Optimism and Psychological Resilience are Beneficially Associated With Measures of Clinical and Experimental Pain in Adults With or at Risk for Knee Osteoarthritis

Thompson, K.; Bulls, Hailey W.; Sibille, Kimberly T.; Bartley, Emily J.; Glover, Toni L.; Terry, Ellen L.; Vaughn, Ivana A.; Cardoso, Josue; Sotolongo, Adriana; Staud, Roland; Hughes, Laura B.; Edberg, Jeffrey C.; Redden, David T.; Bradley, Laurence A.; Goodin, Burel R.; Fillingim, Roger B.

doi:10.1097/ajp.0000000000000642

Cited by 47 publications

(41 citation statements)

References 72 publications

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“…This is a secondary data analysis of a larger, multisite (University of Florida, University of Alabama at Birmingham) study examining race/ethnic group differences in central pain processing among individuals with or at risk for knee OA (Understanding Pain and Limitations in Osteoarthritic Disease [UPLOAD‐2]) . Individuals (N = 201) aged 45 and older who self‐identified as non‐Hispanic and “Black/African American” or “White/Caucasian/European” were recruited from the community via posted fliers, radio and print media announcements, orthopedic clinic recruitment, and word‐of‐mouth referral.…”

Section: Methodsmentioning

confidence: 99%

“…Positive affect (ie, pleasant mood or emotion) is shown to be a strong predictor of lower daily clinical pain and buffers against weekly elevations in negative affect during periods of increased pain and stress . Furthermore, a recent report found that trait resilience interacts with optimism to predict enhanced pain inhibition in individuals with knee OA .…”

Section: Introductionmentioning

confidence: 99%

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Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

Bartley

Hossain

Gravlee

et al. 2019

ACR Open Rheumatology

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ObjectiveRacial/ethnic disparities in pain are well‐recognized, with non‐Hispanic blacks (NHBs) experiencing greater pain severity and pain‐related disability than non‐Hispanic whites (NHWs). Although numerous risk factors are posited as contributors to these disparities, there is limited research addressing how resilience differentially influences pain and functioning across race/ethnicity. Therefore, this study examined associations between measures of psychosocial resilience, clinical pain, and functional performance among adults with knee osteoarthritis (OA), and assessed the moderating role of race/ethnicity on these relationships.MethodsIn a secondary analysis of the Understanding Pain and Limitations in Osteoarthritic Disease (UPLOAD‐2) study, 201 individuals with knee OA (NHB = 105, NHW = 96) completed measures of resilience (ie, trait resilience, optimism, positive well‐being, social support, positive affect) and clinical pain, as well as a performance‐based measure assessing lower‐extremity function and movement‐evoked pain.ResultsBivariate analyses showed that higher levels of psychosocial resilience were associated with lower clinical pain and disability and more optimal physical functioning. NHBs reported greater pain and disability, poorer lower‐extremity function, and higher movement‐evoked pain compared with NHWs; however, measures of psychosocial resilience were similar across race/ethnicity. In moderation analyses, higher optimism and positive well‐being were protective against movement‐evoked pain in NHBs, whereas higher levels of positive affect were associated with greater movement‐evoked pain in NHWs.ConclusionOur findings underscore the importance of psychosocial resilience on OA‐related pain and function and highlight the influence of race/ethnicity on the resilience‐pain relationship. Treatments aimed at targeting resilience may help mitigate racial/ethnic disparities in pain.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

Bartley

Hossain

Gravlee

et al. 2019

ACR Open Rheumatology

Self Cite

View full text Add to dashboard Cite

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“…McAllister [175] Thompson [176] Psychological resilience is characterized by the ability to successfully adapt to stressful events in the face of adverse conditions. Norman [177] Pangallo [153] Resilience is a temporal phenomenon, and as such, positive adaptation is likely to fluctuate according to circumstances and life stage.…”

Section: Reference Articles Definition Proposed Citation Sourcementioning

confidence: 99%

Towards a Transversal Definition of Psychological Resilience: A Literature Review

et al. 2019

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Background and objectives: This paper addresses psychological resilience, a multidisciplinary theoretical construct with important practical implications for health sciences. Although many definitions have been proposed in several contexts, an essential understanding of the concept is still lacking up to now. This negatively affects comparisons among research results and makes objective measurement difficult. The aim of this review is to identify shared elements in defining the construct of resilience across the literature examined in order to move toward a conceptual unification of the term. Materials and methods: A literature review was performed using the electronic databases ‘PubMed’ and ‘PsycINFO’. Scientific studies written in English between 2002 and May 2019 were included according to the following key terms: ‘Psychological’, ‘resilience’, and ‘definition’. Results: The review identifies five macro-categories that summarize what has been reported in the recent literature concerning the resilience phenomenon. They serve as a preliminary and necessary step toward a conceptual clarification of the construct. Conclusions: We propose a definition of psychological resilience as the ability to maintain the persistence of one’s orientation towards existential purposes. It constitutes a transversal attitude that can be understood as the ability to overcome the difficulties experienced in the different areas of one’s life with perseverance, as well as good awareness of oneself and one’s own internal coherence by activating a personal growth project. The conceptual clarification proposed will contribute to improving the accuracy of research on this topic by suggesting future paths of investigation aimed at deeply exploring the issues surrounding the promotion of resilience resources.

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“…Preference in general is associated with prior knowledge, at-titudes, belief, learning, and conditioning and therefore expresses an expectation of a positive effect of the preferred treatment. All of these have been associated with endogenous processes that promote recovery [28]. Furthermore, expectation learning and conditioning are known to be key components of the placebo phenomenon [29][30][31].…”

Section: Discussionmentioning

confidence: 99%

Matching actual treatment with patient administration-route-preference improves analgesic response among acute low back pain patients—a randomized prospective trial

et al. 2020

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Background: Accommodating a patient's treatment preference has been reported to promote greater responsiveness and better clinical outcomes. The effect of administration route preference (ARP) on the individual analgesic response has not been extensively examined to date. This study aimed to investigate whether ARPmatched treatment, i.e., individualized intramuscular (IM) or oral (PO) analgesic administration according to patient choice, would increase the analgesic effect. Methods: In this prospective randomized study, we collected 38 patients with acute low back pain (aLBP) presenting at the emergency room of the Galilee Medical Center (Naharia, Israel) and asked them to report their ARP for analgesics. Regardless of their reported preference, they received either PO or IM diclofenac according to the treating physician's preference. Pain intensity was self-reported using the numeric pain score (NPS) before and during the first hour after drug administration. Results: Both groups receiving PO or IM administration reported similar initial pain on admission, (NPS 8.63 ± 1.5 and 8.74 ± 1.6, respectively) and the same magnitude of pain reduction. However, patients who received the drug in their desired route (oral or injection) had a significantly greater reduction in pain levels (4.05 ± 2.8) as compared with patients who received the undesired route (2.08 ± 1.8), p < 0.05. Conclusions: These findings support the hypothesis that individualized ARP-matched treatment in aLBP improves therapeutic outcomes, although further studies with larger cohorts are needed.

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Optimism and Psychological Resilience are Beneficially Associated With Measures of Clinical and Experimental Pain in Adults With or at Risk for Knee Osteoarthritis

Cited by 47 publications

References 72 publications

Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

Towards a Transversal Definition of Psychological Resilience: A Literature Review

Matching actual treatment with patient administration-route-preference improves analgesic response among acute low back pain patients—a randomized prospective trial

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