjustment, and other psychosocial sequelae linked to the meaning of living with chronic pain in relation to masculine identity and ageing. The men experienced the chronic pain clinic to be supportive and helpful, although with significant challenges of access and treatment, which they associated with having to adjust and adapt. The affective, cognitive, and social components were highly relevant in the participants’ accounts and therefore crucial considerations for the effective, contextualized, and responsive management of chronic pain among persons living with chronic pain.