Souza Israel, Vasconcelos Ana Glória Godoi, Caumo Wolnei, Baptista Abrahão Fontes
Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, Rio de Janeiro, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Jan 23;33(1):e00146915. doi: 10.1590/0102-311X00146915.
The aim of this study was to identify resilience profiles of patients with chronic pain. Using latent class analysis in a sample of 414 patients with chronic musculoskeletal pain, three profiles were identified: primary resilience (40%), consisting of individuals 40 years or younger with high education, who seek medical care, are not working, and without symptoms of psychological stress; secondary resilience (30%), consisting of women over 54 years of age with low schooling, who seek medical care, are not working, and with low likelihood of symptoms of psychological stress; tertiary resilience (29%), women with medium schooling, 40 to 54 years old, working, who do not seek medical care, and with a high likelihood of symptoms of psychological stress. The three profiles display different paths of resilience in chronic pain that are relevant to clinical practice, highlighting the importance of multidisciplinary care for patients with chronic pain.
本研究的目的是确定慢性疼痛患者的复原力概况。在414名慢性肌肉骨骼疼痛患者的样本中使用潜在类别分析，确定了三种概况：主要复原力（40%），由40岁及以下、受过高等教育、寻求医疗护理、未工作且无心理压力症状的个体组成；次要复原力（30%），由54岁以上、受教育程度低、寻求医疗护理、未工作且心理压力症状可能性低的女性组成；第三级复原力（29%），40至54岁、受中等教育、工作、不寻求医疗护理且心理压力症状可能性高的女性。这三种概况在慢性疼痛中表现出不同的复原力路径，与临床实践相关，突出了对慢性疼痛患者进行多学科护理的重要性。
