Abstract

This study provides psychometric assessment of a resilience scale with a sample of women living with HIV. Baseline data were used from a longitudinal HIV disclosure study of 124 women aged between 18–63 collected between 2001 and 2004 in a large Midwestern city. The Rasch model was used to examine the psychometric properties of the resilience scale. Results indicated that the resilience instrument meets the Rasch model application assumptions. Evidence of validity suggested the resilience instrument demonstrated good item and person fit, as well as good item and person reliability. Most items showed measurement invariance across different age and racial groups. The findings suggest that the resilience scale is suitable for use in the measurement of resilience among women living with HIV.

Highlights

  • Resilience is a dimension of mental health [1,2], and can be defined as a process or a personality trait [3,4]

  • Resilience is an important factor for the mental health of people living with HIV

  • The differential item functioning (DIF) test showed women older than 37 years tended to agree more on item “something good has come from living with HIV”

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Summary

Introduction

Resilience is a dimension of mental health [1,2], and can be defined as a process or a personality trait [3,4]. From a personality trait perspective, resilience has been defined as an individual characteristic that dampens the negative effects of stress and facilitates adaptation [1,5]. Resilience has been positively related to mental health [4,8,9,10,11,12,13] and quality of life [14,15]. Resilience has been positively associated with health-related quality of life among people 50 years or older living with HIV/AIDS [15]. Resilience as an outcome is not often used in research [1,4,18]

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