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Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study

OBJECTIVE: To assess the degree of resilience in patients with complex regional pain syndrome (CRPS) 1, to explore the relationship between resilience and patient-related outcome measurements and to describe a pattern of clinical manifestations associated with low resilience. METHODS: This study pre...

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Autores principales: Wertli, Maria Monika, Aegler, Barbara, McCabe, Candida S, Grieve, Sharon, Llewellyn, Alison, Schneider, Stephanie, Bachmann, Lucas M, Brunner, Florian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472489/
https://www.ncbi.nlm.nih.gov/pubmed/37154698
http://dx.doi.org/10.1093/pm/pnad055
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author Wertli, Maria Monika
Aegler, Barbara
McCabe, Candida S
Grieve, Sharon
Llewellyn, Alison
Schneider, Stephanie
Bachmann, Lucas M
Brunner, Florian
author_facet Wertli, Maria Monika
Aegler, Barbara
McCabe, Candida S
Grieve, Sharon
Llewellyn, Alison
Schneider, Stephanie
Bachmann, Lucas M
Brunner, Florian
author_sort Wertli, Maria Monika
collection PubMed
description OBJECTIVE: To assess the degree of resilience in patients with complex regional pain syndrome (CRPS) 1, to explore the relationship between resilience and patient-related outcome measurements and to describe a pattern of clinical manifestations associated with low resilience. METHODS: This study presents a cross-sectional analysis of baseline information collected from patients enrolled in a single center study between February 2019 and June 2021. Participants were recruited from the outpatient clinic of the Department of Physical Medicine & Rheumatology of the Balgrist University Hospital, Zurich, Switzerland. We used linear regression analysis to explore association of resilience with patient reported outcomes at baseline. Furthermore, we explored the impact of significant variables on the low degree resilience using logistic regression analysis. RESULTS: Seventy-one patients (females 90.1%, mean age 51.2 ± 12.9 years) were enrolled. There was no association between CRPS severity and the level of resilience. Quality of Life was positively correlated with resilience, as was pain self-efficacy. Pain catastrophizing was inversely correlated with the level of resilience. We observed a significant inverse association between anxiety, depression and fatigue and the level of resilience. The proportion of patients with a low resilience increased with higher level of anxiety, depression and fatigue on the PROMIS-29, without reaching statistical significance. CONCLUSION: Resilience seems to be an independent factor in CRPS 1 and is associated with relevant parameters of the condition. Therefore, caretakers may screen the current resilience status of CRPS 1 patients to offer a supplementary treatment approach. Whether specific resilience training modifies CRPS 1 course, requires further investigations.
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spelling pubmed-104724892023-09-02 Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study Wertli, Maria Monika Aegler, Barbara McCabe, Candida S Grieve, Sharon Llewellyn, Alison Schneider, Stephanie Bachmann, Lucas M Brunner, Florian Pain Med NEUROPATHIC PAIN SECTION OBJECTIVE: To assess the degree of resilience in patients with complex regional pain syndrome (CRPS) 1, to explore the relationship between resilience and patient-related outcome measurements and to describe a pattern of clinical manifestations associated with low resilience. METHODS: This study presents a cross-sectional analysis of baseline information collected from patients enrolled in a single center study between February 2019 and June 2021. Participants were recruited from the outpatient clinic of the Department of Physical Medicine & Rheumatology of the Balgrist University Hospital, Zurich, Switzerland. We used linear regression analysis to explore association of resilience with patient reported outcomes at baseline. Furthermore, we explored the impact of significant variables on the low degree resilience using logistic regression analysis. RESULTS: Seventy-one patients (females 90.1%, mean age 51.2 ± 12.9 years) were enrolled. There was no association between CRPS severity and the level of resilience. Quality of Life was positively correlated with resilience, as was pain self-efficacy. Pain catastrophizing was inversely correlated with the level of resilience. We observed a significant inverse association between anxiety, depression and fatigue and the level of resilience. The proportion of patients with a low resilience increased with higher level of anxiety, depression and fatigue on the PROMIS-29, without reaching statistical significance. CONCLUSION: Resilience seems to be an independent factor in CRPS 1 and is associated with relevant parameters of the condition. Therefore, caretakers may screen the current resilience status of CRPS 1 patients to offer a supplementary treatment approach. Whether specific resilience training modifies CRPS 1 course, requires further investigations. Oxford University Press 2023-05-08 /pmc/articles/PMC10472489/ /pubmed/37154698 http://dx.doi.org/10.1093/pm/pnad055 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle NEUROPATHIC PAIN SECTION
Wertli, Maria Monika
Aegler, Barbara
McCabe, Candida S
Grieve, Sharon
Llewellyn, Alison
Schneider, Stephanie
Bachmann, Lucas M
Brunner, Florian
Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title_full Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title_fullStr Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title_full_unstemmed Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title_short Resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
title_sort resilience in patients with complex regional pain syndrome 1—a cross-sectional analysis of patients participating in a cross-sectional cohort study
topic NEUROPATHIC PAIN SECTION
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472489/
https://www.ncbi.nlm.nih.gov/pubmed/37154698
http://dx.doi.org/10.1093/pm/pnad055
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