The Fibromyalgia Decomposition Phenomenon: A Reflexive Thematic Analysis

Area of Science:

• Qualitative Health Research
• Phenomenology
• Patient Experience Studies

Background:

• Fibromyalgia presents complex biopsychosocial and environmental challenges.
• Healthcare professionals require deeper insights into patient experiences for effective engagement.
• Qualitative research methods are suitable for exploring lived experiences.

Purpose of the Study:

• To explore the lived experience of fibromyalgia prior to a novel intervention.
• To identify key themes and processes influencing patient decisions and lifestyle choices.
• To develop a framework for better patient-healthcare professional engagement.

Main Methods:

• Interpretive hermeneutic phenomenology within a pragmatic worldview.
• Purposive sampling of individuals with fibromyalgia.
• Thematic analysis of single interviews.

Main Results:

• 16 participants (mean age 47.1 years) were interviewed.
• Three main themes and 15 sub-themes were identified.
• A novel decomposition/recomposition spiral model emerged, linking different experiences.

Conclusions:

• Multiple components influence the fibromyalgia experience and related lifestyle choices.
• The identified spiral model can benefit both patients and healthcare professionals.
• Earlier diagnosis and broader treatment options can improve functional outcomes.