Article

PURPOSE: To determine the moderating effect of resilience on the negative effects
of chronic pain on depression and post-traumatic growth. METHOD:
Community-dwelling individuals with SCI (n = 37) were recruited at short-term
admission for yearly regular health examination. Participants completed
self-rating standardized questionnaires measuring pain, resilience, depression
and post-traumatic growth. Hierarchical linear regression analysis was performed
to identify the moderating effect of resilience on the relationships of pain with
depression and post-traumatic growth after controlling for relevant covariates.
RESULTS: In the regression model of depression, the effect of pain severity on
depression was decreased (beta was changed from 0.47 to 0.33) after entering
resilience into the model. In the final model, both pain and resilience were
significant independent predictors for depression (beta = 0.33, p = 0.038 and
beta = -0.47, p = 0.012, respectively). In the regression model of post-traumatic
growth, the effect of pain severity became insignificant after entering
resilience into the model. In the final model, resilience was a significant
predictor (beta = 0.51, p = 0.016). CONCLUSIONS: Resilience potentially mitigated
the negative effects of pain. Moreover, it independently contributed to reduced
depression and greater post-traumatic growth. Our findings suggest that
resilience might provide a potential target for intervention in SCI individuals.

Langue : ANGLAIS