Resilience Support Research Articles

1.20 Maternal Adverse Childhood Experiences and Offspring Externalizing Problems: Are Maternal Familism and Social Support Resilience Factors Among Puerto Rican Families?

1.20 Maternal Adverse Childhood Experiences and Offspring Externalizing Problems: Are Maternal Familism and Social Support Resilience Factors Among Puerto Rican Families?

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.

Resilience in Mild Cognitive Impairment (MCI): Examining the Level and the Associations of Resilience with Subjective Wellbeing and Negative Affect in Early and Late-Stage MCI.

The current study examines the relationship between the cognitive state of participants [healthy-early mild cognitive impairment (MCI)-late MCI], some subjective wellbeing factors (positive emotions, engagement, positive relationships, meaning in life, accomplishment, and negative emotions), and negative psychological outcomes (depression, anxiety, stress), as well as psychological resilience. We expected that people with advanced MCI would perceive increased negative psychological outcomes, poorer psychological resilience, and lower levels of subjective wellbeing in contrast to early MCI and healthy participants. The study involved 30 healthy, 31 early, and 28 late MCI individuals. A series of questionnaires have been applied to assess the aforementioned constructs. To examine the hypotheses of the study, path analysis (EQS program) was applied. Results showed that early MCI persons maintain the same levels of positive emotions and feelings of accomplishment with healthy peers. Late-stage patients present those feelings in a diminished form, which adversely impacts psychological resilience. Individuals with early and late MCI exhibit negative emotions and stress that impact their resilience; however, those with early MCI experience greater stress, negative emotions, depression, and anxiety. These findings may be utilized to design psychological interventions for resilience enhancement and support brain health in elderly adults who are at risk of neurodegeneration.

Effects of Social Support, Family Resilience, and Individual Resilience on Fear of Cancer Recurrence Among Persons With Breast Cancer: A Cross-Sectional Study.

There is limited research exploring the psychological and social predictors of fear of cancer recurrence (FCR). This study tested the effects of social support, family resilience, and individual resilience on FCR among persons with breast cancer. A convenience sampling method was used to select 214 participants from March to August 2021 in 1 tertiary hospital in Jinan, China. Data were collected using self-administered questionnaires. Path analysis was adopted to explore the effects of social support, family resilience, and individual resilience on FCR. Findings showed that 94.6% of the participants reached a clinical level of FCR. Social support (β = -.75, p < .01) and individual resilience (β = -.32, p < .01) negatively and directly impacted FCR. Family resilience indirectly impacted FCR through individual resilience (β = -.22, 95% confidence interval (CI): -.34 to -.08). Social support indirectly impacted FCR through family resilience and individual resilience (β = -.15, 95% CI: -.23 to -.06). Persons with breast cancer experienced a high level of FCR. Individual resilience was a mediator between family resilience and FCR. Resilience (individual resilience and family resilience) partially mediated the effects of social support on FCR. The findings indicate that measures focused on improving individual resilience, family resilience, and social support should be considered by nurses, which are helpful for easing FCR.

Prioritising key variables for assessing food system resilience in Finland

ABSTRACT Building food system resilience enables the system to buffer, adapt and transform in response to changes. Identification of key variables of resilience support actors and policymakers managing the food systems. The objective of this study was to identify the most important variables to assess food system resilience and actors with the best opportunities to take responsibility for preparing for disruptions. We operationalised the key variables of resilience in the Finnish food system and evaluated them using a Delphi expert method. We produced a framework for food system resilience, including three indispensable interacting levels of action and good practices within each supporting resilience building. In the prioritisation of key variables, diversity in production, versatile cooperation between actors based on trust, independence of external inputs, system understanding, and renewable domestic energy were considered the most important. Research and administration play a key role in producing information and implementing actions targeted especially at agriculture, where actions are expected to be the most efficient and impactful. In the whole food system, increasing transparency would help create trust and thus promote co-creation of sustainable practices. Platforms to obtain information about future risks and for co-creating solutions for building food system resilience are needed.

The effect of simulated marine heatwaves on green-lipped mussels, Perna canaliculus: A near-natural experimental approach

Marine heatwaves (MHW) are projected for the foreseeable future, affecting aquaculture species, such as the New Zealand green-lipped mussel (Perna canaliculus). Thermal stress alters mussel physiology highlighting the adaptive capacity that allows survival in the face of heatwaves. Within this study, adult mussels were subjected to three different seawater temperature regimes: 1) low (sustained 18 °C), 2) medium MHW (18–24 °C, using a +1 °C per week ramp) and 3) high MHW (18–24 °C, using a +2 °C per week ramp). Sampling was performed over 11 weeks to establish the effects of temperature on P. canaliculus survival, condition, specific immune response parameters, and the haemolymph metabolome. A transient 25.5–26.5 °C exposure resulted in 61 % mortality, with surviving animals showing a metabolic adjustment within aerobic energy production, enabling the activation of molecular defence mechanisms. Utilisation of immune functions were seen within the cytology results where temperature stress affected the percentage of superoxide-positive haemocytes and haemocyte counts. From the metabolomics results an increase in antioxidant metabolites were seen in the high MHW survivors, possibly to counteract molecular damage. In the high MHW exposure group, mussels utilised anaerobic metabolism in conjunction with aerobic metabolism to produce energy, to uphold biological functions and survival. The effect of exposure time was mainly seen on very long-, and long chain fatty acids, with increases observed at weeks seven and eight. These changes were likely due to the membrane storage functions of fatty acids, with decreases at week eleven attributed to energy metabolism functions. This study supports the use of integrated analytical tools to investigate the response of marine organisms to heatwaves. Indeed, specific metabolic pathways and cellular markers are now highlighted for future investigations aimed at targeted measures. This research contributes to a larger program aimed to identify resilient mussel traits and support aquaculture management.

A systematic review of dentists' psychological wellbeing during the COVID-19 pandemic.

Background The COVID-19 pandemic presented significant challenges to healthcare workers worldwide, including the effect on the psychological wellbeing of dentists.Aims To evaluate the impact of the early phases of the pandemic on the psychological health, long-term wellbeing and clinical service provision of dentists, as well as the identification of the key risk and protective factors for adverse mental health outcomes (MHOs) in this group.Methods A systematic review of cross-sectional studies (n = 53) from public and private dentistry sectors was employed to delineate the risk and protective factors for adverse MHOs.Results Self-reports from these studies (1 December 2019 to 31 December 2021), involving 45,671 dentists worldwide were analysed. Study findings were classified according to their psychological impact (as risk or protective factors), categorised as 'operational' or 'organisational' and subdivided into 'psychosocial', 'occupational', 'sociodemographic' and 'environmental' elements. A GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) certainty of evidence score was calculated for all the identified factors.Conclusions This review confirmed the negative impact of the pandemic on the MHOs of dentists worldwide. Pivotal risk factors included fear of infection, transmission to families, lack of personal protective equipment and possible direct contact with infected patients. Enhanced infection control protocols, individual resilience and organisational support were identified as important protective factors.

청소년상담자의 외상경험, 회복탄력성, 수퍼바이저 지지가 소진에 미치는 영향

The purpose of this study was to find intervention measures for youth counselors to reduce burnout by examining the effect of trauma experience on counselor burnout through resilience and supervisor support. For this end, we used the case shock scale, resilience scale, supervisor support scale, and counselor exhaustion scale for 533 youth counselors. We obtained the following research results. First, the higher the trauma experience of youth counselors, the higher their burnout was. Second, the higher the resilience and supervisor support, the lower their burnout was significantly. The results of this study are consistent with previous studies, and the more trauma experiences of youth counselors, the less efficiently they may play the role of youth counselors, and resilience and supervisor support may reduce the burnout of youth counselors due to trauma experience.

남자간호사의 성 고정관념, 회복탄력성 및 동료지지가 이직의도에 미치는 영향

남자간호사의 성 고정관념, 회복탄력성 및 동료지지가 이직의도에 미치는 영향

Depressive symptoms, burnout, resilience, and psychosocial support in healthcare workers during the COVID-19 pandemic: A nationwide study in Japan.

The coronavirus disease 2019 pandemic has significantly impacted the mental health of healthcare workers. This study aimed to assess the mental health of healthcare workers and identify risk and protective factors. We surveyed 48,031 healthcare workers at 63 Japanese Red Cross hospitals from December 15, 2022 to January 15, 2023. Mental health was assessed using the Center for Epidemiologic Studies Depression Scale, the Japanese Burnout Scale, and 10-item Connor-Davidson Resilience Scale. Furthermore, we inquired about the psychosocial support activities provided to the healthcare workers within their workplaces. This study included 3815 healthcare workers (250 doctors, 32 residents, 2588 nurses, 504 co-medical staff, and 441 administrative staff). Symptoms of depression were noted in 31.5% of all participants and 46.9% of resident doctors. Women and those who were young, lived alone, had a nonmanagement position, had contact with coronavirus disease 2019 patients, or had passive motivation to coronavirus disease 2019 work had a significantly higher total Center for Epidemiologic Studies Depression Scale score than in the corresponding groups with the opposite characteristics. High emotional exhaustion and depersonalization scores on the Japanese Burnout Scale were risk factors for depressive symptoms, while living with family was a protective factor. Moreover, interventions such as job performance support (skills, knowledge, information, and safety), peer support, and organizational support (infection control team, patient care rotation systems) were effective. The impact of the prolonged coronavirus pandemic on mental health among healthcare workers is clear, and organized psychosocial support is needed.

Factors influencing health-related quality of life for young single-person households: the mediating effect of resilience

Purpose: To identify factors influencing health-related quality of life for young single-person households, this study investigated physical and mental health status, health behavior, depression, resilience, and health-related quality of life. Methods: An online survey was administered to members of young single-person households from March 22 to 30, 2022. The data were analyzed using the chi-square test, independent t-test, one-way analysis of variance, Pearson correlation coefficients, multiple regression, and a simple mediation model applying the PROCESS macro model 4 with 95% bias-corrected bootstrapped confidence intervals. Results: The participants were 229 members of young single-person households. Health-related quality of life showed significant relationships with residence (t = 2.80, p = .006), monthly income (F = 3.70, p = .026), mental health status (F = 20.33, p &lt; .001), and high-intensity exercise (F = 7.35, p = .001) among general and health-related characteristics. Health-related quality of life had significant correlations with depression (r = -.72, p &lt; .001) and resilience (r = .58, p &lt; .001). Multiple regression analysis showed that depression (β = -.57, p &lt; .001) and resilience (β = .21, p &lt; .001) influenced health-related quality of life. Moreover, resilience had a mediating effect between depression and health-related quality of life (indirect effect = -0.002, 95% bias-corrected bootstrapped confidence interval = -0.003 to -0.001). Conclusion: Members of young single-person households tended to be more vulnerable to emergency situations, such as during the coronavirus disease 2019 pandemic, when lockdowns and quarantines were frequent. To improve health-related quality of life in young single-person households, people with high levels of depression or low levels of resilience need special attention and support to promote mental health.

The moderating roles of resilience and social support in the relationships between bullying victimization and well-being among Chinese adolescents: Evidence from PISA 2018.

Bullying victimization can undermine adolescents' well-being. However, few studies have comprehensively investigated the contributions of various victimization forms to well-being and compared which forms were more harmful than others. Evidence on whether resilience and social support moderate such associations is also limited. Using a sample of 12,058 Chinese adolescents in the Programme for International Student Assessment (PISA) 2018, this cross-sectional study aimed to (1) investigate the associations of physical, verbal and relational victimization with well-being; (2) compare the strengths of these associations; and (3) examine the moderating roles of resilience and teacher and parent support in these associations. Results showed that three victimization forms were associated with poorer well-being. Relational and physical victimization were more harmful to most studied well-being outcomes than verbal victimization. Furthermore, resilience weakened the negative effects of physical victimization on negative affect and life satisfaction but aggravated the negative effects of verbal victimization on both outcomes and the negative effect of relational victimization on school belonging. Teacher support intensified the negative effects of physical victimization on school belonging. Parent support was not effective in regulating the victimization-well-being association. The findings underscored the detrimental effects of bullying victimization on adolescents' well-being and the potentially harmful sides of resilience and social support. Implications for bullying prevention were discussed.

PTSD of Chinese nurses in the normalisation of COVID-19 pandemic prevention and control: Prevalence and correlates.

Though the severe prevention and control measures faced by Chinese nurses had changed during the normalisation stage of the coronavirus 2019 (COVID-19) pandemic, they still worked under great stress. Due to a lack of related evidence, we aimed to investigate the prevalence and correlates of post-traumatic stress disorder (PTSD) among Chinese nurses during the normalisation of COVID-19 pandemic prevention and control measures. Using convenience sampling, we recruited 784 nurses in Jiangsu province, China to complete a survey via their mobile devices. We used a demographic questionnaire, the Perceived Social Support Scale, the Connor-Davidson Resilience Scale, the General Self-Efficacy Scale, and The Impact of Event Scale-Revised to collect data and applied binary logistic regression analysis to identify factors associated with PTSD. The prevalence of PTSD was 26.4%. Married nurses were less likely to experience PTSD than unmarried ones (odds ratio (OR) = 0.573; 95% confidence interval (CI) = 0.33-0.99, P = 0.046). Social support (OR = 0.96; 95% CI = 0.94-0.98, P = 0.000) and resilience (OR = 0.98; 95% CI = 0.97-0.99, P = 0.004) were significant predictors of PTSD. PTSD remained prevalent among Chinese nurses as COVID-19 pandemic prevention and control measures became normalised, with an incidence rate of 26.4%. Resilience, social support, and marital status were factors associated with PTSD. Chinese hospital management must intervene to improve resilience and social support for nurses to reduce symptoms of PTSD.

Resilience-Based Adaptation in Data Scarce Areas: Flood Risk Assessment Using Geodesign in the Tohono O’odham Nation

Geospatial data, analytics, and visualizations are critical decision-making resources for building community resilience. However, many communities are unable to collect and use this data. This study evaluates how a Geodesign planning approach using qualitative, statistical, and spatial analysis empowered a data-scarce American Indian community to create a flood-resilient community-based land-use plan. Geodesign is a stakeholder-engaged planning approach integrating geospatial analysis, information technology, visualization, and design strategies for complex problem-solving. Results show that Geodesign enables data-scarce communities to combine local knowledge and scientific modeling, merge the strengths of each knowledge source, and support resilience and community-based land-use planning.

Evaluation of Community Emergency Management Capability Based on SWOT Analysis—A Case Study

(1) Background: the community is the most basic place to maintain residents’ lives, and therefore it is urgent to strengthen community resilience construction, which is directly related to the economic development, security and stability of urban communities. (2) Methods: this article combines the SWOT (Strengths, Weaknesses, Opportunities, Threats) qualitative analysis method and the AHP (Analytic hierarchy process) qualitative and quantitative analysis method to explore the current status of community emergency management in Xi’an City. A community emergency management evaluation model is constructed, which is based on six dimensions: infrastructure resilience, community organization resilience, risk hazard governance, emergency material security, emergency force construction, and emergency literacy. The evaluation index for community emergency management is established. Focusing on analyzing the strengths and weaknesses of communities in responding to sudden public health emergencies, opportunities and threats are identified. (3) Results: it was concluded that infrastructure resilience and emergency material support are community strengths, community organizational resilience is a community weakness, the emergency literacy dimension is a community opportunity, and risk and hazard management and emergency force construction are community threats. The results of the data research were further analyzed. (4) Conclusions: The final research results provide new theoretical support for community emergency management, while also providing theoretical and methodological references for emergency capacity evaluation in other fields.

Longitudinal investigation of factors influencing mental health during centralized quarantine for COVID-19.

Centralized quarantine was applied in response to the coronavirus disease 2019 outbreak. The present study aimed to investigate changes in psychological status of isolated individuals before and after quarantine. Between August 2020 and July 2021, 648 participants completed the following psychometric evaluations before and after centralized quarantine: 9-item Patient Health Questionnaire for depression, 7-item Generalized Anxiety Disorder for anxiety, the Chinese version of the Connor Davidson Resilience Scale for psychological resilience, the Chinese version of the Simplified Coping Style Questionnaire for coping style, Jiang's revised Chinese version of the Perceived Social Support Scale for social support and the Chinese version of the Impact of Events Scale for stress. At the beginning of centralized quarantine, 83.2% (n=539) of participants had no depressive mood, 11% (n=71) had mild depressive mood and 5.8% (n=38) had moderate-severe depressive mood. At the end of quarantine, 80.8% (n=524) of participants had no depressive mood, 13% (n=84) had mild depressive mood and 6.2% (n=41) had moderate-severe depressive mood. At the beginning of the centralized quarantine, 86.7% (n=562) of participants had no anxiety, 9.6% (n=62) had mild anxiety and 3.7% (n=24) had moderate-severe anxiety. At the end of quarantine, 85.8% (n=556) of participants had no anxiety, 11.6% (n=75) had mild anxiety and 2.6% (n=17) had moderate-severe anxiety. After 2weeks of centralized quarantine, anxiety (t=2.175, p<0.05), stress (t=7.453, p<0.01) and three stress subscale scores (p<0.01) decreased significantly; psychology resilience (t=-3.63, p<0.01), tenacity (t=-4.747, p<0.01), active coping style (t=-3.83, p<0.01) and support outside family (t=-3.07, p<0.05) all increased significantly. No significant change was observed in depression, strength, optimism, passive coping style or support inside family. Depression and anxiety scores associated significantly with resilience, stress, coping styles and social support scores. Anxiety (B=0.488, β=0.413, p<0.01), psychological resilience (B=-0.047, β=-0.203, p<0.01) and stress (B=1.475, β=0.167, p<0.1) scores before centralized quarantine were associated with depression after quarantine. Depression (B=0.323, β=0.422, p<0.01), psychological resilience (B=-0.022, β=-0.123, p<0.01) and stress (B=1.408, β=0.207, p<0.01) scores before quarantine also influenced anxiety levels after quarantine. A cross-lagged panel model indicated that depression, anxiety, resilience and stress scores at the first assessment were predictive of depression and anxiety levels at the second assessment. Good mental health during centralized quarantine was associated with high scores of psychological resilience, impact of events, coping styles and social support and did not become worse in settings where adequate support was available.

Factors associated with the core dimensions of spiritual health among older adults with chronic obstructive pulmonary disease: A cross-sectional study.

To investigate the level of spiritual health in older patients with chronic obstructive pulmonary disease (COPD) from the core dimensions and to explore its associated factors. A cross-sectional study. Participants were recruited from four hospitals between September 2020 and June 2021, using a convenience sampling. Older patients with COPD (n = 162) completed the demographic and disease-related information questionnaires, Function Assessment of Chronic Illness Therapy Spiritual Scale, 10-item Connor-Davidson Resilience Scale, General Self-efficacy Scale, Social Support Rating Scale, COPD Assessment Test, 15-item Geriatric Depression Scale and modified Medical Research Council Dyspnea Scale. Descriptive statistics, Pearson and Spearman correlation analyses, t-tests, one-way ANOVA and multiple linear regression models were used. Older patients with COPD have a moderate level of spiritual health. The multiple linear regression analysis showed that psychological resilience, general self-efficacy, social support, symptom burden and monthly income were associated with the core dimensions of spiritual health. Chinese older patients with COPD have a moderate level of spiritual health. Psychological resilience, general self-efficacy, social support, monthly income and symptom burden were associated with the core dimensions of spiritual health. This study is the first to investigate the level of spiritual health in older patients with COPD from the core dimensions and to explore its associated factors, providing a basis for developing spiritual intervention programs. Our findings can help us realize that intervention strategies of psychological resilience, general self-efficacy and social support can all be used to enhance spiritual health. Nurses should focus on the spiritual health of older COPD patients with high symptom burden and low monthly income. Although we did not directly involve patients and the public because of the COVID-19 pandemic, the results of the study will be disseminated to patients and the public through WeChat and seminars.

What is known about midwives' well-being and resilience? An integrative review of the international literature.

Internationally, the midwifery workforce is facing a professional crisis due to numerous organizational and individual factors that have led to midwives leaving the profession. These factors include high levels of workplace stress, systemic barriers to providing woman and person-centered care, trauma, and burnout. The COVID-19 pandemic magnified these pre-existing stressors and adversities and has further disrupted midwives' ability to practice within their professional norms. In order to understand how midwives can be better supported, there is a need to understand what contributes to and detracts from their well-being and resilience. To investigate and synthesize the extant international knowledge on midwives' well-being and resilience in the context of workplace stress and adversity. Integrative review of the literature published in peer-reviewed journals. Thematic analysis of the literature resulted in three core themes: (1) risk factors and adversity; (2) protective factors and resilience; and (3) sustaining factors and well-being in midwifery. Findings from this integrated review highlight that several factors associated with workplace adversity can also be sources of protection depending on their presence or absence. Within the included studies, there exists a broad use of concepts and definitions that are applied to well-being and resilience, resulting in a lack of uniformity and cohesion. In this review, we identified a high level of workplace adversity and the subsequent impacts on midwives' well-being and resilience. A series of protective factors and strategies that can be used to improve the well-being of midwives and support resilience within the profession were also identified; however, further research of the population is required. In addition, the development of cohesive well-being and resilience concepts specific to midwifery is recommended, as is the development and application of uniform terminologies and definitions.

The Relationship of Resilience, Self-Compassion, and Social Support to Psychological Distress in Women Collegiate Athletes During COVID-19

Given how COVID-19 had caused significant increases in collegiate athletes’ psychological distress, we examined the extent to which such distress may have been ameliorated by the athletes’ psychosocial resources (e.g., resilience). We used structural equation modeling to examine the direct and indirect relationships of resilience, self-compassion, and social support to women collegiate athletes’ (N = 3,924; 81.2% White) psychological distress; athletes completed measures of these constructs from mid-April to mid-May 2020. Analyses revealed significant direct effects: More supported (β = −0.12 to −0.19), self-compassionate (β = −0.48 to −0.53), and resilient (β = −0.21 to −0.35) athletes experienced less psychological distress (R2 = .61–.65). Further, self-compassion and social support were related indirectly (and inversely) to psychological distress through higher levels of resilience. These psychosocial resources appear to have played a positive role in how athletes coped with the pandemic, being associated with less psychological distress. These findings have application beyond the pandemic, providing direction for how sport psychology professionals may assist athletes in maintaining their well-being.

State policy and local resilience: evaluating state policies for flood resilience in the Great Lakes region of the United States

ABSTRACT Flood resilience policy and planning are highly localized in the United States (US) and many parts of the world, with local governments responsible for a wide range of land use and infrastructure investment decisions that drive flood risk and response. However, many local governments lack the resources to plan for and adapt to increased flooding without external support. State governments can help by promulgating rules and providing guidance and resources that make flood resilience planning at the local level easier, more likely, and more equitable. However, very little is known about the programmes and policies US states can and do develop to support local flood resilience, how much these programmes and policies vary between states, and the extent to which states are going beyond required or standard practice. In this study, we develop an evaluation framework for state flood policies and programmes that captures the types of programmes and policies used by states in the US, distinguishing between required or standard practices and more advanced approaches. We use a numeric scoring system to operationalize four distinct categories of state policy: information provision, planning guidance, regulations and standards, and funding and financing. The scoring system accounts for whether states incorporate climate change and social equity into their resources. We then apply the framework and scoring system to the eight states of the Great Lakes region: Illinois, Indiana, Michigan, Minnesota, New York, Ohio, Pennsylvania, and Wisconsin. Our findings demonstrate both the consistencies and variation in state-level flood management programmes and policies, identify policy leaders in the region, and reveal areas where states can prioritize further investment and policy development for better flood risk management. The study provides an evaluation framework for scholars and practitioners of subnational flood policies and programmes, and descriptive insights into the status of state-level flood resilience policy and planning in the Great Lakes region.