Perioperative medicine & outcomes
Utility of a Measure of Resilience As a Preoperative Screening Tool to Rule Out Elevated Psychological Symptom Burden
Authors' conclusion
Preoperative resilience measured with CD-RISC demonstrates moderate negative associations with measures of anxiety and depression in preoperative patients.
Study context
- Population
- Adults scheduled for major abdominal or pelvic surgery completing preoperative surveys
- Participants
- 265 adults
- Exposure
- Low vs normal vs high resilience
- Outcome
- Psychological symptom burden (Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety, depression, sleep disturbance; Pain Catastrophizing Scale (PCS)) by Connor-Davidson Resilience Scale (CD-RISC) strata and correlation with resilience
- Follow-up
- Preoperative
Methodological detailssecondary analysis of baseline data from an RCT
- Secondary analysis of baseline data from an RCT
Main finding
As reported in the abstract
- Multivariable analysis of variance (MANOVA) across all measures: Pillai's trace
- 0.29
- MANOVA F(8, 520)
- 11.0
- Anxiety ANOVA F(2, 262), P < .001
- 38.8
- Depression ANOVA F(2, 262), P < .001
- 39.4
- Sleep disturbance ANOVA F(2, 262), P < .001
- 10.9
- Pain catastrophizing ANOVA F(2, 262), P < .001
- 10.9
- Spearman ρ resilience vs anxiety (−0.57 to −0.38), P < .001
- −0.48
- Spearman ρ resilience vs depression (−0.59 to −0.40), P < .001
- −0.50
- Spearman ρ resilience vs sleep disturbance (−0.42 to −0.18), P < .001
- −0.30
- Spearman ρ resilience vs pain catastrophization (−0.42 to −0.19), P < .001
- −0.31
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| CD-RISC ruling out elevated symptom burden (composite of PROMIS and PCS scores)Fair discrimination | CD-RISC AUC 0.71 [0.63-0.78] · specificity 0.86 [0.81-0.90] · cutoff ≤28 |
Original publication
Utility of a Measure of Resilience As a Preoperative Screening Tool to Rule Out Elevated Psychological Symptom Burden. Anesth Analg. Published 25 August 2026. doi:10.
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