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does resiliency mediate the association of psychological adaptability with limitations and pain intensity after upper extremity trauma?
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نویسنده
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nguyen cindy ,kortlever joost ,gonzalez amanda i. ,crijns tom j. ,ring david ,vagner gregg a. ,reichel lee m.
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منبع
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the archives of bone and joint surgery - 2021 - دوره : 9 - شماره : 6 - صفحه:686 -694
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چکیده
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Background: given the influence of psychosocial factors on musculoskeletal symptoms and limitations, this study assessed if the ability of resilience (an individual's ability to adapt under stress) mediates the association of psychological adaptability with magnitude of physical limitations and pain intensity during recovery from an upper extremity injury. methods: a total of 107 patients were enrolled in this prospective, longitudinal, observational cohort study. patients completed the patient-reported outcomes measurement information system physical function (promis pf), an 11-point ordinal measure of pain intensity, the brief resilience scale (brs), and the psychological adaptation scale (pas). we used structural equation modeling to assess the mediation effect by resiliency and psychological adaptability on patient-reported disability and pain at initial assessment and after three months. results: pas and brs were not independently associated with promis pf or pain intensity at enrollment or after three months, so it was not possible to assess if resiliency mediated the association of psychological adaptability with physical function or pain. there were no factors independently associated with resilience. conclusion: general measures of psychological adaptability and resiliency do not correlate with symptoms and limitations as well as specific measures of adaptiveness in response to nociception.
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کلیدواژه
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resilience ,brief resilience scale ,psychological adaptation scale ,structural equation modeling ,mediation
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آدرس
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university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, usa, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, united states, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, switzerland, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, usa, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, united states, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, united states, university of texas at austindell medical school – the university of texas at austin1701 trinity street, dell medical school, department of surgery and perioperative care, united states
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پست الکترونیکی
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leereichel@gmail.com
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Authors
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