Resilience does not explain the dissociation between chronic pain and physical activity in South Africans living with HIV.
Pain burden is high in people living with HIV (PLWH), but the effect of this pain on functionality is equivocal. Resilience, the ability to cope with adversity, may promote adaptation to pain, so we hypothesised that higher resilience would correlate with less pain-related impairment of activity. We recruited 197 black South African PLWH, 99 with chronic pain (CP) and 98 patients without. We measured pain intensity and interference using the Brief Pain Inventory, and resilience using the Resilience Scale. Participants were generally highly resilient. Greater resilience correlated with better health-related quality of life, but not with pain intensity or interference. We also measured physical activity objectively, by actigraphy, in a subset of patients (37 with chronic pain and 31 without chronic pain), who wore accelerometers for two weeks. There was no difference in duration or intensity of activity between those with and without pain, and activity was not associated with resilience. In this sample, pain was not associated with altered physical activity. Resilience did not explain differences in pain intensity or pain interference but was associated with improved quality of life. Financial stresses and the fear of HIV stigma may have driven patients to conceal pain and to suppress its expected impairment of activity.
Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.
Antonia L
0000-0001-5654-0047
AL
Wadley
Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.
Duncan
D
Mitchell
Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.
Peter R
0000-0002-3103-5295
PR
Kamerman
Accelerometer; Actigraphy; Activity; Function; HIV; Pain; Resilience
Spine J. 2014 Nov 1;14(11):2639-57
24607845
S Afr Med J. 2008 Nov;98(11):889-92
19177897
Eur J Pain. 2012 Mar;16(3):447-58
22337525
J Int AIDS Soc. 2014 Feb 18;17:18719
24560338
Spine (Phila Pa 1976). 2012 Feb 15;37(4):E251-8
21857397
Pain Manag. 2013 Nov;3(6):467-74
24654901
Pain. 2004 Sep;111(1-2):77-83
15327811
Health Policy. 1996 Jul;37(1):53-72
10158943
Soc Sci Med. 1994 Dec;39(11):1537-44
7817218
Health Qual Life Outcomes. 2011 Feb 04;9:8
21294858
Psychometrika. 1965 Jun;30:179-85
14306381
Rheumatology (Oxford). 2013 Sep;52(9):1721-7
23804220
BMC Bioinformatics. 2007 Jan 25;8:25
17254353
Ann Acad Med Singapore. 1994 Mar;23(2):129-38
8080219
Health Qual Life Outcomes. 2016 Jan 27;14:15
26818098
J Health Psychol. 2015 Nov;20(11):1463-73
24345683
J Nurs Meas. 1993 Winter;1(2):165-78
7850498
J Pain. 2014 May;15(5):507-15
24462501
Clin Exp Rheumatol. 2013 Nov-Dec;31(6 Suppl 79):S94-101
24373367
Health Econ. 2004 Sep;13(9):873-84
15362179
Pain Manag. 2011 Nov;1(6):587-96
24645769
Eur J Pain. 2011 Aug;15(7):748-55
21195646
Arch Phys Med Rehabil. 1988 Aug;69(8):579-82
3408327
Eur J Pain. 2007 Jul;11(5):587-93
17107818
Clin J Pain. 2010 Nov-Dec;26(9):747-53
20664333
Pain Med. 2013 Dec;14(12):1985-93
24119077
J Clin Nurs. 2012 Dec;21(23-24):3532-45
23020890
Health Policy. 1990 Dec;16(3):199-208
10109801
J Int Assoc Physicians AIDS Care (Chic). 2011 Jan-Feb;10(1):35-9
21075911
Pain. 1996 Dec;68(2-3):315-21
9121820
J Pain Symptom Manage. 2008 Oct;36(4):396-412
18448308
J Pain Symptom Manage. 2000 May;19(5):339-47
10869874
Issues Compr Pediatr Nurs. 2006 Apr-Jun;29(2):103-25
16772239
Curr Pain Headache Rep. 2013 Mar;17(3):317
23338769
Clin Rehabil. 2011 Mar;25(3):256-63
20921030
Cost Eff Resour Alloc. 2010 Apr 16;8:5
20398367
Psychiatry Res. 2012 Mar 30;196(1):138-41
22405636
AIDS. 2007 Nov;21 Suppl 7:S75-81
18040168
Biostatistics. 2006 Jul;7(3):355-73
16344280
J Psychiatr Res. 2012 Apr;46(4):444-50
22265888
BMJ Open. 2014 Feb 24;4(2):e004200
24566532
Am J Phys Med Rehabil. 2015 Feb;94(2):101-9; quiz 110-3
25299522
J Nurs Scholarsh. 2005;37(2):120-6
15960055
J Pain Symptom Manage. 2016 Jan;51(1):126-132.e2
26344550
Med Sci Sports Exerc. 2012 Jan;44(1 Suppl 1):S32-8
22157772
Qual Life Res. 2005 May;14(4):971-80
16041894
J Pain. 2012 Nov;13(11):1090-8
23063343
J Phys Act Health. 2012 Feb;9(2):300-10
22368229
Lancet Neurol. 2015 Feb;14(2):162-73
25575710
Eur J Pain. 2006 Nov;10(8):701-9
16426878
Depress Anxiety. 2003;18(2):76-82
12964174
Int J Adolesc Med Health. 2008 Jan-Mar;20(1):23-32
18540281
J Assoc Nurses AIDS Care. 2010 Mar-Apr;21(2):173-81
20116301
Pain. 2011 Mar;152(3):607-13
21251757
Arthritis Rheumatol. 2015 Nov;67(11):2897-904
26407008
Spine (Phila Pa 1976). 2016 Aug 1;41(15):E937-42
26839985
J Assoc Nurses AIDS Care. 2007 Jul-Aug;18(4):22-31
17662921
BMC Bioinformatics. 2008 Jul 11;9:307
18620558
Pain. 2006 Jul;123(1-2):90-7
16563626
SAHARA J. 2007 May;4(1):575-85
18040536
Pain. 2016 Jan;157(1):247-54
26431422
Psychosomatics. 2012 Jul-Aug;53(4):380-6
22748751
J Pain. 2009 Jan;10(1):38-46
18722817
J Pain. 2014 Jun;15(6):608-618.e1
24632112
Qual Life Res. 2015 May;24(5):1245-53
25377350
Pain. 2010 Jul;150(1):161-6
20457489
Indian J Palliat Care. 2009 Jan;15(1):67-70
20606859
Psychol Sci. 2016 Apr;27(4):443-54
26893293
Clin J Pain. 2011 Sep;27(7):567-77
21540739