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A qualitative exploration of resilience among patients living with chronic pain
Open accessAbstract
An estimated 100 million Americans are living with chronic pain. The majority of the chronic pain literature focuses on the biological impact of the condition and very little attention is given to patients' lived experience with chronic pain and the enactment of their resiliency. Yet, resiliency may play a critical role in patients' experience of pain intensity as well as self-efficacy to manage their pain. The main objective of this study was to explore the origin and enactment of resiliency across a sample of 12 chronic pain patients. In-depth phone interviews were conducted, and data were analyzed using thematic analysis. Results indicate that patients exhibited resiliency in four ways: (1) developing a sense of control - independently seeking information and cross-checking this information with their doctors' recommendations (2) active engagement in medical and complementary treatment; (3) establishing social connections; and (4) exhibiting pain acceptance and positive affect. This study lays the foundation to explore whether resiliency improves clinical outcomes among patients living with chronic pain. The findings support the need for clinicians to evaluate and treat chronic pain patients through the lens of resiliency.
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Programs centered on self-compassion may increase acceptance with the added benefits of a sense of common humanity and reduced rumination both of which have been shown to relate to resilience and reduced pain catastrophizing.
“Nevertheless, programs centered on self-compassion may increase acceptance with the added benefits of a sense of common humanity and reduced rumination (Ferrari et al., 2019) both of which have been shown to relate to resilience and reduced pain catastrophizing (Arnow et al., 2011; Rolbiecki et al., 2017).”
From Increasing access to pain management: Feasibility of a self-compassion psychoeducational website using a minimally monitored delivery model (2021) · cites this paper as Rolbiecki et al., 2017
In a qualitative review of resilience in pain groups, patients successfully exhibited resilience by establishing social connections and demonstrating pain acceptance and positive affect.
“In a qualitative review of resilience in pain groups, patients successfully exhibited resilience by establishing social connections and demonstrating pain acceptance and positive affect (Rolbiecki et al., 2017).”
From Increasing access to pain management: Feasibility of a self-compassion psychoeducational website using a minimally monitored delivery model (2021) · cites this paper as Rolbiecki et al., 2017
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Náfrádi, L., Kostova, Z., Nakamoto, K., & Schulz, P. J. (2017) · Chronic Illness · doi:10.1177/1742395317739961 · Cited by 50
Li, F., Xue, Z., Yuan, Y., et al. (2018) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.12845 · Cited by 26
Family resilience of families with parental cancer and minor children: a qualitative analysis
Heuser, C., Schneider, J. N., Heier, L., Ernstmann, N., Nakata, H., Petermann‐Meyer, A., Bremen, R., Karger, A., Icks, A., Brümmendorf, T. H., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1251049 · Cited by 13
Margolies, S. O., Patidar, S. M., Chidgey, B. A., Goetzinger, A. M., Sanford, J. B., & Short, N. A. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.10.010 · Cited by 12
Narratives of Chronic Pain in Sport
Hunt, E. R., & Day, M. C. (2018) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2017-0003 · Cited by 9
Chronic Pain Resilience Across Clinical Populations: A Concept Analysis
Kinnie, K. R., Vance, D. E., Patrician, P. A., Billings, R., & Aroke, E. N. (2024) · Pain Management Nursing · doi:10.1016/j.pmn.2024.03.019 · Cited by 8
Basque, D., Talbot, F., & French, D. J. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100458 · Cited by 8
Zelčāne, E., & Pipere, A. (2024) · Musculoskeletal Care · doi:10.1002/msc.1913 · Cited by 5
Cintron, D. W., Ong, A. D., & Reid, M. C. (2024) · Pain Medicine · doi:10.1093/pm/pnae131 · Cited by 4
“21,22 This work underscores the importance of understanding how individuals actively navigate life with chronic pain, highlighting both their capacity for self-directed management and their unique insights into effective well-being practices.”
Karakoyun, A., Yüksel, A., & Yılmaz, E. B. (2022) · ALPHA PSYCHIATRY · doi:10.5152/alphapsychiatry.2022.21643 · Cited by 5
Thriving when living with chronic pain: A qualitative evidence synthesis of individuals' experiences
Widdrington, H., Krahé, C., Herron, K., Smith, K., & Cherry, M. G. (2025) · British Journal of Health Psychology · doi:10.1111/bjhp.70000 · Cited by 4
“Four studies did not sufficiently justify their choice of method (Chavare & Natu, 2020; Richards, 2023; Rolbiecki et al., 2017; Swift et al., 2002).”
Zhu, X., Li, F., Wang, M., Su, H., Wu, X., Qiu, H., Zhou, W., Shan, C., Wang, C., & Wei, L. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.672498 · Cited by 4
“Keywords: chronic pain, transcriptomic (RNA-Seq), DNA methylation, multi-omics, AP-1 INTRODUCTION Chronic pain, which affects more than 17% of all Canadians and approximately 100 million people in the United States (1, 2), represents one of the most common and distressing issues, with significant influences on society…”
BackgroundInfluentialHaghshenas, H., Shaygan, M., Pasyar, N., & Rambod, M. (2024) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_327_23 · Cited by 3
“[37] In line with these results, the study participants in Rolbiecki et al .’s [31] research reported that they were distracted from pain during work and consequently did not perceive it.”
BackgroundResultInfluentialČepukienė, V., & Puzerienė, E. (2023) · Health Psychology Report · doi:10.5114/hpr/167803 · Cited by 3
“As a result, many researchers highlight pain self-efficacy (PSE) as a potential factor associated with decreased pain intensity (van der Maas et al., 2012; Nash et al., 2013; Rolbiecki et al., 2017; Sturgeon & Zautra, 2010).”
BackgroundGerty, L. (2018) · eSource (Dublin Business School)
Zhu, X., Li, F., Wang, M., Su, H., Wu, X., Qiu, H., Wang, Z., Shan, C., Wang, C., & Wei, L. (2020) · Research Square · doi:10.21203/rs.3.rs-48553/v2
Multi-omics Study Reveal AP-1 as a Regulation Hub in Inflammation Induced Hyperalgesia RatPreprint
Zhu, X., Feng, L., Wang, M., Su, H., Wu, X., Qiu, H., Zhou, W., Shan, C., Wang, C., & Wei, L. (2020) · Research Square · doi:10.21203/rs.3.rs-48553/v1
“Page 2/17 Introduction Chronic pain, which affects more than 17% of the all Canadians, as well as approximately 100 million people in the United States [22; 23], has been one of the most common and distressing issues, in uencing the society and individuals signi cantly [5].”
BackgroundZhu, X. Y., Li, F., Wang, M., Su, H., Wu, X., Qiu, H., Zhou, W., Shan, C., Wang, C., & Wei, L. (2021) · Research Square · doi:10.21203/rs.3.rs-48553/v3
Henderzahs-Mason, J. M., Salamh, P. A., Ewen, H. H., & Yazel-Smith, L. G. (2025) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2025.2515472
Marshall, N., Howard, A. F., Marshall, K., Rojas, H. E., Orr, N. L., Noga, H. L., Sutherland, J. L., Bassra, R., Leonova, A., Fernie, E., et al. (2026) · Journal of Public Health Research · doi:10.1177/22799036251407192
“5,28,31,38 Accessing healthcare was positioned by the women in our study as an empowering action, involving the significant challenge of overcoming the fear of poor healthcare experiences, particularly when they had felt dismissed and disregarded in past interactions.”
Resilience and resistance: A proposed model of chronic pain resilience in Native Americans
Street, E. N., Jones, B. W., Trevino, K. N., Shadlow, J. O., & Rhudy, J. L. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106429
Metadata
- Authors
- Rolbiecki, A., Subramanian, R., Crenshaw, B., Albright, D. L., Perreault, M., & Mehr, D.
- Affiliations
- University of Missouri (US)
- University of Alabama (US)
- Venue
- Traumatology
- Published
- 2017-03
- Volume
- 23
- Issue
- 1
- Pages
- 89-94
- ISSN
- 1085-9373 (ISSN-L)
- PMC
- PMC7833082
- OpenAlex
- W2523236321
- Cited by
- 21
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2018: 3 · 2017: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Traumatology An International Journal (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- Agency for Healthcare Research and Quality (R24HS022140)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- chronic pain, resilience, lived experience, perceived control, complementary therapy, social connectedness, pain acceptance, positive affect, self-efficacy, patient-clinician communication
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