Accepted for/Published in: JMIR Formative Research
Date Submitted: Jun 23, 2024
Date Accepted: Dec 19, 2024
Date Submitted to PubMed: Dec 20, 2024
The Impact of Psychological Resilience on Fear of Pain and Activity Recovery in Post-Surgical Patients: An Observational Cohort Study.
ABSTRACT
Background:
The fear-avoidance model explains the relationship between fear of pain (FOP) and pain experience in chronic pain patients but cannot explicate the dynamics underlying FOP and activity recovery.
Objective:
To explore the impact of psychological resilience (PR) on FOP and activity recovery in post-surgical patients.
Methods:
A total of 144 patients who underwent lung surgery were recruited. FOP was measured pre-surgery and at six months post-surgery. Fear avoidance belief (FAB) was assessed on the third postoperative day. PR was evaluated one-month post-surgery. Activity recovery was assessed six months post-surgery. Correlation and regression analyses were performed to determine the relationships between these variables.
Results:
Correlation analysis showed significant associations between postoperative FOP and various factors, including FAB, preoperative FOP, PR, pain intensity, age, and gender. Regression models indicated that FAB, preoperative FOP, PR, and age collectively explained 79% of the variance in postoperative FOP. Binary logistic regression identified PR and FAB as significant predictors of activity recovery.
Conclusions:
PR plays a significant role in post-surgical pain management by reducing FOP and promoting activity recovery. The findings suggest that assessing and potentially enhancing PR in patients, particularly those with high FOP, could lead to better post-surgical outcomes.
Citation
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