Resilience Of People Research Articles

Advancing the science of adverse childhood experiences and resilience: A case for global and ecological perspectives

Research on adverse childhood experiences and resilience (the process of overcoming trauma) has been dominated by studies originating in wealthy democracies of the global north. We call for more global and ecological approaches not only for documenting the true global burden of childhood adversity, but also for advancing the science of resilience and understanding pathways to overcoming trauma. We identify several forms of trauma that need better consideration in prevalence estimates, including state, political, and institutional violence, crisis migration, climate change and related natural disasters, and global health crises such as the COVID-19 pandemic. We also need more nuanced analyses of culture and place and to recognize that the global south and global north are not monolithic concepts. We offer illustrative examples of how more global, ecological approaches can enhance our understanding of pathways to overcoming even high dosages of childhood adversity. One of the key insights of ACEs research, the dose-response relationship between trauma burden and outcomes, has been extended to research on resilience. Concepts that capture the total “dose” of positive assets and resources (people's resilience portfolios) are showing how people might overcome even high doses of trauma. This work can become more global by including incorporating strengths and healing processes common in collectivist, versus individualistic, cultures. It can become more ecological by recognizing that physical environments—both natural and human-made built aspects—play key roles in resilience. Recognizing the intersectionality among these elements can take us to the next generation of trauma and resilience science.

Peran Konselor dalam Layanan BK dengan Teknik Self-Management untuk Meningkatkan Resiliensi Diri Siswa Kelas X MIA 5 di MA YPK Cijulang

This research aims to determine the role of counselors or guidance counselors in counseling services using self-management techniques to increase students' self-resilience so that they have the ability to identify and solve problems in students or those who experience stress due to academic pressure at school. Data collection in this research, literature study and qualitative research methods. The results of this research show that there are students who find it difficult to soive their personal problems and are not serious about taking learning. The role of the conselor is very necessary to guide student behaviour. The results of the research show that the role of conselors is in increasing the self-resilience of class X MIA 5 students at MA YPK Cijulang it is said to be effective because one of the setrategies used by Mrs. entang as by conducting group counseling on self-management techniques because according to him, by making students manage themselves, both in terms of feelings, actions and thoughts, this will really help the students become resilient people or people who can overcome whatever problems they face later.

Investigating depression, anxiety, perceived stress and resilience in fathers faced with their spouse’s abortion in Iran: a longitudinal study

BackgroundAbortion is a stressful event that can often affect the mental health of both parents. It seems that resilient people can adapt to stressful situations. The mental health of fathers plays an important role in improving the mental health of the family, but few studies have been conducted in this regard. Therefore, this study aimed to investigate depression, anxiety, perceived stress and resilience of fathers faced with their spouse’s abortion.MethodsThis longitudinal study was conducted on 125 spouses of women hospitalized in the post-partum department of Shiraz hospitals in 2023. Data collection tools included questionnaires of demographic and fertility characteristics, hospital depression and anxiety (HADS), Cohen’s perceived stress, and Connor’s resilience. The data were analyzed through Spss24 software using Friedman’s tests and post hoc tests, Adjusted Bonferroni, Kruskal-Wallis and Mann-Whitney tests.ResultsThe mean age of the fathers was 35.02 ± 6.22. The scores of the father’s anxiety, depression, and perceived stress from 24 h to 12 weeks after abortion were decreased significantly. However, their resilience score increased significantly. Also, there was a significant relationship between the fathers’ age, education, job, duration of marriage, type of abortion, number and history of abortion, unwanted pregnancy, number of children and economic status with the mean score of anxiety, depression, perceived stress, and resilience in fathers over time.ConclusionThis research pointed out the effect of abortion on depression, anxiety, and perceived stress in fathers; also, resilience as a coping factor could affect these disorders and improve the fathers’ mental health. Therefore, screening and managing mental disorders in them are important to improve family health.

Resilience and Domination: Resonances of Racial Slavery in Refugee Exclusion

Abstract We are encouraged to think of refugees as resilient people with agency and capacity for flourishing, rather than passive victims needing help. This framing purports to uphold and celebrate refugees’ humanity. But some scholars worry that it problematically serves to demand resilience from refugees, normalize their displacement, and legitimate state bordering practices. This article builds on this critique by examining how powerful actors have long attributed resilience to vulnerable others to legitimate domination and control. I focus on the deployment of resilience-talk by white enslavers and their supporters to justify Black enslavement in the American South. Their philosophical, climatological, and epidemiological arguments about the resilient Black slave were supplemented with a claim that Black people could not survive liberation in the American North. I probe the resonances of this resilience-talk with contemporary invocations of the resilience of refugees in the Global South, and their supposed non-resilience in the Global North.

The relationship between ambulance team’s professional commitment, occupational anxiety, and resilience levels

BackgroundIndividuals who have the ability to bounce back from stressful events, to recover from their troubles and adverse environmental conditions by getting stronger each time are known as resilient people. Some professions may cause more occupational anxiety than others due to their characteristics and working conditions. In this research, we aimed to develop a professional commitment scale for the ambulance team. Another aim was to analyze the relationships between professional commitment, occupational anxiety, resilience, gender, job, seniority and working unit variables.MethodsIn the study, data were collected from a total of 1142 emergency ambulance workers working in Emergency Ambulance and Emergency Call Centers in 34 different cities in Turkey. Data were collected using the “Professional Commitment of Ambulance Team Scale (PCATS), Occupational Anxiety Scale for Emergency Medical Service Professionals (OASEMSP), and Resilience Scale for Adults (RSA). Scale development analyses were carried out using Classical Test Theory (CTT) and Item Response Theory (IRT). Regression analysis were used to examine the relationships between professional commitment, occupational anxiety, resilience, gender, job, seniority and working unit.ResultsAs a result of the exploratory factor analysis (EFA), it was determined that 8 items remaining in the professional commitment scale formed a single-factor structure, explaining 46% of the variance of professional commitment of the team. The Cronbach’s Alpha reliability value was 0.867. Confirmatory factor analysis (CFA) confirmed the results of exploratory factor analysis. The Cronbach’s Alpha reliability coefficient obtained through CTT was 0.868, and the marginal reliability coefficient within the scope of IRT was 0.877. The test-retest reliability coefficient was calculated as 0.832, which indicates that the scale is valid and reliable.ConclusionsThe study revealed that resilience has a positive effect for professional commitment while occupational anxiety has a negative effect for professional commitment. In addition, having a moderate seniority has a negative (reducing) effect for professional commitment. Other variables (gender, job, and working unit) was found to have no significant impact on professional commitment.

Writing the Unspeakable: Trauma, Memory, and Resistance in Iraqi War Literature

The paper delves into the profound realm of Iraqi war literature, unraveling its multifaceted dimensions. From capturing the visceral traumas induced by conflict to echoing the resonances of resistance, this literature stands as a testament to the Iraqi people's resilience and defiance. Situating the narrative within historical and sociopolitical contexts, the study underscores the universality of trauma and the tenacity of the human spirit. Drawing parallels with global war literature, it highlights shared human experiences across cultures and histories. The paper also examines the redemptive power of literature, emphasizing its role in healing and peacebuilding, while illuminating the unique and diverse voices that constitute the Iraqi war narrative. As Iraq looks towards a future of reconciliation and hope, its literature not only serves as a historical record but also as a beacon, illuminating paths of empathy, understanding, and peace.

Mewujudkan Generasi Muda yang Berdaya Saing untuk Masa Depan Bangsa

The purpose of this research is to make the younger generation aware of the importance of increasing their potential to compete in the world of work because given the current global situation which is increasingly competitive. The research method used is a qualitative research method using data collection techniques carried out by triangulation (combined). The results of this study are that the younger generation is said to be competitive if it has the ability to adapt to change, solve problems, think creatively, and communicate well. With the level of education in Indonesia, the quality still needs to be improved. Skills and competencies must continue to develop in the midst of the progress of the current global era. The innovation and creativity of the younger generation has developed positively, this must continue to be monitored for the nation. Character development is also important because it can create independent, resilient and confident young people who are ready to compete in the world of work. The readiness of the younger generation in the world of work also needs to be considered with higher and tiered levels of education being one of the efforts to improve quality in competing in the world of work.

Formation of entrepreneurial values through communication in entrepreneurial interactions in coastal areas

This study examines how entrepreneurial values are fostered through interaction and communication between local and migrant entrepreneurs in coastal tourism areas. The study emphasizes the critical role of a shared understanding of these values, highlighting the need to promote local economic growth and develop a sustainable entrepreneurial ecosystem. Research objectives: This study aims to identify the factors that drive entrepreneurial values among local and migrant entrepreneurs in coastal tourism areas. Methods: A qualitative research approach was used, and data was collected through interviews and observations. The study focused on micro, small, and medium enterprises (MSMEs) operating in Pangandaran. The research shows that essential attributes of business success - such as grit, new ideas, and a willingness to stand on one’s own two feet - come from life experiences and the give-and-take within the community and culture. Both local entrepreneurs and travelers can use social connections and circles as tools for growth and support. At the heart of this discovery? These sociable traits are passed down through different groups, while language skills are spread across many places. Together, they create resilient people skilled in business and entrepreneurship. This Recommendation focuses on increasing collaboration between entrepreneurs through mentoring programs, workshops, and networking events to encourage the exchange of knowledge and experience. These initiatives are expected to increase innovation, competitiveness, and business sustainability in coastal tourism, strengthening the entrepreneurial ecosystem.

Application of Yoga in Adolescent/Teens to increase Resilience & Improve Emotional Well-Being with Emphasis on Yogic Principles - A Study

Aim: Adolescence is a transition period from childhood to adulthood and this tender age between the ages of 12 - 19 years is usually riddled with uncertainties and difficulties as the children are faced with peer pressures, social media, career choices and parents' expectations. According to UNICEF and other research publications, ensuring emotional well-being and resilience in adolescents' formative years can foster a better transition from childhood to adulthood. This is the time when our youth is most prone to emotional imbalances. According to the World Health Organization (WHO) by 2020, 50% of the youth will be under-served. World bodies like the United Nations estimates that at-least 1 billion school going children have been affected globally by the closure of schools due to the Covid pandemic. The mental health and wellbeing of at least 332 million children are at risk, warns UNICEF. So there is an urgent need to take appropriate steps so that adolescents can attain normal, healthy growth and become productive and positive contributors to society. Yoga is proposed to offer methods for regulation and resilience through the integrated practices of yama and niyama (ethical intentional principals) asana ( physical exercise), pranayama (breathing techniques) and meditation. This study aims to introduce and establish the seeds of Yoga in young minds, and how the practice of simple Yoga techniques can help manage stress, maintain emotional well-being and resilience. Methodology: The approach incorporates methods on how to engage children and gradually introduce the Yogic practices and convince them to use Yoga to manage stress, emotional well-being and build resilience to maintain a healthy body and mind. The methodology inculcates our age-old wisdom from classical texts like Patanjali Yoga Sutras, Yoga Vasishta and Bhagavad Gita, and combined with contemporary techniques to suit the current generation of youngsters. Classical texts were thoroughly investigated for references to yogic principles apt for today's modern world and these are verified on a group of young children using Hypothesis testing and statistical analysis. Conclusion: Youth is a valuable asset for any country. The consequences of not addressing the emotional well-being and mental health of adolescence extends into adulthood, thereby impairing both physical and mental health and limiting opportunities to lead fulfilling lives as adults. Scientific research studies all over the world have revealed that following yogic practices can play an important role to manage stress, emotional well-being and thereby improve resilience. The methodology used showed positive results with a group of 50+ children to introduce yoga and help maintain lower stress and emotional wellbeing, and boost immunity and build resilience. Highly resilient people are flexible, adapt to new circumstances quickly and thrive in constant change. Keywords: Emotional Well-Being, Resilience, Yoga, Teens, Adolescence

Capacity Improvement of PRM Kadirojo in The Role of Family Toward the Formation of Dissaster Resilliance Village.

Abstract. This community service was aimed at improving the community resilience in Kadirojo, Palbapang village, Bantul, a region affected by the big Bantul earthquake in 2006. The earthquake severely damaged Kadirojo, which was upsetting for the people. Support and assistance have been given to the people to build back the community, and more activities are still needed to improve the people's resilience. Villagers in Kadirojo need to be aware of and prepared for their condition, which is located in the active fault of Kali Opak, Bantul, Yogyakarta. The activities done in this community service were generating awareness among the people and improving their behaviour to create a family-based resilient community, generating a pro-active and positive culture in disaster management, and upgrading the family resilience by systematically enhancing the capacity of Aisyiyah and Muhammadiyah as two religious-based social agents in the community. The branches of Aisyiyah and Muhammadiyah in Kadirojo, Palbapang, Bantul have always been with the people and have made big contributions to the social, economic, and religious movements in Kadirojo. Enhancing the capacity of these two organizations and providing them with sufficient instruments will effectively contribute to the development of a family-based, resilient community. This community service used the constructivist approach of Peter L. Berger by conducting collective and interactive discussions to raise the awareness and preparedness of the people.

How Could the Israel-Hamas Conflict Affect Ukraine?

It has been almost two years since Russia launched its illegal, large-scale invasion of Ukraine—the second such incursion after the annexation of Crimea in 2014. Ukraine currently finds itself in a protracted war of attrition, with a counteroffensive aimed at reclaiming territory in the South and East. However, it has encountered formidable obstacles presented by Russia’s network of fortifications and minefields. These challenges have been witnessed by the resilient Ukrainian people, who continue to face the complexities of wartime. Amid these difficulties, the international community has now been distracted by the Israel-Hamas conflict. Some analysts suggest that Russia could benefit from this regional conflict and that military and financial resources could be diverted from Ukraine to the Middle East. Recognizing the importance of unified support, there is a strong commitment by the US to consolidate assistance packages for both Ukraine and Israel, in order to mitigate potential logistical challenges. NATO has reaffirmed its commitment to providing support to Ukraine, underscoring its high priority. The EU has meanwhile become somewhat divided; in countries where populists are in government the Israel-Hamas conflict is being used as an excuse to reduce support for Ukraine, a tendency which previously existed clandestinely, due to lingering ties with Russia. The upcoming US elections also present a significant concern for Ukraine, as the political landscape has an impact on support and realignments.Regarding Ukraine’s economy, positive developments are evident in certain sectors. However, the state budget for the upcoming year relies heavily on international financial assistance to cover social expenditures and public sector expenses, since domestic revenue alone falls short of meeting critical needs. Anti-corruption efforts also depend on internal political will and expectation of becoming a member of the EU once the war has ended. In the meantime, Ukraine has taken steps to maximize its domestic defense production, further enhancing its self-reliance during these challenging times.

The Contribution of Low-Carbon Energy Technologies to Climate Resilience

The UN vision of climate resilience contains three independent outcomes: resilient people and livelihoods, resilient business and economies, and resilient environmental systems. This article analyzes the positive contributions of low-carbon energy technologies to climate resilience by reviewing and critically assessing the existing pool of studies published by researchers and international organizations that offer comparable data (quantitative indicators). Compilation, critical analysis, and literature review methods are used to develop a methodological framework that is in line with the UN vision of climate resilience and makes it possible to compare the input of low-carbon energy technologies climate resilience by unit of output or during their lifecycle. The framework is supported by the three relevant concepts—energy trilemma, sharing economy/material footprint, and Planetary Pressures-Adjusted Human Development Index. The study identifies indicators that fit the suggested framework and for which the data are available: total material requirement (TMR), present and future levelized cost of electricity (LCOE) without subsidies, CO2 emissions by fuel or industry, lifecycle CO2-equivalent emissions, and mortality rates from accidents and air pollution. They are discussed in the paper with a focus on multi-country and global studies that allow comparisons across different geographies. The findings may be used by decision-makers when prioritizing the support of low-carbon technologies and planning the designs of energy systems.

Built environment from the ancient Bali: The Balinese heritage for sustainable water management

Custom and tradition played essential roles in developing the built environment among the Balinese Hindu society for centuries. The wisdom in managing the environment has passed through generations, as demonstrated by some ancient remnants and Old Balinese inscriptions. We observed that glorifying the mountains in this society has long been a part of protecting the hydrologic cycle. This practice even started in the pre-Hindu era, as shown by sacred megalithic features adjacent to the natural reservoir, water spring, and mountainous forest. At some point, the behavior has successfully passed through times and even developed into a more complex socio-cultural system such as subak. Nevertheless, Balinese society is now facing the threat of hydrological disasters, primarily due to a rapid change in land use. Here, we describe the importance of revealing the value behind the ancient Balinese water-management system to gain people's resilience and sustainability. Multidimensional scaling (MDS) was used to measure the sustainability index and the leverage factors affecting water tradition in Bali. We reveal that the inheritance of the Balinese people's water management tradition is generally weak in each dimension. The socio-cultural dimension score is relatively high, with a sustainability score of 71.11%, which signifies that the society still trusts their culture of water resources management to protect nature. However, the economy and ecology dimensions' score low, with sustainability scores of 56.12 and 63.34%, respectively, indicating the need for improvement in economic matters through the policy strategy. Moreover, our study also suggests that the noble value of the cultural heritage related to the water management system needs to be revitalized and disseminated to the public. Hence, the implication is not limited to conserving the natural environment and cultural heritage. It also provides a reference for the current society regarding a built environment in harmony with sustainability principles.

A Comparative Study of Financial Support and Resilience of Self-Employed people in Sweden and Canada

Abstract Background Globally the COVID-19 pandemic presented major difficulties for self-employed people such as financial decline, restrictions and business closures. A plethora of financial support measures was rolled out worldwide to support them, but there is a lack of research looking at the effectiveness of the policy measures on small businesses. The aim of the study was to compare policies addressing government financial support in Sweden and Canada to get an understanding of how different governmental financial support measures enhanched self-employed people's resilience and improved their chances to manage the pandemic. In addition, individual interviews with Swedish and Canadian self-employed people were conducted to get an understanding of how they experienced the support measures and how these measures factored into their resilience during and after the restrictions had ended. Methods We conducted a mixed-method study encompassing document analysis and semi-structured interviews with self-employed people in Sweden and Canada. The constant comparative method guided the data analysis and documentary and interview data were analysed together. Three categories were formed: Welfare protection and effects, Self-employed well-being and Agility during COVID-19, based on their ability to represent the overall sense of the phenomena. Results Key results were that self-employed people in both countries unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns, and that this negatively affected their well-being. Conclusions Potential future policy responses in Sweden and Canada to support self-employed people during crises or adversity should consider the diversity among small businesses and tailor programmes towards viable businesses in greatest need of support, such as those in businesses unable to telework. Key messages • Self-employed people in Sweden and Canada unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns. • Future policy responses to support self-employed people during adversity should tailor programmes towards viable businesses in greatest need of support.

Why reconnect to nature in times of crisis? Ecosystem contributions to the resilience and well‐being of people going back to the land in Greece

Abstract Multiple crises, including climate change, ecosystem degradation, economic, political and social upheavals, severely impact people's well‐being. Ecosystem services (or nature's contributions to people) play a key role during crisis that needs to be further elucidated. Most research focusses on the material benefits that ecosystems provide in times of crisis, paying less attention to intertwined intangible, nonmaterial dimensions. Yet, these intangible ecosystem benefits are often crucial for people's resilience and well‐being in times of need. We examine the role that nature plays for resilience and well‐being in times of crisis through a case study of Greece's back‐to‐the‐land movement during the European economic crisis. We conducted semistructured interviews with 76 households that had gone back‐to‐the‐land to understand why people sought to reconnect to nature and what their experiences were. Our results show that reconnecting to nature provided material ecosystem benefits such as food and income often from previously undervalued ecosystems (e.g. abandoned orchards) as well as nonmaterial ecosystem benefits such as mental health, feelings of safety, calm and independence that helped people cope with the crisis and adapt and transform to new socio‐ecological contexts. Participants reported that reconnecting to nature also changed their relational values. People mentioned gaining new perspectives, meanings and relationships with others and the natural world. While the crisis significantly affected people's material well‐being, reconnecting with nature helped people cope with crisis but also prompted a profound reevaluation of what constitutes a good life, leading to changes in their subjective and relational well‐being. This enhanced their capacity to act and plan for the future (their agency). Overall, our research emphasizes how reconnecting to nature and its multidimensional ecosystem benefits during crises can have transformative effects on individuals' resilience, well‐being and their relationships with the environment. Our research shows that not only material benefits of ecosystem services need to be valued but also intangible, nonmaterial benefits that affect material, subjective and relational dimensions of well‐being and resilience. Read the free Plain Language Summary for this article on the Journal blog.

SUDUT PANDANG MASYARAKAT HINDU MENGENAI ORANG DENGAN GANGGUAN JIWA SKIZOFRENIA DALAM ASPEK BUDAYA BALI

Families who have members with the status of people with mental disorders (ODGJ) schizophrenia experience a situation to feel a heavy burden with various forms such as stress which results in not being able to accept the conditions they are currently experiencing. This makes the patient's family influenced by the social environment, psychological burden, economic burden which is increasing day by day, as well as the emergence of Balinese Hindu thinking that makes assumptions and stigma about people with schizophrenic mental disorders. In Balinese culture, it should be able to eliminate the negative assumptions that people make to ODGJ patients. Balinese culture directly teaches a person to have sympathy, empathy, mutual respect and maintain harmony. So, so far, there is still a negative stigma from the outside environment. Therefore, patients who have resilience are seen as individual personal qualities that involve the ability to adapt highly when faced with pressure. In the end, individuals who have resilience can become stronger than before. Religion is often used as a means of justification for acts of violence, as well as something cool. Data collection was carried out using descriptive qualitative methods. Thus, this study proves that there is a concept of local culture from the Balinese people, namely tat twam asi, tri kaya parisudha, karma phala and tri pramana. Then, other findings can be through "malukat, mebayuh" or atonement for sins with the "guru piduka" ceremony. This article describes the views or perspectives of the Hindu community on people's resilience to mental disorders.

Examining the protective role of self-compassion in the links between daily sexual orientation salient experiences and affect.

Research has shown that minority stress is linked to poorer mental health across a variety of stigmatized populations, including lesbian, gay, bisexual, and queer (LGBQ) people. It is therefore essential to understand factors that can counteract minority stress. To date, most research on LGBQ people's resilience relied on retrospective reports of stressful identity-salient experiences. This limits the understanding about resilience factors that enable LGBQ people to thrive in the face of minority stressors as they occur on a day-to-day basis. The present study addressed this gap by using a daily diary design to test whether self-compassion protects LGBQ people's affective well-being from daily stressful sexual orientation-salient experiences (SOSEs). A sample of 235 LGBQ adults completed a baseline survey that assessed self-compassion, as well as brief online surveys twice daily for a maximum of 17 days that assessed SOSEs and affect, providing a total of 3,310 days of data. As anticipated, results of multilevel modeling showed that negative and positive SOSEs were linked to negative and positive evening affect, respectively, at both the daily and person levels. Self-compassion moderated the link between daily negative SOSEs and positive evening affect, such that daily negative SOSEs were linked to lower positive affect only among those with lower self-compassion. Moderation effect was not observed for negative evening affect as an outcome. Exploratory analysis suggested that the buffering effect of self-compassion could be impacted by contextual factors. Our study showed the importance of self-compassion and access to positive SOSEs for LGBQ people's well-being. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Mental health, resilience, and well-being during Covid-19 outbreak: Learning from Balinese culture and public policy

Various policies and efforts have been made by the Indonesian government to help the community recover from the various impacts of the COVID-19 pandemic, including the recovery of psychological health disorders. It is necessary to study the condition of the community to formulate more appropriate policies. This study describes the mental health condition of the community during the second wave of the Covid-19 pandemic. Analysis of factors related to threats and obtaining psychological well-being is used to formulate future disaster mitigation policies. A cross-sectional survey was conducted on communities in Bali, Indonesia. A total of 311 respondents (aged between 15 and 72 years) were involved in the survey through DASS-21, PGWBI-22, and CD RISC-25, from July to September 2021. The results of this study indicate that the prevalence of depression, anxiety, and stress is higher than previous research. The psychological well-being index is also high. Cultural and religious values are the key to people's resilience, which makes them grateful and prosperous despite high levels of anxiety, stress, and depression. Regression analysis confirms that resilience is an important factor in maintaining psychological happiness. The findings also noted that the Covid-19 vaccine was associated with less depression, anxiety, and stress. The results of this study contribute to disaster mitigation policies and mental health support interventions for the community during and after the Covid-19 pandemic. From this study, policies on disaster mitigation related to future pandemics are formulated.

Effect Of Laughter Therapy On Stress In The Eldery

Background: There are several physical and psychological symptoms that are caused by a variety of changes and occur in the elderly, one of which is stress. Elderly people who are stressed out need to be handled with special attention. In addition, due to its perceived ease of use and low cost, laughter therapy is a preferred non-pharmacological treatment that has proven to be significantly beneficial in reducing stress levels. Research Objective: To determine the effect of laughter therapy on the behavioral emergency of stress in the elderly at an elderly social institution. Research Methods: This study was conducted using a quasi-experimental design. The sample in this study consisted of 38 respondents. The instruments used in this study were the DASS (Depression Anxiety Stress Scale) questionnaire and the Laughter Therapy SOP. The data analysis process used the t-test. Results: The results of the paired sample t-test showed a significant difference between the pre- and post-test values, with a significance value (2-tailed) of p = 0.000, <0.05. In this study, H0 was rejected and Ha was accepted, indicating that there was a significant difference between the stress scores before and after the intervention was given. Conclusion: The findings of this study are expected to provide input for stakeholders so that they can be implemented in a programmatic manner to prevent further negative effects of stress and develop resilient and independent elderly people.

Resilience is associated with cortical gray matter of the antinociceptive pathway in people with chronic pain

Resilience is an important personal characteristic that influences health and recovery. Previous studies of chronic pain suggest that highly resilient people may be more effective at modulating their pain. Since brain gray matter in the antinociceptive pathway has also been shown to be abnormal in people with chronic pain, we examined whether resilience is related to gray matter in regions of interest (ROIs) of the antinociceptive pathway (rostral and subgenual anterior cingulate cortex (rACC, sgACC), anterior insula (aINS), dorsolateral prefrontal cortex (dlPFC)) normally and in people who are experiencing chronic pain. We extracted gray matter volume (GMV) and cortical thickness (CT) from 3T MRIs of 88 people with chronic pain (half males/females) and 86 healthy controls (HCs), who completed The Resilience Scale and Brief Pain Inventory. We found that resilience scores were significantly lower in people with chronic pain compared to HCs, whereas ROI GMV and CT were not different between groups. Resilience negatively correlated with average pain scores and positively correlated with GMV in the bilateral rACC, sgACC, and left dlPFC of people with chronic pain. Mediation analyses revealed that GMV in the right rACC and left sgACC partially co-mediated the relationship between resilience and average pain in people with chronic pain. The resilience-pain and some resilience-GMV relationships were sex-dependent. These findings suggest that the antinociceptive pathway may play a role in the impact of resilience on one’s ability to modulate chronic pain. A better understanding of the brain-resilience relationship may help advance evidence-based approaches to pain management.