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   <dc:title>An exploration into the lifeworld of patients with cluster headache in South Africa</dc:title>
   <dc:creator>Tschirpig, Tanya</dc:creator>
   <dc:contributor>Varatharajullu, Desiree</dc:contributor>
   <dc:subject>Cluster headaches</dc:subject>
   <dc:subject>Patients</dc:subject>
   <dc:subject>Chiropractic</dc:subject>
   <dc:subject>Chiropractic</dc:subject>
   <dc:subject>Cluster headache</dc:subject>
   <dc:subject>Cluster headache--Epidemiology</dc:subject>
   <dc:subject>Cluster headache--Treatment</dc:subject>
   <dc:description>Submitted in partial compliance with the requirements for the Master’s Degree in Health Sciences: Chiropractic at the Durban University of Technology, Durban, South Africa, 2023.</dc:description>
   <dc:description>Cluster headache is an excruciatingly painful condition that greatly&#xd;
affects the lived experience of those who suffer from it.&#xd;
There is a general paucity of information on the condition, and with little literature&#xd;
about headaches in the African continent; this is a novel investigation into the&#xd;
experience of cluster headaches within the South African context using an&#xd;
explorative and qualitative approach.&#xd;
Aim: The aim of this study was to describe and reflect on the lifeworld of individuals’&#xd;
with cluster headaches within a South African context.&#xd;
Methodology: the study was a qualitative study exploring the lifeworld and&#xd;
experiences of eight South Africans with cluster headache. Data were collected&#xd;
using in-depth semi-structured interviews. Transcriptions were systematically&#xd;
reviewed to find common themes and subthemes using appropriate qualitative&#xd;
methodology.&#xd;
Results: The participants were equally distributed with regard to gender; there were&#xd;
four male and four female participants within an age range of 20 to 62 years. Of the&#xd;
eight participants, six were white, one Indian and one black. All but one patient had&#xd;
the episodic sub-type. Only one participant utilised the public healthcare system.&#xd;
Five main themes emerged: a) the inexplicable intensity of the pain, b) the reality of&#xd;
a disease-experience outside of head pain c) anxiety as a complexly recurring&#xd;
reaction, d) the perceptions of healthcare sought-out, and e) the value of a&#xd;
diagnostic label.&#xd;
Conclusion: The interpretation of results revealed that individuals with cluster&#xd;
headache perceived to have a massive impact on most aspects of their life, with&#xd;
emotional and psychological ramifications being significant. These experiences were&#xd;
exacerbated by misdiagnosis and mismanagement, as well as the perception of the&#xd;
impacts of a variety of stigmas. Cluster headache individuals in this cohort&#xd;
expressed a desperate need for empathetic care alongside more effective and accessible treatments and desire for more awareness of the condition within the medical field.</dc:description>
   <dc:description>M</dc:description>
   <dc:date>2023-08-03T06:34:43Z</dc:date>
   <dc:date>2023-08-03T06:34:43Z</dc:date>
   <dc:date>2023-05-31</dc:date>
   <dc:type>Thesis</dc:type>
   <dc:identifier>https://hdl.handle.net/10321/4914</dc:identifier>
   <dc:identifier>https://doi.org/10.51415/10321/4914</dc:identifier>
   <dc:language>en</dc:language>
   <dc:format>251 p</dc:format>
   <dc:format>application/pdf</dc:format>
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