Evidence map›Paper›PMID 37154698›Full record

ArticlePain medicine (Malden, Mass.)2023

Resilience in patients with complex regional pain syndrome 1-a cross-sectional analysis of patients participating in a cross-sectional cohort study.

Maria Monika Wertli, Barbara Aegler, Candida S McCabe, Sharon Grieve, Alison Llewellyn, Stephanie Schneider, Lucas M Bachmann, Florian Brunner

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. A COSMIN systematic review of generic patient-reported outcome measures in Switzerland.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Cognitive Function in Patients With Complex Regional Pain Syndrome (CRPS).European journal of pain (London, England) · 2025
    Trial
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

8 authors.

Maria Monika WertliDepartment of General Internal Medicine, Cantonal Hospital Baden, Baden 5404, Switzerland.
Barbara AeglerPraxis für Handrehabilitation und Ergotherapie GmbH, Zurich 8008, Switzerland.
Candida S McCabeDorothy House Hospice, Winsley and University of the West of England, Bristol BS16 1QY, UK.
Sharon GrieveRoyal United Hospitals Bath NHS Foundation Trust, Bath BA1 3NG, UK.ORCID 0000-0002-3509-3468
Alison LlewellynFaculty of Health and Applied Sciences, University of the West of England, Bristol BS16 1QY, UK.ORCID 0000-0002-8769-832X
Stephanie SchneiderDepartment of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich 8004, Switzerland.
Lucas M BachmannMedignition Inc, Zurich 8008, Switzerland.
Florian BrunnerDepartment of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich 8004, Switzerland.ORCID 0000-0002-1420-3824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the degree of resilience in patients with complex regional pain syndrome (CRPS) 1, to explore the relationship between resilience and patient-related outcome measurements and to describe a pattern of clinical manifestations associated with low resilience.

methodsThis study presents a cross-sectional analysis of baseline information collected from patients enrolled in a single center study between February 2019 and June 2021. Participants were recruited from the outpatient clinic of the Department of Physical Medicine & Rheumatology of the Balgrist University Hospital, Zurich, Switzerland. We used linear regression analysis to explore association of resilience with patient reported outcomes at baseline. Furthermore, we explored the impact of significant variables on the low degree resilience using logistic regression analysis.

resultsSeventy-one patients (females 90.1%, mean age 51.2 ± 12.9 years) were enrolled. There was no association between CRPS severity and the level of resilience. Quality of Life was positively correlated with resilience, as was pain self-efficacy. Pain catastrophizing was inversely correlated with the level of resilience. We observed a significant inverse association between anxiety, depression and fatigue and the level of resilience. The proportion of patients with a low resilience increased with higher level of anxiety, depression and fatigue on the PROMIS-29, without reaching statistical significance.

conclusionResilience seems to be an independent factor in CRPS 1 and is associated with relevant parameters of the condition. Therefore, caretakers may screen the current resilience status of CRPS 1 patients to offer a supplementary treatment approach. Whether specific resilience training modifies CRPS 1 course, requires further investigations.

Indexed as

Complex Regional Pain SyndromesReflex Sympathetic DystrophyAdultCohort StudiesCross-Sectional StudiesFatigueFemaleHumansMiddle AgedPain MeasurementQuality of Lifeanxietychronic paincomplex regional pain syndromedepressionfatiguefear avoidancepain catastrophizingresilience

Identifiers

PMID37154698
PMCPMC10472489

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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.