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Exploring the multidimensional nature of resilience in pain and function among aging adults with chronic low back pain

The Journal of Pain May 14, 2021

Lakdawala M, Palit S, Morais C, et al. - The present study was conducted to apply a multisystem approach in the examination of resilience by analyzing the relationship of a range of protective factors with pain and physical functioning among older adults with chronic low back pain (cLBP). Researchers recruited a total of 60 community-dwelling adults ages 60+ with cLBP who completed measures of psychological (positive affect, hope, wellbeing, optimism), health (waist-hip ratio, body mass index, medical comorbidities), and social (emotional, instrumental, informational support) functioning. They conducted a principal component analysis to develop composite domains for these measures. No significant effects were observed for PROMIS pain intensity or movement-evoked pain. Among older adults with cLBP, targeting psychological resilience alone may be insufficient for improving pain-related outcomes. It has been considered that addressing mechanisms of health-related resilience may optimize interventions aimed at improving physical function in this population.

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