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Scientific article
Open access
English

Does resiliency mediate the association of psychological adaptability with limitations and pain intensity after upper extremity trauma ?

Published inArchives of bone and joint surgery, vol. 9, no. 6, p. 686-694
Publication date2021-11
Abstract

Background: Given the influence of psychosocial factors on musculoskeletal symptoms and limitations, this study assessed if the ability of resilience (an individual's ability to adapt under stress) mediates the association of psychological adaptability with magnitude of physical limitations and pain intensity during recovery from an upper extremity injury.

Methods: A total of 107 patients were enrolled in this prospective, longitudinal, observational cohort study. Patients completed the Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS PF), an 11-point ordinal measure of pain intensity, the Brief Resilience Scale (BRS), and the Psychological Adaptation Scale (PAS). We used structural equation modeling to assess the mediation effect by resiliency and psychological adaptability on patient-reported disability and pain at initial assessment and after three months.

Results: PAS and BRS were not independently associated with PROMIS PF or pain intensity at enrollment or after three months, so it was not possible to assess if resiliency mediated the association of psychological adaptability with physical function or pain. There were no factors independently associated with resilience.

Conclusion: General measures of psychological adaptability and resiliency do not correlate with symptoms and limitations as well as specific measures of adaptiveness in response to nociception.

eng
Keywords
  • Brief Resilience Scale
  • Mediation Analysis
  • Psychological Adaptation Scale
  • Resilience
  • Structural Equation Modeling
Affiliation Not a UNIGE publication
Citation (ISO format)
NGUYEN, Cindy et al. Does resiliency mediate the association of psychological adaptability with limitations and pain intensity after upper extremity trauma ? In: Archives of bone and joint surgery, 2021, vol. 9, n° 6, p. 686–694. doi: 10.22038/abjs.2021.51098.2533
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Article (Published version)
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ISSN of the journal2345-461X
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