Resilience Enhancement Program Research Articles

Integrating Behavior Into Regional Resilience Concept for Sustainable Growth: An Example of Agricultural Sector

Regional economic resilience, which is a necessary and indispensable component for ensuring both regional and overall sustainability, is understood principally in relation to the system’s structure and overall functioning ignoring human agency and its bounded rationality. This leads to missing important and potentially crucial elements fostering or hindering resilience, and consequently to designing resilience enhancing programs with low effectiveness. This paper argues that the focus of the resilience concept should shift from the system structure to the behavior of agents, since any outcome at the macro level is a product of the myriad of interacting behaviors. The structure of the system and all the context matters as the options for the behavior and which options are chosen depends on the internal factors of the decision maker. A framework, depicting the mechanism how the above mentioned factors interact and determine behavior thus consequently influencing resilience is proposed. An exemplary analysis of how to use the framework is also presented.

성인 진로탄력성 강화 프로그램 평가 연구

성인 진로탄력성 강화 프로그램 평가 연구

How can we design a curriculum for a resilient medical student? - A blueprint for resiliency programs for med students in Japan

Recent research around the world has consistently reported that medical students experience a high rate of psychological morbidity, depersonalization, and low personal accomplishment. Resilience-enhancing programs have been proposed and implemented even in Japan. However, most of them remain extracurricular programs that are not specifically tailored to medical students. Additionally, they mostly mimic resiliency programs in North America, although studies have indicated that cultural perspective to the self, others, and context contribute to the capacity to respond to a stressful situation.In this context, the presenters investigated what factors might affect the similarities or differences in the perceptions of resilience among experienced palliative care physicians in Canada and Japan in 2017-2018 in order to propose a theory for a resiliency curriculum from a different cultural perspective. This study showed that Japanese physicians are more likely to rely on “Relationships” with other persons such as mentors, family, friends, or colleagues; in contrast, Canadian physicians tended to be more focused on individual factors such as “Autonomy” and “Confidence”.As a result, Showa University School of Medicine in Japan has developed a progressively advancing resiliency program for first through fourth year medical students as part of a new curriculum, implementation of which will begin in the spring of 2020. This represents one of the largest revisions in the school’s history. In this presentation, a blueprint for resiliency programs in a new curriculum will be presented, including course description, course content, educational objectives, learning resources, timetables, and instructional strategies.

Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator

This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses. This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack). Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses' turnover intention, and leaving.

The efficacy of a resilience-enhancement program for mothers in Japan based on emotion regulation: study protocol for a randomized controlled trial

BackgroundThe demands of daily life often cause mothers high levels of distress and other negative emotions. Anger, including harsh verbal discipline, has been linked to child maltreatment, with long-term adverse effects on a child’s well-being. It is critically important to teach mothers stress management and emotion regulation in addition to parenting skills, but this is yet to be conducted in a formalized manner. Strengthening the multiple protective factors that constitute resilience helps reduce distress. The aim of this study is to evaluate the efficacy of a resilience-enhancement program for mothers.MethodsWe designed a two-arm, parallel, randomized trial with an active control. Mothers and their partners with children between three and six years old will be recruited. Following an online baseline survey, 140 mothers will be randomly allocated to either an intervention or control group. Self-report assessment will be conducted online post-intervention and at a two-month follow-up. The control group will participate in a serious of group discussions. The intervention group will participate in four bi-weekly 120-min sessions of a Cognitive Behavior Therapy-based program designed to enhance resilience, focusing on emotion regulation through cognitive reappraisal. Participants will be encouraged to apply and share the skills they acquire with their partner and children at home. Partners will also be assessed to explore their indirect influence from the mothers. Intention-to-treat analysis will be conducted and the two groups will be compared, applying covariate analysis. The primary outcome of the intervention is improved resilience. Secondary outcomes include improved anger control, self-esteem, cognition of children’s misbehavior, and reduced parental stress.DiscussionTo the best of our knowledge, this study will evaluate the first resilience-enhancement program focused on emotion regulation for mothers in Japan. It will contribute to the existing body of knowledge on building emotional resilience. If the program is found to be effective, it will provide an alternative means to enhance mothers’ resilience against stress and improve their ability to regulate emotion. In so doing, it will offer a way to prevent child maltreatment and protect the mental health of children and families.Trial registrationUMIN000027232, May 3, 2017.

Resilience, Depression, Anxiety, and Stress among Overseas Filipino Seafarers

This descriptive-correlational study assessed the level of resilience, depression, anxiety, and stress among overseas Filipino seafarers and its relationship to demographic variables such as age, marital status, length of service, position category, and family structure. Also, it sought to find out if resilience is associated with depression, anxiety, and stress, respectively. Sixty-six overseas Filipino seafarers were obtained through convenience and snowball sampling in Iloilo. The data were gathered using the Brief Resilience Scale (BRS) and Depression, Anxiety, Stress Scale (DASS-21) and were analyzed using percentage, mean, Fisher Exact test, and Pearson-r product. The results showed a normal level of resilience and experience normal levels of depression, anxiety, and stress. There is no relationship between resilience, depression, anxiety, stress and demographic profiles. Moreover, resilience is negatively associated with depression, anxiety, and stress. Results of the study served as a basis for resilience enhancement and distress management program for overseas Filipino seafarers.

Resilience enhancement among student nurses during clinical practices: A participatory action research study

BackgroundClinical practice is an essential component of nursing students' preparation for applying theoretical knowledge in a real-life setting. However, students often experience clinical practice as extremely stressful, which may disrupt their clinical performance, impact the quality of patient care they provide as well as their own physical and psychological health, and hinder their continuation into nursing careers. Resilience, understood as the capability to overcome challenges, is critical for these students. PurposeTo develop and implement a resilience enhancement (RE)-based project for Taiwanese nursing students during their Last Mile practicum. Design and MethodsA participatory action research (PAR) approach was used in which ongoing planning, action, and reflection informed real-time progress. Twenty-eight nursing students in clinical practice participated in the study. A six-workshop RE project was completed over the course of two months. Evaluation methods involved group discussion, individual interviews, and reflective diaries. Content analysis was applied to the data. ResultsThrough a PAR-based project, participants achieved positive results. Three outcome themes were identified: Increasing self-exploration, Furthering confidence and competency, and Constructing resilience. ConclusionsThe PAR-based RE project helped students to develop resilience by enhancing their nursing knowledge and skills and practicing positive thinking and behavior. Clinical RelevanceThe findings can be a reference for nursing educators in designing RE programs for students during clinical practice to increase their professional competence and provide psychological supports.

Evaluation of Resilience, Quality of Life and Depression in Family Members of Alcohol/Substance Dependent Patients

Objective: The aim of this study was to compare resilience, quality of life, and depression levels in family members of patients suffering from dependence with a control group and to assess the relationship between resilience, quality of life, depression, and clinical features in family members. Method: The sample consisted of 41 female participants who had a family member with a history of at least one year of alcohol or substance dependence with outpatient and/or inpatient treatment and 41 female participants with no history of psychiatric admission or treatment matched to the family members by age, length of education, and marital status. Written informed consent was obtained from all participants and a sociodemographic data form, the Resilience Scale for Adults (RSA), the Short Form-36 (SF-36), and the Beck Depression Inventory (BDI) were administered. Results: Levels of resilience and quality of life were lower and levels of depression were higher in family members of alcohol or substance-dependent individuals compared to the control group. Depression scores were negatively correlated with resilience and quality of life scores. Resilience was positively correlated with all subscale scores for quality of life except general health. In family members, there were positive correlations between the duration of dependence and the scores on the family cohesion subscale and between the number of substance withdrawal periods and structured style subscale scores. With regard to family members’ resilience and quality of life, levels in siblings were higher compared to those of mothers and spouses, whereas the depression levels were higher in mothers compared to siblings of alcohol or substance-dependent patients. There was no difference between the scores for the family cohesion dimension among family members. Conclusion: Strengthening resilience is important for understanding, preventing, and treating psychiatric conditions. Resilience is a dynamic concept that can be learned and improved; therefore, resilience-enhancing programs may be beneficial in improving the quality of life and alleviating the level of depression in family members of dependent patients.

Effects of Resilience Enhancement Programs using Problem Solving Strategy on Resilience of the College Students with Sensory Disabilities

Effects of Resilience Enhancement Programs using Problem Solving Strategy on Resilience of the College Students with Sensory Disabilities

중년 여성의 스트레스, 우울, 회복탄력성과의 관계

본 연구는 중년기 여성의 스트레스, 우울 및 회복탄력성을 파악하고, 이들의 상관관계를 확인하기 위해 시도된 조사연구이다. 연구 대상자는 만 40~59세의 중년여성을 대상으로 총 151부를 자료 분석하였다. 수집된 자료는 PASW statistics 20.0 program을 이용하여 분석하였으며, t-test, ANOVA, Pearson"s correlation coefficient로 분석하였다. 연구결과 중년여성의 스트레스는 평균 97.58점, 우울은 평균 13.88점, 회복탄력성은 총점 평균 60.66점이었다. 스트레스는 우울과 정적 상관관계를 보였으며, 우울은 회복탄력성과 부적 상관관계를 나타내었다. 본 연구 결과를 바탕으로 중년여성의 회복탄력성을 향상시킬 수 있는 중재 프로그램이 마련이 필요하겠다. The purposes of this study were to investigate the relations stress, depression and resilience of middle-aged women. The participants in this study were 151 who were middle-aged women recruited in the D and K city. Collected data were analyzed using a descriptive analysis, t-test, ANOVA, Pearson`s correlation with PASW statistics 20.0 program. Average score were 97.58 for stress, 13.88 for depression and 60.66 for resilience. There were statistically significantly positive correlations between stress and depression. But, depression and resilience were positive correlations. Thus it is suggested that management of stress and resilience have a positive impact for middle-aged women. There is a need for an effective strategy to decrease stress and depression to develop resilience-enhancing programs for middle-aged women.

Effects of Resilience Enhancement Programs using Social Problem Solving Strategy on Resilience and Social Skills of the Upper Grade Elementary School Students with Learning Disabilities

Effects of Resilience Enhancement Programs using Social Problem Solving Strategy on Resilience and Social Skills of the Upper Grade Elementary School Students with Learning Disabilities

The Protective Role of Resilience in Attenuating Emotional Distress and Aggression Associated with Early-life Stress in Young Enlisted Military Service Candidates.

Early life stress (ELS) may induce long-lasting psychological complications in adulthood. The protective role of resilience against the development of psychopathology is also important. The purpose of this study was to investigate the relationships among ELS, resilience, depression, anxiety, and aggression in young adults. Four hundred sixty-one army inductees gave written informed consent and participated in this study. We assessed psychopathology using the Korea Military Personality Test, ELS using the Childhood Abuse Experience Scale, and resilience with the resilience scale. Analyses of variance, correlation analyses, and hierarchical multiple linear regression analyses were conducted for statistical analyses. The regression model explained 35.8%, 41.0%, and 23.3% of the total variance in the depression, anxiety, and aggression indices, respectively. We can find that even though ELS experience is positively associated with depression, anxiety, and aggression, resilience may have significant attenuating effect against the ELS effect on severity of these psychopathologies. Emotion regulation showed the most beneficial effect among resilience factors on reducing severity of psychopathologies. To improve mental health for young adults, ELS assessment and resilience enhancement program should be considered.

Military and Veteran Families and Children: Policies and Programs for Health Maintenance and Positive Development and commentaries

Military and Veteran Families and Children: Policies and Programs for Health Maintenance and Positive Development and commentaries

Effects of the Family Resilience Enhancement Program for Families of Patients with Chronic Schizophrenia

The purpose of this study was to evaluate the effects of the Family Resilience Enhancement Program (FREP) on family hardiness, family sense of coherence, family problem solving communication, family crisis oriented personal evaluation, and adaptation in families of patients with chronic schizophrenia. The study design was a nonequivalent control group prepost test design. Study participants were 17 families in the experimental group and 17 in the control group. Ten sessions of FREP were provided over 5 weeks. The data were analyzed using SPSS 15.0. There were statistically significant differences in family hardiness, family sense of coherence, family problem-solving communication, family crisis-oriented personal evaluation, social resources, and family adaptation between the experimental group and the control group. FREP based on the family resilience model developed in this study, shows the effect of leading the families to positive family adaptation.

Mechanisms of Risk and Resilience in Military Families: Theoretical and Empirical Basis of a Family-Focused Resilience Enhancement Program

Recent studies have confirmed that repeated wartime deployment of a parent exacts a toll on military children and families and that the quality and functionality of familial relations is linked to force preservation and readiness. As a result, family-centered care has increasingly become a priority across the military health system. FOCUS (Families OverComing Under Stress), a family-centered, resilience-enhancing program developed by a team at UCLA and Harvard Schools of Medicine, is a primary initiative in this movement. In a large-scale implementation project initiated by the Bureau of Navy Medicine, FOCUS has been delivered to thousands of Navy, Marine, Navy Special Warfare, Army, and Air Force families since 2008. This article describes the theoretical and empirical foundation and rationale for FOCUS, which is rooted in a broad conception of family resilience. We review the literature on family resilience, noting that an important next step in building a clinically useful theory of family resilience is to move beyond developing broad “shopping lists” of risk indicators by proposing specific mechanisms of risk and resilience. Based on the literature, we propose five primary risk mechanisms for military families and common negative “chain reaction” pathways through which they undermine the resilience of families contending with wartime deployments and parental injury. In addition, we propose specific mechanisms that mobilize and enhance resilience in military families and that comprise central features of the FOCUS Program. We describe these resilience-enhancing mechanisms in detail, followed by a discussion of the ways in which evaluation data from the program’s first 2 years of operation supports the proposed model and the specified mechanisms of action.

Impact of resilience enhancing programs on youth surviving the Beslan school siege.

The objective of this study was to evaluate a resilience-enhancing program for youth (mean age = 13.32 years) from Beslan, North Ossetia, in the Russian Federation. The program, offered in the summer of 2006, combined recreation, sport, and psychosocial rehabilitation activities for 94 participants, 46 of who were taken hostage in the 2004 school tragedy and experienced those events first hand. Self-reported resilience, as measured by the CD-RISC, was compared within subjects at the study baseline and at two follow-up assessments: immediately after the program and 6 months later. We also compared changes in resilience levels across groups that differed in their traumatic experiences. The results indicate a significant intra-participant mean increase in resilience at both follow-up assessments, and greater self-reported improvements in resilience processes for participants who experienced more trauma events.

Integrating Mental Health Services into Humanitarian Relief Responses to Social Emergencies, Disasters, and Conflicts: A Case Study

Utilizing lessons learned from development and implementation of "Project Liberty" in New York City, created in response to the attacks of September 11, 2001, this paper explores the importance of integrating structured mental health services with community-based social service programs offered in large-scale humanitarian relief responses. Relevant international research studies illustrating similar integrated programs are also reviewed. The primary approach is community-based and resilience-enhancement focused, offering structure, stability, support, and community cohesion, with an added integrated screening component to identify persons with severe treatable mental health conditions. Because there is thus far little evidence that resilience-enhancing programs are effective for severe mental health conditions, a secondary program initiated in parallel would be staffed with more specialized providers offering services for those referred from the primary program. The key implication supports the establishment of more effective links between programs and professionals from different disciplines, who then can more effectively implement integrated program responses to large-scale disasters.

Effects of a Resilience Enhancement Program on Self-efficacy, Problem Solving Ability, and School Adjustment of Middle School Students

Purpose: This study was done to examine the effects of a resilience enhancement program for middle school students. Methods:The research design was a quasi-experimental pre-and-post-test control and experimental groupmethodological comparison study. The participantsfor thestudy were 124 (experimental=60, control=64) middle school students in G city. The experimental group received the program for eight sessions. The control group did not receive any treatment. From April to June 2009 data were collected using self-report structured questionnaires, andwere analyzedusing theKolmogorov-Smirnovtest, x 2 -test, Fisher'sexact test, and t-test with SPSS/WIN 15.0 program. Results: After the treatment, significant differences were found between the experi- mental and control groups in terms of problem solving ability (t=2.52 p=.007) and school adjustment (t=1.66, p=.004), but not inlevel of self-efficacy (t=0.80, p=.212). Conclusion:The findingsindicate that thisprogramcan be used in school based practice as an effective nursing intervention for adolescents.

A Study on the Development of Family Resilience Enhancement Program for Middle-aged Couples

A Study on the Development of Family Resilience Enhancement Program for Middle-aged Couples

A study on the development of family resilience enhancement program for couples in early stage of marriage

A study on the development of family resilience enhancement program for couples in early stage of marriage