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v LIST OF TABLES ix CHAPTER I: Introduction 1 Philosophical Assumptions 9 Conceptual Framework 10 CHAPTER II: Beyond the Pain: A Look into the Experiences of Women Living with and Seeking Treatment for Fibromyalgia Syndrome 15 Methodology 20 Findings 25 Discussion 37 CHAPTER III: Client-Healthcare Provided Communication in Women with Fibromyalgia Syndrome: Relationships with Illness Uncertainty, Helplessness, and Subjective Well-Being 41 Background and Significance 41 Figure 1. A Modification of Mishel’s Reconceptualized Uncertainty in Illness Theory 54 Methods 54 Figure 2. Model 1. Assumed Structure for Mediation 63 Figure 3. Model 2. Assumed Structure for Moderated Mediation Model 64 Results 64 Discussion 70 Limitations 76 Conclusion and Recommendations 77

The relevance of client-healthcare provider communication to the appraisal of illness uncertainty in women with fibromyalgia syndrome.