Min Jung-Ah, Lee Chang-Uk, Hwang Sung-Il, Shin Jung-In, Lee Bum-Suk, Han Sang-Hoon, Ju Hye-In, Lee Cha-Yeon, Lee Chul, Chae Jeong-Ho
Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Republic of Korea and.
Disabil Rehabil. 2014;36(14):1196-202. doi: 10.3109/09638288.2013.834985. Epub 2013 Sep 24.
To determine the moderating effect of resilience on the negative effects of chronic pain on depression and post-traumatic growth.
Community-dwelling individuals with SCI (n = 37) were recruited at short-term admission for yearly regular health examination. Participants completed self-rating standardized questionnaires measuring pain, resilience, depression and post-traumatic growth. Hierarchical linear regression analysis was performed to identify the moderating effect of resilience on the relationships of pain with depression and post-traumatic growth after controlling for relevant covariates.
In the regression model of depression, the effect of pain severity on depression was decreased (β was changed from 0.47 to 0.33) after entering resilience into the model. In the final model, both pain and resilience were significant independent predictors for depression (β = 0.33, p = 0.038 and β = -0.47, p = 0.012, respectively). In the regression model of post-traumatic growth, the effect of pain severity became insignificant after entering resilience into the model. In the final model, resilience was a significant predictor (β = 0.51, p = 0.016).
Resilience potentially mitigated the negative effects of pain. Moreover, it independently contributed to reduced depression and greater post-traumatic growth. Our findings suggest that resilience might provide a potential target for intervention in SCI individuals.
确定心理韧性对慢性疼痛对抑郁和创伤后成长的负面影响的调节作用。
招募短期入院进行年度定期健康检查的社区居住脊髓损伤患者（n = 37）。参与者完成了测量疼痛、心理韧性、抑郁和创伤后成长的自评标准化问卷。在控制相关协变量后，进行分层线性回归分析，以确定心理韧性对疼痛与抑郁和创伤后成长关系的调节作用。
在抑郁回归模型中，将心理韧性纳入模型后，疼痛严重程度对抑郁的影响降低（β从0.47变为0.33）。在最终模型中，疼痛和心理韧性都是抑郁的显著独立预测因素（β分别为0.33，p = 0.038和β = -0.47，p = 0.012）。在创伤后成长回归模型中，将心理韧性纳入模型后，疼痛严重程度的影响变得不显著。在最终模型中，心理韧性是一个显著的预测因素（β = 0.51，p = 0.016）。
心理韧性可能减轻疼痛的负面影响。此外，它独立地有助于减轻抑郁和促进更大的创伤后成长。我们的研究结果表明，心理韧性可能为脊髓损伤个体提供一个潜在的干预靶点。
