Resilience In Survivors Research Articles

CHILDHOOD MALTREATMENT AND PROSOCIAL BEHAVIOR: A QUALITATIVE COMPARATIVE STUDY OF IRISH OLDER ADULT SURVIVORS

Abstract Although childhood maltreatment can have lasting effects into later life, positive outcomes have also been observed, including an increased tendency towards prosocial behavior. However, little is known about the link between childhood maltreatment and later life prosocial behavior. Therefore, this study aimed to explore older adult’s experiences of childhood maltreatment and identify mechanisms linked to prosocial behavior in later life. The individual level, but also broader cultural and contextual mechanisms, were considered by comparing two adversity contexts and applying conceptual frameworks (socio-interpersonal framework model of trauma and recovery, motivational process model of altruism born of suffering). Semi-structured interviews (60-120 minutes) were conducted with 29 Irish (older) adult survivors of childhood maltreatment: 17 institutional (welfare care) abuse survivors (mean age: 61 years, range: 50-77), 12 familial abuse survivors (mean age: 58 years, range: 51-72). Interviews were analyzed using Framework Analysis. In both groups at the individual level, enhanced empathy, amelioration, and identity-related mechanisms were linked to prosocial behavior, with connections to caring roles and coping strategies from childhood. On a social contexts level, the limited resources or opportunities for help in childhood, and the social norms and beliefs of that time, influenced participants’ motivation to help others in later life. Group-specific mechanisms were also observed, such as compassion fatigue in the familial sample; and denouncing detrimental societal values in the institutional sample. The identification of individual, adversity-context, and culture-specific mechanisms linked to later-life prosocial behavior can promote a greater understanding of resilience and adaptability in older adult survivors of childhood maltreatment.

Mentorship in adolescence and subsequent depression and adiposity among child maltreatment survivors in a United States nationally representative sample

Child maltreatment (CM) is associated with multiple adverse health outcomes. Hence, there is a great need to identify factors that promote resilience in CM survivors. Mentorship may promote positive coping in CM survivors, but this may vary by health outcome and mentor/mentee characteristics. Among participants in a United States nationally representative sample, the National Longitudinal Study of Adolescent to Adult Health, who retrospectively reported any CM before age 18 (sexual, emotional or physical, abuse or neglect; N = 3364), we examined associations between mentorship during adolescence and body mass index (BMI), obesity, and depressive symptoms at ages 24–32 (in 2008–2009). We utilized linear regression and predictive margins with complex sample weighting. Models were stratified by sex and race/ethnicity. Thirty-one percent and 40% of participants' most influential mentor was inside and outside the family, respectively, and 29% reported no mentor. Any mentorship was associated with decreased depressive symptoms in females (adjusted beta for any mentor = −0.78, 95% CI:-1.54,-0.02). By contrast, any mentorship was associated with increased adiposity, namely among Latinas (adjusted beta for BMI = 2.23, 95% CI:0.45,4.02, adjusted risk ratio for obesity = 1.42, 95% CI:1.03,1.97). The influence of mentorship in CM survivors is heterogeneous. While mentorship was associated with reduced psychopathology, it was also linked with worse physical health, underscoring that mentoring does not necessarily promote long-term resilience to physical health outcomes, particularly in minorities. A better understanding of how mentors influence specific mentee behaviors may be important in informing how mentors can promote better physical health and lower obesity risk among CM survivors.

The Relationship between Religiosity and Resilience of Covid-19 Survivors

The Covid-19 pandemic has spread around the globe, including in Indonesia. The Special Region of Yogyakarta is one of the areas listed in the red zone. Covid-19 has had a wide range of effects on survivors' physical and mental health. According to research, survivors feel anxiety, trauma, and even depression. Resilience is one way for survivors to rise above difficult circumstances. Experts believe that religiosity is one factor that promotes the development of resilience. The study aims to determine the correlation between religiosity and resilience in Covid-19 survivors. This research was quantitative research with the correlational method. The research data were collected using two scales, namely the religiosity scale and the CD-RISC 25 resilience scale. The respondents of this study consisted of 121 subjects from all regencies and municipalities in the Special Region of Yogyakarta, Indonesia which were taken by random sampling technique. The study found a positive correlation between religiosity and resilience in Covid-19 survivors. The correlation coefficient is 0.621, indicating that the stronger the religiosity, the higher the resilience of Covid-19 survivors. Moreover, the effective contribution of the religiosity variable to resilience was 38.5%, as indicated by the determinant coefficient equal to 0.385.

Family resilience of stroke survivors within 6 months after a first-episode stroke: A longitudinal study.

ContextFamily resilience is frequently recognized as a powerful determinant of family adaptation in chronic disease patients; understanding the family resilience of stroke patients and its predictors could help nurses develop interventions to assist patients in maintaining healthy family functioning.ObjectiveThis study aimed to explore the trajectory of family resilience in the 6 months following stroke onset and examine the predictors of family resilience over time.MethodsA total of 288 first-episode stroke survivors were selected from seven hospitals in China from July 2020 to March 2021. Their family resilience, social support, self-efficacy, and medical coping style were assessed at hospitalization and 1, 3, and 6 months after stroke onset. The study was performed in accordance with the STROBE guidelines.ResultsThe mean levels of family resilience were between 95.52 ± 11.10 and 97.68 ± 9.68 within the first 6 months after a first-episode stroke, with a significant increase 3 months after the onset. Patient self-efficacy, social support, family atmosphere, and caregiver-patient relationship (sibling) were predictors of family resilience at all four time points. Baseline predictors of family resilience at 6 months included self-efficacy of the patients, subjective support, support utilization, family atmosphere, living district, medical bill payment methods, and caregiver-patient relationship (sibling).ConclusionFamily resilience levels were low in stroke patients 6 months after the onset, and 3 months post-stroke onset was a critical period for family resilience of stroke patients. Nurses are recommended to pay particular attention to patients with low self-efficacy, perceived low support, poor utilization of available support, as well as those who are under the care of their siblings, self-pay, or live in a poor family atmosphere. Interventions aimed at improving the self-efficacy of patients and social support are potential approaches to enhance family resilience.

Psychological resilience and posttraumatic growth in adolescent survivors of earthquake: A 10-year cohort study

This 10-year cohort study explored whether individual differences in resilience during early stages post-earthquake could have diverse impacts on future PTG and whether the impacts varied by sex. 1357 Chinese adolescent survivors of the Wenchuan earthquake were assessed on their resilience at 6-, 12-, 18-, and 24-months post-earthquake. 799 participants responded to an online survey 10 years later, and 744 of which provided useable data for subsequent analysis. Resilience trajectories were modeled using the latent class growth analysis. Linear regressions were used to test the predictive effects of different resilience trajectories on subsequent PTG. Of 744 samples (Mage=15.44, SD = 0.66 at baseline), 59.1% were females. Three trajectories of resilience were identified, including low resilience (19.8%), moderate resilience (58.7%), and high resilience (21.5%). Highly resilient participants reported greater PTG 10 years later (β = 0.12, 95%CI 0.60–6.08) after adjusting for demographic variables, earthquake exposure, negative life events, and mental health problems. Moreover, the same findings only existed in males (β = 0.22, 95%CI 1.26–11.01). Our findings highlight the importance of classifying survivors by resilience trajectories in order to better account for different implications on future PTG. Moreover, sex-specific programs are needed to provide tailored intervention.

The Impact of Residential Greenness on Psychological Distress among Hurricane Katrina Survivors

Keywords: green space, mental health, disasters, extreme weather Background: Hurricanes are potentially traumatic events that can produce long-lasting health issues for survivors. Research shows that neighborhood-level social features, such as social and economic capital, are associated with lower risk of mental disorders among survivors. However, to our knowledge, there is no work assessing the impact of neighborhood-level environmental features, such as greenness. We hypothesize that, like community social features, the salutary effects of environmental features may modify recovery among disaster-affected populations. Methods: We used data from the Resilience in Survivors of Katrina Study, a cohort assembled in 2004-2005 (time 0 [T0]) of low-income parents in New Orleans, Louisiana, USA, most of whom later experienced Hurricane Katrina. We obtained data on psychological distress (Kessler [K]-6 scores), sociodemographics, and hurricane exposure for 214 participants who were interviewed again in 2006-2007 (T1) and in 2016-2018 (T2). We assessed greenness using average growing season Normalized Difference Vegetation Index (NDVI) in 300-m buffers around participants’ homes at each timepoint and estimated neighborhood concentrated disadvantage (a common composite metric for neighborhood-level socioeconomic status) at the Census tract-level. We assessed the impact of residential greenness on psychological distress among Katrina survivors using adjusted linear regressions with sandwich clustering. Results: Preliminary results found that residential greenness was not significantly associated with distress at any time point. However, moving to a greener neighborhood immediately after Katrina (T1) was associated with a reduction in K6 scores, indicating lessened psychological distress (-1.43 [95% CI: -2.82, -0.04]) compared to moving to a neighborhood with the same or lower greenness. We found similar but non-significant associations at T2. Discussion: In this disaster-affected population, moving to a greener neighborhood was associated with reduced psychological distress in the short term. These findings suggest that neighborhood environmental features may provide temporary health benefits for disaster survivors.

Properties of the Shift and Persist Questionnaire in adolescent and young adult cancer patients and survivors: Validity, consistency, and interpretability.

The Shift and Persist model provides an informative framework to understand how adolescent and young adult (AYA) cancer patients and survivors (ages 15-39) may withstand stress and thrive despite adversity. The goal of the present study was to examine the psychometric properties of the Shift and Persist Questionnaire (SPQ) in this population and provide guidelines for interpretation. AYA cancer patients and survivors were recruited via an online research panel. Participants reported demographics and health history and completed the SPQ and Patient-Reported Outcome Measurement Information System 29-item profile (PROMIS®-29). We evaluated the structural validity, internal consistency, and construct validity of the SPQ. Minimally important differences (MIDs) were estimated to inform SPQ score interpretation. 572 eligible individuals completed the survey. On average, participants were aged 24 (SD= 7) at evaluation. Of the participants, 43.5% were female, 77.1% were white, and 17.5% were Hispanic (across races). The two-factor structure of the SPQ demonstrated very good structural validity (CFI > 0.95, SRMR < 0.08), and construct validity with PROMIS-29® domains (convergent Rs = 0.17 to 0.43, divergent Rs = - 0.11 to - 0.51). Internal consistency was adequate (ω = 0.76-0.83). Recommended MIDs were 1 point for the Shift subscale, 1-2 point(s) for the Persist subscale, and 2-3 points for the total SPQ score. The SPQ is a psychometrically sound measure of skills that contribute to resilience in AYA cancer patients and survivors. MID recommendations enhance the interpretability of the SPQ in this population. Future studies examining shifting and persisting in this population may benefit from administering the SPQ.

Determinants of Family Resilience in Ischemic Stroke Patients

BACKGROUND: Family resilience is very relevant to clinical practice because most patients need family assistance to recover from illness. Ischemic stroke is a global health problem and the highest cause of death, including in Indonesia. The most common type of stroke in Indonesia is ischemic stroke. Most stroke patients experience cognitive and motor decline which causes limitations in the sufferer in carrying out activities. Therefore, it takes families who have high resilience in rehabilitation efforts and improve the quality of life of stroke sufferers. AIM: This study aims to determine the factors associated with family resilience of stroke patients in the first month after stroke. METHODS: The design of this research is a cross-sectional study conducted between January and February 2022 at the Dr. Drs. M. Hatta Brain Hospital (RSOMH) Bukittinggi. All research subjects were 229 families of respondents with stroke. Data collection using the RESILIENCE-GA questionnaire. Data analysis used univariate analysis, Chi-square for bivariate analysis, and logistic regression for the determinant model of multivariate analysis. RESULTS: The results showed that of the three components of family resilience, the slowest component is the component of values, beliefs, and rules in the family. Multivariate analysis showed that there are variables that affect family resilience, namely, socio-economic status (POR 3.2, 95% CI: 1.32–7.59, p = 0.010), and ethnicity (POR 2.1, 95% CI: 1.07–4.44, p = 0.048). CONCLUSION: The results showed that socio-economic and ethnic factors affect the resilience of stroke survivors’ families.

Relationships between satisfaction with life, posttraumatic growth, coping strategies, and resilience in cancer survivors: A network analysis approach.

Cancer survivors' satisfaction with life should be seen through the psychological factors related to a person's capabilities to face and handle the situation. This study aimed to (1) examine the relationships of satisfaction with life, posttraumatic growth, resilience and coping strategies in a global network model, (2) find the bridge indicators between satisfaction with life and the other constructs, and (3) test for the invariance of the network structures across several moderating variables. In a heterogeneous sample of 696 cancer survivors (69% female; mean age=53.1±15.44years; median time from being diagnosed=4years; breast cancer was the most frequent type of cancer) their satisfaction with life, resilience, coping strategies and posttraumatic growth was measured. In order to account for their complexity, the relationships between the constructs were explored using a network analysis approach. The network analysis shows that satisfaction with life is strongly connected to resilience, moderately connected to coping strategies, and has a weak connection with posttraumatic growth. In the separate networks, the relationships between the psychological constructs were examined in greater detail. Besides some exceptions observed in the degree of disability, the networks were invariant across gender, age, years since being diagnosed, cancer type and treatment type. The findings suggest that interventions focused on cancer survivors' coping strategies and resilience could help increase their satisfaction with life. However, further replication of the proposed and/or modified model is needed.

Building resilience in survivors of sexual exploitation: the role of children in activities implemented by NGOs in Uganda

ABSTRACT Children are increasingly affected by sexual exploitation (SEC), and the subsequent hardships arising out threaten their lives. Resilience is the process of adapting well in the face of trauma or other significant sources of stress. Past literature discusses various child participatory methods but has not explored the voices and role of children as agents of change among their peers to yield adaptation and resilience. The study aimed to examine the role children play in their successful recovery and that of other child survivors. This study adopted descriptive research design, using qualitative methods to collect data from NGO staff and child survivors. NGOs adopted different levels of survivor participation from various NGO rehabilitation centres. There was evidence of survivors’ involvement and strength. Survivors’ participation as a complementary strategy in building resilience among survivors should be promoted by NGOs. Staff need to be trained to work with survivors to improve resilience of survivors of SEC.

Reverberations of Racial Violence: Critical Reflections on the History of the Border ed. by Sonia Hernández and John Morán González

Reviewed by: Reverberations of Racial Violence: Critical Reflections on the History of the Border ed. by Sonia Hernández and John Morán González George T. Díaz Reverberations of Racial Violence: Critical Reflections on the History of the Border. Edited by Sonia Hernández and John Morán González. (Austin: University of Texas Press, 2021. Pp. 310. Notes, index.) This excellent collection of essays examines the role of state-sponsored violence against ethnic Mexicans in Texas. In particular, Sonia Hernández and John Morán González consider Texas Ranger and vigilante attacks in the Rio Grande borderlands during the 1910s. While other books [End Page 326] have extensively examined the matanza (the killings of hundreds, possibly thousands, of ethnic Mexicans), this collection offers an interdisciplinary consideration of both the terror inflicted by state forces as well as the resilience of survivors. Reverberations of Racial Violence offers essays by historians, literary scholars, and social scientists as well as ethnographic and auto-ethnographic contributions by filmmakers and writers, all organized in three sections and fourteen chapters. Section I examines the matanza and contextualizes race relations and racial violence in Texas and the Southwest in the nineteenth and early twentieth centuries. Essays in this section consider the volume’s direct connection to the efforts of scholarly activists involved in Refusing to Forget, a project that aims to “commemorate this violence and honor the struggles of those who resisted it” (27). Section II considers resistance and resilience, particularly by Mexican American journalists and by State Representative José Tomás Canales. While acknowledging Canales as one of the most prominent advocates for Mexican American rights, the essays also reveal his “naivete” (159). Although Canales succeeded in exposing Texas Ranger atrocities, these crimes meant little to lawmakers when the victims were people of color. Racism within the Texas government allowed the perpetrators to walk free and be reimagined as white-hat heroes in pulp fiction movies and bad history (172). Section III examines the aftermath of the matanza as survivors and their families tried to recover their family histories and reveal truths that challenge the dominant state narrative. Contributors’ recovery projects vary from accounts of scholarly investigation into the long-sealed Canales investigation to creative efforts such as documentary filmmaking and historical fiction. The book includes poetic interpretations as well, one told from the perspective of a Mexican man begging for his life. These creative works, drawn from family histories, help fill gaps in state accounts and beautifully bridge disciplinary divides to uncover long-veiled history. Few edited collections are as cohesive and substantive as Reverberations of Racial Violence. It is impossible to consider each essay in a short book review, but volume readers will have much to appreciate. The book balances to great effect hard examinations of state-sponsored violence while avoiding sensationalism. Collectively, the book presents tangible facts and detailed truths that will resonate with readers familiar with the matanza as well as those learning of it for the first time. The collection will work particularly well in Mexican American Studies courses and Texas history classes. [End Page 327] George T. Díaz University of Texas Rio Grande Valley Copyright © 2022 The Texas State Historical Association

Experiencing Famine in Fourteenth-Century Britain by Philip Slavin

Reviewed by: Experiencing Famine in Fourteenth-Century Britain by Philip Slavin Barbara Rouse Slavin, Philip, Experiencing Famine in Fourteenth-Century Britain (Environmental Histories of the North Atlantic World, 4), Turnhout, Brepols, 2019; hardback, pp. xxiv, 442; 24 b/w illustrations, 47 b/w tables, R.R.P. €100.00; ISBN 9782503547800. Famine is currently a major risk in war-torn Africa and the Yemen, and drought-stricken areas, despite global relief mechanisms, and climate change may exacerbate future harvest failures. Philip Slavin proposes that investigating the Great Famine of 1315–17 can enhance our understanding of the mechanisms that escalate historic and modern food shortages to famine levels. Many studies of premodern famine take a broad view, either geographically or examining both famine and disease across the late medieval period. Examples include William Chester Jordan’s The Great Famine: Northern Europe in the Early Fourteenth Century (Princeton University Press, 1996) and Bruce Campbell’s The Great Transition: Climate, Disease and Society in the Late-Medieval World (Cambridge University Press, 2016). Other researchers have investigated specific aspects such as crop yields or grain markets. Slavin builds on existing research and focuses in-depth on the British Isles and the Great Famine of 1315 to 1317. This enables him to dig deep; how deep is indicated by his acknowledgements showing the enormous range of unpublished archival sources that he has uncovered, particularly English manor records. Other sources, too numerous to list, include sheriff’s and customs accounts, and subsidy, goal delivery, and coroners’ rolls. Slavin uses this information to investigate his premise that food shortages, precipitated by extreme wet weather causing crop failure, only become famines when human factors are considered. He investigates current theories on why famines happen, concluding that neither the environmental nor the demographic (Malthusian) approaches are sufficient. Nor can the institutional approach, based on Amartya Kumar Sen’s entitlement theory (Poverty and Famines, Clarendon Press, 1981), fully explain why some shortage situations become famine and others do not. Slavin proposes a complexity model based on a combination of these approaches, focusing on climate, food production and supply, management [End Page 266] practices, market factors, transportation, storage, and the impact of external factors such as war. Slavin then embarks on a rigorous and detailed account of this complexity model. First, he explores the effects of the extreme wet weather of 1315–17 on harvest failures and food production. He then examines the factors leading from shortage to famine. Inclement weather contributed to transportation and storage problems and escalating costs of basic foodstuff, compounded by piracy and theft. Focusing on grain, he finds that management practices reduced the calories available to the peasant population. Relevant factors include retaining a high proportion of the harvest as seed, high tithes, and a large proportion of the population having insufficient landholding to feed their families. He finds that market practices and market failures also contributed to the transition from shortage to famine. Warfare was a major factor in the north of England, Scotland, south Wales, and parts of Ireland in the famine years, decimating crops through pillaging and chevauchée, and increasing demands on taxation and food supplies. Analysing the relationship between population levels and available land and food resources, Slavin proposes population losses in England of up to seventeen per cent. The most fascinating aspect is his discussion of coping strategies of individual famine victims, backed up with facts and figures. In conclusion, Slavin reiterates the complexity of factors tipping this medieval food shortage into famine. In his final chapters, Slavin advances theories on how the famine may have affected the health and resilience of survivors and their offspring, leading to reduced resistance to Yersinia pestis in 1348. New studies and analytical techniques are constantly enhancing the understanding of this topic. Slavin’s notes that environmental lead pollution was more prevalent than previously thought and would have affected health. While it undoubtedly would, lead may be less important than the health burden of localized fine particulate emissions from coal used in lime-burning and indoor pollution from domestic heating in poorly ventilated spaces, as documented by Peter Brimblecombe in The Big Smoke: A History of Air Pollution in London since Medieval Times...

The Influence of the Factors of the Period and Place of Quarantine and Stigmatization on the Resilience of COVID-19 Survivors of Nurses

As health workers, nurses at the forefront of the COVID-19 pandemic tend to be very prone to suffer both physical and mental health problems due to workloads and other factors during the Covid-19 pandemic.This study aimed to analyze the impact of factors such as length and place of quarantine and stigma on the resilience among COVID-19 survivors nurses. This research uses a quantitative descriptive technique and a cross-sectional approach. The google form questionnaire method is used as an instrument in data collection and processed utilizing multi regression analysis. The research output showed that 58.7% of nurses who survived COVID-19 had moderate resilience, 25.4% had high resilience, and 15.9% had low resilience. The long quarantine period results lead to an average of 85.7%, 11.1% for the long quarantine period, and 3.2% for the short quarantine period, with an influence value of 7.1%. The result of stigmatization leads to moderate 71.4%, high 15.9%, and 12.7% low with an influence value of 94.7%. By getting in multiple regression analysis p-values of 0.003 &lt; 0.05, the F test value (5,120) &gt; F tab (3.09) and it is summarized that place, the length of quarantine and stigmatization simultaneously influence the resilience of COVID-19 survivor nurses. It influences the value of the determinant coefficient (R2) of 20.7%, and the rest is influenced by factors outside the study, such as gender, age and academic degree. These findings suggest that stigma and place of quarantine factors are important predictors that affect mental toughness and quality of life to increase immunity for nurses themselves.

Recognizing Resilience: Exploring the Impacts of COVID-19 on Survivors of Intimate Partner Violence.

This study explores self-reported impacts of the COVID-19 pandemic on several facets of IPV survivor well-being, such as mental health, economic stability, food security, and resilience. Semi-structured interviews were conducted with survivors of IPV. Qualitative data were collected on variables related to mental health, economic stability, food security, and resilience. The findings of this study suggest that while survivors of intimate partner violence (IPV) face a variety of challenges posed by COVID-19 (e.g., employment, income, etc.), they identify themselves as resilient. Our findings also show that while survivors of have faced setbacks due to COVID-19, variables such as mental health and well-being have improved. Our findings suggest that while the pandemic has certainly impacted survivors, and included setbacks or delays, survivors have seen improvements in several areas. Our data suggest that these improvements, in the face of difficulties, is because of the overwhelming resilience of survivors.

Case Report: The resiliency journey of a Vietnamese female sexual abuse survivor: an exploration in life history

Currently, the studies on sexual abuse trauma, and resilience in Confucian survivors are still limited. The purpose of this study is to explore the resilience of Confucian women after sexual abuse trauma to provide evidence to support in counseling and psychotherapy practices. The article describes the resiliency story of a Vietnamese Confucian female survivor who was abused by her brother from the age of 8 to 16. The life history approach used in qualitative narrative research was applied in this study. The researcher identified two factors that strongly influence the survivor’s resilience: (1) the effectiveness of passive education in the general education curriculum is oriented to both competence and quality development; and (2) an authentic understanding of the core Confucian philosophical doctrine: the neutrality and the self-nurture. Based on the findings, we propose a 7-stage flow diagram of a Confucian women's resilience following sexual abuse. These findings provide a new approach to psychological counseling for female survivors of any religion by using Confucian philosophy and contribute to the impact of studies on religious and spiritual factors affecting the resilience of sexual abuse survivors.

Peran Religiusitas dan Kecerdasan Emosional terhadap Resiliensi Penyintas Tsunami Selat Sunda

This study aims to examine the influence of religiosity and emotional intelligence on resilience of tsunami survivors in the Selat Sunda that occurred on December 22, 2018. This study used a quantitative correlational approach. Using accidental sampling technique, the participants were 62 tsunami survivors of Selat Sunda in Pandeglang, age ranged between 20-65 years, lost their homes, livelihoods, death of family/relatives or experienced physical illness/disability. This study used 3 instruments, including: The Centrality of Religiosity Scale (CRS), Goleman emotional intelligence measuring instrument, and Connor Davidson Resilience Scale (CD-RISC). The results showed that religiosity and emotional intelligence had a simultaneous effect on resilience with a percentage of 17. Partially, religiosity had no significant effect on resilience to tsunami survivors in the Selat Sunda in Pandeglang.

Case Report: The resiliency journey of a Vietnamese female sexual abuse survivor: an exploration in life history

Currently, the studies on sexual abuse trauma, and resilience in Confucian survivors are still limited. The purpose of this study is to explore the resilience of Confucian women after sexual abuse trauma to provide evidence to support in counseling and psychotherapy practices. The article describes the resiliency story of a Vietnamese Confucian female survivor who was abused by her brother from the age of 8 to 16. The life history approach used in qualitative narrative research was applied in this study. The researcher identified two factors that strongly influence the survivor’s resilience: (1) the effectiveness of passive education in the general education curriculum is oriented to both competence and quality development; and (2) an authentic understanding of the core Confucian philosophical doctrine: the neutrality and the self-nurture. Based on the findings, we propose a 7-stage flow diagram of a Confucian women's resilience following sexual abuse. These findings provide important evidence-based practice for counselors and clinicians in supporting and intervening for sexually abused Confucian women and contribute to the impact of studies on religious and spiritual factors affecting the resilience of sexual abuse survivors.

Resilience of Adolescents Survivors of Domestic Violence: A Qualitative Study

BACKGROUND: The ability of adolescents to overcome the impact of domestic violence and reflect on the achievements is a form of resilience.&#x0D; AIM: The study explored an in-depth description of the discovery process of the resilience ability in adolescent survivors of domestic violence.&#x0D; METHODS: This qualitative research with a descriptive phenomenology approach interviewed seven adolescent survivors between the ages of 15 and 21. In-depth interviews were conducted, and demographic data were collected. Interviews were transcribed and coded thematically. Data was analyzed with the method of Colaizzi.&#x0D; RESULTS: Four themes were derived from the interviews, including painful words from the close family member as a form of intimidation; the emotional response as imprinted feeling caused by the domestic violence; self-struggle starts from their own; and the happiness of the close family member as the purpose of life.&#x0D; CONCLUSION: Adolescents responses to domestic violence cause mental health problems, however, they also manage to overcome problems, fulfill goals, and review their past and current life events to achieve life's purpose.

Above and beyond cancer: a novel approach to growth and resilience in cancer survivors

Abstract Background: Although cancer diagnosis and treatment frequently cause distress, many survivors report personal growth, change, and transformation. To better understand these dynamics, we used a qualitative approach to study twenty-seven heterogeneous cancer survivors who participated in physically and emotionally challenging journeys through the Above and Beyond Cancer organization. Groups traveled to Kathmandu (Nepal), Mt. Kilimanjaro (Tanzania), and Mt. Kailash (China), and volunteered at nearby cancer hospitals. Methods: Survivors completed short essays and surveys pre-departure, 3 weeks, and 3 months post-trip. Qualitative responses were categorized into themes by 4 independent reviewers following consensus, and quantitative measures assessed sociodemographic characteristics and mood. Results: Qualitative findings highlighted the role of new experiences and social support in enabling participants to develop new meaning, growth, and a new sense of their capabilities. Quantitative measures showed that anxiety of participants decreased over time. Conclusions: This study points to lifestyle undertakings that can support personal growth in cancer survivors.

Teaching the Holocaust in Nursing Schools: The Perspective of the Victims and Survivors.

In recent years, there has been increased recognition of the significance and relevance of Holocaust studies to nurses. However, these studies are rarely integrated in the nursing curriculum, and even when they are, the focus is usually on healthcare personnel who collaborated with the Nazi regime. This article aims to bridge this gap by analyzing a comprehensive requisite curriculum on the Holocaust for graduate nursing students. We emphasize the work of Jewish healthcare professionals during the Holocaust and the dilemmas they faced, as well as the trauma and resilience of Holocaust survivors, their treatment today, and implications for treating other patients. This article examines how studying these issues affected the graduate students. It analyzes the reflective accounts written by the students, using qualitative content analysis and Grounded Theory. The findings suggest that students received tools to act professionally and empathetically while demonstrating greater sensitivity to the patients’ identity, past experiences, trauma, and how the hospital as a “total institution” affects them. Many of the students developed conscious leadership. The program used a personalized pedagogical approach that contributed to experiential learning but was also emotionally challenging for the participants. We recommend including Holocaust studies as a requisite component in nursing programs worldwide.