Evidence map›Paper›PMID 39835578›Full record

SynthesisJournal of advanced nursing2025

The Experience of Stigma in People Affected by Fibromyalgia: A Metasynthesis.

Benedetta Colombo, Eleonora Zanella, Alessandro Galazzi, Paola Arcadi

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Patient Version of Guideline for Fibromyalgia (2025 Edition).Journal of evidence-based medicine · 2025
    Article
  16. Review
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  18. Fibromyalgia, gender, and employment: unveiling an overlooked reality in occupational health in Chile.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Benedetta ColomboDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Eleonora ZanellaDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.ORCID https://orcid.org/0009-0008-4489-6597
Alessandro GalazziDepartment of Medicine, University of Udine, Udine, Italy.ORCID https://orcid.org/0000-0003-0085-7015
Paola ArcadiDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0003-1050-4707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo review the qualitative literature regarding how people with fibromyalgia experience and are impacted by stigma.

designA systematic review and metasynthesis of qualitative studies was conducted following the Thomas and Harden method.

methodsThe electronic databases PubMed, CINAHL, PsycInfo, Embase and Scopus were queried (September 2023). No publication year limit was set. Twelve studies were included in the final analysis. The findings were reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement.

findingsThree main themes with 11 sub-themes were identified: manifestations and roots of stigma, avoidance and coping strategies, and consequences of stigma. Stigma arises from disbelief due to the invisibility of symptoms, protracted time to diagnosis and gender stereotyping, especially against women. Various strategies to avoid or cope with prejudice may involve social isolation, hiding the disease, controlling information, getting closer to or further away from other patients, acknowledging and understanding the disease. Stigmatisation can diminish a person's integrity and dignity, undermine trust in health care professionals and worsen suffering.

conclusionThe metasynthesis findings align with previous research highlighting the pervasive stigma associated with chronic pain conditions. Greater awareness of the impact of disease-related stigma on individuals with fibromyalgia is crucial, not only among health care professionals but also within broader societal and institutional contexts. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Understanding the stigma experienced by individuals with fibromyalgia can guide health care professionals in adopting more empathtic approaches, potentially improving the diagnostic process and the overall management of the condition. IMPACT: This study highlights the profound impact of stigma on individuals with fibromyalgia, emphasising the need for greater awareness and targeted interventions to address stigma in clinical practice and societal contexts. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

FibromyalgiaSocial StigmaAdaptation, PsychologicalHumansQualitative ResearchStereotypingchronic pain diseasesfibromyalgiainvisible diseasequalitative researchquality of lifestigma

Identifiers

PMID39835578
PMCPMC12460976

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.