Resilience In Survivors Research Articles

How does family resilience develop among stroke survivors and their caregivers? A mixed-method study using a chain mediating model

BackgroundWalsh's family resilience theory indicated that families could foster resilient outcomes among their members when they are facing changes or crises. However, little is known about family resilience among Chinese stroke survivors and their caregivers. ObjectivesTo explore the direct and indirect relationships between the family resilience of stroke survivors, perceived social support, self-perceived burden, self-efficacy, and the burden on their principal caregivers, and to examine the journey of adapting to family resilience among stroke survivors. DesignAn explanatory sequential mixed-method study. MethodsA quantitative assessment of perceived social support, self-perceived burden, self-efficacy, and family resilience was conducted among a cohort of stroke survivors. For a deeper understanding of the family resilience formation process, semi-structured, in-depth interviews were undertaken with a purposefully selected subset of participants, consisting of 15 stroke survivors and their principal caregivers who met the study criteria. Data analysis encompassed descriptive statistics, mediation models, and content analysis to integrate and interpret both quantitative and qualitative data. ResultsIn a comprehensive hospital in Guangdong Province, China, 379 participants—229 men (60.4%) and 150 women (39.6%)—completed a cross-sectional questionnaire survey. The quantitative phase revealed significant statistical differences (p < 0.05) in total family resilience scores among stroke survivors related to various factors, such as age, marital status, educational level, occupational status, average monthly income per capita, first-time onset, and types of stroke. Self-perceived burden and self-efficacy partially mediate the relationship between perceived social support and family resilience, contributing to a sequential chain-mediated effect. During the qualitative phase, in-depth interviews revealed a progressive trajectory from the initial shock of diagnosis through the ongoing presence of stress and challenges to the ultimate development of family resilience and an adaptive perspective toward the future. ConclusionsExploring the factors influencing family resilience in stroke survivors could assist healthcare professionals developing interventions to enhance family resilience and lessen the burden on principal caregivers from individual, family, and social perspectives.

Psychological Resilience Following Disasters: A Study of Adolescents and Their Caregivers

Resilience, the process of successful adaptation to adverse circumstances, is traditionally studied as an individual characteristic. However, more recent multisystem perspectives underline the interrelatedness of systems, within and outside of the individual, in shaping coping and adaptation processes. This challenges the assumption that pathways to resilience are the same across the world, given the diversity in people’s contexts globally. In light of the preponderance of resilience research being conducted in higher-income countries, this study taps pathways to resilience in survivors of the 2018 earthquake-tsunami-liquefaction disaster in Central Sulawesi, Indonesia. Guided by a social representations approach and using a novel free association technique, forty caregiver-adolescent dyads (N = 80) who survived the disaster were interviewed regarding their subjective experiences of coping and adaptation. Thematic analysis of their narratives demonstrated that survivors focused on mutual support, religious beliefs and intrapersonal psychological resources of seeking strength and calmness as routes for fostering psychological recovery. The results foreground group-specific aspects of such resilience: differences between caregivers and adolescents highlight how social roles and life stage shape resilience-related beliefs and practices. Moreover, the form their resilience takes is underpinned by sociocultural values of reciprocity and social cohesion. Thus, this paper points to similarities in resilience processes across contexts, but also to differences shaped by societal roles, developmental stage and cultural values.

CN69 The effect of an empowerment program on ruminative thoughts, fatigue and psychological resilience of cancer survivors: A randomized controlled trial

CN69 The effect of an empowerment program on ruminative thoughts, fatigue and psychological resilience of cancer survivors: A randomized controlled trial

Pioneering approaches: Navigating mind wandering and self-silencing in dissociated adolescent female sexual trauma survivors - An interpretative phenomenological analysis

BackgroundMinimal exploration exists on mind wandering and self-silencing in adolescent girls with sexual trauma and dissociation. ObjectiveTo investigate the lived experiences of female adolescent sexual trauma survivors with dissociation, focusing on overcoming mind-wandering and self-silencing through Pranayama, mindfulness meditation, music, and art therapy. Participants and settingsThis study, conducted in Sikkim, India, addresses a research gap in a culturally distinct context. Three adolescent girls diagnosed with PTSD and dissociation by a psychiatrist were selected through purposive sampling. MethodThis study uses Interpretative Phenomenological Analysis (IPA) to explore participants' individual stories and perspectives. It provides a comprehensive understanding of the lived experiences and narratives of three participants. ResultsThe IPA analysis revealed three super-ordinate themes: coping mechanisms, support and relationships, and, therapeutic approaches and the healing journey. In coping mechanisms participants reported (1) mind-wandering, self-blame, and daydreaming, (2) self-silencing, and (3) sublimation through academic achievement. The support and relationships theme included (1) lack of support from family, (2) attachment issues with mothers, (3) gender-based double standards, (4) Lack of infrastructure and health care human resources, with some participants turning to (5) faith-healing for mental health issues. The therapeutic approaches and healing journey theme demonstrated the effectiveness of Pranayama, mindfulness meditation, music, and art therapy in alleviating mind-wandering and self-silencing. ConclusionsThis study underscores the resilience of survivors of post-sexual trauma, advocating for culturally sensitive healing and evidence-based practices. Addressing mind-wandering and self-silencing through Pranayama, mindfulness meditation, music, and art therapy strengthens support systems, pioneering ways to mitigate the impact of sexual abuse.

Resilience of Post-Trafficked Women: A Narrative Inquiry

This study explores the resilience of post-trafficked women. It used a qualitative narrative inquiry approach, involving six participants from Kathmandu Valley. The purposive sampling method was adopted ensuring diverse representation. Thematic analysis was employed to identify resilience mechanisms and coping strategies. Through in-depth interviews, the research has uncovered how trauma, physical health challenges, economic disenfranchisement, and social reintegration impact survivors’ recovery. Findings revealed that the trauma continues to affect daily life, though coping strategies like engaging in hobbies significantly aid resilience. Physical health issues, compounded by past trauma, highlight the need for integrated healthcare solutions. Economic challenges, exacerbated by stigma, highlight the importance of vocational training and microfinance programs for achieving financial independence. Social integration and community support are crucial for overcoming stigma and fostering recovery. Contemporary issues, including the impact of technology and the COVID-19 pandemic, further complicate support efforts. The study concludes that comprehensive support systems, policy reforms, and innovative solutions are essential to enhance the resilience and recovery of trafficking survivors in Nepal.

A latent profile analysis of psychological resilience in gastric cancer survivors: A cross-sectional study

PurposeTo characterize patterns of psychological resilience in gastric cancer survivors using latent profile analyses and to explore the factors influencing these latent profiles based on Kumpfer's resilience framework. MethodsFive hundred eighty-six gastric cancer survivors were recruited between July 30, 2021, and May 1, 2023. A demographic and clinical characteristics questionnaire, Connor and Davidson's Resilience Scale (CD-RISC), Fear of Progression Questionnaire Short Form (FoP-Q-SF), General Self-efficacy Scale (GSES), Medical Coping Modes Questionnaire (MCMQ), and Social Support Rating Scale (SSRS) were used for the investigation. Latent profile analysis of the resilience of gastric cancer survivors was conducted, and the factors influencing the latent profiles were explored by multivariate logistic regression analysis. ResultsA total of 586 questionnaires were collected, and 572 were valid, with an effective recovery rate of 97.61%. The results of latent profile analysis showed that the resilience of gastric cancer survivors was divided into four subgroups, namely, the low-resilience group (18.4%), moderate-resilience group (43.2%), medium-high-resilience group (30.2%), and high-resilience group (8.2%). Multivariate logistic regression analysis showed that fear of disease progression, self-efficacy, medical coping mode and social support were influencing factors of subgroups. ConclusionsPsychological resilience in gastric cancer survivors is individualized. Nurses should assess risk and protective factors for survivor resilience based on Kumpfer's resilience framework, identify unique needs, and develop new approaches and interventions.

The mediating role of self-efficacy, social support, and hope in the relation between mental health and resilience among 2023 Türkiye earthquake survivors

This research aims to investigate the mediating role of self-efficacy, social support, and hope in the relationship between depression, anxiety, stress, and resilience in 2023 Türkiye earthquake survivors (N = 491). The findings from a multi-mediation analysis showed the indirect effect of depression, anxiety, and stress on resilience through self-efficacy, social support, and hope. Thus, self-efficacy, social support, and hope may be protective factors for resilience in earthquake survivors. Strategies to improve self-efficacy and hope in earthquake survivors and social support may be necessary in reducing the stress factors caused by earthquakes.

Adverse Childhood Experiences, Resilience, and Cardiovascular Disease in Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study.

The impact of adverse childhood experiences (ACE, e.g., abuse, neglect, and/or household dysfunction experienced before the age of 18) and resilience on risk for cardiovascular disease (CVD) has not previously been investigated in adult survivors of childhood cancer. We conducted a nested case-control study among long-term, adult-aged survivors of childhood cancer from the Childhood Cancer Survivor Study. Self-report questionnaires ascertained ACEs and resilience, and scores were compared between cases with serious/life-threatening CVD and controls without CVD matched on demographic and cardiotoxic treatment factors. Among 95 cases and 261 controls, the mean ACE score was 1.4 for both groups; 53.4% of survivors endorsed ≥1 ACE. No association was observed between ACEs or resilience and CVD in adjusted models. ACEs and resilience do not appear to contribute to CVD risk for adult survivors of childhood cancer with cardiotoxic treatment exposures. Although not associated with CVD in this population, ACEs are associated with serious health issues in other populations. Therefore, future studies could investigate the effects of ACEs on other health outcomes affecting childhood cancer survivors.

Social comparison, resilience, life satisfaction, depression, and anxiety among earthquake survivors in Turkey

The aftermath of seismic disasters presents a multifaceted challenge for survivors, impacting various aspects of their well-being and mental health. The present study aimed to investigate the mediating role of resilience in the relationships between social comparison, life satisfaction, depression, and anxiety. The study included 388 participants (age range: 18–69 years; mean age = 34.50 ± 13.18) who were residing in the most earthquake-stricken regions of Turkey and completed the self-reported measures of social comparison, resilience, life satisfaction, depression, and anxiety using a paper-and-pencil format. The results showed that social comparison significantly predicted resilience, satisfaction with life, depressive symptoms, and anxiety. Resilience significantly predicted life satisfaction, depression, and anxiety. More importantly, resilience partially mediated the associations between social comparison and life satisfaction, depression, and anxiety. These findings suggest the importance of interventions that contribute to resilience in earthquake survivors. Post-disaster interventions should focus on strategies to diminish the influence of social comparison on mental health and well-being by cultivating the capacity to bounce back from adversity and cope effectively with challenges.

Resilience of COVID-19 survivors: The role of internal locus of control and social support

This study examines the role of internal locus of control and social support in the resilience of COVID-19 survivors. Being exposed to COVID-19 has made the survivors psychologically and socially worse. Survivors require a certain readiness to rise. Their capability to adapt to COVID-19 should be gained once they can determine their own attributions to COVID-19 exposure and social support. This study aimed to examine the relationship between internal locus of control and social support for the resilience of COVID-19 survivors. This study involved 100 survivors of COVID-19 with a purposive sampling technique. Data were collected using the scale of resilience, internal locus of control, and social support constructed under Likert’s model. They were distributed via Google Forms on social media. This study found that 1) there is a relationship between internal locus of control and social support and the resilience of COVID-19 survivors; 2) there is a positive relationship between internal locus of control and the resilience of COVID-19 survivors; and 3) there is a relationship between social support and the resilience of COVID-19 survivors. Therefore, survivors’ ability to control any condition while exposed to COVID-19 and social support can accelerate their resilience. Meanwhile, the internal locus of control plays a greater role than that of social support. This study is expected to be a scientific basis in psychology for counselling clients of COVID-19 survivors.

Mediating role of spirituality in the relationship of anxiety, stress and depression with resilience in individuals exposed to earthquakes in Türkiye

This study aimed to determine whether spirituality mediates the relationship of anxiety, stress and depression with resilience in earthquake survivors. The study population composed of 616 individuals above the aged of 18 years and over who experienced the February 6 earthquake. Sociodemographic information was collected using the Depression Anxiety Stress Scale (DASS-21), the Brief Psychological Resilience Scale (BRS), and the Spirituality Scale (SS). Through a path analysis model, it was found that spirituality importantly acted as a mediator in the connection between DASS-21 and BRS scores; the direct effect of DASS-21 scores on BRS scores was −0.575, their indirect effect through spirituality was −0.206, and the total effect size was −0.364. This research revealed that spirituality has a strong positive impact on resilience by reducing depression, anxiety and stress in catastrophic situations. In addition, this study revealed that spirituality could promote healthy coping strategies, especially in uncertain situations such as after earthquakes.

Individual agency and social support in healing from conflict-related sexual violence: A case history from eastern DRC

ABSTRACT Examining the experience of a male survivor of rape through the salutogenic model and ecological theory, this case study explores how he moved towards the direction of health after an atrocious experience of sexual violence perpetrated by members of an armed group. The study illustrates how he was able to deploy agency by undertaking a number of health-promoting actions to recover from the physical, mental, and social effects of conflict-related sexual violence. Initiatives in the process of improving one’s health include self-care practice, searching for specialised care when self-care seems inefficient, relocation to new a setting post-rape, starting a business, testing one’s reproductive capacities, marrying, taking care of the way he dressed, learning a new language, developing public speaking skills, owning a piece of land, having regular medical check-ups and ascending to power and decision-making bodies. His narrative shows how these initiatives are mirrored by both opportunities and setbacks. While more traditional survey-based studies focus on identifying which practices might be helpful in a healing context, this study sheds light on how an individual healing process might be complex and nuanced and is an important starting point towards our efforts to theorise resilience for male survivors.

Effects of Resilience and Emotion Regulation on Perceptions of Positive and Negative Life Changes in Cancer Survivors: A Longitudinal Study.

While many studies have investigated the sociodemographic, clinical, and psychosocial factors associated with perceived positive change after cancer, longitudinal work examining how emotion regulation, and resilience impact perceptions of life change among newly diagnosed cancer survivors is lacking. This study examined the prevalence of perceived positive and negative life changes following cancer and explored the role of emotion regulation and resilience on perceived change over 6 months. Data from 534 recent survivors of breast, prostate, or colorectal cancer (Mage = 59.3, 36.5% male) collected at baseline (Time 1) and 6-month follow-up (Time 2) were analyzed. Multivariate linear regressions were estimated separately to examine if resilience or emotion regulation were associated with perceived change at Time 2 after controlling for relevant sociodemographic and psychosocial measures. At both time points, greater than 90% of participants reported at least one perceived positive change while fewer than a third reported a negative change. Indices of emotion regulation and resilience were positively related to perceived positive change at both time points and negatively related to perceived negative change at Time 1. Emotion regulation but not resilience was negatively associated with perceived negative change at Time 2. Findings suggest that cancer survivors who are less resilient and struggle with emotion regulation are more susceptible to perceptions of fewer positive and greater negative life changes after cancer. As such, psychosocial interventions should be developed to promote resilience and emotional regulation in cancer survivors.

The role of gratitude and optimism on the resilience of covid-19 survivors

COVID-19 survivors need to maintain their mental health to return to their regular life after recovering from COVID-19. One of the psychological resources that promote mental health is resilience. Resilience has been studied, but it is still rarely studied in COVID-19 survivors. Resilience can be affected by gratitude and optimism. This study examines the role of gratitude and optimism in the resilience of COVID-19 survivors. This study is a quantitative, correlational study. The population was students of COVID-19 survivors at the University of Muhammadiyah Surakarta. The sampling technique used was purposive sampling. The sample included 114 students who survived COVID-19, consisting of 36 men and 78 women aged 18–23. Data were collected using a gratitude scale, an optimism scale, and a resilience scale. Data analysis was conducted by multiple regression. The results show that gratitude and optimism have a role in the resilience of COVID-19 survivors. Gratitude has a positive effect on resilience, and optimism also positively affects resilience. Gratitude and optimism have a 35.9% role in the resilience of COVID-19 survivors. However, gratitude has a higher position than optimism in enhancing the resilience of COVID-19 survivors. The implication of this research is to increase resilience in COVID-19 survivors by increasing gratitude and optimism.

Narrative resilience: exploring the role of personal narratives in shaping self-concept and psychological resilience in cancer patients and survivors

Maintaining the continuity of the 'self' is crucial for finding meaning and ensuring psychological well-being. However, the traumatic encounter with cancer disrupts the normal flow of life stories, challenging coherence. Beyond its physical toll, cancer challenges one's sense of self, identity and overall psychological resilience. As personal narratives unfold, encompassing evolving life stories from one's reconstructed past to the present and envisioned future, inherently reflecting the dynamic conception of self, it becomes imperative to investigate how these narratives shape self-concept and resilience throughout the intricate emotional and psychological landscape of the cancer journey. This narrative review explores the intricate relationship among personal narratives, self-concept and psychological resilience in the context of cancer. The study draws on various theoretical constructs, encompassing self-concept, coping, narrative identity, and psychological resilience theories, to provide a comprehensive exploration of the psychological processes involved. Incorporating insights from both Western and Indian philosophical traditions, the review not only enriches the theoretical framework but also emphasizes the practical implications for healthcare practices. Integrating narrative resilience principles into medical education and advocating for culturally sensitive approaches are deemed essential for advancing patient-centred care. The study underscores both practical and theoretical contributions to psycho-oncology, emphasizing the need for personalized narrative interventions, empathetic healthcare strategies, longitudinal studies and innovative technologies that recognize and support the intricate interplay between personal narratives, self-concept and psychological resilience in the cancer survivorship journey.

Psychological Resilience During Illness in Patients Recovered from Cancer

Cancer survivors face significant psychological challenges post-treatment, which necessitates an understanding of the resilience mechanisms they employ to cope and thrive. This study aims to explore the psychological resilience of cancer survivors, identifying the emotional responses, coping strategies, support systems, and personal growth experienced during and after their recovery. This qualitative study employed semi-structured interviews with 26 cancer survivors who had completed treatment at least six months prior. The sample included a diverse group of participants in terms of age, gender, and cancer type. Data collection aimed at theoretical saturation and analysis was conducted using NVivo software, following a grounded theory approach to identify themes and sub-themes within the narratives. Four main themes were identified: Emotional Responses, Coping Strategies, Support Systems, and Reflections and Growth. Each theme encompassed several categories with specific concepts: Emotional Responses included initial reactions, coping during treatment, and post-treatment emotions; Coping Strategies covered personal strategies, reliance on support systems, and spiritual and philosophical approaches; Support Systems highlighted the role of family and friends, healthcare providers, and community networks; Reflections and Growth focused on changes in self-perception, impact on relationships, and shifts in life philosophy. The study underscores the complexity of the resilience process among cancer survivors, revealing a broad spectrum of emotional responses, adaptive coping mechanisms, and the crucial role of support systems. The findings emphasize the need for holistic approaches in oncological care that address not only the physical but also the psychological and social aspects of cancer survivorship.

Relationship Between Resilience in COVID-19 Survivors and COVID-19-Related Fear, Happiness, Health Literacy, and Physical Activity

Relationship Between Resilience in COVID-19 Survivors and COVID-19-Related Fear, Happiness, Health Literacy, and Physical Activity

EMPOWERING RESILIENCE USING BEHAVIORAL ACTIVATION TECHNIQUES

The recurrent landslides in the Banjarnegara region has far-reaching consequences, leading to widespread unemployment as agricultural lands become unusable. To enhance the resilience of survivors, an intervention in the psychosocial context was employed, utilizing the behavioral activation technique. Fourteen women, representing family units, spanning ages from 20 to 65, participated in the program. These individuals bore the dual burden of losing their homes and enduring trauma. Analysis of resilience scale data was conducted using the Wilcoxon-signed rank test technique, revealing compelling results with Z=-2.805 and p=0.005 (p&lt;0.01), show a significant increase in the resilience of landslide survivors through the behavioral activation technique. Recommendations for subsequent cycles include: (1) widespread application of the behavioral activation technique to empower other disaster survivors, (2) the implementation of collaborative interventions to address geographic vulnerabilities, and (3) the development of targeted interventions for male survivors to facilitate their return to work in their respective villages.

The Role of Social Support as A Moderator in the Relationship between Resilience and PTSD in Individuals Who are COVID-19 Survivors Who Have Comorbidities

The COVID-19 pandemic has an impact on individual health conditions, especially COVID-19 survivors who have comorbidities. Therefore, to reduce PTSD experienced by COVID-19 survivors, resilience and social support are needed. This study aims to determine the role of social support as a moderator in the relationship between resilience and PTSD in COVID-19 survivors who have comorbidities. Participants in this study were 105 people aged 20-60 years, women and men with comorbid diseases who had been contaminated with the COVID-19 virus. By using quantitative research methods, this research uses the Connor-Davidson Resilience Scale (CD-RISC-25) measuring instrument to measure resilience, the Post Traumatic Stress Disorder Checklist DSM-5 (PCL-5) measuring instrument to measure PTSD, and the Multidimensional Scale Perceived of Social Support (MSPSS) to measure social support. Data analysis using MRA showed that social support did not act as a moderator in the relationship between resilience and PTSD but had a significant direct effect on PTSD.

Sources of resilience in adolescent female Rohingya survivors stranded in Aceh

In 2015 to 2016 when the Rohingya were stranded in Kuala Langsa Harbor, Aceh. The research was conducted when the Rohingya survivors had been living in Aceh for six months. For most people, entering puberty is not easy. Adolescence is a stormy and stressful time because it is a time of emotional turmoil and imbalance. For Rohingya adolescents who experienced this runaway tragedy, of course, the adolescent phase they went through adds color, uniqueness, difficulties, and pressures that are different from ordinary adolescents who did not go through a tragedy in their lives. These conditions make Rohingya adolescents have to survive and find their ways to get through this tragedy. This research aims to discover the sources of resilience owned by adolescent girls who are Rohingya survivors. It is known from previous research that adolescent girls are not as resilient as adolescent boys and tend to be more sensitive and stressed when facing complex and stressful situations. This study uses a qualitative method with a phenomenological approach. The subject was taken by purposive sampling and amounted to only one person who was 16 years old. Resilient sources obtained by Rohingya adolescent survivors stranded in Aceh are obtained from internal sources, namely, I Am and I Can. External sources, namely, I have external support and sources in increasing resilience that are received from social support and trades.