caa a22 4500 606180052 CHVBK 20210128100804.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s11136-014-0852-z doi (NATIONALLICENCE)springer-10.1007/s11136-014-0852-z A confirmatory factor analysis of the Resilience Scale adapted to chronic pain (RS-18): new empirical evidence of the protective role of resilience on pain adjustment [Elektronische Daten] [Gema Ruiz-Párraga, Alicia López-Martínez, Rosa Esteve, Carmen Ramírez-Maestre, Gail Wagnild] Purpose: Recent attention has focused on resilience as an important process in the experience and management of chronic pain. In this context, resilience is considered as a psychological factor that promotes adaptive responses to pain and pain-related life adversities. Current research suggests that it is a relevant variable in the prediction of pain adjustment among chronic pain patients. Recently, it was adapted the Resilience Scale to patients suffering chronic musculoskeletal pain (RS-18). The aims of this study were to confirm the internal structure of the RS-18 and to present new empirical evidence regarding its validity. Methods: A sample of 592 patients with chronic musculoskeletal back pain completed a battery of instruments to assess resilience, anxiety sensitivity, catastrophizing, fear-avoidance beliefs, hypervigilance, pain acceptance, and pain adjustment variables (pain intensity, emotional distress, functional impairment, and daily functioning). Results: Confirmatory factor analysis supported the validity of the RS-18 and a single-factor solution. A series of moderated multiple regression analysis showed that resilience is a relevant psychological variable that not only independently predicts better pain adjustment, but also moderates the relationships between several psychological pain-related variables and pain adjustment variables. Conclusions: These findings give empirical support to the consideration of resilience as a protective variable in chronic pain adjustment and highlight the consideration that improving resilient behaviour could be an important target for the treatment of pain patients. Springer International Publishing Switzerland, 2014 Resilience Scale nationallicence Chronic pain adjustment nationallicence Internal structure nationallicence Validity nationallicence AIC : Akaike information criterion nationallicence ASI : Anxiety Sensitivity Index nationallicence BCC : Browne-Cudeck criterion nationallicence CFI : Comparative fit index nationallicence CPAQ : Chronic Pain Acceptance Questionnaire nationallicence FABQ : Fear-Avoidance Beliefs Questionnaire nationallicence HADS : Hospital Anxiety and Depression Scale nationallicence IFI : Impairment and Functioning Inventory nationallicence NNFI : Non-normed fit index nationallicence PCS : Pain Catastrophizing Scale nationallicence PVAQ : Pain Vigilance and Awareness Questionnaire nationallicence RMSEA : Root mean square error of approximation nationallicence RS : Resilience Scale nationallicence TLI : Tucker-Lewis index nationallicence Ruiz-Párraga Gema Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut López-Martínez Alicia Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut Esteve Rosa Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut Ramírez-Maestre Carmen Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut Wagnild Gail The Resilience Center, Worden, MT, USA aut Quality of Life Research Springer International Publishing 24/5(2015-05-01), 1245-1253 0962-9343 24:5<1245 2015 24 11136 https://doi.org/10.1007/s11136-014-0852-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0852-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ruiz-Párraga Gema Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut NATIONALLICENCE 700 1- López-Martínez Alicia Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut NATIONALLICENCE 700 1- Esteve Rosa Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut NATIONALLICENCE 700 1- Ramírez-Maestre Carmen Universidad de Málaga, Department of Personality, Assessment and Psychological Treatment, Málaga, Spain aut NATIONALLICENCE 700 1- Wagnild Gail The Resilience Center, Worden, MT, USA aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/5(2015-05-01), 1245-1253 0962-9343 24:5<1245 2015 24 11136