Resilience, anxiety, and depression in patients with chronic pain of various etiologies: interdisciplinary analysis
Resiliência, ansiedade e depressão em pacientes com dor crônica de várias etiologias: análise interdisciplinar
Adrianna Loduca; Barbara Maria Müller; Claudio Samuelian; Lin Tchia Yeng; Manoel Jacobsen Teixeira
Abstract
BACKGROUND AND OBJECTIVES: Chronic pain represents a significant global public health challenge, affecting millions of individuals worldwide. Characterized by their persistence and prolonged duration, these kinds of pain not only result in functional incapacity, but are also the main reason for patients to seek medical care. The complexity of these conditions is not only limited to the physical aspects, but can also affect a person’s emotional state and mood, favoring the presence of anxiety and/or depression, which not only exacerbate chronic pain but also complicate the treatment process. Resilience and the capacity to deal with adversity are crucial in this context. The objective of this study was to seek out and examine the relationship between resilience, anxiety and depression in patients with chronic pain, aiming at more effective and targeted therapeutic approaches.
METHODS: Exploratory study in which patients with chronic pain starting treatment at a tertiary hospital were assessed based on sociodemographic and pain-related variables. This work also used the Hospital Anxiety and Depression Scale (HAD) and the Connor-Davidson Resilience Scale.
RESULTS: The study explored the relationship between resilience, anxiety, depression and chronic pain. The sample, composed mostly of women, showed that the majority of patients (78.3%) had mood disorder symptoms. Resilience presented a negative correlation with anxiety, depression and pain intensity, suggesting that it helps to protect against these health problems.
CONCLUSION: Resilience should be considered an important factor in the effective treatment of people with chronic pain.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: As dores crônicas representam um desafio global significativo para a saúde pública, afetando milhões de indivíduos em todo o mundo. Caracterizadas por sua persistência e duração prolongada, essas dores não apenas resultam em incapacidade funcional, mas também se revelam como o principal motivo de busca por assistência médica. A complexidade desses quadros não se limita apenas aos aspectos físicos, podendo afetar também o estado emocional e o humor de uma pessoa, favorecendo a presença de quadros de ansiedade e/ou depressão, que não só exacerbam as dores crônicas como também complicam o processo de tratamento. A resiliência e a capacidade de lidar com adversidade são cruciais nesse contexto. O objetivo deste estudo foi buscar e examinar a relação entre resiliência, ansiedade e depressão em pacientes com dores crônicas, visando abordagens terapêuticas mais eficazes e direcionadas.
MÉTODOS: Trata-se de um estudo exploratório no qual pacientes com dores crônicas que iniciaram tratamento em um hospital terciário foram avaliados com base em variáveis socio-demográficas, variáveis relacionadas à dor, e por meio da Escala Hospitalar de Ansiedade e Depressão (HAD) e da Escala de Resiliência Connor-Davidson.
RESULTADOS: O estudo explorou a relação entre resiliência, ansiedade, depressão e dores crônicas. A amostra, composta majoritariamente por mulheres, mostrou que a maioria dos pacientes (78,3%) apresentava sintomas de transtornos de humor. A resiliência apresentou correlação negativa com ansiedade, depressão e intensidade da dor, sugerindo que auxilie com associação de proteção a esses problemas de saúde.
CONCLUSÃO: A resiliência deve ser considerada como um fator importante para a efetividade do tratamento de pessoas com dores crônicas.
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References
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Submitted date:
12/27/2023
Accepted date:
08/05/2024
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