Psychological resilience associates with pain experience in women treated for breast cancer

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Liesto , S , Sipilä , R , Aho , T , Harno , H , Hietanen , M & Kalso , E 2020 , ' Psychological resilience associates with pain experience in women treated for breast cancer ' , Scandinavian journal of pain , vol. 20 , no. 3 , pp. 545-553 .

Title: Psychological resilience associates with pain experience in women treated for breast cancer
Author: Liesto, Sanna; Sipilä, Reetta; Aho, Tommi; Harno, Hanna; Hietanen, Marja; Kalso, Eija
Contributor organization: Anestesiologian yksikkö
HUS Perioperative, Intensive Care and Pain Medicine
University of Helsinki
Helsinki University Hospital Area
HUS Neurocenter
Neurologian yksikkö
Department of Neurosciences
Eija Kalso / Principal Investigator
Department of Diagnostics and Therapeutics
Date: 2020-07
Language: eng
Number of pages: 9
Belongs to series: Scandinavian journal of pain
ISSN: 1877-8860
Abstract: Background and aims: Psychological resilience refers to successful adaptation or a positive outcome in the context of significant life adversity, such as chronic pain. On the other hand, anxiety closely associates with pain. The aim of this study was to explore how anxiety and psychological resilience together associate with persistent and experimental pain. Methods: In a cross-sectional design, we studied 160 patients who had previously been treated for breast cancer and who now reported at least moderate pain (NRS >= 4) in any area of the body. Psychological resilience was measured on the Resilience Scale-14, anxiety on the Hospital Anxiety and Depression Scale, and intensity and interference of persistent pain by means of the Brief Pain Inventory. The cold pressor test was conducted to assess sensitivity to experimental cold pain. Results: The results showed that resilience associated with pain interference in persistent pain, and that anxiety moderated this effect. Higher psychological resilience was associated with lower pain interference and this association was stronger in patients with low anxiety than among patients with high anxiety. These effects were visible with regard to persistent pain but not in experimental cold pain. Conclusions: These results indicate that chronic pain and experimental pain as well as pain severity and pain interference are psychologically different phenomena. Psychological resilience protects against pain interference but effectively only in patients with low anxiety. It is necessary also to consider protective factors in addition to vulnerability factors in cases of persistent pain.
Subject: anxiety
pain severity
pain interference
psychological resilience
relative pain interference
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion

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