Broadening the Scope of Resilience in Chronic Pain: Methods, Social Context, and Development.

IF 5.7 2区医学 Q1 RHEUMATOLOGY

Current Rheumatology Reports Pub Date : 2024-04-01 Epub Date: 2024-01-25 DOI:10.1007/s11926-024-01133-0

John A Sturgeon, Caroline Zubieta, Chelsea M Kaplan, Jennifer Pierce, Anne Arewasikporn, P Maxwell Slepian, Afton L Hassett, Zina Trost

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Abstract

Purpose of review: A wellspring of new research has offered varying models of resilience in chronic pain populations; however, resilience is a multifaceted and occasionally nebulous construct. The current review explores definitional and methodological issues in existing observational and clinical studies and offers new directions for future studies of pain resilience.

Recent findings: Definitions of pain resilience have historically relied heavily upon self-report and from relatively narrow scientific domains (e.g., positive psychology) and in narrow demographic groups (i.e., Caucasian, affluent, or highly educated adults). Meta-analytic and systematic reviews have noted moderate overall quality of resilience-focused assessment and treatment in chronic pain, which may be attributable to these narrow definitions. Integration of research from affiliated fields (developmental models, neuroimaging, research on historically underrepresented groups, trauma psychology) has the potential to enrich current models of pain resilience and ultimately improve the empirical and clinical utility of resilience models in chronic pain.

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拓宽慢性疼痛的复原力范围：方法、社会背景和发展。

综述的目的：大量新的研究为慢性疼痛人群提供了不同的恢复力模型；然而，恢复力是一个多方面的、有时甚至是模糊的概念。本综述探讨了现有观察性研究和临床研究中的定义和方法问题，并为今后的疼痛复原力研究提供了新的方向：疼痛恢复力的定义历来严重依赖于自我报告，并且来自相对狭窄的科学领域（如积极心理学）和狭窄的人口群体（即白种人、富裕或受过高等教育的成年人）。元分析和系统综述指出，以复原力为重点的慢性疼痛评估和治疗的总体质量一般，这可能与这些狭隘的定义有关。整合相关领域的研究（发展模型、神经影像学、对历史上代表性不足的群体的研究、创伤心理学）有可能丰富目前的疼痛恢复力模型，并最终提高慢性疼痛恢复力模型的实证性和临床实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Rheumatology Reports RHEUMATOLOGY-

CiteScore

11.20

自引率

0.00%

发文量

期刊介绍： This journal aims to review the most important, recently published research in the field of rheumatology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of rheumatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as the many forms of arthritis, osteoporosis and metabolic bone disease, and systemic lupus erythematosus. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.