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Does resiliency mediate the association of psychological adaptability with disability and pain in patients with an upper extremity injury or illness?
- Source :
- Journal of Psychosomatic Research. 117:1-9
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Objective Symptom intensity and magnitude of limitations are highly variable for a given nociception and pathophysiology. As psychological determinants are of great influence to physical wellbeing, we assessed the influence of the protective factor measured and labelled as resilience in upper extremity illness. Methods One hundred and six patients completed a survey of demographics, the Brief Resilience Scale (BRS), the Psychological Adaptation Scale (PAS), an 11-point ordinal measure of pain intensity, and the PROMIS Physical Function (PROMIS PF) Computer Adaptive Test (CAT). Measures of pain intensity and PROMIS PF were repeated 3 months later. We created mediation models using structural equation modeling (SEM) to assess the mediation effect of BRS on the association of PAS and other confounding variables with disability and pain at initial assessment and 3 months later. Results Resiliency does not mediate the association of psychological adaptability with physical limitations and pain intensity at baseline (P = .89 and .82 respectively) or 3 months after enrollment (P = .65 and .72 respectively). Conclusions Positive and protective factors promote beneficial resilience mechanisms that strengthen coping responses to pain and disability. In future studies we should either include more patients to improve power and provide more information about the health benefits of resilience or focus more on mood and self-efficacy on symptoms and limitations in patients with musculoskeletal illness. Level of evidence Prospective, longitudinal cohort study; Level II.
- Subjects :
- Adult
Male
Coping (psychology)
medicine.medical_specialty
Mediation (statistics)
Adolescent
media_common.quotation_subject
Protective factor
Structural equation modeling
Upper Extremity
Disability Evaluation
Young Adult
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Psychological adaptation
Adaptation, Psychological
medicine
Humans
Longitudinal Studies
Prospective Studies
030212 general & internal medicine
Aged
Pain Measurement
media_common
Aged, 80 and over
business.industry
Confounding
Middle Aged
Psychiatry and Mental health
Clinical Psychology
Mood
Physical therapy
Female
Psychological resilience
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 00223999
- Volume :
- 117
- Database :
- OpenAIRE
- Journal :
- Journal of Psychosomatic Research
- Accession number :
- edsair.doi.dedup.....f188a82dcef887949accca4d2018ce8b