Evidence map›Paper›PMID 26881303›Full record

Trial reportRehabilitation psychology2016

Resilience and vulnerability in individuals with chronic pain and physical disability.

Kevin N Alschuler, Anna L Kratz, Dawn M Ehde

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Rehabilitation psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Cognitive and affective mechanisms of pain and fatigue in multiple sclerosis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018
    Trial
  6. Vulnerability and Pediatric Pain.Paediatric & neonatal pain · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Chronic Pain Resilience Across Clinical Populations: A Concept Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kevin N AlschulerDepartment of Rehabilitation Medicine, University of Washington School of Medicine.
Anna L KratzDepartment of Physical Medicine & Rehabilitation, University of Michigan Medical School.
Dawn M EhdeDepartment of Rehabilitation Medicine, University of Washington School of Medicine.

Funding

Efficacy of Telephone-Delivered Cognitive Behavioral Therapy for Chronic PainR01HD057916 · NICHD · UNIVERSITY OF WASHINGTON · PI EHDE, DAWN M. · 2008 to 2012
$2.1M
Characteristics and Mechanisms of Cognitive Problems in FibromyalgiaK01AR064275 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KRATZ, ANNA LOUISE · 2014 to 2018
$653k
NIAMS NIH HHS 1K01AR064275NIAMS NIH HHS K01 AR064275NICHD NIH HHS HD057916-03NICHD NIH HHS R01 HD057916
6 · The paper itself

Abstract

objectiveTo examine the independent contributions of vulnerability and resilience factors to pain interference, self-efficacy for managing pain, global mental health, and global physical health. RESEARCH METHOD/

designSecondary analysis of baseline data from individuals with a spinal cord injury (n = 73), amputation (n = 33), or multiple sclerosis (n = 82) and chronic pain who participated in a randomized controlled trial comparing 2 chronic pain interventions. Participants completed a comprehensive battery of pain-related outcomes that assessed for both psychosocial assets and maladaptive cognitions and behaviors.

resultsResults suggested that vulnerability and resilience factors together account for a considerable amount of variance in the physical outcomes, but that neither set of factors was able to make a substantial contribution above and beyond the other. In contrast, for mental health related outcomes, results indicated that resilience factors did make a meaningful contribution above and beyond vulnerability factors, suggesting the important contribution of resilience factors to the psychological experience of chronic pain.

conclusionsThe present study suggested a valuable contribution of both resilience and vulnerability factors to pain outcomes, with the additional caveat that resilience factors uniquely impact specific outcomes-particularly those that are more psychosocially focused-above and beyond vulnerability factors. Taken together, this highlights the importance of considering resilience factors in addition to vulnerability factors for individuals with chronic pain. Additional research is needed to explore other factors that could be considered representative of the resilience construct and more attention should be focused on evaluating the effects of interventions that seek to build an individual's assets.

Indexed as

Resilience, PsychologicalAmputation, SurgicalChronic PainFemaleHealth StatusHumansMaleMental DisordersMiddle AgedMultiple SclerosisPain ManagementPersons with DisabilitiesSelf EfficacySpinal Cord Injuries

Identifiers

PMID26881303
PMCPMC4758368

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.