Chinese and Indian interpretations of pain: A qualitative evidence synthesis to facilitate chronic pain management

Article

Lewis, Gwyn N., Shaikh, Nusratnaaz, Wang, Grace, Chaudhary, Shikha, Bean, Debbie J. and Terry, Gareth. 2023. "Chinese and Indian interpretations of pain: A qualitative evidence synthesis to facilitate chronic pain management." Pain Practice. https://doi.org/10.1111/papr.13226
Article Title

Chinese and Indian interpretations of pain: A qualitative evidence synthesis to facilitate chronic pain management

ERA Journal ID201351
Article CategoryArticle
AuthorsLewis, Gwyn N., Shaikh, Nusratnaaz, Wang, Grace, Chaudhary, Shikha, Bean, Debbie J. and Terry, Gareth
Journal TitlePain Practice
Number of Pages17
Year2023
PublisherJohn Wiley & Sons
Place of PublicationUnited States
ISSN1530-7085
1533-2500
Digital Object Identifier (DOI)https://doi.org/10.1111/papr.13226
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/papr.13226
Abstract

Objective
People from minority ethnicities often have a greater impact of chronic pain, are underrepresented at pain services, and may not benefit from treatment to the same extent as dominant cultures. The aim of this study was to review Indian and Chinese cultural views of pain and pain management, as a basis for improving management of chronic pain in migrant populations from these ethnicities.

Methods
A systematic review of qualitative studies addressing pain beliefs and experiences involving Indian and Chinese participants was conducted. Thematic synthesis was used to identify themes across the studies, and the quality of the articles was appraised.

Results
Twenty-six articles were included, most of which were appraised as high quality. Five themes were identified: Making meaning of pain described the holistic interpretation of the meaning of pain; Pain is disabling and distressing described the marked physical, psychological, and spiritual impact of pain; Pain should be endured described the cultural expectation to suppress responses to pain and not be a burden; Pain brings strength and spiritual growth described the enrichment and empowerment some people experienced through living with pain, and Management of pain goes beyond a traditional or Western approach described the factors that guided people in their use of healthcare.

Discussion
The review identified a holistic interpretation and impact of pain in Indian and Chinese populations, with pain management guided by multiple factors that transcended a single cultural framework. Several strength-based management strategies are recommended based on preferences for traditional treatments and respect for Western healthcare.

Keywordsculture; ethnicity; interpretation; pain; qualitative synthesis
ANZSRC Field of Research 2020520304. Health psychology
320218. Pain
Byline AffiliationsAuckland University of Technology, New Zealand
School of Psychology and Wellbeing
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