Department of Community Dentistry and Behavioral Science, University of Florida.
Pain Research & Intervention Center of Excellence (PRICE), University of Florida.
J Pediatr Psychol. 2021 Mar 18;46(3):280-285. doi: 10.1093/jpepsy/jsaa108.
Upwards of 14% of late adolescents and young adults (AYAs) experience chronic pain; however, limited research has focused on factors specifically influencing late AYAs as they transition to adulthood. In this topical review, we propose a conceptual model of multidomain pain resilience (MDPR) in late AYAs with chronic pain that extends existing pain resilience literature, including the Ecological Resilience-Risk Model for Pediatric Chronic Pain.
A conceptual framework for MDPR in late AYAs was developed from the existing literature on resilience in young people with chronic pain. Gaps in knowledge specific to late AYAs are identified, and relevant research examining MDPR in adults with pain are summarized to inform applications of this concept to youth as they transition to adulthood.
Few studies have explored resilience factors in pediatric pain. Of note, these endeavors have largely neglected late adolescence and young adulthood, despite unique considerations germane to this crucial developmental period. Existing research has also focused exclusively on assessing resilience as a unitary, rather than a multidimensional construct. Although limited, MDPR has been examined in midlife and older adults with chronic pain, highlighting the need to expand prior models of pain resilience and extend these principles to emerging adulthood.
Understanding MDPR in late AYAs with chronic pain may provide insights regarding measurable and modifiable resilience factors (e.g., adaptive and personal resources) that promote healthy pain-related outcomes (e.g., reduced pain and enhanced physical functioning) and optimize prevention and/or treatment strategies for this group.
超过 14%的青少年晚期和年轻成年人（AYAs）经历慢性疼痛；然而，有限的研究集中在影响青少年晚期向成年期过渡的特定因素上。在本次专题综述中，我们提出了一个慢性疼痛青少年晚期多领域疼痛弹性（MDPR）的概念模型，该模型扩展了现有的疼痛弹性文献，包括儿科慢性疼痛的生态弹性-风险模型。
从关于慢性疼痛青少年弹性的现有文献中，为青少年晚期的 MDPR 制定了一个概念框架。确定了针对青少年晚期的特定知识差距，并总结了有关成人疼痛 MDPR 的相关研究，以为青少年向成年期过渡时应用这一概念提供信息。
很少有研究探讨过儿科疼痛中的弹性因素。值得注意的是，尽管这一关键发育时期存在独特的考虑因素，但这些努力在很大程度上忽视了青少年晚期和年轻成年早期。现有的研究也仅专注于评估弹性作为一个整体，而不是多维结构。尽管有限，但已经在患有慢性疼痛的中年和老年成年人中检查了 MDPR，这凸显了需要扩展之前的疼痛弹性模型，并将这些原则扩展到新兴的成年期。
了解患有慢性疼痛的青少年晚期的 MDPR 可能有助于了解可衡量和可改变的弹性因素（例如，适应性和个人资源），这些因素可促进健康的疼痛相关结果（例如，减轻疼痛和增强身体功能），并优化针对这一群体的预防和/或治疗策略。
