Promotion Of Resilience Research Articles

¿La consciencia emocional conduce a la resiliencia? Diferencias en función del sexo en la adolescencia

Adolescence presents many challenges and changes, making the prevention of mental disorders significant. Resilience is considered a key factor in understanding the emotional development of adolescents, as it allows them to overcome adversity and learn to generate personal resources that promote their psychological well-being. Emotional awareness and emotional regulation are highlighted as protective factors against adversity. Emotional awareness refers to the ability to recognize, understand, and accept own and others’ emotions. In contrast, emotional regulation involves controlling emotions and modifying behavior to achieve goals, adapt to the context, or promote well-being. Although it is known that these factors have an important effect on the resilience capacities of adolescents, few empirical studies analyze this relationship. This study aims to examine the effect of emotional awareness on resilience, as well as the possible mediation of emotional regulation strategies (cognitive reappraisal and suppression), and to consider possible sex differences in a sample of 376 Spanish adolescents. Statistical techniques such as T-Test, Pearson correlation, confirmatory factor analysis, and structural equation modeling were applied. Factorial invariance between groups was also examined, and a structural invariance analysis was performed. The results indicate that emotional awareness itself does not have a direct effect on the resilience of adolescents. In addition, there are sex differences in the impact of emotional awareness on regulation strategies. Therefore, it is necessary to consider Emotional awareness as a necessary condition for developing adaptive emotional regulation strategies as cognitive restructuring in the design of programs that contemplate the promotion of resilience in adolescents.

Soil seed bank responses to anthropogenic disturbances and its vegetation restoration potential in the arid mining area

Close-to-nature restoration of mining areas is becoming widely recognized for its promotion of ecosystem resilience and risk mitigation of biodiversity losses. Soil seed banks can serve as a direct source of natural restoration, as well as a buffer against environmental changes in vulnerable ecosystem. However, in arid mining area, it remains unclear how the anthropogenic disturbances affect the seed banks and what its potential for vegetation restoration. We conducted a field study to investigate the variation of aboveground plant communities and seed banks along the disturbance gradient in an opencast mining area in arid desert of northwestern China. Furthermore, we detected the influence path of disturbance on seed bank density and richness at different layers. The seed bank had considerable density, with persistent seed accounting for 46%. The density had no significant differences along the none-to-moderate disturbance gradient but decreased significantly at the severe level. Meanwhile, the richness had significant differences among all disturbance levels with the highest value at mild level. There were low similarities between soil seed bank and aboveground vegetation, and their species composition was distinctly different. The anthropogenic disturbances reduced soil seed bank directly. Besides, it indirectly decreased the density of persistent seed bank at shallow layer via the negative impact on silt content. In contrast, disturbance indirectly reduced transient seed density and richness mainly via the positive effect on aboveground vegetation. Briefly, mild-to-moderate disturbance had limited negative effects on the soil seed bank and its restoration potential in the arid mining region. Our study highlights the soil seed banks as supplementary indicator to reflect ecological degradation and the significance for ecosystem recovery. The results could be useful in protection and management projects for the restoration of arid mining areas.

214-OR: Results from the Promoting Resilience in Stress Management (PRISM) Intervention—A Multisite Randomized Controlled Trial (RCT) for Teens with Type 1 Diabetes (T1D)

Introduction: PRISM is a resilience resources intervention that teaches stress-management, goal setting, reframing, and benefit finding. We tested the efficacy of PRISM on glycemic control, diabetes distress, resilience, and quality of life. Methods: This 2-site (Seattle WA, Houston TX) 1:1 RCT of PRISM vs. usual care (UC) included teens 13-18y with T1D≥12m and diabetes distress (PAID-T) scores ≥30. A1C, distress (PAID-T), diabetes resilience (DSTAR), and diabetes quality of life (T1DAL) were assessed at baseline (BL), 6m and 12m. Regression analyses used treatment arm as the primary predictor, controlling for additional covariates (Table). Results: Teens (n=172) were 56% female, race = 73% White, 15% Black, 4% Asian, 8% other, ethnicity = 19% Hispanic, BL A1C 8.7% ± 2.0%. No differences were evident between PRISM and UC in A1C, distress, resilience, quality of life at 6 months post-baseline. However, at 12 months, participants in the PRISM arm experienced improvements in distress, resilience, and quality of life versus UC (Table). Conclusions: Resilience promotion through PRISM had multiple psychosocial benefits for a diverse sample of teens with T1D by 12-months. Integrating resilience skill-building with medical intervention may optimize diabetes outcomes. Disclosure J.P.Yi-frazier: None. C.Pihoker: None. M.Bradford: None. S.R.Scott: None. A.Rosenberg: None. M.E.Hilliard: None. M.B.O'donnell: None. C.Zhou: None. B.M.Ellisor: None. S.Garcia perez: None. Y.Rojas: None. F.Malik: None. D.Desalvo: Consultant; Dexcom, Inc., Research Support; Insulet Corporation. Funding National Institutes of Health (R01DK121224)

Does emotional awareness lead to resilience? Differences based on sex in adolescence

Adolescence presents many challenges and changes, making the prevention of mental disorders significant. Resilience is considered a key factor in understanding the emotional development of adolescents, as it allows them to overcome adversity and learn to generate personal resources that promote their psychological well-being. Emotional awareness and emotional regulation are highlighted as protective factors against adversity. Emotional awareness refers to the ability to recognize, understand, and accept own and others' emotions. In contrast, emotional regulation involves controlling emotions and modifying behavior to achieve goals, adapt to the context, or promote well-being. Although it is known that these factors have an important effect on the resilience capacities of adolescents, few empirical studies analyze this relationship. This study aims to examine the effect of emotional awareness on resilience, as well as the possible mediation of emotional regulation strategies (cognitive reappraisal and suppression), and to consider possible sex differences in a sample of 376 Spanish adolescents. Statistical techniques such as T-Test, Pearson correlation, confirmatory factor analysis, and structural equation modeling were applied. Factorial invariance between groups was also examined, and a structural invariance analysis was performed. The results indicate that emotional awareness itself does not have a direct effect on the resilience of adolescents. In addition, there are sex differences in the impact of emotional awareness on regulation strategies. Therefore, it is necessary to consider Emotional awareness as a necessary condition for developing adaptive emotional regulation strategies as cognitive restructuring in the design of programs that contemplate the promotion of resilience in adolescents.

The trauma and learning policy initiative (TLPI)'s inquiry-based process: Mapping systems change toward resilience.

Trauma is much more than our individual experiences. Fundamentally, trauma is rooted in our social conditions, interrelated with the oppression and violence in our communities and in societies at large. Trauma is knotted within cycles of harm in our relationships and in our communities and institutions. Not only are our communities and institutions sites of trauma, however, but they can also be sites of great healing, restoration, and resilience. Educational institutions hold the potential for contributing to resilient change toward the creation of transformative communities for children to feel safe and to thrive, even in the face of accumulating adversities that are endemic in the United States and beyond. This study investigated the impact of an initiative that strives to support K-12 schools in transforming towards greater trauma-sensitivity: trauma and learning policy initiative (TLPI). We share findings from our qualitative, situational analysis of the impact of TLPI's support to three schools in Massachusetts, USA. Although TLPI's framework on trauma does not explicitly include an antiracism lens, when engaging in data analysis, with the aim to shed light on possible schoolwide approaches to promote equity, our team of researchers specifically attended to ways intersecting systems of oppression may have impacted student education. A visual diagram, "Map of Educational Systems Change Towards Resilience," emerged from our data analysis, with four themes that represent how educators understood the shifts in their schools. These were: (1) facilitating empowerment and collaboration; (2) integrating whole-child approaches; (3) affirming cultural identity and promoting a sense of belonging; and (4) re-envisioning discipline toward relational accountability. We discuss pathways that educational communities and institutions can take to create trauma-sensitive learning environments for the promotion of greater resilience.

Association between resilience promotion factors during childhood and risk of drug use disorder during adulthood.

Few studies have been conducted on the relationship between "outside-residing" resilience characteristics and the risk of developing drug use disorder later in life. These characteristics include responsive and caring parenting, household routines involving regular family meals and bedtime routines, social support from peers, participation in organized activities, and religious service attendance. We quantified the association between these resilience promotion factors during childhood and the risk of developing criteria for drug use disorder during adulthood using data from a retrospective cohort study of 618 adults born in Massachusetts during 1969-1983, including those with adverse childhood experiences (ACEs). Self-administered questionnaires gathered information on criteria for drug use disorder, ACEs, and family and community resilience promotion factors. Compared to individuals with "low" numbers of resilience promotion factors, 30% (95% CI: 0.5-0.9) and 50% reductions (95% CI: 0.4-0.8) in the risk of developing one or more criteria for drug use disorder were observed among those with "moderate" and "high" numbers of resilience factors, respectively (p value for trend=0.003). Overall, family factors were associated with greater risk reductions than comparable numbers of community factors. Among individuals with ACEs, a "high" number of family factors but not community factors were associated with a reduction in risk (RR:0.6, 95% CI:0.4-1.0 for family factors, RR:1.0, 95% CI:0.5-1.8 for community factors). These results suggest that the risk of developing criteria for drug use disorder decreases in a dose-response fashion according to the number of "outside-residing" resilience promotion factors during childhood, and that family factors are associated with greater risk reductions than community factors, particularly among individuals with ACEs. Coordinated prevention efforts at the family and community level are recommended to reduce the risk of this important societal problem.

Resilient Children: Evaluation of a Programme to Promote Resilience in Kindergarten and Elementary School

In the project "Resilient Children", a resilience promotion program for kindergartens and elementary schools was directly applied and evaluated during the COVID-19-crisis.The aim of the study was to strengthen the three sources of resilience according to Grotberg (1995) I HAVE, I AM and I CAN through targeted exercises and resilience-promoting communication (transfer to everyday life). Additionally, gender differences with regard to the effect of the programme were addressed. "Resilient Children" was evaluated at the impact level (pre-post design) and process level. Eight kindergartens and three elementary schools with 125 children participated. A total of 122 teachers and 70 parents provided information about the children. The results at the impact level showed that from the parent and teacher perspective, and from the self-perspective (children), the three sources of resilience were significantly strengthened. With regard to gender differences, the results from the perspective of teachers and parents showed that girls were characterised by greater changes than boys. Compared to the girls, the physical andmental well-being of the boys improved fromthe parents' point of view. The results of the process evaluation revealed a high level of motivation and enthusiasm for participation in the programme on the part of participating children and teachers. The success of "Resilient Children" depends on the identification of the teachers with the program.

”Putting words to their feelings”– civic communicators’ perceptions and experiences of an in-depth course on mental health for newly settled refugee migrants in Sweden

BackgroundNewly settled refugee migrants face psychological stressors stemming from pre-, during- and post-migration experiences. In Sweden, mental health promotion is part of the health module in the civic orientation classes for newly settled refugee migrants. Training courses are offered to civic communicators and workshop leaders to facilitate communication about mental health; however, the training is seldom evaluated. In the current study, we aim to explore civic communicators’ perceptions and experiences of an in-depth mental health training course in relation to observed needs among newly settled refugee migrants.MethodWe interviewed ten civic communicators that had partaken in the in-depth training course on mental health. All respondents had prior migratory experience and worked as civic communicators in their native languages. The interviews were semi-structured and data were analyzed using thematic analysis.ResultsThree themes were identified: (1) Intertwined mental health needs related to migration, (2) Multi-layered barriers to addressing mental health, and (3) Becoming aware of the mental health journey. One overarching theme was arrived at through synthesizing the three themes ‘Acquired new tools to lead reflective conversations about mental health and well-being’.ConclusionThe in-depth mental health training course led to the attainment of new knowledge and new tools enabling civic communicators to lead reflective conversations about mental health and well-being with newly settled refugee migrants. Mental health needs were related to pre- and post-migration experiences. Barriers to talking about mental health included stigma and a lack of arenas to promote the mental health of refugee migrants. Increasing knowledge among civic communicators can facilitate the promotion of mental self-help capacity and resilience among newly settled refugee migrants.

The impact of regional integration on the economic resilience of cities—— Take the 108 cities along the Yangtze River Economic Belt as an example

In the process of steady progress towards high-quality development, facing the complex changes in the internal and external environment, it is increasingly important to enhance the resilience of urban economy. Taking the Yangtze River Economic Belt as an example, this paper uses the panel data of regional integration in 108 prefecture-level cities in the Yangtze River Economic Belt from 2005 to 2020 to explore the impact of urban economic resilience. The results show that regional integration has a significant role in promoting the resilience of urban economy, and mainly by optimizing the industrial structure and improving the ability of innovation, and the role of regional integration on the promotion of urban economic resilience is heterogeneity in the upper, middle and lower reaches of the Yangtze River Economic Belt.

Climate Crisis: What Gastrointestinal Complications of this Medical Emergency Should We Be Aware Of?

The climate crisis has serious consequences for many areas of life. This applies in particular to human health - also in Europe. While cardiovascular, pneumological and dermatological diseases related to the climate crisis are often discussed, the crisis' significant gastroenterological consequences for health must also be considered. A literature search (Pubmed, Cochrane Library) was used to identify papers with relevance particularly to the field of gastroenterology in (Central) Europe. Findings were supplemented and discussed by an interdisciplinary team. The climate crisis impacts the frequency and severity of gastrointestinal diseases in Europe due to more frequent and severe heat waves, flooding and air pollution. While patients with intestinal diseases are particularly vulnerable to acute weather events, the main long-term consequences of climate change are gastrointestinal cancer and liver disease. In addition to gastroenteritis, other infectious diseases such as vector-borne diseases and parasites are important in the context of global warming, heat waves and floods. Adaptation strategies must be consistently developed and implemented for vulnerable groups. Patients at risk should be informed about measures that can be implemented individually, such as avoiding heat, ensuring appropriate hydration and following hygiene instructions. Recommendations for physical activity and a healthy and sustainable diet are essential for the prevention of liver diseases and carcinomas. Measures for prevention and the promotion of resilience can be supported by the physicians at various levels. In addition to efforts fostering sustainability in the immediate working environment, a system-oriented commitment to climate protection is important.

The mediating role of resilience in the relationship between stress and couple burnout in people with multiple sclerosis

Objective. This study was aimed at determining the mediating role of resilience in the relationship between stress and couple burnout in people with multiple sclerosis (MS). Materials and Methods. In this cross-sectional analytical study, 200 people with MS from Guilan province participated, chosen by convenience sampling method and using the Connor-Davidson Resilience Scale (CD-RISC), Perceived Stress Scale (PSS), and Couple Burnout Measure (CBM). Data analysis was performed in SPSS-24 and Amos-24 software using structural equation model method. Results. According to the results, the proposed model has a good fit (ꭕ2= 18.36, df=13, p=.145, ꭕ2/df=1.41, CFI=.99, GFI=.97, TLI=.99, RMSEA=.04). Moreover, according to the path analysis results, stress directly effects couple burnout (β=-.631, p=.001) with the mediating role of resilience (β=.418, p=.001). Conclusion. In general, it can be claimed that in people with MS, stress is a factor affecting couple burnout; besides, this relationship is mediated by resilience. Accordingly, the implementation of psychological interventions based on stress management and resilience promotion is recommended.

Clergy Sexual Abuse, Trauma-Informed Theology and the Promotion of Resilience

The prevalence and harms of the sexual abuse of children and youth by family members and persons in positions of trust are staggering. When perpetrated by clergy there is also spiritual trauma and loss of belief in a loving God. Safeguarding minors and vulnerable persons requires policies and protocols and an understanding of deep systemic factors that foster harm. Vulnerability is a condition of the moral life. In the Incarnation Jesus Christ and takes on our human vulnerability. It is inherent in our embodied and embedded humanity, unique to our situation, and pathogenic in unjust structures. Responses to abuse must be rooted theologically and informed by trauma studies. These show the need to deal with tragedy fatigue and crises of faith. Protecting children and youth and promoting their moral agency and resilience are central to discipleship. Clergy sexual abuse calls for a theology of childhood following Jesus words and witness.

First-year Medical Students’ Varying Vulnerability to Developing Depressive Symptoms and Its Predictors: a Latent Profile Analysis

ObjectivePrevious meta-analytic data have demonstrated the propensity for mental morbidity among medical students (Rotenstein et al. JAMA. 2016;316(21):2214–36). However, there is a lack of research on medical students’ varying depression vulnerabilities and predictive factors. The present study aims to gain a better understanding of the development of mental health morbidity and its predictive factors among first-semester medical students.MethodsIn November 2020 and January 2021, 184 first-semester students from two medical schools were surveyed regarding depression (PHQ-9), self-efficacy, resilience, and cognitive self-regulation. Using latent profile analysis, we identified distinct depression development profiles. We applied a multinomial logistic regression analysis to determine how self-efficacy, resilience, and cognitive self-regulation and their changes predicted profile membership.ResultsFive profiles of depression development were identified: profile 1, no depression (53.8%); profile 2, mild depression (26.1%); profile 3, depression increase I (9.2%); profile 4, depression increase II (9.8%); and profile 5, persistent depression (1.1%). Students with initially high self-efficacy, resilience, and cognitive self-regulation levels were more likely to belong to the no depression profile. A decrease in self-efficacy and cognitive self-regulation was associated with both depression increase profiles (profiles 3 and 4), and a decrease in resilience was found to be a predictor of profile 4.ConclusionStudents who enter medical school have varying states of mental health, and they differ in their vulnerability to developing depressive symptoms. The promotion of resilience, self-efficacy, and cognitive self-regulation strategies may be key in preventing students’ depression in the first semester of medical school.

Resilience and Quality of Life in People with Mental Illness: A Systematic Review and Meta-Analysis.

Resilience is viewed as an individual' positive adaptation and experiences of adversity. The maintenance and recovery of mental health in people with mental disorder is considered a sign of coping with adverse conditions. The purpose of the present meta-analysis was to examine the association between resilience and quality of life in individuals with mental disorders. Studies were included if research reported measures of association with resilience, as assessed using self-reported resilience scale and quality of life. A systematic literature search was conducted in PubMed and PsycINFO. Eight studies involving a total of 1439 patients were included in the meta-analysis. Assuming a random-effects model, the weighted mean Pearson correlation between resilience and quality of life was r = 0.551 (95% confidence interval [0.370; 0.691], p < 0.001). This association was moderate, although the heterogeneity among individual effect sizes was substantial (I2 = 93.35%). Despite substantial heterogeneity across included studies, the findings suggest a strong association between resilience and quality of life in people with mental disorders. In clinical practice, the promotion of resilience is important to enhance the quality of life among people with mental illness.

A Multicenter Survey of Pediatric-Neonatal Transport Teams in the United States to Assess the Impact of the Coronavirus Disease 2019 Pandemic on Staffing

ObjectiveThe coronavirus disease 2019 pandemic has resulted in unprecedented burnout in frontline health care providers. However, the impact of the pandemic on interfacility pediatric and neonatal transport team members has not been studied. The current study uses a survey design to document the impact of the pandemic on pediatric and neonatal transport team members with a focus on staffing and resilience promotion strategies. MethodsData for this study came from a short cross-sectional survey distributed to members of the American Academy of Pediatrics Section on Transport Medicine. ResultsSixty-six teams responded (around 45%). Forty-one respondents (62%) reported vacancies on their transport teams, with 35 (53.8%) reporting more vacancies during the pandemic. Forty percent of highly trained registered nurses and respiratory therapists from specialty teams left their positions for those with better compensation during the pandemic. Forty-two percent of respondents were not trained to recognize burnout, stress, or compassion fatigue. ConclusionOur study shows that half of the respondents had more vacancies during the pandemic than in previous years and reported difficulty in filling those positions. We were unable to link the vacancies to the pandemic and burnout because hospitalizations and transports in the pediatric facilities decreased during the pandemic; however, we do report that coronavirus disease 2019 exposure before the vaccine was a source of stress for team members. There are opportunities to improve the identification of burnout and to foster resilience and boost retention of this highly skilled niche workforce.

The impact of a Curriculum for Resilience Promotion in Deaf Children and Adolescents

Resilience is an interactive process involving internal skills that should be promoted, especially in the early stages of development. This study aims to adapt and implement two themes from the European Curriculum for Resilience Promotion – RESCUR, namely, ‘Developing Communication Skills’ and ‘Establishing and Maintaining Healthy Relationships’, for deaf and hard‐of‐hearing (DHH) students. The study included 37 children and adolescents from three Portuguese regions and its impact was evaluated through the perspectives of the students, their guardians and their teachers. Each 90‐minute session was implemented weekly. The sessions followed the RESCUR curriculum structure with necessary adaptations to the mindfulness activities, stories, role‐play and worksheets. The mean scores increased from pre‐ to post‐intervention assessment on all instruments, namely, KIDSCREEN‐10 (children/adolescents), KIDSCREEN‐10 (guardians) and CYRM‐28 (teachers). The implementation of adapted curricula promoting resilience seems to be beneficial to DHH children, allowing the development of specific resilience‐associated skills, and thus enhancing health, well‐being and quality of life.

The Lived Experience of Resilience in the Setting of Chronic Illness and Low-Resource Communities of African Americans That Reside in Tallahatchie County, Mississippi.

Strong links can be made between chronic illness, low-resource communities, and poor health outcomes. One such area is the Mississippi Delta within the United States that has identified its residents rank the lowest in overall health indicators with high rates of chronic illness. This study aimed to explore the phenomenon of resilience in the setting of chronic illness and low resourced communities to gain baseline knowledge of the topic to improve protective resilience within the community. The descriptive phenomenological psychological reduction method outlined by Giorgi et al. was used based on semistructured and in-depth interviews with eight individuals (ages 33-64) who were recruited by purposive sampling through a humanitarian organization. Six themes of the lived experience of the participants revealed the eidetic structure and essence of the experience. The results of the study provided important implications related to the meaning of chronic illness to the individual, poor resilient risk factors, antecedents to resilience, and areas to focus on for resilience promotion. A lifeworld perspective of the individual can help nurses develop a greater understanding in formulating interventions for resilience promotion.

Hee Sung Park;Sung Jin Chung

본 연구는 장애인 자녀를 둔 어머니들의 동료상담 경험과 가족탄력성이 외상 후 성장에 어떤 영향을 미치는지 검증하고자 하였다. 전국 6개 지역의 장애인부모 동료상담사 양성과정 이수자와 그들로부터 동료상담을 받은 경험이 있는 장애인 어머니 198명을 대상으로 하였다. 주요 연구결과는 다음과 같다. 첫째, 4회 이상의 동료상담을 받은 집단이 상담 경험이 없거나 3회 이하로 받은 집단보다 가족탄력성과 외상 후 성장 경험 점수가 유의하게 높았다. 둘째, 가족탄력성은 동료상담 경험과 외상 후 성장 모두와 유의한 정적 상관이 있었으며, 셋째, 연령과 종교 유무를 통제하고 위계적 회귀분석을 수행한 결과 동료상담 경험 없음에 비해 4회 이상 상담을 받은 경우가 외상 후 성장에 유의미한 영향을 미쳤다. 이러한 결과는 자녀의 장애 판정과 양육으로 고통받는 어머니들의 정서적 지원을 위하여 장애인 가족을 위한 동료상담 프로그램과 가족탄력성 증진 프로그램을 운영하는 것이 효과적이라는 점을 밝혔다는데 의의가 있다.The purpose of this study was to examine the effect of peer counseling experience and family resilience on post-traumatic growth. The participants of the study was 198 mothers of children with disabilities who completed the training course of peer counselors for parents with disabilities in six regions across the South Korea or who had received peer counseling from them. The major findings were as follows: First, the group receiving 4 or more peer counseling sessions showed significantly higher level of family resilience and the experience of post-traumatic growth than the group receiving 3 times or less counseling sessions. Second, family resilience showed a significant positive correlation with peer counseling experience and post-traumatic growth. Third, as a result of hierarchical regression analysis after controlling age and religion, the experience of peer counseling had a significant effect on post-traumatic growth when counseling was received more than four times compared to no experience. These results are significant in that it is effective to operate a peer counseling program and a family resilience promotion program for families of children with disabilities for the emotional support of mothers who suffer from the disability judgment and raising of their children.

Mind-body medicine in integrative uro-oncology : Studies and areas of application

Mind-body medicine (MBM) complements somatically oriented medical practice with behavioral and lifestyle-oriented approaches: Thus, health-promoting attitudes and behaviors are strengthened in everyday life. In integrative oncology, it helps promote emotional and physical well-being. Guideline recommendations and the current study situation in integrative uro-oncology are presented. During and after completion of primary therapy, mindfulness-based stress reduction (MBSR) shows positive effects on anxiety, stress, and fatigue. However, it appears that the offer needs to be better tailored to the needs of prostate cancer patients. The effects of yoga are well documented, especially on fatigue, quality of life, and sexual function. Prostate cancer patients also showed asignificantly increased immune response after completing ayoga intervention. Tai Ji Quan/Qigong improve quality of life, fatigue, and other symptoms. Hypnosis-especially in the palliative setting-mitigates anxiety, and relaxation techniques alleviate sleep problems and nausea/vomiting. Multimodal services improve quality of life on numerous levels. Higher resilience correlates with better quality of life and stronger male self-esteem. MBSR alleviates many symptoms but needs to be adapted to the needs of prostate cancer patients; yoga and Tai Ji Chuan/Qigong alleviate fatigue and improve quality of life. Hypnosis and relaxation training reduce nausea/vomiting, and improve sleep and anxiety. Resilience promotion is important to support oncological patients.

Associations among resilience, hope, social support, stress, and anxiety severity in Chinese women with abnormal cervical cancer screening results

This study was to explore the resilience level and its potential correlates and further to evaluate the influence of these resilience-centred variables on anxiety severity among Chinese women with abnormal cervical cancer screening results. One hundred and seventy-five subjects completed self-administered questionnaires to collect relevant variables. The level of resilience of our sample is moderate (70.57 ± 12.14). The data identified hope (β = 0.218), social support (β = 0.247) and perceived stress (β = -0.320) as independent associates for resilience. Finally, among variables, only perceived stress is found to have a direct and positive influence on anxiety severity. Interventions on these variables can be effective for resilience promotion in this population. In addition, anxiety should be preferentially intervened in through the alleviation of perceived stress.