Psychological Resilience Scores Research Articles

Association of social participation and psychological resilience with adverse cognitive outcomes among older Chinese adults: A national longitudinal study

BackgroundLimited epidemiological evidence exists regarding the association of social participation and psychological resilience with cognitive health. This study aimed to comprehensively investigate the effects of social participation and psychological resilience on adverse cognitive outcomes among older adults in China. MethodsWe used two waves (2011 and 2014) of data from the Chinese Longitudinal Survey of Health and Longevity (CLHLS), and 9765 respondents were eligible for the subsequent screening for the present prospective analysis. The Cox proportional hazards model was utilized to examine the association of social participation and psychological resilience with cognitive impairment, cognitive decline and greater cognitive decline. The restricted cubic spline plots were applied to clarify the dose–response relationships between them. ResultsCompared to those with low social participation, participants with high social participation had a lower hazard ratio (HR) of 0.72 (95 % confidence interval [CI]: 0.59–0.89) for cognitive impairment, 0.85 (95 % CI: 0.76–0.94) for cognitive decline and 0.78 (95 % CI: 0.67–0.90) for greater cognitive decline. Participants with high psychological resilience had an HR of 0.77 (95 % CI: 0.63–0.95) for cognitive impairment 0.85 (95 % CI: 0.76–0.94) for cognitive decline and 0.85 (95 % CI: 0.73–0.98) for greater cognitive decline compared with those with low psychological resilience. Similar effects were observed for social participation score and psychological resilience score. The dose–response analysis also showed that the risk of adverse cognitive outcomes decreased gradually with increasing social participation scores and psychological resilience scores. Additionally, the multiplicative interaction between social participation and psychological resilience was not significant. LimitationAll information was collected by self-report, which may lead to biases in the process of information collection. ConclusionIn this study, social participation and psychological resilience were independently associated with a lower risk of adverse cognitive outcomes, and therefore both need to be considered as broader measures to preserve cognitive health among older Chinese adults.

Study of dental phobia, psychological resilience, and related factors in children aged 8-9 years in Weifang city.

To investigate the influencing factors of children's dental fear (CDF) and the relationship of CDF with resilience in children aged 8-9 years in Weifang city to provide evidence for the early prevention and intervention of CDF. Random cluster sampling method was applied. A total of 1 995 children aged 8-9 years from 10 primary schools in four districts of Weifang city were selected from June to October 2021 as the survey objects. General information questionnaire, the children's fear survey schedule-dental sub-scale, and adolescent resilience scale were used in the investigation. The CDF detection rate was 31.78% (634 cases) in children aged 8-9 years in Weifang city, including 28.41% (296 cases) in boys and 35.47% (338 cases) in girls. Multivariate logistic analysis showed that female gender [odds ratio (OR)=1.329, 95% confidence interval (CI)=1.062-1.665], dental caries (OR=1.961, 95%CI=1.330-2.891), dental pain (OR=2.133, 95%CI=1.700-2.676), and dental treatment experience (OR=3.621, 95%CI=2.888-4.540) are risk factors for CDF. Parents with tertiary education or higher (OR=2.123, 95%CI=1.546-2.916; OR=3.304, 95%CI=2.368-4.612), high scores in the positive cognition factor of the psychological resilience-personal strength dimension (OR=1.520, 95%CI=1.141-2.025), high scores in the interpersonal assistance factor of the psychological resilience-support strength dimension (OR=3.819, 95%CI=2.743-5.318), and high scores in the family support factor (OR=5.634, 95%CI=4.047-7.844) were protective factors for CDF occurrence (P<0.05). Children with high psychological resilience scores have low CDF incidence, and good parenting practices are beneficial in reducing CDF incidence.

Correlations among Psychological Resilience, Cognitive Fusion, and Depressed Emotions in Patients with Depression

Background: More than 300 million people worldwide suffer from depression, which is a significant contributor to the global burden of disease. This study investigated the factors influencing psychological resilience and cognitive fusion in patients with depression and the relationships of psychological resilience and cognitive fusion with depression. Methods: This study enrolled 172 participants (65.8% of them were female). Psychological resilience, cognitive fusion, and depression were assessed with the psychological resilience scale, the cognitive fusion questionnaire, the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Zung Self-rating Depression Scale (SDS), respectively. Furthermore, the relationships of psychological resilience and cognitive fusion with depression were investigated. Results: The psychological resilience and cognitive fusion scores of patients with depression varied significantly among different education levels, and HAMA, HAMD, and SDS scores were significantly negatively correlated with psychological resilience but positively correlated with cognitive fusion. Conclusions: Depression levels in patients with depression are closely related to psychological resilience and cognitive fusion. Therefore, anxiety and depression could be alleviated by improving the psychological resilience or reducing the cognitive fusion of patients with depression.

The effect of the COVID-19 pandemic on the perceived stress levels and psychological resilience of healthcare professionals

Aim: It is aimed to contribute to the literature with the broad support of participants actively working in the field during the COVID-19 pandemic in Turkey. This study was conducted to examine the effect of the COVID-19 pandemic on the perceived stress levels and psychological resilience of healthcare professionals.Material and Method: A total of 856 healthcare professionals, actively working in the COVID-19 pandemic process across Turkey, participated in the research. The data in the study were collected using the “11 Demographic Questions”, the “Four-Item Perceived Stress Scale”, developed by Cohen and friends, and the “Six-Item Brief Resilience Scale”, developed by Smith and friends to measure psychological resilience levels. The statistical analysis of the study was performed by using SPSS 23. The data, which were not normally distributed, were compared using the Mann Whitney U test and the Kruskal Wallis test. Correlation between the variables was examined via Spearman’s correlation analysis and the data, which were not normally distributed, were presented as median.Results: It was found that the mean score of the perceived stress scale was 12.7±2.9 and the mean score of psychological resilience was 17.8±4.9. It was determined that there was a moderately negative significant correlation between perceived stress and psychological resilience (r:-0.542 p:&amp;lt;0.001).Conclusion: The results suggested that COVID-19, whose impacts have been felt globally, increased the stress level of healthcare professionals and decreased their psychological resilience.

The relationship between positive psychological qualities and prenatal negative emotion in pregnant women: A path analysis.

The objective of this study was to investigate the relationship between positive psychological qualities and negative emotions of pregnant women. We surveyed 774 pregnant women in a tertiary hospital in Urumqi using the following measures: a self-report general demographic data questionnaire, Generalized Anxiety Disorder scale (GAD-7), Patients Health Questionnaire depression scale (PHQ-9), Pregnancy Pressure Scale (stocktickerPPS), Perceived Social Support Scale (PSSS), General Self-Efficacy Scale (GSES), and Connor-Davidson Resilience scale (CD-RISC). We used the Amos2.03 system to build a structural equation model. A total of 774 subjects had an average age of 30 years and an average gestational age of 23 weeks. Among the 774 respondents, 122 (15.8%) had moderate or above pregnancy stress (stocktickerPPS > 1), 376 (48.6%) had mild or above anxiety symptoms (GAD-7 ≥ 5), 456 (58.9%) had mild or above depression symptoms (PHQ-9 ≥ 5), 740 (95.6%) had moderate or above social support scores (PSSS ≥ 37), and 124 (16.0%) had good or above psychological resilience scores (CD-RISC ≥ 60). Notably, 372 (48.1%) people had a self-efficacy score above the overall average (GSES ≥ 2.6). Pregnancy stress had positive correlations with anxiety and depression (β = 0.57, 0.30, P < 0.01) and negative correlations with self-efficacy (β = -0.19, P < 0.01). Anxiety had positive correlations with depression (β = 0.54, P < 0.01) and negative correlations with social support (β = -0.45, P < 0.01). Social support had positive correlations with self-efficacy and resilience (β = 0.37, 0.47, P < 0.01). Resilience had negative correlations with anxiety (β = -0.09, P < 0.01), and self-efficacy had positive correlations with resilience (β = 0.41, P < 0.01). Identification of pregnancy stress should be emphasized in pregnant women with negative emotions. Efforts to strengthen the positive psychological qualities of pregnant women should focus on cultivating psychological resilience to reduce the occurrence of anxiety, and improving social support should be a priority because it can enhance psychological resilience and self-efficacy. We provide a reason to intervene in the negative emotions of pregnant women from the perspective of the positive psychology of pregnant women.

Family function and adolescent altruistic behavior: the multiple mediating effects of self-affirmation and psychological resilience.

The current study aimed to explore the relationship between family function and adolescent altruistic behavior, as well as the mediating effects of self-affirmation and psychological resilience in this relationship. A survey was conducted on 972 high school students in Guangdong Province using the Family APGAR, GHQSense of Adequacy, Chinese version of Connor-Davidson Resilience Scale, and Altruistic Behavior Scale. Results found that the score of psychological resilience of males was significantly higher than that of females, but the score of altruistic behavior was significantly lower than that of females. Family function had a positive predictive effect on altruistic behavior. Psychological resilience played a mediating role between family function and altruistic behavior. Self-affirmation and psychological resilience played chain mediating roles between family function and altruistic behavior. This study indicated that family care is crucial for the development of adolescent altruistic behavior, and that it can promote the development of altruistic behavior through the enhancement of self-affirmation and psychological resilience.

Study on the Resilience of Hospital Nurses and Related Factors

Objective: To explore the psychological resilience of nurses and its influencing factors. Methods from April 2019 to March 2022, 1000 nurses were selected from 17 comprehensive hospitals in our district by cluster sampling. Resilience Scale (CD-RISC), Symptom Checklist-90 (SCL-90), Self-efficacy Scale (GSES) and Simple Coping Style Questionnaire (SCSQ) were used to evaluate the resilience, mental health status, self-efficacy and simple coping style of all the enrolled nurses. Record the psychological resilience score of nurses in this group; Observe the scores of psychological resilience of nurses with different social indicators such as different age intervals, different working years and different educational levels; According to the nurses' SCL-90 scale score, the total score of 160 was divided into two groups: mental health group and psychological problem group, and the scores of nurses' psychological resilience in different psychological states were counted. Pearson correlation statistical method was used to analyze the correlation between various factors and nurses' psychological resilience. Results: The average score of self-improvement dimension, tenacity dimension and optimism dimension were (3.57 0.63), (3.53 0.59) and (3.36 0.84) respectively. The average score of nurses' SCL-90 was (127.94 39.45), and there were 234 nurses (23.4%) with a total score greater than 160. The score of GSES scale for nurses was (24.67 7.06); The score of positive coping style and negative coping style in nurses' SCSQ was (25.01 7.49) and (10.15 4.68) respectively. Resilience of nurses is negatively correlated with age, mental health status (SCL-90 scale score) and negative coping style, and positively correlated with education level, professional title and self-efficacy (GSES scale score). Conclusion: The scores of nurses' psychological resilience in hospitals are generally low. By analyzing the psychological resilience of nurses and the influence of related factors, it can provide scientific basis for hospital nursing managers to take effective measures to improve nurses' psychological resilience, which is of great benefit to promoting nurses' mental health level, thus improving the quality of clinical nursing work and promoting the vigorous development of nursing industry.

The relationship of potential biomarkers with psychological resilience and post-traumatic growth in female patients with breast cancer.

While investigating psychosocial factors on resilience and post-traumatic growth draws attention, research on biological correlates is limited. We investigated the relationship between post-traumatic growth, resilience, post-traumatic stress, and potential biomarkers in female patients with breast cancer (n = 71) from the general surgery or oncology clinics. They completed the Post-Traumatic Growth Inventory (PTGI), Connor Davidson Psychological Resilience Scale (CD-RISC), Brief Resilience Scale (BRS), PTSD Checklist for DSM-V, and Hospital Anxiety and Depression Scale. Blood samples were collected for NPY, ALLO, DHEA-S, testosterone, cortisol, and hsCRP levels. The relationship between biochemical parameters and the scales was investigated in the whole patient group and in the subgroup of patients who perceived breast cancer as traumatic. When all the patients were evaluated, hsCRP and depression scores were significantly and positively correlated; and hsCRP, BRS score, and PTGI change in self-perception subscale score were significantly and negatively correlated. There was a significant positive correlation between the ALLO level and the psychological resilience (CD-RISC) score in the patient group who perceived breast cancer as traumatic. It was observed that psychological resilience and PTG were positively correlated, and that multiple biomarkers were associated with psychological resilience in female breast cancer patients. Especially findings regarding ALLO levels and psychological resilience could be a new target for future research.

Psychological Resilience among Left-Behind Children in a Rural Area of Eastern China.

Childhood is an important period for individuals' psychological development. Due to long-term separation from the parents, left-behind children (LBC) more easily develop deviation in cognition and abnormal personality. In this study, we aimed to explore the status of psychological resilience among LBC in a rural area of eastern China. We carried out a cross-sectional survey including middle and high school students from Qingyuan County of Zhejiang Province. Psychological resilience was measured using a modified scale developed for Chinese children. Data from a total of 1086 participants were collected, and the mean ± standard deviation score of psychological resilience was 4.11 ± 0.42. Multivariable linear regression analyses revealed that being a class leader (p = 0.010) and having high self-evaluation of academic performance (p &lt; 0.001) were related with psychological resilience. Moreover, high contact frequency between parents and children (p = 0.019) was associated with better psychological resilience among LBC. In conclusion, we found that being a class leader and having high self-evaluation of academic performance were associated with better psychological resilience among the children in this rural area and contact between parent and child was an essential factor associated with psychological resilience among LBC.

The relationship between posttraumatic growth and psychological resilience of nurses working at the pandemic clinics.

This study aimed to determine posttraumatic growth and psychological resilience and understand the relationship between posttraumatic growth and psychological resilience in frontline nurses. This study was conducted on 263 nurses working at the pandemic clinics of a hospital of a healthcare group in Istanbul and a public hospital in Bursa between June 20 and September 01, 2020. Data were collected online to avoid the risk of infection using the personal information form, the Connor-Davidson resilience scale and the posttraumatic growth inventory. There is a significant relationship between posttraumatic growth and psychological resilience in frontline nurses. Nurses with a master's degree have higher psychological resilience than those with a bachelor's degree. Also, those who are reported that they receive organizational support from the nursing services management have higher psychological resilience and posttraumatic growth scores. Participants who worked for the hospital in Istanbul, those who stayed at hotels, and those who had no communication problems with the healthcare team had statistically significant higher posttraumatic scores and subscale scores than others. Also, those who do not think that they can protect themselves from the virus enough have lower posttraumatic growth than those who think so. Psychological resilience was positively correlated with posttraumatic growth and its subscales. Future studies should follow up on frontline nurses to determine the long-term impacts of the COVID-19 pandemic on psychological resilience and posttraumatic growth.

An investigation of the incidence of post-traumatic stress disorder, turnover intention and psychological resilience among medical staff in a public hospital in China during the outbreak of the omicron variant in the COVID-19 pandemic in 2022.

ObjectiveTo investigate the incidence of post-traumatic stress disorder (PTSD), turnover intention and psychological resilience of medical staff during the Outbreak of the Omicron Variant in the COVID-19 pandemic in 2022 and to provide a basis for adopting relevant psychological interventions to reduce medical staff turnover.MethodsUsing the PTSD Checklist-Civilian Version (PCL-C) and a total score ranging from 17 to 85 points, a total score ≥ 38 indicates significant PTSD symptoms and a diagnosis of PTSD. The Chinese version of the Turnover Intention Scale (TIS) has a total score of 6 to 24 points; the higher the score, the stronger the turnover intention. The Chinese version of the Connor-Davidson Resilience Scale (CD-RISC) has a total score of 0 to 100 points, with higher scores indicating a better level of psychological resilience. A total of 443 front-line medical staff working in Chinese public hospitals and still treating all patients normally during COVID-19 were invited via the internet to complete a survey from 15 May to 30 May 2022 in China.ResultsThe incidence of PTSD was 14.4%, the total turnover intention score was 13.38 ± 4.08, and the total psychological resilience score was 87.16 ± 18.42. The prevalence of PTSD was higher among medical staff who were married, had children, and were worried about being infected; in addition, the PTSD group had a higher level of education, higher turnover intention, and lower psychological resilience than the non-PTSD group. The total scores for turnover intention and fear of being infected were risk factors for PTSD, while a high total psychological resilience score and high education level were protective factors for PTSD; the differences were statistically significant (all P < 0.05).ConclusionPost-traumatic stress disorder among Chinese medical personnel was associated with the marital status, childbirth, education level, turnover intention, and psychological resilience. Among these factors, psychological resilience might be exploited as a protective factor.

Effects of the family support and psychoeducation program based on the Calgary Family Intervention Model on the coping, psychological distress and psychological resilience levels of the family caregivers of chronic psychiatric patients

AimsThis study was aimed at investigating the effects of family support and psychoeducation program based on Calgary Family Intervention Model on coping, psychological distress and psychological resilience levels of families of chronic psychiatric patients. MethodsThe sample of this quasi-experimental study consisted of the caregivers of chronic psychiatric patients who were admitted to the adult psychiatry inpatient and outpatient unit of a university hospital and the caregivers of chronic psychiatric patients registered with the Schizophrenia Solidarity Association. Nonparametric analysis was used in the analysis of the data. ResultsIt was found that there was a significant decrease between the mean distress scores the caregivers participating in the Calgary Family Intervention-Based Family Support and Psychoeducation Program obtained from the measurements before, right after, and 3 and 6 months after the intervention (p < 0.05). There was no statistically significant difference between the coping scores and psychological resilience scores the caregivers obtained from the measurements before, right after, and 3 and 6 months after the intervention (p > 0.05). ConclusionIt was concluded that the family support and psychoeducation program based on the Calgary Family Intervention Model applied to family members giving care to individuals with chronic mental illnesses had positive effects on the general health status of the caregivers.

Correlation Among Psychological Resilience, Social Support, and Coping Style in Patients With Complicated Hepatolithiasis.

Objectives: To investigate the correlation between psychological resilience, social support, and coping styles in patients with complicated hepatolithiasis.Methods: The objective sampling method was used in this study to select a total of 156 patients with complicated hepatolithiasis in a Third-class Grade A hospital in Changsha, Hunan Province from January to December 2019. Self-designed general data questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the Social Support Rating Scale (SSRS), and the Simplified Coping Style Questionnaire (SCSQ) were used to conduct a questionnaire investigation. Spearman correlation analysis was used to analyze the correlation between psychological resilience, social support, and coping styles in patients with complicated hepatolithiasis.Results: Both the total score of psychological resilience (45.79 ± 16.28) and social support (35.71 ± 9.92) of patients with complicated hepatolithiasis were significantly lower than those of the domestic norm. The total score of psychological resilience of patients with complicated hepatolithiasis was positively correlated with the total score of social support (r = 0.570, p < 0.01). The total score of psychological resilience and its three dimensions were positively correlated with the positive coping (r = 0.682, 0.673, 0.663, 0.535, p < 0.01)and negatively correlated with negative coping (r = −0.240, −0.207, −0.221, −0.286, p < 0.01).Conclusions: This study indicated that strengthening social support and improving the coping style of patients with complicated hepatolithiasis are helpful to improve their psychological resilience, which provided theory basis and reference for further intervention measures to improve social support system and coping styles.

An Investigation of Psychological Resilience and Core Belief Levels of Women During the Covid-19 Pandemic and Affecting Factors: A Cross Sectional Study

Aim: The aim of the study is to determine the psychological resilience and core belief levels of women during the Covid-19 pandemic period and examine the affecting factors. Method: The study is in a cross-sectional design. The data were collected from 792 women using the Descriptive Information Form, the Psychological Resilience Scale, and the Core Beliefs Inventory. Descriptive statistics and the Ordinary Least Square Regression analysis were used to analyze the data. Results: The mean score of the “psychological resilience scale” was 66,50±13,40 and “core beliefs inventory” was 27,87±10,76. The Covid-19 fear score of women was found to be 6.31±1.98 out of 10. The psychological resilience levels were higher in working women, older women, and those with higher education levels (p<0.05). A negative significant relationship was found between the fear of Covid-19 and psychological resilience (p<0.05), and a positive correlation was found between women's age, working status, psychological resilience, and core belief levels (p<0.05). Conclusion: The mean score of psychological resilience and core beliefs of women in the COVID-19 pandemic was found to be moderately good. Some socio-demographic characteristics and factors can affect women's resilience and core beliefs.

Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis.

BackgroundStigma, social avoidance and distress may seriously affect the quality of life of infertility patients. Psychological resilience has been proved to effectively combat psychological stress. This study aimed to explore the mediating role of psychological resilience between stigma and social avoidance and distress (SAD) in females with an unfulfilled wish for a child.MethodsStigma Scale, Social Avoidance and Distress Scale (SADS), and Psychological Resilience Scale were used to evaluate 266 females with infertility. Structural equation model was used to test the mediating effect of psychological resilience on the relationship between stigma and SAD.ResultsThe SADS, stigma scores, and psychological resilience scores of 266 females with infertility were 13.36 ± 5.77, 77.84 ± 16.91, and 58.84 ± 12.24 points, respectively. The stigma scores were positively correlated with SADS, and negatively correlated with psychological resilience scores. The psychological resilience scores were negatively correlated with SADS. Psychological resilience played a partially mediating role between the stigma and SAD of infertility patients, and the mediating effect accounted for 25.5% of the total effect.ConclusionPsychological resilience had a partial mediating effect on the relationship between stigma and SAD, and could reduce the negative effect of stigma on the development of SADS. Therefore, positive psychological interventions improving psychological resilience might help to reduce stigma and improve SAD in infertility patients.

Mediating Role of Mental Resilience between Sleep Quality and Mindfulness Level of Pregnant Women Screened by Prenatal Diagnosis.

Objective To explore the status quo of psychological resilience, mindfulness level, the sleep quality of pregnant women by Prenatal Diagnosis Screening, and the mediating effect of psychological resilience on sleep quality and mindfulness. Methods A survey of 298 pregnant women was conducted using the psychological resilience scale, Pittsburgh sleep quality index, and the concise version of the five-factor mindfulness scale. Results The total score of psychological resilience of pregnant women was (68.96 ± 17.27), mindfulness was (77.25 ± 12.65), the median of total sleep quality was 6, and the detection rate of sleep disorders was 31.9%. The sleep quality of pregnant women was negatively correlated with mindfulness level and psychological resilience (p < 0.01), and mindfulness level was positively associated with psychological resilience (p < 0.01). Bootstrap analysis showed that psychological resilience played an 14.1% mediating role between mindfulness and sleep quality. Conclusion The psychological resilience of pregnant women is low, sleep quality is poor, and mindfulness is mild to moderate. Psychological resilience plays an important role in mediating between mindfulness level and sleep quality that suggests nursing staff should pay attention to and improve the psychological resilience of pregnant women screened by prenatal diagnosis to improve the mindfulness level and sleep quality of pregnant women screened by prenatal diagnosis.

Effects of acceptance and commitment therapy on self-management skills and psychological resilience of young and middle-aged patients underwent percutaneous transluminal coronary intervention for primary myocardial infarction: a pilot study

BackgroundAcceptance and commitment therapy (ACT) is an intervention focusing on altering how patients relate to their thoughts. This study aimed to investigate the effects of ACT on self-management ability and psychological resilience of young and middle-aged patients undergoing percutaneous transluminal coronary intervention (PCI) for primary myocardial infarction (MI).MethodsThis pilot study included 98 young and middle-aged patients who underwent PCI for primary MI using a convenient sampling method. The patients were divided into a control group and an ACT group using the random number table method. The patients in the control group received routine nursing, while those in the ACT group received routine nursing combined with ACT.ResultsThe psychological resilience and self-management ability scores were significantly higher in the ACT group than in the control group 3 months after the intervention (P < 0.001 and < 0.05, respectively). In addition, compared to the baseline scores of psychological resilience and self-management ability, these scores were significantly higher in the ACT group at 3 months post-intervention (P < 0.001 and < 0.05, respectively).ConclusionACT could enhance the psychological resilience and self-efficacy and improve the self-management ability of young and middle-aged patients who underwent PCI for primary MI.Trial registrationChina Clinical Trial Center ChiCTR2000029775. Registered on 13 February 2020. Registration title:Study on the popularization and application of rotational atherectomy for the treatment of severely calcified coronary lesions.

Psychological Resilience and Cognitive Function Among Older Military Veterans.

The purpose of this study was to explore the association between psychological resilience and cognitive function in military veterans. We obtained public-use data from the Health and Retirement Study (HRS) for this cross-sectional study of military veterans aged 52 to 101 years (n = 150). We estimated a multivariable linear regression model in which cognitive function served as the dependent variable and psychological resilience served as the independent variable. After controlling for demographics, health conditions, and health behaviors, veterans who had higher psychological resilience scores had better cognitive function (b = 0.22, p = 0.03). Our findings suggest that psychological resilience may be associated with cognitive function among veterans. These findings highlight the importance of assessing psychological resilience in gerontological social work practice.

Moderating effect of psychological resilience on the perceived social support and loneliness in the left-behind elderly in rural areas†

Abstract Objective To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas. Methods A cross-sectional study was conducted; 272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire, Perceived Social Support Scale (PSSS), Connor-Davidson Resilience Scale (CD-RISC), and the University of California at Los Angeles Loneliness Scale (UCLA) with a stratified random cluster sampling method. Results The loneliness score of the left-behind elderly in rural areas was 52.54 ± 7.25, the psychological resilience score was 78 (68.87), and the perceived social support score was 57 (51.62). The perceived social support and psychological resilience were negatively correlated with loneliness, while the perceived social support was positively correlated with psychological resilience. The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was −0.102 (P &lt; 0.001). Conclusions Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness. Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.

Psychological Resilience Training Effectiveness in Emergency Healthcare Workers in Pandemics

BackgroundIn the struggle with COVID-19 pandemic, Pre-Hospital Emergency Healthcare Workers(PHE-HCW) are faced with a lot of problems. It is known that people with good psychological resilience(PR) levels could successfully cope with the problems. The study was aimed to evaluate the effectiveness of the psychological resilience training program in PHE-HCW.ObjectivesThis intervention study conducted on PHE-HCW. In the study, when type 1 error(α) was taken as 5% and type 2 error(1-β) was taken as 95% and the effect size was accepted as 0.5, it was calculated that there should be at least 47 HCW in the groups.To minimizing the differences between groups, two groups were selected as intervention(n = 51) and control(n = 49) by applying propensity score matching analysis, taking into age, gender, occupation and working time. The questionnaire included questions of sociodemographic characteristics and the PR Scale(PRS).The questionnaire was applied to the both groups before the program and after four weeks of follow-up. The PRS consists of six subdimensions(structural style, future perception, family cohesion, personal strenghts, social competence, social resources), and it was accepted that psychological resilience increased as the score increased. The intervention group received video training on PR(self-awareness, hopefulness, optimism, etc.) whereas online classical training was applied to the control group.ResultsThere was no difference in PR score between the intervention and control groups before the intervention(p > 0.05).The mean PR score±SD increased in both groups, for the intervention group from (67.2±18.2) to (80.3±12.4) and for the control group from (64.2±19.3) to (77.7±9.5).After the follow-up, positive changes were found in all subdimensions in the intervention group and in subdimensions except structural style and social competence in the control group(p < 0.05).ConclusionsPsychological resilience training is effective in PHE-HCW during the pandemic period.Key messages Pre-hospital emergency healthcare workers need psychological resilience training during the pandemic process and this training program provides a positive change in healthcare workers.Psychological resilience training programs should be developed according to the needs of healthcare workers and added to in-service training.