Resilience In Survivors Research Articles

The long-term impact of the 2004 tsunami on Sri Lankan survivors: Exploring the socio-cultural influences on resilience

The 2004 Tsunami impacted an estimated 1.7 million people across South Asia. Limited research has examined factors related to resilience following natural disasters among non-Western populations, particularly those from Sri Lanka and little is known on the long-term impacts of the disaster on affected populations. Utilising an 18-item interview guide based on the Multidimensional Trauma Recovery and Resilience Interview (MTRR-I), individual face-to-face interviews were conducted with 37 tsunami-affected adults (76% female, aged 20–71 years, M = 39.0, SD = 12.7) from the Hambantota and Kalutara districts of Sri Lanka six years post-tsunami. Using an ecological framework, interviews explored themes of resilience following trauma, the context of culture on resilience in survivors, and interactions between the individual, situation, and environmental influences on resilience. Thematic analyses were used to explore narratives for themes of resilience. Key themes to emerge were pre-trauma resilience, social resilience, ‘made my mind’ (mending of broken will), finding meaning in trauma, and hope for the future. Particular emphasis on social aspects of resilience, where survivors gained strength not only from important individuals around them, but also through being resilient on behalf of key persons in their lives was noted. Findings indicated that resilience in persons from collectivist cultures is strongly influenced by social factors and provided understanding of resilience in this cohort across their lifespan. Implications for informing culturally relevant definitions and theory are discussed.

Resilience in survivors of critical illness: A scoping review of the published literature in relation to definitions, prevalence, and relationship to clinical outcomes.

Survivors of critical illness face substantial challenges in their recovery, including physical and cognitive dysfunction. Resilience is the ability to adapt and maintain one's mental health after facing such challenges. Higher resilience levels have been found to be beneficial throughout the illness trajectory in cancer patients, but resilience has not been widely researched in critical care patients. We undertook a scoping review to identify published studies on resilience following critical illness and describe: how resilience has been measured; the prevalence of low resilience in critical care patients; and what associations (if any) exist between resilience and clinical outcomes. We searched: PubMed, Medline, PsychINFO, CINAHL, Web of Science, Cochrane Library, to identify relevant studies. We found 882 unique titles: 17 were selected for full text review, 10 were considered relevant. These included ICU inpatients and survivors, and trauma and sepsis survivors. A broad critical appraisal of each study was undertaken. The overall quality of published studies was low: there was wide variation in resilience-assessment tools across the studies, including the timing of measurement; only one used a validated tool. Estimates of low resilience ranged from 28%-67%, but with varying populations, high risk of inclusion bias, and small samples. Higher resilience levels were significantly associated with lower depression, anxiety, post-traumatic stress, pain, anger, executive dysfunction, and difficulty with self-care in critical care patients and survivors. Future studies should use validated resilience assessment, determine the optimum timing, and explore prevalence, associations with outcomes, and resilience-promoting interventions in non-selected or clearly defined populations.

Group Communication Support in Supporting the Resilience of Families and Survivors of Covid-19

The Covid-19 pandemic originating from Wuhan has caused a lot of problems in people’s life aside from the economic costs. The Covid-19 has also taken its toll in almost every country in the world. Millions have died. Families need communication supports to face Covid-19. Group communication support has a very important role in sustaining the Covid-19 survivors and their families. To understand how it can sustain the Covid-19 survivors and their families, the researcher used the case-study approach and collected data through in-depth interviews with three respondents and analyzed them. This study aims to find out how the role of group communication support for survivors in supporting their resilience against Covid-19. The result shows that group communication supports link with five skills in designing supportive messages, i.e.: clarifying supportive intentions, buffering face threats, using other-centered messages, framing messages, and giving advice. These five skills provide a positive influence to the survivors and their families. The support messages have helped them go through difficult times caused by Covid-19. The research also found other sustaining aspects: the ability of the three respondents to see the calamities positively according to their religions and their strong personalities. Their personalities have enabled them to show positive attitudes to their children. In turn, their children also have the same resolute, strong, and resilient attitude in facing their calamities. Pandemi Covid-19 yang berasal dari Wuhan, telah menimbulkan banyak masalah bagi kehidupan manusia, tidak hanya kerugian secara ekonomi saja. Covid-19 juga telah merenggut banyak nyawa manusia hampir di semua belahan dunia. Jutaan nyawa melayang dan jutaan keluarga membutuhkan adanya dukungan komunikasi sebagai akibat serangan Covid-19 ini. Dukungan komunikasi kelompok memiliki peranan yang sangat penting guna menunjang ketahanan dari keluarga dan juga penyintas Covid-19 ini. Untuk mengetahui bagaimana dukungan komunikasi kelompok bisa menunjang ketahanan keluarga dan penyintas Covid-19, maka dilakukan penelitian dengan pendekatan studi kasus, yakni mengumpulkan data melalui wawancara mendalam kepada tiga informan dan selanjutnya menganalisisnya. Penelitian ini bertujuan untuk menemukan bagaimana peranan dukungan komunikasi kelompok terhadap penyintas dalam menunjang ketahanan mereka menghadapi Covid-19. Hasil penelitian ini menunjukkan bahwa, dukungan komunikasi dari kelompok terkait dengan lima kemampuan mengemas pesan yang mendukung (support message), antara lain; clarify supportive intentions, buffering face threats, other centered message, framing, giving advice. Kelima keterampilan ini memberi pengaruh yang positif, kepada keluarga dan korban Covid-19. Adanya support message ini, membuat keluarga dan penyintas Covid-19 mampu melewati masa sulit sebagai akibat dari Covid-19 ini. Penelitian ini juga menemukan, bahwa terdapat aspek lainnya yakni, kemampuan yang dimiliki ketiga informan untuk melihat musibah yang mereka alami secara positif sesuai dengan ajaran agama yang mereka yakini, dan juga kekuatan kepribadian mereka yang tangguh. Kepribadian yang kuat, yang mereka miliki membuat mereka berhasil menunjukkan sikap positif kepada anak-anak mereka. Sebagai akibatnya, anak-anak merekapun memiliki sikap yang sama yakni tegar, kuat, tabah menjalani musibah yang mereka alami.

Psychological Resilience, Metacognitions, and Fear of Recurrence Among Cancer Survivors and Family Caregivers.

Cancer is a life crisis that can have devastating consequences not only on the affected individual but also on his/her caregivers. The aim of this study was to investigate the influence of psychological resilience and metacognitions of cancer survivors and their family caregivers (FCs) on fear of recurrence (FoR). This study used a cross-sectional design while adhering to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Data were collected from 112 cancer survivors and 112 FCs recruited from 5 oncology hospitals. The cancer survivors and caregivers reported low levels of psychological resilience, which we found to be correlated with great fear of recurrence in cancer survivors and FCs. It was also in relation with metacognitions in cancer survivors and FCs.The findings showed that psychological resilience negatively predicted the fear of recurrence, whereas the metacognitions positively predicted the fear of recurrence in cancer survivors and FCs. The total effects of psychological resilience on the FoR in cancer survivors and FCs were 0.920 (confidence interval [CI], -2.059 to 0.072) and 0.061 (CI, -0.475 to 0.474), respectively. The total effects of metacognition on the FoR in cancer survivors and FCs were 1.164 (CI, 0.217-2.371) and 0.486 (CI, 0.016-1.058), respectively. The findings underline the direct and indirect mediating role of psychological resilience and metacognition of cancer survivors and FCs on FoR. The findings are particularly important to oncology nurses, who as 24-hour care providers are important sources of psychosocial care. Their awareness of factors influencing FoR is critical for achieving positive outcomes.

Rural Resilience in Cancer Survivors: Conceptual Analysis of a Global Phenomenon

Aim: The aims of this analysis are to (1) identify the concept of rural resiliency in cancer survivors in the nursing literature and (2) propose a conceptual framework that may help nurses leverage rural resilience to improve survivorship care.
 Background: Rural cancer survivors demonstrate rural resiliency by utilizing aspects of rural culture to improve their psychosocial distress. However, resiliency in rural cancer survivors is poorly understood.
 Design: We used Walker & Avants’ concept analysis approach to direct article selection, review, and analysis.
 Review methods: We identified a definition, antecedents, consequences, attributes, empirical referents, and related terms, and provide model, contrary, and borderline case examples.
 Results: We identified 29 articles that met inclusion criteria. We propose a conceptual model of rural resiliency that is grounded in three domains of rural culture: spirituality, cultural norms, and social capital. Attributes of rural culture within these domains impact a cancer survivor’s psychosocial health, leading to either negative or positive psychosocial outcomes.
 Conclusion: A better understanding of how rural resiliency impacts cancer survivors can help clinicians and researchers provide culturally-targeted post-treatment interventions. Our proposed conceptual framework may guide nurse researchers to develop measurement tools that evaluate rural resilience and its impact on health outcomes.
 Keywords: rural, cancer survivor, resilience, concept analysis, conceptual frameworkDOI: https://doi.org/10.14574/ojrnhc.v21i1.676

Assembling a cohort for in-depth, longitudinal assessments of the biological embedding of child maltreatment: Methods, complexities, and lessons learned.

As championed by the work of Ed Zigler, investing in nurturing environments for all children is a chief tenet of primary prevention that will have far-reaching benefits to the health and welfare of all members of society. Children who endure child maltreatment (CM) are among society's most vulnerable. Prospective longitudinal research aimed at a comprehensive understanding of the mechanisms linking CM to subsequent adverse health consequences is needed to improve outcomes and to strengthen causal inference. This paper outlines the methods of the Child Health Study (CHS), a large, state-wide longitudinal cohort of recently maltreated and nonmaltreated youth aged 8-13 who will be assessed every 2 years. The CHS is designed to include in-depth assessments of multiple environmental, behavioral, neural, physiological, and molecular mechanisms through which CM may impact a broad spectrum of youth development, including behavioral and physical health outcomes. In addition to describing the conceptual framework and methods underlying the CHS, we provide information on valuable "lessons learned" in the hopes of supporting future research efforts facing similar challenges. The ultimate goal of this research is demonstrating how policies regarding CM impact the well-being, resilience and recovery of survivors and that they are worthy of large public investment.

Hubungan Antara Dukungan Sosial dan Religiusitas dengan Resiliensi Pada Penyintas Tsunami di Desa Way Muli Lampung Selatan

Resilience is an individual's ability to cope with and to face and be able to respond positively to unpleasant conditions. Individuals who have resilience in their lives are individuals who are able to survive in their life even though they are under stress, even in adversity or trauma that they have experienced in life. This study aims to determine the relationship between social support and religiosity with the resilience of tsunami survivors. The hypothesis put forward is that there is a positive relationship between social support and religiosity with the resilience of tsunami survivors. The subjects of this study were the people affected by the tsunami in Way Muli Village, South Lampung. The sample in this study was 50 people. The sampling technique used purposive random sampling. The research data were collected using a Resilience Scale. Social Support Scale. Religiosity Scale. The Resilience Scale consists of 36 valid items with a reliability coefficient of 0.920. The Social Support Scale consists of 43 valid items with a reliability coefficient of 0.936. The Religiosity scale consists of 26 valid items with a reliability coefficient of 0.928. Data analysis using multiple regression analysis techniques. The results obtained were Rx1.2y = 0.812 with a significant 0.000 (p 0.01). This means that there is a positive relationship between social support and religiosity with the resilience of tsunami survivors. The value of r2 = 0.659 means that in this study social support and religiosity only contributed 65.9% to resilience.

INVESTIGATION OF DISPOSITIONAL OPTIMISM, PSYCHOLOGICAL RESILIENCE, COPING STRATEGIES AND QUALITY OF LIFE AMONG BURN SURVIVORS

OBJECTIVES: 1: To investigate the relationship among dispositional optimism, psychological resilience, coping strategies and quality of life (QoL) among burn survivors, 2: To find out the impact of dispositional optimism and coping on QoL among burn survivors. METHODS: This cross-sectional study was conducted at Burn Unit of Pakistan Institute of Medical sciences (PIMS) Islamabad, Pakistan. Two hundred and thirty post-burn survivors, ranging in age from 18 to 64 years were selected using purposive sampling technique. Dispositional optimism scale, psychological resilience scale, QoL scale and coping strategies scales were used to measure variables. RESULTS: Out of 230 patients 123 (53.5%) were males and 107 (46.5%) were females. About 54.3% (n=125) were married. Majority (n=126; 54.8%) had flame burn. Duration of burns was up to two months in 70.9% (n=163) cases. Results revealed highly significant positive correlations between psychological resilience and dispositional optimism (r=0.807), problem-focused coping (r=0.724) and supportive coping (r=0.598) but significantly negative correlation with emotion focused coping (r= -0.559) while emotion focused coping is negatively correlated with mental QoL (r=-0.378) and supportive coping (r=-0.138). Multiple regression analysis revealed that dispositional optimism, problem-focused and supportive coping have significant impact upon the QoL (p<0.01). CONCLUSION: A significant positive relationship come out among dispositional optimism, psychological resilience and QoL in burns survivors. Dispositional optimism and coping strategies like “problem-focused” and “supportive coping” have an impact on QoL, and it could enhance the QoL in burn survivors.

The Effect of Group Sandplay Therapy on Psychological Health and Resilience of Adolescent Survivors of Nepal Earthquake

The Effect of Group Sandplay Therapy on Psychological Health and Resilience of Adolescent Survivors of Nepal Earthquake

Life-design counselling for survivors of family violence in resource-constrained areas

The purpose of this study was to explore and assess the feasibility of counselling based on life-design principles in enhancing the career resilience of children who are exposed to family violence. The research project involved a QUALITATIVE–quantitative mode of inquiry with 6 participants chosen based on certain characteristics. Life-design-related intervention strategies, together with various (postmodern) qualitative and quantitative techniques, were used to gather data, while data analysis was done using thematic content analysis. Quantitative data were collected from parents as well as the participants before and after the intervention. Certain themes, sub-themes and sub-sub-themes that all contributed to participants’ career resilience were identified. Following the intervention, findings obtained from a qualitative perspective indicated that the outcomes of the life-design-related counselling intervention were substantial. The findings showed that various narrative techniques could be used to enhance the career resilience of children exposed to family violence. Future research could assess the value of life-design counselling in enhancing the career resilience of survivors of family violence in diverse group contexts. A greater focus could be placed on the (unforeseen) external trauma that had an impact on participants’ ability to (re-)construct their career-life narratives to enhance their future selves and careers.

Stigma, depression, and post-traumatic growth among Chinese stroke survivors: A longitudinal study examining patterns and correlations

ABSTRACT Background With the development of positive psychology, several studies show that positive and negative emotions are not always opposing. Understanding how positive and negative emotions correlate and the factors contributing to resilience in stroke survivors requires further research. Objectives To identify the patterns and correlations of stigma, depression, and posttraumatic growth (PTG) among stroke survivors. Methods Stroke-related stigma, depression, PTG, and neurological status were evaluated at 1-month and 3 months post-stroke using the Stroke Stigma Scale (SSS), Patient Health Questionnaire-9 (PHQ-9), Chinese version of the Posttraumatic Growth Inventory (C-PTGI), modified Rankin Scale (mRS), and Social Support Rating Scale (SSRS). The paired t-test, nonparametric test, and Spearman’s correlation test were used to analyze differences and relationships between results at the two time points. Results At 3 months compared to 1-month post-stroke, we found significant reductions in mRS and stigma scores, and an increase in PTGI scores, while the PHQ-9 scores reduced non-significantly. SSS, PHQ-9, and mRS scores were positively correlated with each other at time1 (all P < .01), and all showed no significant relationships with PTGI scores (all P > .05). Social support scores were negatively correlated with stigma (P < .01), PHQ-9 (P < .01), and PTGI scores (P > .05) at 3 months. Conclusions Stroke-related stigma is strongly associated with depression while neither of them has significant relationships with PTG during the early stage of survivors’ rehabilitation in our study. Neurological impairment is a risk factor for negative emotions and increasing individualized support may reduce stigma, depression, and promote PTG in the long term.

Mitigating Health Disparities After Natural Disasters: Lessons From The RISK Project.

Climate change exacerbates the severity of natural disasters, which disproportionately affect vulnerable populations. Mitigating disasters' health consequences is critical to promoting health equity, but few studies have isolated the short- and long-term effects of disasters on vulnerable groups. We filled this gap by conducting a fifteen-year (2003-2018) prospective study of low-income, predominantly Black parents who experienced Hurricane Katrina: the Resilience in Survivors of Katrina (RISK) Project. Here we describe this project and synthesize lessons from work that has resulted from it. Our findings can guide policy makers, service providers, and health officials in disaster planning and response. We synthesize them into an organizational schema of five priorities: Primary efforts should be aimed at preventing exposure to trauma through investments in climate resilience and by eliminating impediments to evacuation, health care policies should promote uninterrupted and expanded access to care, social services should integrate and strive to reduce the administrative burden on survivors, programs should aid survivors in forging or strengthening connections to their communities, and policy makers should fund targeted long-term services for highly affected survivors.

Resilience and Stress in Later Life: A Network Analysis Approach Depicting Complex Interactions of Resilience Resources and Stress-Related Risk Factors in Older Adults.

BackgroundEmerging systemic approaches on resilience propose that a person’s or group’s adaptability to significant stress relies on a network of interdependent resources. However, little knowledge exists on systemic resilience in older survivors of early-life adversity (ELA) and how ELA affects their resource network in later life.ObjectiveThis study investigated how ELA may be linked to the interplay of resources and stress-related risk factors in later life.Research Design and MethodsData from N = 235 older adults (Mage = 70.43 years; 46.40% female) were assessed. Half the participants were affected by ELA through compulsory social measures and placements in childhood, and/or adolescence (“risk group”). The other half were age-matched, non-affected participants (“control group”). Using psychometric instruments, a set of resilience-supporting resources in later life and current stress indices were assessed. Regularized partial correlation networks examined the interplay of resources in both groups, whilst also considering the impact of stress.ResultsBoth groups demonstrated only positive resource interrelations. Although the control group showed more possible resource connections, the groups did not significantly differ in the overall strength of connections. While group-specific resource interrelations were identified, self-esteem was observed to be the most important resource for the network interconnectedness of both groups. The risk group network showed a higher vulnerability to current stress.Discussion and ImplicationsNetwork analysis is a useful approach in the examination of the complex interrelationships between resilience resources and stress-related risk factors in older adulthood.

Resilience: an essential element in head and neck cancer survivorship and quality of life.

Individuals with head and neck cancer (HNCa) face myriad biopsychosocial challenges. Even after treatment completion, these challenges may cause continued disablement and diminished quality of life (QoL). Resilience may serve to minimize the disabling impact of HNCa and, in turn, maximize QoL. The purpose of this study was to formally assess resilience in HNCa survivors and explore its relationship with QoL. A cross-sectional descriptive study was conducted. Forty HNCa survivors completed three validated, self-report questionnaires pertaining to the collection of resilience and QoL data. Descriptive and correlational analyses were performed. Resilience was identified in HNCa survivors and a positive correlation was found between resilience and QoL. Data suggest that resilience may buffer the influence of HNCa on QoL. Thus, screening for reduced levels of resilience may proactively facilitate identification of those who are most vulnerable to the psychosocial impact of HNCa. Interventions that foster resilience may ameliorate the challenges of HNCa and maximize QoL.

Predisaster predictors of posttraumatic stress symptom trajectories: An analysis of low-income women in the aftermath of Hurricane Katrina.

Exposure to disasters is associated with a range of posttraumatic stress symptom (PTSS) trajectories. However, few studies have tracked PTSS for more than a decade postdisaster, and none to our knowledge has explored the role of predisaster resources and vulnerabilities in shaping the likelihood of trajectory membership. The current study included participants from the Resilience in Survivors of Katrina Study (N = 885). Participants were originally part of a community college intervention study and were assessed prior to the hurricane (6-21 months predisaster), and approximately 1 year, 4 years, and 12 years postdisaster. Latent class growth analysis identified PTSS trajectories. Perceived social support, probable mental illness, and physical health conditions or problems-all assessed predisaster-were examined as predictors of trajectory membership at the univariate level and in multivariable models without and with adjustment for disaster exposure. Three PTSS trajectories were detected: Moderate-Decreasing (69.3%), High-Decreasing (23.1%), and High-Stable (7.6%). In the multivariable predictive model without adjustment for disaster exposure, probable predisaster mental illness was significantly associated with greater odds of the High-Decreasing and High-Stable trajectories, and physical health conditions or problems with greater odds of the High-Decreasing trajectory, relative to the Moderate-Decreasing trajectory. However, when disaster exposure was adjusted, only the association between predisaster mental illness and the odds of the High-Stable trajectory remained statistically significant. Lower predisaster perceived social support was significantly associated with membership in the High-Decreasing trajectory, relative to the Moderate-Decreasing, at the univariate level, but not in either multivariable model. Whereas predisaster mental illness confers risk for chronic postdisaster PTSS, other impacts of predisaster resources and vulnerabilities on elevated PTSS trajectories do not go beyond those of disaster exposure. The results support disaster preparedness efforts targeting those with mental and physical health conditions, and postdisaster mental health services addressing preexisting vulnerabilities in addition to disaster-related PTSS.

Resilience of adult survivors five years after the Wenchuan earthquake: A qualitative study

Adult survivors' resilience process after a disaster is crucial for their adaptation and well-being, and is dependent on cultural context. The aim of this study was to explore the development process structural connotation of adult survivors' resilience five years after the Wenchuan Earthquake. A qualitative descriptive study was conducted. Twenty-six adult survivors were recruited by purposive sampling from four reconstructed communities in Beichuan County, China. Individual semi-structured interviews were conducted and conventional content analysis was used to analyze the data. Their resilience centered on reconstructing life through post-earthquake challenges. Four themes emerged regarding their resilience process: realizing personal resources, maintaining family integrity, negotiating for cohesion in community living, and navigating social support opportunities. Bereavement, personal or family member's illness and family member's disability, and financial burdens acted as risk factors for their resilience. This study provides knowledge on how to maintain resilience after earthquake from the perspective of adult survivors in China. Adult survivors in this study struggled to reconstruct life through post-earthquake challenges by negotiating personal resources, family integrity, cohesive community and social support.

The resilience among suicide attempt survivor

Suicide incidents in Gunungkidul, Indonesia have increased from year by year. This phenomenon is of great importance to study to find a proper solution. Based on the data it has been found that people who have committed suicide but have been saved (survived). To date, they have managed to survive and carry out their daily activities well. The majority of suicide attempts are caused by unpleasant experiences in the past. The purpose of this study was to assess the resilience of suicide survivors who can be used to motivate people who intend or who survived suicide to get back up. This research used a qualitative approach with a phenomenological method. The location of this research was in Gunungkidul Regency. The subjects of this study were four people who were obtained by using purposive sampling technique. Several in-depth interviews were carried out to collect the data from the respondent. The results show that the factors supporting the resilience of survivors to suicide were the ability to control emotions and impulses, self-efficacy and optimism, the ability to analyze the causes of problems, empathy, and the ability to achieve what was desired.&lt;br /&gt;&lt;br /&gt;

A Life-Course Model of Trauma Exposure and Mental Health Among Low-Income Survivors of Hurricane Katrina.

Prior research has provided robust evidence that exposure to potentially traumatic events (PTEs) during a disaster is predictive of adverse postdisaster mental health outcomes, including posttraumatic stress symptoms (PTSS) and nonspecific psychological distress (PD). However, few studies have explored the role of exposure to other PTEs over the life-course in shaping postdisaster mental health. Based on the broader literature on trauma exposure and mental health, we hypothesized a path analytic model linking predisaster PTEs to long-term postdisaster PTSS and PD via predisaster PD, short-term postdisaster symptoms, and disaster-related and postdisaster PTEs. We tested this model using data from the Resilience in Survivors of Katrina study, a longitudinal study of low-income, primarily non-Hispanic Black mothers exposed to Hurricane Katrina and assessed before the disaster and at time points 1, 4, and 12 years thereafter. The models evidenced a good fit with the data, RMSEA < .01-.04, CFIs > .99. In addition, 44.1%-67.4% of the effect of predisaster PTEs on long-term postdisaster symptoms was indirect. Descriptive differences were observed across models that included PTSS versus PD, as well as models that included all pre- and postdisaster PTEs versus only those that involved assaultive violence. The results suggest the importance of incorporating disaster preparedness in clinical work with trauma survivors and the value in attending to other lifetime PTEs when working in postdisaster contexts.

Preserved executive functioning and low stress symptoms in children treated for acute lymphoblastic leukemia

Pediatric cancer treatment can negatively impact cognitive and psychosocial development, although it has been suggested that these adverse effects may be minimized when children have higher resilience and better executive functioning. We aimed to evaluate the impact of pediatric Acute Lymphoblastic Leukemia (ALL) treatment on executive function, resilience and stress in survivors and to investigate correlations between executive functioning and resilience and between executive functioning and stress. The neuropsychological assessment was performed in 32 ALL survivors aged 7–17 years and 28 age-, sex- and socioeconomic status matched controls. Executive functioning was assessed by inhibitory control, mental flexibility and working memory tasks. Children’s self-report scales were used to assess stress symptoms and resilience. Results revealed no executive function impairment nor stress symptom differences between ALL survivors and control group. In the ALL group, executive function and resilience were positively correlated, whereas executive function and stress were negatively correlated. We concluded that ALL treatment was not associated with impairment in executive functioning nor to increased stress symptoms in our sample. ALL survivors with better performance in mental flexibility and inhibition tasks reported fewer stress symptoms and more resilience, indicating a possible relationship between these variables.

The Effects of Meditation, Race, and Anxiety on Stroke Survivor Resilience.

The Effects of Meditation, Race, and Anxiety on Stroke Survivor Resilience.