Perceived stress and pain interference in acute rehabilitation following spinal cord injury: Resilience as a moderator.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-01 Epub Date: 2023-12-21 DOI:10.1037/rep0000532

Elizabeth J Richardson, Emily C McKinley, J Scott Richards

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Abstract

Purpose/objective: Higher levels of resilience is associated with improved pain outcomes in chronic pain and other neurological populations, but the role of resilience in pain following spinal cord injury (SCI) remains unclear. This study examined resilience as a moderator in the relationship between perceived stress and both pain intensity and interference during acute rehabilitation for SCI.

Research method/design: Individuals admitted to inpatient rehabilitation acutely following SCI (N = 57) completed measures of perceived stress, resilience, pain intensity, and interference. The Johnson-Neyman procedure was used to examine significance of conditional relationships that emerged.

Results: Resilience was found to moderate the relationship between perceived stress and pain interference, but not pain intensity, during inpatient rehabilitation.

Conclusions/implications: When resilience is low, perceived stress has a more profound and adverse impact on pain interference during inpatient rehabilitation, suggesting therapeutic strategies that build components of resilience are needed during acute rehabilitation following SCI. The relationship between stress, resilience, and pain may differ postinpatient rehabilitation for SCI and warrants further investigation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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脊髓损伤后急性康复过程中的感知压力和疼痛干扰：复原力是调节因素。

目的/目标：在慢性疼痛和其他神经系统人群中，较高水平的抗挫折能力与疼痛结果的改善有关，但抗挫折能力在脊髓损伤（SCI）后疼痛中的作用仍不清楚。本研究探讨了在脊髓损伤急性康复期间，抗逆力作为感知压力与疼痛强度和干扰之间关系的调节因素：研究方法/设计： SCI 急性康复住院患者（57 人）完成了感知压力、复原力、疼痛强度和干扰的测量。采用约翰逊-奈曼程序检查出现的条件关系的显著性：结果：研究发现，在住院康复期间，恢复力能够调节感知压力与疼痛干扰之间的关系，但不能调节疼痛强度：当恢复力较低时，感知到的压力会对住院康复期间的疼痛干扰产生更深远、更不利的影响，这表明在脊髓损伤后的急性康复期间需要采取能够增强恢复力的治疗策略。压力、恢复力和疼痛之间的关系在 SCI 住院康复后可能会有所不同，值得进一步研究。(PsycInfo Database Record (c) 2023 APA，保留所有权利）。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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