Resilience Factors Research Articles

A systematic review of individual, social, and societal resilience factors in response to societal challenges and crises

Societal challenges put public mental health at risk and result in a growing interest in resilience as trajectories of good mental health during stressor exposure. Resilience factors represent multilevel psychosocial resources that increase the likelihood of resilient responses. This preregistered systematic review aims at summarizing evidence on the predictive value of individual, social and societal resilience factors for resilient responses to societal challenges and crises. Eligible studies examined the predictive value of resilience factors in stressor-exposed populations in high-income countries by means of multinomial regression models based on growth mixture modeling. Five databases were searched until August 2, 2023. Data synthesis employed a rating scheme to assess the incremental predictive value of resilience factors beyond sociodemographic variables and other resilience factors. An adapted version of the Newcastle-Ottawa Scale was used for risk of bias assessment. Fifty studies (sample sizes: 360–65,818 participants) with moderate study quality reported on various stressors (e.g., pandemics, natural disasters, terrorist attacks). Higher income, socioeconomic status and perceived social support, better emotion regulation and psychological flexibility were related to more resilient responses. The association between resilience factors and resilient responses was stronger in samples with younger mean age and a larger proportion of women. Most studies used non-representative convenience samples and effects were smaller when accounting for sociodemographic variables and other resilience factors. For many factors, findings were mixed, supporting the importance of the fit between resilience factors and situational demands. Research into social and societal resilience factors and multilevel resilience interventions is needed. Preregistration-ID: 10.17605/OSF.IO/GWJVA. Funding source: Robert Koch Institute (ID: LIR_2023_01).

A Systematic Review of Resilience in At-Risk Youth for Psychotic Disorders: An Analysis of Protective and Risk Factors from Recent Literature.

Psychotic disorders in youth pose significant challenges for mental health services, necessitating a detailed understanding of the interplay between risk factors and resilience. This systematic review aimed to assess how resilience factors might buffer the adverse effects of risk factors on the development of psychosis among youth, thereby informing targeted interventions. Studies were selected based on criteria including a focus on individuals aged up to 25 years old at risk for psychosis, the examination of both risk factors and resilience, and the use of validated instruments for measuring outcomes. Literature searches were conducted across several databases, such as PubMed, Scopus, and Web of Science. Data extraction emphasized odds ratios (ORs) and hazard ratios (HRs) for risk factors, including familial, developmental, and socio-environmental influences. The review included and analyzed nine studies, encompassing a diverse sample of 140,972 participants. Significant findings indicate that highly supportive familial and community environments significantly reduce the risk of psychosis onset. For instance, children with strong family support and engagement in structured activities demonstrated a 40% lower incidence of developing psychotic symptoms [p < 0.05]. Furthermore, the presence of neurobehavioral deficits, such as impaired verbal memory and attention, emerged as significant predictors of psychosis, with these children exhibiting a threefold increase in risk compared to their peers [OR = 3.2, 95% CI: 2.1-4.8, p < 0.01]. Resilience factors play a critical role in mitigating the impact of psychosocial and neurobiological risks in the development of psychosis among youths. Interventions enhancing resilience could potentially alter the trajectory of psychosis development, emphasizing the need for early and targeted psychosocial interventions to support at-risk populations. This study underscores the importance of fostering resilience through both individual-focused and community-based strategies to prevent the onset of psychotic disorders in vulnerable young populations.

Analyzing the relationships among psychosocial variables associated with resilience

Potentially Traumatic Events (PTEs) are common in current society, including college life. When exposed to PTE, stress reactions are greatly heterogeneous, and what contributes to psychological resilience is not well known. The purpose of the present study is to investigate the relationships among the antecedents, defining attributes, and consequences of resilience in a sample of 450 college students. Students completed an online questionnaire about PTEs, ego-resiliency, emotion regulation strategies and flexibility, perceived social support, mental health outcomes, and Sense of Coherence (SOC). The majority were young (average age = 20.4 years), White/Caucasian (80.0 %), and single (98.0 %) females (79.3 %). First, the bivariate correlation analyses indicated PTEs and emotion regulation suppression were negatively associated with some but not all variables at a significant level. Second, simple linear regression indicated the number of PTEs significantly predicted negative mental health outcomes (β = −2.98, t = −0.63, p < .001) and SOC (β = −2.05, t = −5.69, p < .001). Third, multiple regression analysis revealed that social support significantly moderated the relationship between PTEs and mental health outcomes, F (14, 382) = 14.13, p < .001. More specifically, perceived affectionate social support moderated the relationship between PTEs and mental health outcomes among women. Nurses may deliver interventions to promote these resilience factors, such as social support, and the results suggest that young women may benefit more from perceived affectionate social support after being exposed to PTEs. Further studies, ideally with a longitudinal design, are needed to understand resilience in this population more deeply.

Canine companionship as a resilience factor: a quantitative inquiry into the impact of pet ownership on burnout mitigation among radiologists and radiographers.

The demanding nature of diagnostic imaging, coupled with the increasing workload and exposure to high-stress scenarios, underscores the pressing concern of burnout among radiologists and radiographers in modern healthcare settings. The objective was to investigate the interplay between family characteristics, workplace characteristics, pet ownership, and the occurrence of burnout. An online, quantitative, cross-sectional study with a non-random, purposive sampling method was carried out among Hungarian radiologists and radiographers from 1st of September to 1st of November 2022. We examined the results of 406 responses predominantly from females (79.8%, n = 324), including 70.7% radiographers (n = 287). Cronbach's alpha values for depersonalization (DP), emotional exhaustion (EE), and personal accomplishment (PA) were 0.74, 0.88, and 0.85, respectively. Average burnout scores were 8.35 (SD = 6.62) for DP, 26.26 (SD = 12.74) for EE, and 32.86 (SD = 9.52) for PA. DP demonstrated a balanced distribution (low: 35.7%, moderate: 27.3%, high: 36.9%). Conversely, EE and PA skewed towards high levels, with 52.5% (n = 213) and 49.5% (n = 201). Significant associations were found between gender and DP (p = 0.006), age (31-40 years) and DP/PA (p < 0.001; p = 0.004), absence of children and all burnout dimensions (p < 0.05), and pet ownership (p = 0.004) with lower EE, particularly for dog owners (p = 0.009). Occupation lacked a significant effect on burnout dimensions (p > 0.05). Employees without a second job had higher EE (p = 0.002) and lower PA (p = 0.008). Increasing healthcare experience correlated with decreased DP values (p = 0.001), while working over 40 h weekly negatively impacted all burnout dimensions (p ≤ 0.05). 15.5% (n = 63) exhibited signs of high burnout, with the age group 31-40 demonstrating the highest proportion (25.4%, n = 27) and significant associations with marital status, absence of children, pet ownership, private healthcare, 10-19 years in healthcare, and working over 40 h weekly. There is a pressing need for evidence-based strategies to alleviate burnout among radiologists and radiographers. There is a growing importance of recognizing the role of pets, especially dogs, as valuable companions for emotional support and stress relief. Implementing pet-friendly policies or therapy programs can contribute to a positive and supportive workplace, potentially mitigating burnout among essential frontline healthcare professionals.

Resilience and Hassles Trajectories Among Older Adults During the COVID-19 Pandemic.

Despite higher physical vulnerability to coronavirus disease 2019 (COVID-19), older adults reported less psychological stress than younger and midlife adults during the pandemic. However, little is known about age differences in stress within later life, and most COVID-19 studies have been cross-sectional. We examined weekly hassles exposure and severity trajectories and whether these trajectories differed by age, resilience factors (higher trait resilience and education), and vulnerability factors (identifying as a woman, being a person of color, and having chronic health conditions). Community-dwelling adults aged 50+ in Oregon (Mage = 71.1, standard deviation = 7.3; 74% women, 89% non-Hispanic White) completed weekly online surveys across 8 weeks (April 28-June 22, 2020) during the COVID-19 stay-at-home mandate. A 2-part model estimated how age, resilience, and vulnerability factors predicted weekly odds of any hassle exposure and level of severity. Across time, hassles exposure decreased and the rate of severity declined, but these patterns differed by age and other demographics. The old-old (estimated at age 78) remained stable in odds of any exposure, whereas the young-old (estimated at age 64) evidenced a J-shaped curve; age did not moderate the severity slopes. Furthermore, both resilience factors were associated with exposure trajectories, whereas vulnerability factors (race/ethnicity and chronic illness) were associated with levels of hassles severity. There were age differences in patterns of hassles during the COVID-19 pandemic. Furthermore, resilience and vulnerability factors also showed complex patterns, underscoring the need for future studies to focus on age differences in well-being in later life.

The HIV Environmental Riskscape: The Roles of HIV Sexual Risk and Resilience Factors among Black Men Who Have Sex with Men: Findings from the Real Talk Project.

Black and African American men who have sex with men (Black MSM) experience the greatest proportion of new HIV infections in the United States. To address this challenge, a better understanding of the HIV environment riskscape including both risk and resilience factors is warranted among Black MSM. Research indicates that stress is associated with increased HIV sexual risk behaviors. Further, behavioral factors such as serosorting and community level factors including social support and community connection are resilience factors that protect against risk behaviors. The present study examines whether everyday stress is associated with HIV sexual risk behavior, as well as the role of risk and resilience factors among 125 Black MSM recruited in the Real Talk study. The Real Talk project examined the relationships between resilience, HIV risk behaviors, and HIV prevention strategy among a sample of Black MSM. Using generalized estimating equations, our results indicate a positive association between everyday stress and engaging in condomless anal intercourse only after adjusting for risk, resilience, and correlate variables. Similarly, having multiple sex partners and using substances during sex also show positive associations with condomless anal intercourse. Resilience factors of engaging in serosorting and being connected to both the Black and gay communities were negatively associated with condomless anal intercourse. Future prevention research and programming should focus on both risk and resilience factors to mitigate new HIV infections among Black MSM.

Biodanza and a sense of resilience in times of war

Emergency and crisis events can impair daily functioning. In crisis situations, individuals react with different intensity and in different ways. The research question in this study was: What are the mechanisms of action in biodanza that lead to the increase of resilience, affectivity, vitality, and morale in times of war? One hundred and twelve dancers participated in this mixed-method study, their biodanza experience ranging from one to over 15 years. The data were collected in Israel in 2023 during the Iron Swords war. The findings show that dancers felt that dancing during the war was good for them, especially the non-verbal human encounter during the dance. The participants mentioned the human encounter as a factor of resilience, as an inclusive, comforting, uplifting, supportive, and empathetic experience. The dance made possible regulation and physiological and emotional balance; had a positive effect on mental wellbeing; increased vitality; and aroused affection through exercises that created a sensation of healing, emotional support, resilience, and security. A difference was found in the level of resilience between seasoned dancers and those who have been practicing biodanza for less than three years.

Depression risk and resilience in a diverse sample of older adults in the United States

Living in poor and physically deteriorating neighborhoods is associated with heightened likelihood of experiencing depression. At the same time, not all people experience their neighborhoods in the same way. We predicted and tested the possibility that variability in this association can be explained by the social support that people derive both from their personal networks and other people residing in the same neighborhood, and that this moderation varies by race/ethnicity. Health and Retirement Study data (2018/2020 waves) were used to evaluate the role of individual-level and contextual risk and resilience factors in association with depression among US older non-Hispanic white adults (n = 4,986, mean age 67 years), non-Hispanic black adults (n = 1,342, mean age 65 years), and Hispanic adults (n = 937, mean age 64 years). Four notable findings emerged. First, perceived neighborhood disorder was related to increased depression risk for non-Hispanic white and black participants, but not Hispanic participants. Second, participants residing in census tracts with higher poverty rates were more likely to report depression. Third, non-Hispanic white participants residing in census tracts with greater Hispanic resident density had reduced depression risk. This same pattern was not observed among non-Hispanic black participants. Finally, perceived support from family was associated with reduced depression risk among all participants. These data suggest both individual- and contextual-level sources of risk and resiliency for depression. The implications for theories that seek to explain the relative resilience to neighborhood disorder observed among US Hispanic residents are discussed.

The mediating effect of resilience between physical activity and mental health: a meta-analytic structural equation modeling approach.

While the correlation between physical activity (PA) and mental health is well known, the mediating mechanism of resilience between the two variables remains unclear. To systematically evaluate the relationship between PA and mental health, and explore the mediating role of resilience between them. A systematic search of electronic databases (PubMed, Web of Science, ProQuest, Ebsco, China Knowledge, and China Biomedical Database) was conducted to identify relevant studies, and meta-analytic procedures were used to assess the strength of the relationships between PA and mental health. Furthermore, a meta-analytic structural equation model (MASEM) was used to assess the mediating effects of resilience, ensuring the reliability of our findings. The findings of 15 studies (17,043 subjects) were subjected to meta-analysis and route analysis. The findings of the meta-analysis revealed a statistically significant positive correlation of 0.288 (95% CI, 0.166-0.402) between PA and positive indicators of mental health, as well as a statistically significant negative correlation (95% CI, -0.342 to -0.171) with negative indicators of mental health. Furthermore, the results of MASEM path analysis indicated that PA may indirectly impact both positive and negative indicators of mental health through the mediating factor of resilience. The indirect effect values were 0.108 (95% CI, 0.080-0.141) and -0.074 (95% CI, -0.100 to -0.051), respectively, accounting for 40.15% of the total effect value and 28.91%. Physical activity is positively correlated with positive indicators of mental health and negatively correlated with negative indicators of mental health. Moreover, PA can positively influence mental health through the mediating role of resilience.

Should I Stay or Should I go? Resilience, Intention to Quit and Job Satisfaction among Nurses in Intensive Care Units

Addressing the global nursing shortage is crucial to both national and international public health efforts. This paper aims to highlight the importance of resilience and its impact on primary care nurses' job satisfaction and intentions to quit, especially in the face of current challenges. The study utilized a mixed methods design involving nurses in intensive care units of a university hospital in Austria. In the first phase of data collection, qualitative focus group interviews were conducted to gather insights on the current challenges and stressors faced by nursing professionals. Building on relevant literature, a quantitative survey was then administered to all nurses, using scales measuring resilience, intention to quit, and job satisfaction in order to examine the relationships between these variables. In addition, a data structuring of the resilience scale by factors was achieved with the help of confirmatory factor analysis. Subsequently, the correlations of the resilience factors with the other variables were examined by means of an additional correlation, regression and mediation analysis. The results showed negative correlations with regard to resilience and intention to quit as well as with regard to job satisfaction and intention to quit. In contrast, job satisfaction and resilience correlated significantly positively with each other. The negative correlation between resilience and the intention to quit was confirmed, but only for the factors "goal focus" and "pride and commitment". A closer examination of the two factors and their associated items revealed a connection to both professional identity and organizational identity. This study provides valuable insights for health care leaders and health care decision makers to effectively lead, develop, and thereby retain primary care nurses. The authors argue that improving resilience and strengthening organizational identity are important influencing factors in increasing job satisfaction and reducing nurses' intention to quit.

PRIME: A CyberGIS Platform for Resilience Inference Measurement and Enhancement

In an era of increased climatic disasters, there is an urgent need to develop reliable frameworks and tools for evaluating and improving community resilience to climatic hazards at multiple geographical and temporal scales. Defining and quantifying resilience in the social domain is relatively subjective due to the intricate interplay of socioeconomic factors with disaster resilience. To broaden upon it, the choice of indicators and their subsequent ranking for the aggregation into an index is subjective in nature. This aggregation is not empirically validated and is prone to omit the nuances of localized resilience changes and causal factors affecting it, while leading to oversimplified conclusions. Meanwhile, there is a lack of scientifically and computationally rigorous, user-friendly tools that can support customized resilience assessment with consideration of local conditions. This study addresses these gaps through the power of CyberGIS with three objectives: 1) To develop an empirically validated disaster resilience model - Customizable Resilience Inference Measurement (RIM), designed for multi-scale community resilience assessment and influential socioeconomic factors identification; 2) To implement a Platform for Resilience Inference Measurement and Enhancement (PRIME) module in the CyberGISX platform backed by high-performance computing, enabling users to apply and customize RIM to compute and visualize disaster resilience; 3) To demonstrate the utility of PRIME through a representative study to understand the geographical disparities of county-level community resilience to natural hazards in the United States and identifying the driving factors of resilience in the social domain. Customizable RIM generates vulnerability, adaptability, and overall resilience scores derived from empirical parameters—hazard threat, damage, and recovery. Computationally intensive Machine Learning (ML) methods are employed to explain the intricate relationships between these scores and socioeconomic driving factors. PRIME provides a web-based notebook interface guiding users to select study areas, configure parameters, calculate and geo-visualize resilience scores, and interpret socioeconomic factors shaping resilience capacities. A representative study showcases the efficiency of the platform while explaining how the visual results obtained may be interpreted. The essence of this work lies in its comprehensive architecture that encapsulates the requisite data, analytical and geo-visualization functions, and ML models for resilience assessment. This setup provides a foundation for assessing resilience and strategizing enhancement interventions.

Climate change, livelihood resilience, and gender: An intersectional analysis of Vietnam's forest-dependent communities

Integrating gender-disaggregated data and adopting a gender-focused perspective are crucial for a comprehensive understanding of climate change issues. This study provides empirical evidence from two ethnic minorities in Vietnam, highlighting how perceptions of livelihood resilience vary by gender, geographical context, and ethnicity, with a particular emphasis on their intersections. Over 13 months, data were gathered through 3 focus group discussions, in-depth interviews with 9 key informants, field observations, and surveys of 136 households. The findings revealed a low average Household Livelihood Resilience (HLR) score of 0.434, indicating limited resilience among forest-dependent households facing external shocks. Notably, a significant gender gap was evident, with men demonstrating higher resilience levels than women, a disparity attributed to entrenched social norms and cultural practices. Women, often confined to domestic roles, faced barriers to community involvement and access to financial resources, which weakened their ability to cope with and recover from adverse events. To address these issues, the study advocates for climate actions that prioritize gender equality and aim to enhance women's resilience. This includes amplifying their voices through tailored training programs and initiatives such as women-managed microfinance groups. The study also emphasizes the policy implications for advancing gender equality, sustainable forest management, and livelihood resilience. However, this work has limitations, including a small sample size and reliance on self-reported data, which may introduce biases. Future research should involve a larger, more diverse sample of forest-dependent communities and examine various dimensions of vulnerability to provide a more nuanced understanding of resilience factors.

Estrategias empresariales: Adaptación y Supervivencia en tiempos de crisis

Economic crises pose an existential threat to many companies, but those that manage to adapt and reinvent themselves can not only survive, but even grow stronger in these periods. The objective of this article has been to examine the determining strategies in the initiatives adopted by companies that successfully weathered the different crises in recent years. This article consists of a systematic review with a qualitative approach, which was carried out with the PRISMA method, for which a quick review was made of the most relevant research in this field in recent years, selecting 66 articles from the main scientific databases. The results show that the value of technology through digital channels of commerce, remote work and Artificial Intelligence solutions facilitates adaptation to the new environment, and highlights the renewal of the supply of products and services oriented to the consumer as a way of experimentation and survival. Finally, they note the multiplication of alliances between companies as a key factor in resilience and strengthening in times of uncertainty.

Dropout in elite sport: What stressors and resilience factors are perceived in youth sport climbing?

Introduction &amp; Purpose Psychosocial stress is a major risk factor for the development of a wide range of psychiatric and somatic illnesses (Hughes et al., 2017). Social factors such as perceived autonomy and competence, relatedness and task climate appear to be related to people dropping out of a sport (Balish et al., 2014). To this point in time, the developmental aspects in youth sports are insufficiently described in the literature. Previous studies dealing with dropout have indicated critical aspects on a personal, contextual, chronological, and procedural level (Moulds et al., 2024). The perception of these aspects seems to determine the individual stress experience. Therefore, the aim of the study was to identify stressors and resources in youth sport climbing and to gain a deeper understanding of how these relate to dropout. Methods Guided by the theoretical framework of the bioecological system theory (Bronfenbrenner &amp; Morris, 2006), two active and six non-active climbers between the ages of 18 and 25 were interviewed using a semi-structured interview approach. The non-active climbers were dropouts, defined here as an athlete ending their competitive sport career before reaching their individual performance peak. In this case they were asked about the related circumstances. Active athletes started the interview from their current perspective. Each development-relevant factor (person, process, context, time; Bronfenbrenner &amp; Morris, 2006) was then reflected on in terms of resources and stressors. The inclusion criterion was the qualification for the national team. A qualitative content analysis was carried out according to Mayring and Fenzl (2022). The data was analyzed using MAXQDA 24 software. Results The interviewed climbers addressed the context of family, school, social environment, training, and personal factors. A high level of social interaction was experienced. The topics of bodyweight and nutrition were often reported with negative connotations, particularly impacted by external factors. Communication skills were a consistently mentioned factor as a resource and potential stressor. A lack of individualisation and opportunities for personal development were reported as long-term stress factors. Feelings of responsibility and self-inflicted pressure were described as additional loads. Professional attachment was reported as a personal resource when positively evaluated. Reflection skills were recognised as a helpful stress management tool. As illustrated in Figure 1, the mindset of individuals appears to be shaped by the internal and external interplay of available resources, aspects of motivation and beliefs that are internalised. Discussion &amp; Conclusion Several factors seem to interact modifying an individual’s experience of stress. The perception of stress at a certain point in time must be seen as a combination of the load experienced and the individual available resources. Sport-specific requirements should be considered. Dropout can be one of the consequences of overall stress in competitive sports and should be analysed systemically. The intention was to identify starting points for reducing dropout rates in sports and support health-promoting participation. These are the first results of this project, in which further athletes from climbing and other sports will be interviewed.

Universal depressive symptom screening in middle schools in Istanbul: An epidemiologic study

IntroductionDepression is a significant public health concern, with severe adolescent morbidity and mortality. Promoting adolescents' mental health is increasingly recognized, and schools are proposed as screening and preventive intervention sites. This cross-sectional study aimed to screen self-reported elevated depressive symptom prevalence among secondary school students in Istanbul, Turkey. The secondary objectives were determining behavioral problems, resilience, positive attitudes, and risk factors associated with depressive symptoms. MethodsData collection was conducted between April–June 2022. Six thousand one hundred ten students from nine randomly selected schools from different city districts were approached. Depression was screened by the Centre for Epidemiological Studies Depression Scale for Children (CES-DC). The Strengths and Difficulties Questionnaire (SDQ) was used for screening behavioral problems and positive attitudes. Resilience was evaluated by the Child and Youth Resilience Measure (CYRM). ResultsThe final study sample comprised 2780 participants (response rate 47.7 %) with a mean age of 12.4 ± 1.1 years (females:52.7 %). Elevated depressive symptoms were detected in 31.2 % of the students. Female students exhibited higher scores in CES-DC and total difficulties but lower resilience scores in CYRM than male students. In a multiple regression analysis, female gender, higher total difficulties score, lower resilience score, and lower perceived academic performance significantly predicted CES-DC [F(6,2279) = 421, p < 0.01]. DiscussionOur findings showed high rates of elevated self-reported depressive symptoms in a city sample among Turkish adolescents at middle schools, in addition to coexisting behavioral difficulties and decreased resilience indicating poor psychosocial functioning. Given the prevalent depressive symptoms, screening and intervention programs involving resilience promotion may involve school systems to prevent adolescent depression.

May Bullying Victimization and Loneliness in Adolescents be Risk Factors for Psychological Resilience?

Bullying victimization, which has been identified as a common problem among adolescents in recent years, negatively affects adolescents' psychological resilience in many ways. Similarly, loneliness may also be a risk factor for adolescents' psychological resilience. This study aims to examine the relationships between bullying victimization, loneliness and psychological resilience with adolescents. A total of 639 adolescents (415 girls and 224 boys) attending high school participated in the research. Data were collected through the Multidimensional Bullying Victimization Scale, UCLA Short Form and Adolescent Resilience Scale. The presented hypothesis was tested using hierarchical regression analysis. The findings reveal that there are significant relationships between bullying victimization, loneliness and psychological resilience. In addition, the findings show that bullying victimization and loneliness are significant negative predictors of psychological resilience. According to the findings it is recommended to prevent bullying behaviors among adolescents and to conduct studies to improve adolescents' relationships with peers.

Animal Protection Officers: Professional Identity, Professional Stressors, and Mental Health Needs

Abstract Animal protection officers (APOs) fulfill critical community roles but are underrepresented in academic literature. This study explored APOs’ professional identities, professional stressors, positive job aspects, and mental health needs and access. Our mixed-methods design featured a survey followed by interviews. The survey was disseminated to APOs from four local agencies. Results from 18 respondents revealed that seeing a child injured by an animal or an animal injured by a human were the most stressful work situations. Positive job aspects included helping animals, public education, and supporting community safety. Only four respondents had accessed mental health services for job-related issues. Nine respondent interviews yielded themes addressing how APOs make meaning, stressors and resilience factors, and mental health supports. Recommendations based on survey and interview responses are provided.

A framework for appraising the status of disaster resilience within the multi-hazard environment of coastal Bangladesh

Fostering resilience is widely acknowledged as a crucial strategy for mitigating the escalating risks posed by climate-related disasters around the world. Resilience assessment plays a vital role in this endeavour by assessing the baseline level of resilience, identifying the key resilience factors, and monitoring progress towards building resilience with time. Given this context, and considering the evolving conceptualization of resilience, we devised a framework for appraising the status of resilience across the coastal region of Bangladesh. Our framework represents a significant scholarly contribution, as it encompasses a broad spectrum of resilience dimensions, including stability, recoverability, and transformability. To operationalize this framework, we selected thirty context-specific variables and organized them systematically around these three overarching components. Employing a simple weighted average methodology, we constructed sub-indices for each component, which were subsequently aggregated into a composite resilience index. For spatial visualization, our findings were mapped in a Geographic Information System (GIS) environment. Our analysis revealed Chattogram, Barguna, and Khulna as the most resilient districts. This manifests the potential for resilience enhancement even within areas exposed and inherently sensitive to multiple hazards through the optimal use of available resources. Notably, in the trio of districts, Barguna exhibited the highest stability index score, Chattogram showcased the highest recoverability score, and Khulna emerged with the top transformability index score. This finding underscores the significance of incorporating diverse capacities in resilience frameworks. These insights offer valuable guidance for refining resilience assessment frameworks in other developing countries of the world. Furthermore, the outcomes of our assessment can serve as a baseline for the coastal administrators of Bangladesh while developing disaster management policies and actions centering around fostering resilient communities. Thus, our study not only contributes to disaster theory, but holds practical implications for evidence-based decision-making to secure a more resilient future of the coastal communities of Bangladesh.

Study on psychological resilience and associated influencing factors in lung cancer patients with bone metastases

BACKGROUND Evaluating the psychological resilience of lung cancer (LC) patients helps understand their mental state and guides future treatment. However, there is limited research on the psychological resilience of LC patients with bone metastases. AIM To explore the psychological resilience of LC patients with bone metastases and identify factors that may influence psychological resilience. METHODS LC patients with bone metastases who met the inclusion criteria were screened from those admitted to the Third Affiliated Hospital of Wenzhou Medical University. The psychological scores of the enrolled patients were collected. They were then grouped based on the mean psychological score: Those with scores lower than the mean value were placed in the low-score group and those with scores equal to or greater than the mean value was placed in the high-score group. The baseline data (age, gender, education level, marital status, residence, monthly income, and religious beliefs), along with self-efficacy and medical coping mode scores, were compared. RESULTS This study included 142 LC patients with bone metastases admitted to our hospital from June 2022 to December 2023, with an average psychological resilience score of 63.24 ± 9.96 points. After grouping, the low-score group consisted of 69 patients, including 42 males and 27 females, with an average age of 67.38 ± 9.55 years. The high-score group consisted of 73 patients, including 49 males and 24 females, with a mean age of 61.97 ± 5.00 years. χ 2 analysis revealed significant differences between the two groups in education level (χ 2 = 6.604, P = 0.037), residence (χ 2 = 12.950, P = 0.002), monthly income (χ 2 = 9.375, P = 0.009), and medical coping modes (χ 2 = 19.150, P = 0.000). Independent sample t -test showed that the high-score group had significantly higher self-efficacy scores (t = 3.383, P = 0.001) and lower age than the low-score group (t = 4.256, P &lt; 0.001). Furthermore, multivariate logistic regression hazard analysis confirmed that self-efficacy is an independent protective factor for psychological resilience [odds ratio (OR) = 0.926, P = 0.035, 95% confidence interval (CI): 0.862-0.995], while age (OR = 1.099, P = 0.003, 95%CI: 1.034-1.169) and medical coping modes (avoidance vs confrontation: OR = 3.767, P = 0.012, 95%CI: 1.342-10.570; resignation vs confrontation: OR = 5.687, P = 0.001, 95%CI: 1.974-16.385) were identified as independent risk factors. A predictive model based on self-efficacy, age, and medical coping modes was developed. The receiver operating characteristic analysis showed an area under the curve value of 0.778 (95%CI: 0.701-0.856, P &lt; 0.001), indicating that the model has good predictive performance. CONCLUSION LC patients with bone metastases are less psychologically resilient than the general population. Factors such as self-efficacy, age, and medical coping modes influence their psychological resilience. Patients with low self-efficacy, old age, and avoidance/resignation coping modes should be closely observed.

Investigating the mediating role of digital game addiction in the relationship between adolescents’ school belonging and resilience

ABSTRACT Objective The aim of this study is to investigate the mediating role of digital game addiction in the relationship between school belonging and psychological resilience of adolescents in middle school. Considering school belonging together with digital game addiction may help to better understand the risk and protective factors of psychological resilience and to create a comprehensive model of psychological resilience. Method The sample consisted of 316 secondary school students aged between 11 and 14 (M = 12.84), 47.5% (n = 150) female and 52.5% (n = 166) male. Data were collected using a demographic information form and three self-report scales. In addition to descriptive statis- tics, Pearson Correlation Coefficient and Bootstrap Analysis were used to analyses the data. The mediating role of digital game addiction in the relationship between school belonging and resilience was analysed using the Bootstrap method with 5000 resamples. This approach is regarded as providing more accurate results compared to the Sobel test. Results The results of the study show that there are significant positive relationships between school belonging and psychological resilience and negative relationships with digital game addiction. Also, the results of the study revealed that the mediating role of digital game addiction in the effect of school belonging on adolescents’ psychological resilience was statistically significant. Conclusion It was revealed that digital game addiction, which affects both psychological resilience and school belonging, which is a protective factor, in a very negative way, is a mediating variable whose effect should be reduced or eliminated.