Chronic Pain Resilience Across Clinical Populations: A Concept Analysis.
Kiari R Kinnie, David E Vance, Patricia A Patrician and 2 others
PMID 38849234WHAT IT FOUND
Chronic pain resilience is the ability to adapt to pain by balancing positive and negative mental and social factors.
It includes seeking support, staying active, buffering distress, and self-empowerment, but was not tested as a treatment.
Key findings
01Chronic pain resilience was defined as the capacity to adapt to chronic pain by balancing negative and positive psychosocial factors, moving toward optimal social, physical, mental, and behavioral functioning.
02The analysis identified five attributes of chronic pain resilience: maintaining positive psychological equilibrium, seeking support, engaging in meaningful activities despite pain, buffering negative mental health outcomes, and self-empowerment.
03Antecedents of chronic pain resilience included demographic, psychological, physical, and social factors, such as coping, pain acceptance, disability, and social support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a concept analysis, not a clinical trial or patient study, so it does not test whether resilience causes better pain outcomes. It included only English articles published after 2000 and studies that explicitly mentioned chronic pain, so conditions that lead to chronic pain may have been missed. It focused on psychosocial aspects of resilience and did not analyse biological aspects. There is no universal scale for chronic pain resilience, so the reviewed studies used different measures.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as evidence that resilience interventions improve pain, function, or mood. The paper analyses a concept from published literature and does not test treatment effects.