Department of Psychology, James Cook University, Cairns, Queensland, Australia.
Nurs Health Sci. 2012 Dec;14(4):508-13. doi: 10.1111/j.1442-2018.2012.00726.x. Epub 2012 Sep 21.
The role of resilience, for adults facing ongoing adversity in the form of chronic medical conditions, has received little attention in the past. This research investigated the impact of resilience and coping strategies on the psychological functioning of 87 Australian adults with chronic pain, using a self-report questionnaire. It included the McGill Pain Questionnaire, the Connor-Davidson Resilience Scale, the Coping Strategies Questionnaire, the 36-item Short Form Health Survey, and the Depression, Anxiety and Stress Scale. Using hierarchical regression, after the effects of pain severity, catastrophizing, and ignoring the pain were controlled for, resilience was significantly associated with mental health-related quality of life (β = 0.18, P < 0.05), depression (β = -0.31, P < 0.01), and anxiety (β = -0.20, P < 0.05). In the final model for depression, resilience had a stronger association than pain severity. Resilience did not, however, influence individual's perceptions of their physical health-related quality of life. The link between resilience and mental health-related quality of life outcomes provides initial evidence for the potential application of resilience related interventions to pain management programs.
过去，人们对面临慢性疾病等持续逆境的成年人的适应力作用关注甚少。本研究使用自报问卷，调查了 87 名澳大利亚慢性疼痛成年人的适应力和应对策略对其心理功能的影响。问卷包括麦吉尔疼痛问卷、Connor-Davidson 适应力量表、应对策略问卷、36 项简短健康调查问卷和抑郁、焦虑和压力量表。经过对疼痛严重程度、灾难化和忽视疼痛的影响进行控制后，采用分层回归分析发现，适应力与心理健康相关的生活质量（β=0.18，P<0.05）、抑郁（β=-0.31，P<0.01）和焦虑（β=-0.20，P<0.05）显著相关。在抑郁的最终模型中，适应力的相关性强于疼痛严重程度。然而，适应力并没有影响个体对其与身体健康相关的生活质量的感知。适应力与心理健康相关的生活质量结果之间的联系为将与适应力相关的干预措施应用于疼痛管理方案提供了初步证据。
