Psychosocial Resilience Research Articles

Resilience and social change: Findings from research trends using association rule mining

This study analyzed the historical development of resilience with respect to multidisciplinary aspects using association rule mining (ARM). ARM is a rule-based machine-learning approach tailored to identify validated relations among multiple variables in a large dataset. This study collected author keywords from all resilience-related literature in the Web of Science database and examined the changes in validated resilience-related topics using ARM. We found that resilience-related research tends to diversify and expand over time. Although topics and their academic fields related to engineering and complex adaptive systems were prominent in the early 2000s, psychosocial resilience and social-ecological resilience have received significant attention in recent years. The increasing interest in resilience-related topics linked to psychological and ecological factors, as well as social system components, can be attributed to the impact of a series of complex and global events that occurred in the late 2000s. Recently, resilience has been conceived as a way of thinking, perspective, or paradigm to address emergent complexity and uncertainty with vague concepts. Resilience is increasingly being regarded as a boundary spanner that promotes communication and collaboration among stakeholders who share different interests and scientific knowledge.

Distinct moderating pathways for psychosocial risk and resilience in the association of neighborhood disadvantage with incident heart failure among Black persons

ObjectiveTo assess whether psychosocial factors moderate the associations between neighborhood disadvantage and incident heart failure (HF). MethodsAmong 1448 Non-Hispanic (NH) Black persons dually enrolled in two community-based cohorts in Jackson, Mississippi who were free of HF as of January 1, 2000, 336 HF events classified by reviewer panel accrued through December 31, 2017. Multilevel, multivariable Cox regression models were used to examine whether optimism and negative affect moderated the associations of two measures of neighborhood characteristics (the national Area Deprivation Index (ADI) and perceived neighborhood problems) on incident hospitalized HF. ResultsOptimism moderated the association of the ADI with incident HF. Compared to participants reporting the lowest tertile of optimism, those in the highest tertile of optimism had a 29% lower rate of HF associated with increasing ADI in fully adjusted models. We found no evidence for a moderating effect of negative affect. ConclusionsThis study supports optimism as a source of resilience to the detrimental effects of neighborhood disadvantage on HF risk. Population-level strategies to promote sociocultural antecedents to optimism may serve as a viable method of reducing the disproportionate burden of HF among NH Black persons.

Country and community vs poverty and conflict: Teasing apart the key demographic and psychosocial resilience and risk factors for Indigenous clinic-referred children and adolescents.

Indigenous young people are known to have adverse demographic and psychosocial factors affecting worse mental health outcomes and some household factors aiding resilience. In Australia, there has been no exploration of these factors in clinically referred Indigenous young people assessed in a culturally appropriate way. A total of 113 Indigenous children and adolescents, 217 non-Indigenous young people, age, gender, mental disorder symptom severity, symptom-linked distress and impairment matched, and 112 typically developing participants, age- and gender-matched were recruited. Cultural validity and reliability of the impairing symptoms in Indigenous young people were determined. Key demographic and psychosocial factors were compared across the three groups. The Indigenous clinical group differed significantly from the other two groups that did not differ on three possibly protective measures examined. Key demographic and psychosocial risk factors in the Indigenous group differed significantly from the non-Indigenous clinical group which in turn differed from the typically developing participants. The three groups exhibited a progressively increased magnitude of difference. It remains imperative to nurture features that provide protection and enhance resilience for Indigenous young people and their communities. Indigenous status is linked to significant demographic and psychosocial disadvantage over and above that conferred by clinical impairment and its management. It is crucial that these features are managed and/or advocated for with those demographic and psychosocial factors of the greatest magnitude dealt with first. Future systematic investigations of the contribution of these key factors to mental health referral pathways, assessment and management are needed.

Psychological Well-Being, Everyday Functioning, and Autonomy In Emerging Adults with a Congenital Heart Defect

To characterize the psychological well-being, everyday functioning, and autonomy of emerging adults with congenital heart disease (CHD) and explore how they relate to the executive function (EF) deficits commonly observed in this population. Questionnaires assessing psychological well-being (encompassing psychosocial functioning and resilience), EF, and age-appropriate indicators of everyday function and autonomy (eg, housing, education, employment, relationship status) were completed by participants with CHD (16-26 years) who underwent open-heart surgery during infancy and age- and sex-matched controls. A total of 58 emerging adults with CHD and 57 controls participated in this study. Mean scores on the resilience and psychosocial functioning questionnaires were not significantly different between CHD and control participants. Emerging adults with CHD also did not differ from controls in terms of holding a driver's license, involvement in a romantic relationship, or current employment status. Multiple linear regression identified that better EF was associated with better psychological well-being. This study emphasizes the need for systematic screening for EF deficits during adolescence and early adulthood to promote optimal well-being in this population. Further research is required to continue to document the everyday experiences of adolescents and young adults with CHD to identify protective factors associated with a successful and satisfying transition to adult life.

Adverse COVID-19 experiences and health-related quality of life in cancer survivors: indirect effects of COVID-19-related depression and financial burden

BackgroundCancer survivors are at greater risk for poor health outcomes due to COVID-19. However, the pandemic's impact on patients’ health-related quality of life (HRQoL) is not well known. This study hypothesized that cancer survivors' adverse COVID-19 experiences would be associated with worse HRQoL. Further, this association would be moderated by psychosocial resiliency factors (perceived social support, benefits, and ability to manage stress) and mediated by psychosocial risk factors (anxiety, depression; health, financial and social concerns).Methods1,043 cancer survivors receiving care at Northwestern Medicine completed a cross-sectional survey on COVID-19 practical and psychosocial concerns from 6/2021 to 3/2022. Participants reported on 21 adverse COVID-19 experiences (e.g., COVID-19 hospitalization, death of family/friends, loss of income, medical delays). The survey assessed 9 psychosocial factors related to COVID-19: anxiety, depression; health care, financial, and social disruptions; health care satisfaction; social support, perceived benefits, and stress management skills. The FACT-G7 assessed HRQoL. Hypotheses were tested in a structural equation model. The number of reported adverse COVID-19 experiences was the primary (observed) independent variable. The dependent variable of HRQoL, and the proposed mediating and moderating factors, were entered as latent variables indicated by their respective survey items. Latent interaction terms between the independent variable and each resiliency factor tested moderation effects. Analyses were adjusted for demographic and COVID-specific variables.ResultsParticipants were, on average, aged 58 years and diagnosed with cancer 4.9 years prior. They were majority female (73.3%), White (89.6%), non-Hispanic/Latino (94.5%), college-educated (81.7%), and vaccinated for COVID-19 (95.5%). An average of 3.8 adverse COVID-19 experiences were reported. Results of structural equation modeling demonstrated that the association between adverse COVID-19 experiences and HRQoL was explained by indirect effects through COVID-19-related depression (β = − 0.10, percentile bootstrap 95% CI − 0.15 to − 0.07) and financial concerns (β = − 0.04, percentile bootstrap 95% CI − 0.07 to − 0.01). Hypotheses testing moderation by resiliency factors were not significant.ConclusionsAdverse COVID-19 experiences were associated with higher depression symptoms and financial concerns about COVID-19, and in turn, worse HRQoL. Oncology clinics should be cognizant of the experience of adverse COVID-19 events when allocating depression and financial support resources.

VISUMINIO VOKALO TECHNIKOS TAIKYMO TEATRE GALIMYBĖS: LAISVOSIOS VOKALINĖS IMPROVIZACIJOS KONTEKSTAS

Acting is inseparable from the art of improvisation; it is an all-encompassing and holistic context that requires not only acting skills, but also relevant personality traits, a virtuoso mastery of techniques of expression, psychosocial resilience, and most importantly, unique and authentic expression. It is useful for an actor to be able to choose the necessary vocal techniques and apply them in performances of various kinds, to various roles, including musical roles and improvisation. It is important to be able to integrate the most progressive vocal techniques in the work, and to understand the perspective of using methods and experimenting without losing one’s individuality, which includes all styles. The article presents the Complete Vocal Technique (CVT), which covers all styles from Classical singing to hard rock, provides the opportunity to experiment with timbres and vocal effects, and allows for the application of voice techniques in speech, based on physiology and anatomy. The study and its results are presented in order to integrate this method into theatrical activities.

Socioeconomic disadvantage and high-effort coping in childhood: evidence of skin-deep resilience.

Low socioeconomic status (SES) is a risk factor for poor outcomes across development. Recent evidence suggests that, although psychosocial resilience among youth living in low-SES households is common, such expressions of resilience may not extend to physical health. Questions remain about when these diverging mental and physical health trajectories emerge. The current study hypothesized that skin-deep resilience - a pattern wherein socioeconomic disadvantage is linked to better mental health but worse physical health for individuals with John Henryism high-effort coping - is already present in childhood. Analyses focus on 165 Black and Latinx children (Mage = 11.5) who were free of chronic disease and able to complete study procedures. Guardians provided information about their SES. Children reported on their John Henryism high-effort coping behaviors. They also provided reports of their depressed and anxious mood, which were combined into a composite of internalizing symptoms. Children's cardiometabolic risk was captured as a composite reflecting high levels of systolic or diastolic blood pressure, waist circumference, HbA1c, triglycerides, and low high-density lipoprotein cholesterol. Among youth who reported using John Henryism high-effort coping, SES risk was unrelated to internalizing symptoms and was positively associated with cardiometabolic risk. In contrast, for youth who did not engage in high-effort coping, SES risk was positively associated with internalizing symptoms and was unrelated to cardiometabolic risk. For youth with high-effort coping tendencies, socioeconomic disadvantage is linked to cardiometabolic risk. Public health efforts to support at-risk youth must consider both mental and physical health consequences associated with striving in challenging contexts.

Examining indicators of psychosocial risk and resilience in parents of autistic children.

Parents of autistic children experience increased levels of caregiver strain and adverse mental health outcomes, even in comparison to parents of children with other neurodevelopmental disabilities. Previous studies have largely attributed these increased levels of mental health concerns to their child behavioral concerns and autism symptomatology, but less attention has been given to other potential child factors, such as child adaptive functioning. Additionally, little is known about potential protective factors, such as parents' emotion regulation (ER) abilities, that may ameliorate the experience of caregiver strain, anxiety, and depression. The current study examined the impact of child characteristics (restricted and repetitive behaviors, adaptive functioning and behavioral concerns) on parent mental health outcomes (caregiver strain, anxiety, depression and wellbeing). Additionally, we explore parents' ER abilities as a moderator of the impact of child characteristic on parents' mental health outcomes. Results of linear mixed effect models indicated a significant relationship between parents' ER abilities and all four parent outcomes. Additionally, children's adaptive functioning abilities and repetitive behaviors (RRBs) were significant predictors of caregiving strain. Parents' ER abilities were a significant moderator of the effect of children's repetitive behaviors and adaptive functioning challenges on caregiver strain, such that better ER abilities mitigated the impact of child clinical factors on caregiver strain. Finally, a significant difference was detected for mothers' and fathers' mental health, with mothers reporting higher caregiver strain, and more symptoms of anxiety and depression than did fathers. This study leveraged a large sample of autistic children and their biological parents to examine the relationship between children's clinical characteristics and parents' psychological wellbeing. Results indicate that, although parents of autistic children do experience high rates of internalizing mental health concerns that relate to child adaptive functioning and RRBs, parent ER abilities act as a protective factor against parents' adverse mental health outcomes. Further, mothers in our sample reported significantly higher rates of depression, anxiety, and caregiver strain, as compared with fathers.

Association Between Physical Activity and Psychosocial Resilience Among Middle-Aged and Aging Men Living With or Without HIV in the Multicenter AIDS Cohort Study

Introduction Increased resilience has been consistently linked to improved mental and physical health outcomes. Because individuals with HIV have a longer life expectancy than ever before, it is imperative to identify mechanisms to promote resilience in this population. Physical activity has significant potential to strengthen resilience and improve overall well-being in individuals with HIV. The goal of this study was to investigate whether increased physical activity is positively associated with increased individual-level psychosocial resilience, and whether this association varied by HIV status. Methods Data for this analysis were obtained from the Multicenter AIDS Cohort Study (MACS), a longitudinal observational cohort study following men living with and without HIV in the United States. Specifically, cross-sectional data collected between October 2016 and March 2017 from 1118 MACS participants enrolled in the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men sub-study were used. Odds ratios were determined using logistic regression to examine the association of physical activity with psychosocial resilience (measured using the 14-item Resilience Scale). Results Among all MACS participants enrolled in the sub-study, both sufficient physical activity and health-enhancing physical activity were positively associated with high resiliency (odds ratio, 2.20 [95% CI, 1.36-3.56] and odds ratio, 3.72 [95% CI, 2.30-6.03], respectively). Among the participants with HIV, only health-enhancing physical activity was positively associated with high resiliency (odds ratio, 3.07 [95% CI, 1.54-6.14]). Conclusions At the level of individual patient care, physical activity has significant potential to improve health outcomes and strengthen resilience in individuals living with HIV.

Religiosity as a factor of social-emotional resilience and personal growth during the COVID-19 pandemic in Croatian adolescents

The coronavirus pandemic and measures to protect against the spread of infection have had a specific effect on individual age groups. This research is focused on adolescents (from 13 to 19 years old) because young people at that age are already going through a developmental crisis, which is further intensified by pandemic circumstances. The survey, conducted in Croatia from December 2020 to February 2021 (N = 857), sought to identify the possible personalizing of faith in adolescents as well as the impact of religiosity on their coping with the pandemic, especially in terms of social-emotional resilience and personal growth. In addition to descriptive indicators, the analysis used inferential procedures to check the statistical significance of differences (t-test, ANOVA), as well as connections and determinations between variables (correlation and regression analysis). The hypotheses were confirmed that the faith of religious adolescents became more personal and that it had a positive effect on psycho-social resilience and personal growth, but in combination with family cohesion, which on the one hand was stimulated by religiosity, and on the other, influenced personal growth.

Assessing the efficacy of a job rotation for improving occupational physical and psychosocial work environment, musculoskeletal health, social equality, production quality and resilience at a commercial laundromat: protocol for a longitudinal case study

IntroductionJob rotation is a work organisation strategy used to reduce work-related exposures and musculoskeletal complaints, yet evidence for the efficacy of the approach is weak. Mismatch between job rotation and...

Psychosocial Well-Being, Resiliency and Performance of Elementary Teachers

Teaching and learning are seriously tested during unprecedented situation. The Covid 19 health issue has influenced teachers both professionally and personally. As the Department of Education reopened schools for the implementation of in-person classes, the role of teachers, their understanding of their learners needs, and their teaching expertise are critical to developing effective strategies particularly given that most of the learners are academically challenged and need special attentionIn the continuation of education, quality teaching should not be left behind. It was mentioned by Cachon-Zagalaz et al (2020) that teachers have experienced significant stress, and this certainly will affect the quality of their teaching and strategies used in addressing the needs of learners. With this reality, the conduct of this study focuses on the psychosocial well-being, resiliency, and job performance of teachers. It also aims to determine the level of the teachers psychosocial behavior and resiliency and their job performance. Specifically, it seeks answers on the level of teachers psychosocial well-being in terms of physical, social, mental emotional and intellectual. To know the level of teachers resiliency as to self-awareness, self-regulation, optimism, and strengths of character. To identify the level of teachers performance in IPCRF. Also, to know the significant relationship between psychosocial well-being and resiliency and performance of the teachers. Mean and standard deviation will be used to determine the respondents degree of perceptions for the provided variables. The standard deviation statistic is one way to display the results of a series of measurements and can provide an instant understanding of the characteristics of the data set. Some of the more well-known and easily calculable features of a sample include the range, median, and mean of a set of data. The Pearson correlation coefficient, also referred to as the Pearson product-moment correlation coefficient, was used to know the significant relationship between psychosocial well-being and resiliency and performance of the teachers. Given the results, the null hypothesis, There is no significant Relationship between Teachers Psychosocial Well-being and the Teachers IPCRF, is rejected at the 0.05 level of significance. Hence, the alternative that suggests there is a significant relationship between teachers individual performance commitment and review form and psychological well-being should be acknowledged. Knowing the relationship between teachers psychological wellbeing and their IPCRF is a given that these are two connected aspects that contribute to their overall wellbeing and professional development.

GPCR-mediated calcium and cAMP signaling determines psychosocial stress susceptibility and resiliency.

Chronic stress increases the risk of developing psychiatric disorders, including mood and anxiety disorders. Although behavioral responses to repeated stress vary across individuals, the underlying mechanisms remain unclear. Here, we perform a genome-wide transcriptome analysis of an animal model of depression and patients with clinical depression and report that dysfunction of the Fos-mediated transcription network in the anterior cingulate cortex (ACC) confers a stress-induced social interaction deficit. Critically, CRISPR-Cas9-mediated ACC Fos knockdown causes social interaction deficits under stressful situation. Moreover, two classical second messenger pathways, calcium and cyclic AMP, in the ACC during stress differentially modulate Fos expression and regulate stress-induced changes in social behaviors. Our findings highlight a behaviorally relevant mechanism for the regulation of calcium- and cAMP-mediated Fos expression that has potential as a therapeutic target for psychiatric disorders related to stressful environments.

Learning from young people in Gauteng, South Africa, about their experiences of depression: a discussion space report

Across the world, rising youth depression is a pressing concern that has animated researcher and popular media attention. Mostly, this attention has missed that youth depression can be prevented, provided we can discover and mobilize protective mechanisms at different systemic levels that have differential (i.e., the most impactful) value for specific youth in specific cultures and contexts. Importantly, we need to consider what combinations of protective mechanisms matter most and pay more attention to mechanisms in the systems that young people are connected to (like their families and communities). A handful of studies across a diversity of biological, social and environmental sciences are beginning to challenge the overly narrow focus on protective mechanisms at the level of the individual (Arango et al., 2021; Thapar et al., 2022). They show that a wide range of factors, like food security (Teasedale et al., 2021), less polluted or more temperate environments (Sugg et al., 2019; Theron et al., 2022), trusted social connections (Choi et al., 2020), opportunities for school and work engagement and social justice (Minh et al., 2021) matter as much, if not more, than individual resources for youth resilience to depression. Further, the Resilient Youth in Stressed Environments (RYSE) study is showing that these factors work in combination. RYSE-related work on the multisystemic determinants of the psychosocial resilience of youth living in stressed environments in Canada and South Africa (Ungar et al., 2021), has shown that at-risk youth report negligible depression symptoms when they also report greater access to a culturally relevant combination of relational, institutional and ecological resources (Theron et al., 2022). We wondered how these insights would hold up in stressed urban environments. We wanted to learn more about the intersection between multisystemic resources and young peoples’ real life experiences of mental poor health or depression in overcrowded, violent, stressed city spaces. To do this, we held a Discussion Space in Johannesburg in February 2023 to centre the voices of Black 18-24 year olds, and engage them in a participatory approach to navigate this emerging research landscape.

Social Vulnerability and Psychosocial Resilience in Adolescents and Young Adults From a Community Art Network.

Adolescence is a stage of transition with multiple changes and transformations. It is a critical phase to potentiate or disrupt the life course of human beings. In Latin America, adolescents and young adults from countries like Colombia have unequal access to socioeconomic resources, education, and the job market. This may generate social disadvantages and vulnerability. We aimed to identify conditions of social vulnerability and psychosocial resilience in the life course of adolescents and young adults from a community art network in Bogota, Colombia. We conducted a qualitative study with a multivocal design supported by the ethnic-social life history construction. The data were collected using narrative interviews. The interviews were transcribed, coded, categorized, and triangulated according to the principles of grounded theory as an analytical method. We adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist. Eight adolescents and young adults between the ages of 12 and 24 years participated in the study. Five categories emerged: social vulnerability, social environment, artistic processes, psychosocial resilience, and life course. Social vulnerability and psychosocial resilience coexist during the life course of adolescents and young adults. Social support networks and community art processes have the potential to promote psychosocial resilience in adolescents and young adults.

A Systematic Review of Psychosocial Resilience Interventions for Children and Adolescents in the COVID-19 Pandemic Period

Many integrated interventions for the psychosocial recovery and empowerment of children and adolescents were implemented during the period of COVID-19. This article aims to present the results of a systematic review of psychosocial, and psychological resilience interventions for children and adolescents implemented during the COVID-19 pandemic in the school and community context. The review includes published articles from December 2019 to February 2022. The databases, which were used for the search, were: Google-Scholar, Psych info, Web of Science and PubMed and Scopus. The following words were used in the search: child, adolescents, intervention, school, psychosocial, resilience, pandemic COVID-19. The corresponding articles were checked manually. Articles that did not agree with the inclusion criterion as the school context as well as the interventions related to the health measures to limit the pandemic were not considered. The final selection of articles included 10 studies. The final studies yielded information that was categorized according to their area of application (school, community), the period of application (crisis, lockdown, unlock), goal, method, results, and evaluation. The conclusions drawn from the pandemic, the lockdown and the unlocking confirm the need to apply the already known crisis intervention methods and practices, and other new, innovative practices and methods such as re-entry interventions, alternative methods and the use of new digital techniques and remote psychosocial support.

Reduced Epigenetic Age in Older Adults With High Sense of Purpose in Life.

Psychosocial risk factors have been linked with accelerated epigenetic aging, but little is known about whether psychosocial resilience factors (eg, Sense of Purpose in Life) might reduce epigenetic age acceleration. In this study, we tested if older adults who experience high levels of Purpose might show reduced epigenetic age acceleration. We evaluated the relationship between Purpose and epigenetic age acceleration as measured by 13 DNA methylation (DNAm) "epigenetic clocks" assessed in 1 572 older adults from the Health and Retirement Study (mean age 70 years). We quantified the total association between Purpose and DNAm age acceleration as well as the extent to which that total association might be attributable to demographic factors, chronic disease, other psychosocial variables (eg, positive affect), and health-related behaviors (heavy drinking, smoking, physical activity, and body mass index [BMI]). Purpose in Life was associated with reduced epigenetic age acceleration across 4 "second-generation" DNAm clocks optimized for predicting health and longevity (false discovery rate [FDR] q < 0.0001: PhenoAge, GrimAge, Zhang epigenetic mortality index; FDR q < 0.05: DunedinPoAm). These associations were independent of demographic and psychosocial factors, but substantially attenuated after adjusting for health-related behaviors (drinking, smoking, physical activity, and BMI). Purpose showed no significant association with 9 "first-generation" DNAm epigenetic clocks trained on chronological age. Older adults with greater Purpose in Life show "younger" DNAm epigenetic age acceleration. These results may be due in part to associated differences in health-related behaviors. Results suggest new opportunities to reduce biological age acceleration by enhancing Purpose and its behavioral sequelae in late adulthood.

Individual-Level Risk and Resilience Factors Associated with Mental Health in Siblings of Individuals with Neurodevelopmental Conditions: A Network Analysis

ABSTRACT Siblings of individuals with neurodevelopmental conditions (NDCs) are exposed to unique family environments and experience a range of psychosocial risk and resilience factors. Networks of self-reported risk, resilience, and neuropsychiatric variables were estimated for siblings of individuals with (n = 235) and without (n = 480) NDCs (N = 715, mean age 22.40 years, 76% female, 74% White Caucasian). The NDC group reported more depressive (g = 0.39) and anxious (g = 0.43) symptoms than controls, and 71.5% of the NDC group reported at least one neuropsychiatric diagnosis compared to 36.9% of controls. Self-reported sleep and post-traumatic stress disorders were high amongst NDC siblings. Everyday executive functioning difficulties (cognitive inflexibility, hyperactivity/impulsivity) and emotion dysregulation were the most influential transdiagnostic risk factors for poorer functioning within the NDC group network.

Individual-Level Psychosocial Resiliencies as Mediators of the Relationship Between Internalized Homophobia and Depressive Symptoms Among Middle-Aged and Older Men Living With and Without HIV.

Among sexual minority men (SMM), internalized homophobia (IH) has been consistently associated with increased depression symptoms. However, some SMM experiencing IH demonstrate resilience to buffer against depression symptoms. In this analysis, we used the Stress Process Model (SPM) as a conceptual framework to explore individual-level psychosocial resilience (ILPR) factors serving as a buffer of the IH-depression relationship. To utilize the SPM to explore whether four ILPR factors, including volunteerism, optimism, religiosity/spirituality, and global resiliency measure mediate the relationship between IH and depression symptoms among middle-aged and older SMM living with and without HIV. We used exploratory and confirmatory factor analysis to construct measurement models for the four ILPR factors. We examined whether the four ILPR factors mediated the IH-depression relationship. IH was significantly and positively associated with depression symptoms. There was a partial mediation of the IH-depression association by the four ILPR. Specifically, we found statistically significant indirect effects of optimism and the global resilience measure and supporting buffering effects of the IH-depression association. Although, the indirect effects religiosity/spirituality on the IH-depression relationship was significant, it did not support a buffering of effect. The indirect effects of volunteerism were not statistically significant. Our findings highlight the potential role of ILPR factors in the development of resilience against the negative effects of IH. Implications of these results for future research and practice are discussed.

Living with Epilepsy: Psychosocial and Clinical Determinants of Quality of Life in Patients with Epilepsy

The present study assessed the role psychosocial (social support, resilience and psychological distress) and clinical determinants (duration of disease and number of seizures per month) in predicting quality of life in epileptic patients. Past research findings have established the role of social support and resilience in impacting psychological distress in quality of life in epileptic patients. Objectives: To evaluate the psychosocial and clinical determinants of quality of life in epileptic patients and to contribute to the gap in the literature. Methods: A quantitative research design was used for the study in which out of 230 progressive patients, 200 were recruited for the study out of which 117 suffered from generalized and 73 suffered from focal epilepsy. In terms of gender differentiation, 110 were male and 90 were females. Kessler Psychological Distress Scale, Brief Resilience Scale and Social Provisions Scale were used. Clinical determinants were assessed through measuring disease duration and number of seizures per month. Data analysis was done using Pearson Product Moment Correlation, MANOVA and Mediation Analysis. Results: Results had shown that there is a significant negative predictive association of psychological distress with quality of life, social support and resilience. However, a significant positive predictive association was identified among psychological distress, duration of disease and number of seizures per month. Conclusion: Significant differences were identified in epileptic patients with regard to psychological distress (high/low) in terms of social support, resilience and quality of life. Social support and resilience significantly mediated the association between psychological distress and quality of life.