Resilience in patients with amputation because of Complex Regional Pain Syndrome type I

Marlies I. Bodde*, Ernst Schrier, Hilde K. Krans, J.H.B. Geertzen, Pieter U. Dijkstra

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Scopus)

Abstract

Purpose: Although controversial, an amputation for longstanding and therapy-resistant Complex Regional Pain Syndrome Type I (CRPS-I) may improve quality of life and pain intensity. Resilience, the way people deal with adversity in a positive way may be related to these positive outcomes. This study focused on the relationship between resilience and post-amputation outcomes, i.e. quality of life, pain and recurrence of CRPS-I and psychological distress. Method: Twenty-six patients with an amputation related to CRPS-I filled in the Connor-Davidson Resilience Scale (CD-RISC), World Health Organisation - Quality of life Assessment (WHOQOL-Bref) and the Symptom Checklist-90 Revised (SCL-90-R). An interview was conducted and a physical examination performed. Results were compared with reference groups from literature and a control group from the outpatient rehabilitation clinic at our medical center. Results: Resilience correlated significantly with all domains of the WHOQOL-Bref (rho ranged from 0.41 to 0.72) and negatively with all domains of the SCL-90-R (r ranged from -0.39 to -0.68). Patients with an amputation because of CRPS-I have higher scores on resilience and quality of life than the control group. Resilience was lower in patients who reported CRPS-I symptoms compared to those who did not. Conclusions: The results confirmed our hypothesis that patients with an amputation because of CRPS-I who have a higher resilience also have a higher quality of life and experience lower psychological distress. The prognostic value of resilience in this patient group requires further research.

Original languageEnglish
Pages (from-to)838-843
Number of pages6
JournalDisability and Rehabilitation
Volume36
Issue number10
DOIs
Publication statusPublished - 2014

Keywords

  • Amputation
  • complex regional pain syndrome
  • prognostic relevance
  • resilience
  • REFLEX SYMPATHETIC DYSTROPHY
  • QUALITY-OF-LIFE
  • PSYCHOLOGICAL-FACTORS
  • THERAPY
  • DISEASE
  • ADAPTATION
  • MANAGEMENT
  • SURVIVORS
  • RECOVERY
  • TRIAL

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