Resilient Individuals Research Articles

Exploring the influence of tenacity, competence and spirituality on conflict management among youth in Malaysia

Purpose: Youths must overcome multiple challenges to adjust to a combative environment. Resilient individuals may overcome all negative thoughts and attitudes when confronted with difficulty. However, students who are unable to change or control the conflict will have a negative attitude throughout their lives. Thus, this study aimed to examine the influence of the resilience construct on conflict management among youths in Malaysia.
 Design/Methodology/Approach: This study used a quantitative approach through a questionnaire instrument involving a total of 533 respondents among youths comprising students of educational programme and novice teachers in the northern zone of Peninsular Malaysia. The Connor-Davidson Resilience Scale and Rahim Organizational Conflict Inventory (ROCI II) questionnaires were used in this study. The data was analyzed using Statistical Package for the Social Sciences (SPSS) version 28 and Structural Equation Model-Part Least Square, SmartPLS 4 software.
 Findings: The findings showed that there was an influence of the resistance dimension on conflict management. The findings also showed that tenacity and spiritual dimensions have an influence on conflict management. 
 Conclusion: Resilience is a skill that should be learned and possessed by each individual especially youths when facing life conflicts.
 Research Limitation: The data found in this study were based on questionnaires. The findings of the study were limited as they depended on the honesty and willingness of the respondents to answer the questionnaire.
 Contribute to the Literature: This study contributes to the existing literature that resilience constructs have influence on conflict management among youths.

Gender Differentiation And Women Empowerment With Reference To The Plays Of Mahesh Dattani

Mahesh Dattani is an Indian playwright who has written extensively about the lives of women in India. Dattani’s plays often explore the experiences of women in India, and how they are affected by social and cultural norms. This paper tries to discuss and explore the themes of gender discrimination, incest, patriarchy, women subordination, and power. In his plays, women are often shown as victims of patriarchal society. However, they also show how women can fight back against these forces. Dattani’s plays show that women are not simply victims of patriarchal society. They are strong and resilient individuals who can fight back against oppression. His plays offer a message of hope to women everywhere. In many of his plays, he explores the ways in which women are subjected to violence and discrimination and how they are fighting back against traumatic situations, such as abuse, incest, gender discrimination, and violence. Dattani’s plays are important because they give voice to the experiences of women who are often silenced. He shows that women are capable of overcoming adversity and resilience, and they will not hesitate to fight back for their rights. His plays also challenge traditional gender roles and stereotypes, and they offer a vision of a more just and equitable society.

의료서비스 종사자의 일터에서의 행복감에 회복탄력성 이 미치는 영향

This study explored the intricate interplay between healthcare workers' resilience and their overall workplace happiness. Additionally, it delved into the mediating role of work-life balance in this relationship and the moderating influence of social support. Data from 275 healthcare worker respondents were collected through an online survey conducted between September 5 and November 30, 2022, and analyzed using SPSS/WIN 27.0 and Process Macro v3.5. The key findings are as follows: First, significant positive correlations existed among workplace happiness, resilience, work-life balance, and social support. Second, Work-life balance played a vital mediating role, significantly enhancing the connection between resilience and workplace happiness. Resilient individuals exhibited improved work-life balance, positively affecting their happiness at work. Third, the mediation was influenced by social support levels; as support decreased, work-life balance's impact on happiness strengthened, while resilience maintained a substantial indirect effect. These findings provide valuable insights into the well-being of healthcare workers and underscore the critical roles played by both resilience and social support in enhancing workplace happiness.

The protective role of resilience in the reporting of post-concussive symptoms within a non-clinical sample

Objective: Despite being common following a brain injury, post-concussive symptoms (PCS) are highly prevalent in healthy and non-concussed individuals. Psychosocial factors likely subserve the maintenance of symptoms, and numerous studies have identified prominent risk factors associated with post-concussive symptom reporting (e.g. history of depression). However, few studies have investigated protective factors in this context. The aim of the current study was to examine the relationship between resilience and PCS, and to identify the factors subserving resilience within this relationship. Method: Healthy and non-concussed participants (n = 283, M age = 22.70 years) completed questionnaires examining PCS (Rivermead Post-Concussion Symptom Questionnaire) and resilience (Resilience Scale for Adults), together with a screener of background demographic/clinical factors. Results: Resilience negatively predicted PCS above and beyond the effect of demographic and clinical factors previously implicated in the reporting of PCS. Interestingly, heightened “perception of self” was the resilience factor uniquely associated with PCS symptoms. The final model accounted for 33% of the variance in PCS. Overall, female gender, a history of headaches, and diagnoses of ADHD and depression, and reduced “perception of self” were all predictive of greater PCS (ps < .05). Conclusion: Resilience, particularly perception of self, is a positive protective factor in the reporting of PCS. These findings highlight the importance of early identification of less resilient individuals following trauma—such as an mTBI and provide a potential rationale for the incorporation of resilience-based rehabilitation programs into the recovery process, particularly those that promote greater self-efficacy and self-competency.

MicroRNA expression profiles of stress susceptibility and resilience in the prelimbic and infralimbic cortex of rats after single prolonged stress.

The experience of traumatic stress can engender lasting memories associated with the trauma, often resulting in post-traumatic stress disorder (PTSD). However, only a minority of individuals develop PTSD symptoms upon exposure. The neurobiological mechanisms underlying the pathology of PTSD are poorly understood. Utilizing a rat model of PTSD, the Single Prolonged Stress (SPS) paradigm, we were able to differentiate between resilient and susceptible individuals. Fourteen days after the SPS exposure, we conducted the behavioral analyses using Elevated Plus Maze (EPM) and Open Field (OF) tests to identify male rats as trauma resilient or susceptible. We focused on the microRNA (miRNA) profiles of the infralimbic (IL) and prelimbic (PL) cortical regions, known to be crucial in regulating the stress response. Our investigation of stressed rats exposed to the SPS procedure yielded divergent response, and differential expression microRNAs (DEmiRs) analysis indicated significant differences in the IL and PL transcriptional response. In the IL cortex, the GO analysis revealed enriched GO terms in the resilient versus control comparison, specifically related to mitogen-activated protein kinase and MAP kinase signaling pathways for their molecular functions as well as cytosol and nucleoplasm for the biological process. In the susceptible versus resilient comparison, the changes in molecular functions were only manifested in the functions of regulation of transcription involved in the G1/S transition of the mitotic cell cycle and skeletal muscle satellite cell activation. However, no enriched GO terms were found in the susceptible versus control comparison. In the PL cortex, results indicated that the DEmiRs were enriched exclusively in the cellular component level of the endoplasmic reticulum lumen in the comparison between resilient and control rats. Overall, our study utilized an animal model of PTSD to investigate the potential correlation between stress-induced behavioral dysfunction and variations in miRNA expression. The aforementioned discoveries have the potential to pave the way for novel therapeutic approaches for PTSD, which could involve the targeted regulation of transcriptome expression.

Resilience and well-being among persons with spinal cord injury/disorders.

We examined positive behavioral resources and characteristics that might distinguish resilient personality prototypes among persons with chronic spinal cord injury/disorder (SCID). Positive psychology variables with clear linkages to existing psychological interventions were examined as potential mediators of the resilience-well-being relationship. Research Method and Design: A cross-sectional, self-report study was conducted. Two hundred and ninety-eight consenting members of the Paralyzed Veterans of America (268 male; 236 self-identified as white) provided useable survey data for analysis (including 161 veterans with tetraplegia, 107 with paraplegia, 30 with cauda equina). Cluster analysis of Big Five personality traits identified resilient and nonresilient personality profiles. Tests of mean differences between resilient and nonresilient participants on behavioral resources and characteristics were performed. Path models predicting well-being and health-related quality of life (HRQL) were conducted. One hundred and sixty-three respondents had resilient personality profiles and 135 had nonresilient profiles. Resilient individuals reported significantly more optimal scores on every positive psychology variable, and greater well-being and HRQL than nonresilient respondents. Path models found the relationship of resilience to well-being was explained through its beneficial associations with psychological flexibility, use of personal strengths, meaning in life (MIL), and gratitude. Psychological flexibility also mediated the resilience-HRQL relationship. Cauda equina was significantly associated with higher pain interference and lower HRQL. Higher gratitude, MIL, use of personal strengths, and psychological flexibility appear to characterize resilience and well-being among persons with chronic SCID. Further studies are needed to understand the impact of pain interference on HRQL among individuals with cauda equina. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Relationship Between Social Media Use and Negative Emotions Among Chinese Medical College Students: The Mediating Role of Fear of Missing Out and the Moderating Role of Resilience.

This study aimed to examine the mediating role of fear of missing out (FoMO) and the moderating role of resilience in the association between social media use and negative emotions among medical college students in China during the COVID-19 pandemic. A cross-sectional study design was conducted, medical college students from Qiqihar Medical University, China participated in the study. A total of 470 medical college students were recruited voluntarily to complete questionnaires on social media use, FoMO, resilience, and negative emotions. Social media use was positively associated with FoMO and negative emotions among medical students (p < 0.01). The total effect of social media use on negative emotions was significant (β = 1.101, SE = 0.079, p < 0.001). Social media use had no significant direct effect on negative emotions (β = 0.168, SE = 0.096, p > 0.05), but it had an indirect effect on negative emotions via mediation of FoMO (β = 0.933, SE = 0.106, 95% CI: 0.731 to 1.149). Moreover, resilience had a significant moderating effect on the relationship between FoMO and negative emotions (β = -0.021, SE = 0.005, 95% CI: -0.032 to -0.012). FoMO had a significant positive predictive effect on negative emotions at both levels of resilience (low resilience individuals: β = 1.079, SE = 0.076, p < 0.001; high resilience individuals: β = 0.212, SE = 0.094, p < 0.05). Social media use and FoMO may be risk factors for increased negative emotions, and resilience should be considered in prevention and intervention strategies designed to mitigate negative emotions among medical college students.

A multivariate blood metabolite algorithm stably predicts risk and resilience to major depressive disorder in the general population.

Socioeconomic pressures, sex, and physical health status strongly influence the development of major depressive disorder (MDD) and mask other contributing factors in small cohorts. Resilient individuals overcome adversity without the onset of psychological symptoms, but resilience, as for susceptibility, has a complex and multifaceted molecular basis. The scale and depth of the UK Biobank affords an opportunity to identify resilience biomarkers in rigorously matched, at-risk individuals. Here, we evaluated whether blood metabolites could prospectively classify and indicate a biological basis for susceptibility or resilience to MDD. Using the UK Biobank, we employed random forests, a supervised, interpretable machine learning statistical method to determine the relative importance of sociodemographic, psychosocial, anthropometric, and physiological factors that govern the risk of prospective MDD onset (total n=15,710). We then used propensity scores to rigorously match individuals with a history of MDD (n=491) against a resilient subset of individuals without an MDD diagnosis (retrospectively or during follow-up; n=491) using an array of key social, demographic, and disease-associated drivers of depression risk. 381 blood metabolites and clinical chemistry variables and 4 urine metabolites were integrated to generate a multivariate random forest-based algorithm using 10-fold cross-validation to predict prospective MDD risk and resilience. In unmatched individuals, a first case of MDD, with a median time-to-diagnosis of 72 years, can be predicted using random forest classification probabilities with an area under the receiver operator characteristic curve (ROC AUC) of 0.89. Prospective resilience/susceptibility to MDD was then predicted with a ROC AUC of 0.72 (x˜= 3.2 years follow-up) and 0.68 (x˜= 7.2 years follow-up). Increased pyruvate was identified as a key biomarker of resilience to MDD and was validated retrospectively in the TwinsUK cohort. Blood metabolites prospectively associate with substantially reduced MDD risk. Therapeutic targeting of these metabolites may provide a framework for MDD risk stratification and reduction. New York Academy of Sciences' Interstellar Programme Award; Novo Fonden; Lincoln Kingsgate award; Clarendon Fund; Newton-Abraham studentship (University of Oxford). The funders had no role in the development of the present study.

There's not much to tell: The impact of emotional resilience on negative word‐of‐mouth following service failure

AbstractConsumers routinely experience service failures in their daily lives. Research regarding such service failures has primarily focused on characteristics of and actions taken by the service provider and has thus far overlooked the role that consumers' own cognitions might play in determining their behavioral responses to service failures. In particular, emotional resilience—or the ability to rebound from negative experiences (including even the most banal service failures)—has been neglected in prior research. Addressing this gap in the literature, we examine the mechanisms that highly resilient consumers use to manage the negative experience of service failures and gauge whether those mechanisms can effectively reduce negative word‐of‐mouth. Across three studies, we evince that high trait resilient individuals are less likely to engage in negative word‐of‐mouth following service failures because they spontaneously utilize cognitive reappraisal—a strategy for emotion regulation. Importantly, this research suggests that the emotion regulation strategies spontaneously adopted by high trait resilient individuals can be successfully utilized by all consumers after an external prompt. Managing consumers' emotional responses in the face of service failures is shown to have positive benefits for the firm by reducing negative word‐of‐mouth. Notably, such interventions may benefit firms even when the opportunity for a service recovery is not presented.

Resistance and resilience to Alzheimer’s disease pathology associated with lower severity of other neuropathologic diseases

AbstractBackgroundOlder adults with multiple types of neuropathologic disease may be at higher risk for cognitive impairment, but the impact of specific combinations of disease on cognition is unclear. Alzheimer’s disease neuropathologic change (ADNC) is the most common neuropathologic disease found in dementia cases. Cognitively normal participants without ADNC are “resistant”; those with ADNC are “resilient.” To determine if resistant and resilient participants have lower levels of non‐AD neuropathologic diseases, we compared neuropathologic features against participants with clinical Alzheimer’s dementia.MethodWe included autopsied participants from the National Alzheimer’s Coordinating Center Uniform Data Set whose last visit was within two years of death. Participants were excluded if they had rare neuropathologic diseases or were not evaluated for each neuropathologic feature. For both resilient (normal cognition, moderate or high NIA‐AA ADNC score) and resistant (85+ years old, normal cognition, no or low NIA‐AA ADNC score) individuals, we calculated the odds of having non‐AD pathologic features against a control group (moderate or high NIA‐AA ADNC score, clinical dementia), adjusting for age at death, sex, education, and presence of APOE e4 allele(s). Features included vascular pathology (number of infarcts and microinfarcts; severity of arteriosclerosis, atherosclerosis, and cerebral amyloid angiopathy), Lewy body disease (LBD) staging, and limbic‐predominant age‐related transactive response DNA‐binding protein 43 encephalopathy (LATE‐NC) staging.ResultOf 1,190 participants who met inclusion criteria, 59 were resistant, 41 were resilient, and 1,090 were controls. Both resistant and resilient participants had lower severity of LATE‐NC (resistant aOR: 0.23, 95% CI: 0.19‐0.27; resilient aOR: 0.49, 95% CI: 0.42‐0.56) and LBD (resistant aOR: 0.71, 95% CI: 0.63‐0.80; resilient aOR 0.52, 95% CI 0.44‐0.60). Resistant individuals also had lower odds of CAA, and resilient individuals had lower odds of arteriosclerosis.ConclusionResistance and resilience to ADNC is associated with lower odds of other neuropathologic disease, including Lewy bodies and LATE‐NC. This supports prior research indicating an interactive effect of multiple neuropathologic diseases on risk of dementia, and specifically that having LBD or LATE‐NC contributes to the risk of developing Alzheimer’s dementia. Understanding how to prevent LBD and LATE‐NC could lead to higher resistance and resilience to Alzheimer’s dementia.

Gene Expression Differences Between Symptomatic and Asymptomatic Individuals with Neuropathologically Confirmed Alzheimer’s Disease

AbstractBackgroundThere has been tremendous interest in molecular signatures of cognitively resilient individuals with neuropathologically confirmed Alzheimer disease. We sought to identify transcriptome signatures derived from brain that distinguish such individuals from those with AD diagnosed clinically and confirmed at autopsy.MethodsWe performed differential gene expression analysis in participants with neuropathologically confirmed AD who had a clinical diagnosis of AD (AD) and cognitively normal (AsymAD) prior to death using RNA sequencing data from 43 AD and 11 AsymAD participants of the Framingham Heart Study and Boston University Alzheimer’s Disease Research Center (FHS/ADRC) and from 155 AD and 208 AsymAD participants of the Religious Orders Study and Memory and Aging Project (ROSMAP). Differential gene expression transcritome‐wide was compared between AD and AsymAD subjects separately in each dataset using linear regression models including covariates for sex, age at death, and post‐mortem interval. Results were combined by meta‐analysis using sample size as a weight. Significantly (P&lt;10−5) differentially expressed genes (DEGs) were subsequently tested for association with memory, language, executive function, and visuospatial performance, and neuropathological traits.ResultsWe identified 36 significant DEGs among which PPDPF, ZNF592, RPL17, MEIS3, and MTMR10 were transcriptome‐wide significant (P&lt;10−6). Of the 36 DEGs, expression of PPDPF, SLC38A2, and PRELP was significantly associated with memory and language test scores (P&lt;0.05). Expression of KCNJ10 was significantly associated with complement 4b protein (P&lt;0.05) and phosphorylated Tau levels (P&lt;10−3).ConclusionsThis study identified genes that may be involved in cognitive resilience. Our study also illustrated that expression differences of the top‐ranked genes are associated with cognitive performance in memory and language domains, Tau pathology, and neuroinflammation. These findings may provide insight about cognitive resilience mechanisms as well as novel targets for inhibiting cognitive decline.

Preserved autophagy in cognitively intact non-demented individuals with Alzheimer's neuropathology.

Growing evidence supports that dysfunctional autophagy, the major cell mechanism responsible for removing protein aggregates and a route of clearance for Tau in healthy neurons, is a major finding in demented Alzheimer's disease (AD) patients. However, the association of autophagy with maintenance of cognitive integrity in resilient individuals who have AD neuropathology but remain non-demented (NDAN) has not been evaluated. Using post mortem brain samples from age-matched healthy control, AD, and NDAN subjects, we evaluated autophagy in relation to Tau pathology using Western blot, immunofluorescence and RNA-seq. Compared to AD patients, NDAN subjects had preserved autophagy and reduced tauopathy. Furthermore, expression of autophagy genes and AD-related proteins were significantly associated in NDAN compared to AD and control subjects. Our results suggest preserved autophagy is a protective mechanism that maintains cognitive integrity in NDAN individuals. This novel observation supports the potential of autophagy-inducing strategies in AD therapeutics. NDAN subjects have preserved autophagic protein levels comparable with control subjects. Compared to control subjects, NDAN subjects have significantly reduced Tau oligomers and PHF Tau phosphorylation at synapses that negatively correlate with autophagy markers. Transcription of autophagy genes strongly associates with AD-related proteins in NDAN donors.

Regulation of social interaction in mice by a frontostriatal circuit modulated by established hierarchical relationships

Social hierarchies exert a powerful influence on behavior, but the neurobiological mechanisms that detect and regulate hierarchical interactions are not well understood, especially at the level of neural circuits. Here, we use fiber photometry and chemogenetic tools to record and manipulate the activity of nucleus accumbens-projecting cells in the ventromedial prefrontal cortex (vmPFC-NAcSh) during tube test social competitions. We show that vmPFC-NAcSh projections signal learned hierarchical relationships, and are selectively recruited by subordinate mice when they initiate effortful social dominance behavior during encounters with a dominant competitor from an established hierarchy. After repeated bouts of social defeat stress, this circuit is preferentially activated during social interactions initiated by stress resilient individuals, and plays a necessary role in supporting social approach behavior in subordinated mice. These results define a necessary role for vmPFC-NAcSh cells in the adaptive regulation of social interaction behavior based on prior hierarchical interactions.

Fear circuit–based neurobehavioral signatures mirror resilience to chronic social stress in mouse

Consistent evidence from human data points to successful threat-safety discrimination and responsiveness to extinction of fear memories as key characteristics of resilient individuals. To promote valid cross-species approaches for the identification of resilience mechanisms, we establish a translationally informed mouse model enabling the stratification of mice into three phenotypic subgroups following chronic social defeat stress, based on their individual ability for threat-safety discrimination and conditioned learning: the Discriminating-avoiders, characterized by successful social threat-safety discrimination and extinction of social aversive memories; the Indiscriminate-avoiders, showing aversive response generalization and resistance to extinction, in line with findings on susceptible individuals; and the Non-avoiders displaying impaired aversive conditioned learning. To explore the neurobiological mechanisms underlying the stratification, we perform transcriptome analysis within three key target regions of the fear circuitry. We identify subgroup-specific differentially expressed genes and gene networks underlying the behavioral phenotypes, i.e., the individual ability to show threat-safety discrimination and respond to extinction training. Our approach provides a translationally informed template with which to characterize the behavioral, molecular, and circuit bases of resilience in mice.

Perceptions of grief reactions in family members of incarcerated individuals: A vignette-based experiment

We examined perceptions of individuals grieving the loss of a family member to incarceration. Participants (N = 1095) were randomized to a vignette that varied by race-ethnicity, crime type, and grief trajectory to assess their perceptions. Results indicated: (1) participants perceived prolonged grief as less appropriate than resilience; (2) Black family members grieving someone who committed a violent crime as more appropriate compared to White family members; and (3) women endorsed both grief trajectories as more appropriate and indicated greater comfort supporting the family member. Lastly, participants indicated prolonged, White and Latinx grievers should seek therapy more than resilient or Black individuals.

DNA methylation signature of psychological resilience in young adults: Constructing a methylation risk score using a machine learning method.

Resilience is a process associated with the ability to recover from stress and adversity. We aimed to explore the resilience-associated DNA methylation signatures and evaluate the abilities of methylation risk scores to discriminate low resilience (LR) individuals. The study recruited 78 young adults and used Connor-Davidson Resilience Scale (CD-RISC) to divide them into low and high resilience groups. We randomly allocated all participants of two groups to the discovery and validation sets. We used the blood DNA of the subjects to conduct a genome-wide methylation scan and identify the significant methylation differences of CpG Sites in the discovery set. Moreover, the classification accuracy of the DNA methylation probes was confirmed in the validation set by real-time quantitative methylation-specific polymerase chain reaction. In the genome-wide methylation profiling between LR and HR individuals, seventeen significantly differentially methylated probes were detected. In the validation set, nine DNA methylation signatures within gene coding regions were selected for verification. Finally, three methylation probes [cg18565204 (AARS), cg17682313 (FBXW7), and cg07167608 (LINC01107)] were included in the final model of the methylation risk score for LR versus HR. These methylation risk score models of low resilience demonstrated satisfactory discrimination by logistic regression and support vector machine, with an AUC of 0.81 and 0.93, accuracy of 72.3% and 87.1%, sensitivity of 75%, and 87.5%, and specificity of 70% and 80%. Our findings suggest that methylation signatures can be utilized to identify individuals with LR and establish risk score models that may contribute to the field of psychology.

A Qualitative Inquiry Into the Sources of Resilience Found Among Maximum Security Correctional Officers

Resilient individuals are better able to cope with trauma, and overcome life’s adversities. Correctional officers are routinely exposed to workplace stressors that can be psychologically harmful. For these essential workers, resilience, therefore, offers a way to counteract the aversive conditions of their employment. In light of its importance in promoting mental wellness, studies have explored antecedents of resilience, yet few of which were conducted among correctional officers. To address this literature void, open-ended questionnaire data were collected from maximum-security corrections officers ( N = 193) working in a southeastern state to understand the factors they believe most crucial in developing resilience. Respondents identified seven key themes associated with resilience, including co-worker support, establishing purpose in life, individual characteristics, self-care, life balance, prayer/meditation, and finally, maintaining positive attitudes. Results are discussed in light of interventions targeted at improving correctional officer mental health.

Stress resilience is established during development and is regulated by complement factors

Individuals in a population respond differently to stressful situations. While resilient individuals recover efficiently, others are susceptible to the same stressors. However, it remains challenging to determine if resilience is established as a trait during development or acquired later in life. Using a behavioral paradigm in zebrafish larvae, we show that resilience is a stable and heritable trait, which is determined and exhibited early in life. Resilient larvae show unique stress-induced transcriptional response, and larvae with mutations in resilience-associated genes, such as neuropeptide Y and miR218, are less resilient. Transcriptome analysis shows that resilient larvae downregulate multiple factors of the innate immune complement cascade in response to stress. Perturbation of critical complement factors leads to an increase in resilience. We conclude that resilience is established as a stable trait early during development and that neuropeptides and the complement pathway play positive and negative roles in determining resilience, respectively.

A visual investigation of resilience from the perspective of social work students in the UK

ABSTRACT Using a digitalized visual method—photo-elicitation—alongside an online qualitative survey, this study examines how social work students interpret the concept of resilience. The research focus was borne from the increased reference to resilience in social work practice and education, along with the aim for social work education to best prepare students for practice. Emergent themes from the qualitative survey included: resilience in transitions and the weight of resilience. The findings suggest that the social work curriculum should unpack the meaning of resilience when supporting students entering the profession, to succeed as ‘resilient individuals’, and subsequently, to become ‘resilient practitioners’. It recommends that further research is needed to establish the value of creative pedagogies for teaching and learning, as well as for the wellbeing of students. In this study, use of visual methodology to explore resilience allowed participants to understand and reflect on their experiences and potential in an engaging way.

METABOLIC SYNDROME, GLUCOSE INTOLERANCE, AND PHYSICAL RESILIENCE

Abstract When confronted with a major physical stressor, some older adults are able to recover to baseline with minimal changes, while others undergo irreversible declines. The ability to adapt and recover well from physical stress is called physical resilience and may be impeded by altered glucose-insulin dynamics. Among 55 participants in the pilot phase of the Study of Physical Resilience IN Geriatrics(SPRING), we examined associations between metabolic syndrome and/or diabetes status to physical resiliency recovery parameters after the clinical stressors total knee replacement and bone marrow transplant. These parameters included health outcomes, functional recovery, and pain in the weeks after the intervention. Additionally, we hypothesized that less resilient individuals would have abnormal glucose and insulin responses to a 75-gram oral glucose tolerance test at 0, 30, 60, 120 minutes and tested this in a subset (n=40) without known diabetes. Exploratory analyses of this pilot study will be presented during this session.