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. 2021 Dec 6;47(4):456–468. doi: 10.1093/jpepsy/jsab122

Table III.

Focus Group Categories

Name Definition
Felt stigma Perception that someone was devaluing or treating them unfairly due to their pain
 Dismissal Perception that someone was minimizing or dismissing their pain
 Faking or exaggerating Perception that someone thought they are exaggerating or making up their pain
 Mental health stigma When someone blamed pain all on mental health problems or stress
Anticipated stigma Belief that participants will be negatively judged in the future because of their pain
 Concealability When participants actively kept pain symptoms from other to avoid stigma
Internalized stigma When participants adopt negative societal beliefs and stereotypes, and engage in self-blame of pain
Sources of stigma
 Invisibility When the lack of disease visibility or medical evidence contributed to disbelief of pain
 Lack of pain education Perception that stigma stems from a lack of knowledge about chronic pain from expected people (i.e., doctors and school nurses)
 Not understanding When someone did not understand when participants presented or discussed their pain
 Controllability Perception that participants were to be at fault or is blamed for their pain