Mean Resilience Score Research Articles

Comparison of depression, anxiety, perceived stress, and resilience in parents faced with abortion in Iran: a longitudinal study

BackgroundAbortion could impact the mental well-being of parents. Resilience also has a significant effect on the mental health of the family as a factor in coping with abortion. This study aimed to compare depression, anxiety, perceived stress, and resilience in parents after abortion.MethodsThe present longitudinal study was performed on 200 hospitalized women and their spouses in the post-partum department of Shiraz hospitals in 2023. The instruments used in this study included questionnaires of fertility and demographic characteristics, hospital depression and anxiety (HADS), Connor’s resilience, and Cohen’s perceived stress. Data analysis was performed using SPSS 25.ResultsThe mean age of the fathers was 35.37 ± 4.99 and that of mothers was 31.35 ± 6.23. The scores of parents’ anxiety, depression, and perceived stress in the first 24 h after facing abortion were in the highest possible state and decreased in 12 weeks, and their resilience also increased. In all three time periods, the mean scores of the fathers’ anxiety, depression, and perceived stress were lower than those of the mothers, but the mean score of resilience was always higher in fathers. Fathers´ age and mothers’ age, mothers’ age at the time of marriage, fathers’ job, number of children, gender of the last child (boy or girl), and unwanted pregnancy were among the predicting variables of anxiety, depression, perceived stress, and resilience of both parents faced with abortion.ConclusionAlthough mental disorders in fathers were fewer than mothers compared to post-abortion resilience, identifying and managing these issues promptly is crucial for enhancing post-abortion mental well-being in both parents. How parents navigate the challenges of pregnancy, childbirth, and abortion can significantly impact the couple’s health.

Nurses’ resilience and burnout during COVID-19 pandemic: A cross-sectional study

Background and aims: Nurses are exposed to a variety of stresses that can cause mental health problems and lead to burnout. However, the severity of these problems in nurses also depends on their resilience. Therefore, this study aimed to investigate the correlation between nurses’ resilience and burnout levels during the COVID-19 pandemic. Methods: In this cross-sectional study, 328 nurses from four hospitals in Hilla city, Babylon province, Iraq, were enrolled in August and September 2021. Data collection tools included a demographic information form, the Anxiety, Stress, and Depression Scale (DASS-21), the Connor-Davidson Resilience Scale (CD-RISC), and the Copenhagen Burnout Inventory (CBI). The collected data were analyzed using SPSS-16 software at a significance level of 0.05. Results: The mean resilience score among nurses was 68.05±17.04, and the majority (77.4%) had a moderate level of burnout. There was a significant and inverse correlation between depression (r=-0.27, P<0.001), anxiety (r=-0.12, P<0.001), stress (r=-0.180, P<0.001), and resilience of nurses. Also, there was a significant correlation between nurses’ burnout and resilience. Conclusion: Enhancing nurses’ resilience is crucial for improving their mental health and sustaining healthcare quality during crises. Future studies should explore interventions to boost resilience and examine their long-term effects on burnout and mental health. These findings help develop strategies to support nurses, ensuring better healthcare outcomes during challenging times.

Relationship between death anxiety and resilience among critical care nurses in Oman.

Critical care nurses encounter numerous work-related stressors that might lead to depression and anxiety. Areas with higher patient mortality can lead to burnout, higher turnover and death anxiety. The possession of resilience and good attitudes towards mental health is of utmost importance for nurses, given their role as influential figures within society. The aim of this study was to examine the relationship between death anxiety and resilience among critical care nurses in Oman. This study employed a cross-sectional design with convenience sampling, sending 300 invitations via a URL link on a popular social media platform for critical care nurses in Oman. Out of 218 responses, the initial response rate was 72.7%. After data cleansing to remove incomplete and illegible submissions, the final sample consisted of 183 nurses who completed the Templer Death Anxiety Scale and the Connor-Davidson Resilience Scale (CD-RISC). The survey was conducted in December 2023. The study found that the mean death anxiety and resilience scores were 38.23 (SD = 6.96) and 37.62 (SD = 5.32), respectively. Most of the participants exhibited a low level of death anxiety and a moderate level of resilience. The results of this study found a significant proportional correlation between death anxiety and resilience among critical care nurses in Oman (p = .000); nurses with a higher degree of resilience were shown to be significantly correlated with a lower level of death anxiety. The results showed that resilience explained 14.9% of the variation in death anxiety. The research in Oman reveals that critical care nurses in the country experience moderate death fear. This anxiety stems from the demanding nature of their profession, which involves providing care for critically ill patients in high-pressure environments. Factors such as cultural and religious beliefs and educational attainment are also influencing this anxiety. Resilience is positively associated with the ability to confront challenges with courage, and a positive correlation exists between resilience and death anxiety. This suggests that nurses with higher resilience may also experience higher death anxiety because of their profession's inherent responsibilities and decision-making. The study on critical care nurses in Oman highlights that workplace stress and high death anxiety negatively impact their well-being and patient care quality. Factors like job demands, cultural beliefs and education influence these experiences, with resilience playing a key role in coping. Enhancing resilience and coping strategies can improve care quality and reduce turnover in nursing.

Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients

BackgroundEnd-stage renal disease (ESRD) causes numerous physical and psychological problems in patients, so that they must adhere to their treatment regimen to recover their disease, alleviate these problems, and increase their lifespan. The present study aimed to determine the predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.MethodsThis correlational cross-sectional study investigated some variables related to treatment adherence in 184 patients undergoing hemodialysis referred to two dialysis centers in Kerman, southeastern Iran. A census method was used to select the participants and data were collected using socio-demographic characteristics questionnaire, Adherence to Treatment Questionnaire (ATQ), Conner-Davidson Resilience Scale, Reef Psychological well-being Questionnaire, and Spiritual Well-Being Scale (SWBS).ResultsThe overall treatment adherence score was 155.42 ± 27.98 and we found a positive significant correlation between spiritual health, resilience, psychological well-being, and treatment adherence (p < 0.001). The mean scores of resilience, spiritual health and psychological well-being were 70.59 ± 17.02, 90.09 ± 12.01, and 77.88 ± 11.72, respectively. Spiritual health, psychological well-being, resilience, gender and marital status predicted 54% of the variance of treatment adherence, with psychological well-being being the best predictor (p < 0.001).ConclusionsSpiritual health, psychological well-being, and resilience are factors that influence treatment adherence of the patients undergoing hemodialysis, with psychological well-being having the greatest contribution to improving patient’s treatment adherence. Interventions effective in improving psychological well-being, spiritual health and resilience can improve treatment adherence of patients undergoing hemodialysis. Healthcare workers must pay more attention to the factors affecting treatment adherence of patients undergoing hemodialysis.

New Normative Values for the German Short Version of the Resilience Scale (RS-13)

In a representative survey conducted in Germany, normative values for the German short version of the RS-13 resilience scale were updated and compared with the data from a previous representative survey conducted in 2001. In a representative study conducted by the social science research institute USUMA GmbH in 2021, people aged 16 to 95 years (N=2,505) were randomly selected and interviewed by telephone. Data were compared to representative data collected in 2001 (N=2,045), and the influence of demographic variables on resilience was examined. The internal consistency of the RS-13 was α=0.92. Current norm data of the RS-13, differentiated by gender and age, were generated. Access to these data is provided by an online tool, which can be used for the norm-oriented interpretation of individual resilience values (http://rs13.shinyapps.io/RS13). In the current 2021 sample, the mean resilience score was significantly higher than in 2001 (d=0.28, 95% CI [0.22-0.34]). Age was significantly negatively associated with resilience, education and net household income showed a significant negative correlation. The RS-13 has good psychometric properties. Providing updated normative values of the RS-13 is justified due to the significantly higher scores in 2021 compared to 2001. The updated normative values allow for the comparison of future data with those of the German general population. In addition, the online tool can be used for the norm-oriented interpretation of individual resilience scores as part of diagnostic procedures. The RS-13 is a reliable, valid and economical instrument for assessing resilience in its theoretical understanding of a stable personality trait. Future studies investigating resilience should consider age, education and income as relevant influencing variables.

Влияние жизнестойкости на психологическую безопасность пожарных-спасателей

Introduction. The professional activity of a firefighter is inseparable from psychological states associated with risks and challenges. Performing the tasks of extinguishing fires, eliminating emergency situations and man-made disasters, firefighters act in a team. Their hardiness, the ability to use adaptive strategies in difficult situations, the skill of constructive interpersonal interaction depends on their psychological safety. The aim of the study is to examine firefighters' resilience and its contribution to psychological safety. Materials and methods. The following methods were used: The Hardiness Survey (S. Muddy), The Security Questionnaire (Ch. Kong and L. Ahn), The Portrait Values Questionnaire (Sh. Schwartz). The study on the basis of IPSA GPSA of the Ministry of Emergency Situations of Russia involved firefighters studying in the master's programme in the direction of “Fire Safety”. Methods of mathematical data processing (descriptive statistics, Spearman rank correlation, regression analysis) were implemented in IBM SPSS Statistics 26 package. Results. The mean scores of resilience, personal psychological safety of firefighters were above the normative values. Significant correlations were found between psychological safety and resilience of firefighters, and involvement as a component of resilience is a predictor of psychological safety with the dominance of values of caring for people and nature. Conclusion. Firefighters' willingness to take risks, sense of confidence and control, and engagement enable adaptive, resilient coping mechanisms. Firefighters' higher sense of psychological safety reflects their ability to better cope with stress, make informed decisions, work effectively as a team, and maintain their psychological well-being in high-risk and highresponsibility environments. Job involvement and commitment to the values of the profession enhance their sense of psychological safety in a teamwork environment and confidence in control. It is important for leaders of fire and rescue organisations to understand the psychological benefits based on resilience and firefighters' sense of psychological safety and to employ practices to develop them.

Effectiveness of a spiritual adaptation of cognitive behavioural therapy in improving resilience, self-esteem and spirituality among clients with opioid use disorder: A quasi-experimental study.

INTRODUCTION: Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well-known approach, can be particularly beneficial when it addresses psychological aspects such as resilience, self-esteem and spirituality. This study aimed to evaluate the effectiveness of a spiritual adaptation of CBT in enhancing these factors among clients with OUD. A quasi-experimental study with a control group was conducted using a pretest-posttest design. The study included 49 clients with OUD and 46 clients in the control group. The Rosenberg Self-Esteem Scale-Modified Arabic Version, Daily Spiritual Experience Scale, and the Connor-Davidson Resilience Scale were used as measurement tools. CBT was delivered in 60-min group sessions. After 3 months, the questionnaires were re-administered to evaluate the effectiveness of a spiritual adaptation of CBT sessions. The study found a statistically significant increase in the mean scores of resilience, self-esteem and spirituality (p < .001 each) following a spiritual adaptation of CBT sessions compared to the control group. A spiritual adaptation of CBT effectively enhanced resilience, self-esteem and spirituality in clients with OUD. Understanding the effectiveness of a spiritual adaptation of CBT in enhancing resilience, self-esteem and spirituality can enable psychiatrists and nurses to provide more comprehensive and effective care to patients with OUD.

Determination of individual disaster resilience levels of hospital staff: A case study of Kartal Dr. Lütfi Kirdar City Hospital

Istanbul is one of Turkey's most important financial and industrial centers, and it is located in a region with a high potential for seismicity. Due to its historical architecture and high level of urbanization, the city has a large population and is particularly vulnerable due to the building stock that will be affected by earthquakes. In the event of a possible earthquake in Istanbul, it is crucial that the hospital staff have high levels of disaster resilience/resilience. This is particularly important given the seismically isolated and earthquake-resistant structure of Istanbul Kartal Dr. Lütfi Kırdar City Hospital and its capacity to serve those injured by the earthquake. This study examines the resilience levels of hospital staff at Kartal Dr. Lütfi Kırdar City Hospital in the face of earthquake disasters and the various factors that affect these resilience levels. The data for this study were collected using a 13-question personal information form and the ‘Individual Disaster Resilience Assessment (IDRA)’ scale developed by DiTirro (2018). Descriptive statistics, Pearson Chi-square tests, Independent Samples T-tests, and One-Way ANOVA were used to analyze the data. The research found that the hospital staff's IDRA scores averaged 3.27. It was concluded that the mean resilience score of the participants was above the medium level. The research findings show that receiving disaster training or being prepared for disasters in advance significantly influences individual resistance/resilience. In this context, it is essential to determine the earthquake resistance levels of all healthcare workers in Istanbul, especially those at the city hospital where the study was conducted. Necessary training should be provided, and simulation-based disaster drills should be planned and integrated into in-service training programs. Additionally, projects should be developed to ensure that healthcare workers can reach their hospitals safely during disaster situations.

Rationale and design of a randomized controlled clinical trial of a resilience-building intervention in adults with congenital heart disease

BackgroundAdults with congenital heart disease (ACHD) are at risk for lower quality of life (QOL) and psychological health. Behavioral interventions to meet their psychosocial needs are lacking. The aim of this study is to evaluate the feasibility of implementing the Promoting Resilience in Stress Management (PRISM) intervention in ACHD and its efficacy in increasing resilience in this population. MethodsWe designed a phase II randomized controlled clinical trial of patients with moderate or complex ACHD, physiological stages C or D. Enrolled participants will be randomized to receive PRISM or usual care. PRISM is a manualized, skills-based behavioral intervention comprised of four one-on-one sessions targeting resilience resources (stress-management, goal-setting, cognitive reframing, meaning making), an optional session on advance care planning, and a facilitated family meeting. Participants in both groups will complete study questionnaires at enrollment and 3-months later. The primary aim is to describe feasibility, namely the proportions of patients who a) enroll in the study among those eligible, and b) complete the PRISM intervention among those randomized to that arm. We will also evaluate PRISM's efficacy by using linear regression models to compare changes in mean resilience scores between assigned groups. In exploratory analyses, we will evaluate effects on QOL, psychological distress, perceived competence for health care management, and comfort with advance care planning. DiscussionThis study will provide rigorous evidence to determine the feasibility and efficacy of a brief intervention to promote resilience and psychosocial health in ACHD. Findings may guide the development of a future multi-site effectiveness study.Clinical Trial Registration: NCT04738474.

Promoting mental wellbeing in pregnant women living in Pakistan with the Safe Motherhood—Accessible Resilience Training (SM-ART) intervention: a randomized controlled trial

BackgroundThe negative impact of adverse perinatal mental health extends beyond the mother and child; therefore, it is essential to make an early intervention for the management of mental illness during pregnancy. Resilience-building interventions are demonstrated to reduce depression and anxiety among expectant mothers, yet research in this field is limited. This study aims to examine the effect of the ‘Safe Motherhood—Accessible Resilience Training (SM-ART)’ on resilience, marital adjustment, depression, and pregnancy-related anxiety in a sample of pregnant women in Karachi, Pakistan.MethodIn this single-blinded block randomized controlled study, 200 pregnant women were recruited and randomly assigned to either an intervention or a control group using computer-generated randomization and opaque sealed envelopes. The intervention group received the SM-ART intervention consisting of six, weekly sessions ranging from 60 to 90 min. Outcomes (Resilience, depression, pregnancy-related anxiety and marital harmony) were assessed through validated instruments at baseline and after six weeks of both intervention and control groups.ResultsThe results revealed a significant increase in mean resilience scores (Difference:6.91, Effect size: 0.48, p-value < 0.05) and a decrease in depressive symptoms (Difference: -2.12, Effect size: 0.21, p-value < 0.05) in the intervention group compared to the control group. However, no significant change was observed in anxiety and marital adjustment scores.ConclusionThe SM-ART intervention has the potential to boost resilience scores and decrease depressive symptoms in pregnant women and offers a promising intervention to improve maternal psychological health.Trial registrationNCT04694261, Date of first trial registration: 05/01/2021.

The impact of COVID-19 pandemic and psychological resilience among undergraduate medical students

Pandemic always has negative impact on students in higher education. Especially when learning emphasises on hands-on experience. Due to movement The social distancing and online teaching during COVID-19 pandemic had impact on student learning, We aimed to assess the prevalence of anxiety, depression and resilience of medical students to COVID-19 related worries during pandemic.We conducted a cross-sectional study among 1200 undergraduate medical students. The survey questionnaires has six parts; demography information, modified version of COVID-19 related worries, the impact of COVID-19 in teaching and learning, resilience using the Connor-Davidson Resilience Scale, generalized anxiety disorder 7-item (GAD-7) scale &amp; lastly patient health questionnaire-2 (PHQ-2). The Cronbach’s alpha coefficient of GAD-7 was 0.930 and PHQ-2 was 0.811. We used multiple linear regression to determine the association between resilience and anxiety, depression, and COVID-19 related worries. All the statistical tests were two-sided, and the level of significance was set at 0.05. Most of the students showed a moderate amount of COVID-19 related worries about contracting, dying or unintentionally infecting others, having financial burden following pandemic, affecting their study. Around 32.8% of the medical students had minimal anxiety while 35.7% had mild, 14.1% had moderate and 17.4% had severe anxiety disorder. The mean resilience score was 23.1 (SD 7.3). There was statistically significant negative association between resilience and anxiety with regression coefficient of -0.36 (95% confidence interval -0.43 to -0.29), P&amp;#60;0.001. Female students had significantly higher anxiety (regression coefficient 2.03; 95% confidence interval 0.92 to 3.15; P&amp;#60;0.001) and COVID-19 related worries (regression coefficient 2.91; 95% confidence interval 1.48 to 4.35; P&amp;#60;0.001) than male students.A significant proportion of medical students experienced anxiety and depressive symptoms, with varying degrees of severity. We emphasize the need for targeted support and interventions to address anxiety, depression, and promote resilience.

IJCM_324A: Self-Compassion and its Association with Resilience among Senior Nursing Students in Rural Area of Singur, West Bengal

Background: Self-compassion involves showing kindness to oneself during times of suffering. In nursing, students face diverse challenges; resilience helps them to serve compassionate care for the community &amp; to themselves. Objectives: To measure the self-compassion and resilience among final year ANM nursing students and to find the association between these two and with other stress factors. Methodology: An Institution-based observational study with Mixed Method study (QUAN + qual) design, was conducted from July to December 2023 among final year ANM students of a selected college in rural area of Singur, West Bengal, comprising a Cross-sectional quantitative part and qualitative part conducted through key informant interviews with relevant stakeholders until data saturation is achieved. 190 students participated via census method. Self- compassion and resilience were measured using Neff’s and Connor Davidson’s scales. Quantitative data were analyzed with SPSS 16, while qualitative analysis is ongoing. Ethical approval was obtained from AIIH&amp;PH, Kolkata’s Institutional Ethics Committee. Results: The median age of participants was 22 with IQR of (22, 25), 42.8% students belong to middle class according to modified BG Prasad scale, 66.3% students were unmarried. According to the mean score of Neff’s self- compassion scale 27.8% students showed low levels of self-compassion while 43.7% scored moderate self-compassion level. The mean score of resilience was 21.5, where 55.06% students scored less then mean resilience score which shows low resilience among students. We found strong positive correlation between Self compassion and resilience (Spearmann’s rho = 0.738, p = 0.000). Conclusion: In demanding professions like nursing, self-compassion and resilience are vital. Embracing self-compassion addresses self-doubt, while resilience facilitates navigating challenges independently, fostering self- healing.

A post-COVID-19 assessment of resilience of nurses and paramedical workers in municipal hospitals of urban Pune, India.

To assess the resilience of primary healthcare workers (HCWs) by determining the factors associated with developing resilience post-coronavirus disease 2019 (COVID-19). A cross-sectional study in selected municipal hospitals. Connor-Davidson Resilience Scale was used to assess the resilience of the 245 HCWs, including the nurses and paramedics working in Pune Municipal Corporation (PMC) hospitals in Pune City. Data were analysed using the Chi-square test, one-way analysis of variance (ANOVA), independent-samples t-test and correlational analysis using the Statistical Package for the Social Sciences (SPSS) version 28. The mean resilience score of the HCWs in PMC hospitals post-COVID-19 was 75.09 (±9.25). The score for hardiness, optimism, resourcefulness and purpose was 20.15 (±3.87), 21.22 (±3.39), 17.24 (±2.76) and 16.40 (±2.17), respectively. Seven factors were significantly associated with the resilience of nurses and paramedics, namely age (P < 0.001), work experience (P < 0.001), monthly income (P < 0.001), having faced financial problems during COVID-19 (P < 0.001), hospital setting (P < 0.05), marital status (P < 0.01) and professional category (P < 0.001). In addition, 60% of the participants reported mental health issues due to routine workloads such as irritation/anger, frustration and tension/worry, fatigue and work-related stress, and sadness and anxiety. Suggestions for improvement were mainly increasing human resources, proper management, skilled staff, improved facilities and funding, and cooperation among staff. The resilience of primary HCWs in Pune post-COVID-19 was higher than HCWs in other countries assessed during COVID-19. Further, resilience was found more among nurses than paramedics. Modifiable factors affecting resilience must be addressed to improve the resilience of HCWs to build everyday resilience and strengthen health systems for public health emergencies.

The moderating role of social support in the relationship between death anxiety and resilience among dialysis patients

BackgroundChronic Kidney Disease (CKD) who receive social support can cope with the challenges. Therefore, this study determined the moderating role of social support in the relationship between death anxiety and resilience among dialysis patients in Qazvin City.MethodsThis cross-sectional study used a descriptive-analytical approach on 347 dialysis patients in Qazvin City. The data collection tools included several questionnaires. The convenience sampling method was employed. The data were analyzed using SPSS software version 22 and mplus software version 7.2, employing descriptive statistics, such as mean and standard deviation for continuous variables and using counts and percentages for categorical/nominal variables. Regression analysis and tests were used to examine the relationships between variables. Structural Equation Modeling (SEM) analysis was employed to determine direct and indirect relationships between independent and dependent variables.ResultsThe prevalence of death anxiety was high (48.3%) among the patients. The mean resilience score was 62.59 ± 15.69, and the mean social support score was 52.23 ± 10.21. There was a significant association between resilience and social support (P < 0.001), as well as between resilience and death anxiety (P < 0.001). Furthermore, a significant relationship was observed between social support and death anxiety (p = 0.015). In the analysis of SEM, both the direct and indirect relationships between resilience and death anxiety were significant through the mediating variable of social support.ConclusionThis study demonstrates that there is a relationship between death anxiety and resilience, and social support significantly moderates the relationship between death anxiety and resilience.

Exploring upbringing styles of highly resilient students in South Africa: A mixed methods study

Parents play a critical role in supporting the development of resilience in childhood and early adolescence. Most South Africans lack basic resources, so research into and commitment to resilience is of great importance. This study investigated the styles of parenting experienced by highly resilient South African students. Participants were 136 South African university students aged 18 to 23 (female = 44.9%, black = 66.9%). They completed the Child and Youth Resilience Measure. Further, six of the highest scoring students participated in in-depth semi-structured interviews on their retrospective parenting experiences. Quantitative analysis showed females had a higher mean resilience score than males. Qualitatively, thematic analysis identified the following parenting styles: loving caregiving, and behavioural control. Loving caregiving was expressed through accounts of encouragement, acceptance, and attentive regard. Behavioural control was demonstrated by verbal interactions of discipline, corporal punishment, and curfews. This implies a connection between specific parenting practices and high resilience in students, providing valuable insights for developing programs to boost children's resilience.

The effects of aromatherapy on the mood state and resilience of pregnant women: A clinical trial.

Pregnancy has always been associated with rapid physiological, emotional, and social changes that can cause mothers' stress and anxiety, eventually leading to psychological effects. Therefore, resilience and knowing how to deal with stress during pregnancy are of great importance. As a result, this study aimed to investigate the effects of aromatherapy on pregnant women's mood and resilience. This clinical trial study was conducted on 70 pregnant women in 2021. Participants were randomly selected from Isfahan's health centers and then divided into two groups. A handkerchief sprinkled with orange blossom essential oil was given to the experimental group to inhale for an hour, three times a week for a month. However, the control group received only the usual care. The mood state and resilience of the participants were evaluated before the intervention, immediately after, and also one month after the intervention. Data analysis was carried out using Statistical Package for the Social Sciences (SPPS) 24.0, independent-samples t-test, Chi-square, and Mann-Whitney U-test. According to the results, the score of mood state in the experimental group was 60/97±14/26 before the intervention, 40/97±14/30 immediately after receiving the intervention, and 49/86±11/78 one month after the intervention. These findings indicated that the score of mood state in the experimental group was significantly lower than that in the control group (P < 0/05). Moreover, the mean score of resilience in the experimental group was 60/83±13/02 before the intervention, 66/54±7/85 immediately after receiving the intervention, and 62/80±8/07 one month after the intervention. The results showed that the mean score of this variable was significantly higher in the experimental group compared with the control group immediately after the intervention and insignificantly higher than the control group one month after the intervention. Aromatherapy with orange blossom oil can enhance mothers' mood state and resilience during the third trimester. As a result, orange blossom oil can be used as a complementary therapy.

Protective and Risk Factors for Suicidal Ideation and Behavior Among Sexual Minority Women in the United States: A Cross-Sectional Study.

Purpose: The purpose of this study was to understand the factors associated with suicidal ideation and behavior and serious suicidal ideation and behavior among sexual minority women (SMW), including resilience, discrimination, mental health, and sociodemographic characteristics. Methods: Web-based surveys were conducted with SMW from across the United States during January-February, 2022 using psychometric valid tools. Bivariate, hierarchical regression, and logistic regression analyses were used to analyze the data. Results: Of 497 participants, 70% were identified as bisexual and 30% as lesbian. The mean scores for anxiety, depression, and stress were significantly higher among bisexual women compared to their lesbian counterparts (p < 0.05). The proportion of serious suicidal ideation and behavior was higher among bisexual women compared to lesbian women (53.9% vs. 41.2%, p = 0.012). Conversely, the mean scores of resilience were lower among bisexual women compared to lesbian women (139.7 ± 33.4 vs. 147.5 ± 33.6, p = 0.024). Lesbian women had nearly 57.4% lower odds of having serious suicidal ideation and behavior as compared to bisexual women (adjusted odds ratio = 0.426; p = 0.023). Experiencing anxiety, depression, victimization distress, and family discrimination distress were positively associated with serious suicidal ideation and behavior, whereas personal resilience and family cohesion were negatively associated with serious suicidal ideation and behavior. Conclusions: Tackling structural inequities such as racism and homophobia remains vital to improving the mental health of SMW. Interventions to strengthen social and familial supports may be particularly impactful, especially at the family level.

Association between sleep duration and psychological resilience in a population-based survey: A cross-sectional study.

The study aimed to find out the association between sleep duration and psychological resilience in a population-based survey. A cross-sectional survey was conducted in August 2022, employing a cluster random sampling method to recruit community residents at Futian District in Shenzhen, China. A total of 2,445 participants aged 18 years and over were included in the study. The Brief Resilience Scale (BRS) was utilized to measure psychological resilience, and sleep duration was classified according to the American Heart Association's sleep duration categories. Multivariable linear regression was used to analyze the relationship between psychological resilience and sleep duration after adjusting for gender, age, smoking status, physical exercise frequency, body mass index (BMI), and education level. The participants displayed moderate levels of psychological resilience, with a mean resilience score of 3.46 (standard deviation [SD] = 0.62) and a mean sleep duration of 7.04 h (SD = 1.10). After adjusting for covariates, longer sleep duration was associated with higher psychological resilience (β = 0.047, P < 0.05), indicating that participants with a long sleep duration had higher resilience scores than those with a short sleep duration. Longer sleep duration is positively associated with higher psychological resilience in community residents. These findings suggest that improving sleep duration may be a promising approach to enhancing psychological resilience, preventing psychological problems, and promoting overall physical and mental health development.

The Application of Spiritual Self-care Pattern to Increase Resilience in Spouses of Veterans with Post-traumatic Stress Disorder

Background: Caring for war veterans causes suffering and stress in their caregivers. Therefore, it is necessary to use non-pharmacological methods to reduce anxiety and increase the resilience of caregivers. Objectives: The main objective of this study was to evaluate the effect of spiritual self-care patterns (SSCP) on the resilience of spouses of veterans with post-traumatic stress disorder (PTSD). Methods: This semi-experimental study was conducted on 30 spouses of veterans with PTSD, who were selected randomly and divided into two groups, including the control group (fifteen people) and the experimental group (fifteen people). For the experimental group, training intervention was implemented by SSCP, while no intervention was performed for the control group. The Conner-Davidson Resilience Scale (CD-RIS) questionnaire was used to evaluate the level of resilience. Finally, the results obtained before and after the intervention were analyzed using SPSS software version 21 and relevant statistical tests at a significance level of α = 0.05. Results: The results showed that the mean resilience score in the control group before and after the intervention was 46.5 ± 5.7 and 47.0 ± 6.2, respectively, which did not have a significant difference (P = 0.70). This value for the experimental group was 3.8 ± 44.5 and 8.8 ± 62.5, respectively, and the difference in the average of these two scores was statistically significant (P &lt; 0.001). Conclusions: Based on the results, the intervention of training by spiritual self-care pattern (SSCP) can reduce stress and increase the resilience of spouses of veterans with PTSD.

Further consideration of working conditions is needed in farm resilience assessment

CONTEXTFarm general resilience, i.e. capacity to deal with the unknown, uncertainty and surprise, is increasingly considered a must in today's uncertain and changing context. To measure this resilience, assessments against predefined resilience properties (e.g. diversity, connectivity) are gaining currency. We posit that these assessments neglect a key dimension of farming activity: working conditions of farmers and other farm workers. OBJECTIVEOur objective was to verify whether farm general resilience always matches good working conditions. METHODSWe adopted a mixed approach combining structured and semi-structured interviews with participant observation on four contrasting organic dairy family farms located in Aveyron, France. We applied a resilience assessment based on predefined properties and an assessment of working conditions (e.g. availability of suitable infrastructures and equipment, workforce, work organization) and compared their outcomes. RESULTS AND CONCLUSIONSFarm D and B had the highest mean resilience scores (2.4 and 2.1 respectively, on a 1–3 scale). They outperformed other farms on several properties, especially diversity and connectivity, which was maximized by interactions between productions to recycle nutrients. Farm A had the least resilient profile (1.4) with, among other things, limited autonomy. Farm C shared some of these weaknesses, but it outperformed other farms regarding profitability (3.0). Assessment of working conditions provided very different patterns. Farm C had the best working conditions (2.7) and a well-balanced profile across those conditions. Farm A displayed overall good working conditions (2.4). Farm D (2.1) was impaired by highly centralized decision-making processes and limited free time. Farm B had the worst working conditions (1.5) due to a lack of planning and an excessive workload that wore out workers and degraded their relations. There was no clear relation between farm general resilience and working conditions. Still, the cases of farms B and D illustrate the criticality of working conditions on farm general resilience. Poor working conditions may lead farmers to cessation or burn out and affect these farms' ability to remain over the long term. SIGNIFICANCEThis work raises the issue of working conditions in farm general resilience assessments. It clearly shows the need to improve assessment frameworks used by agricultural scientists to further take into account working conditions of farmers and other farm workers as a cornerstone of farm general resilience. Another challenge lies in the identification of farm configurations enabling the joint achievement of both good working conditions and farm general resilience.