Resilience Support Research Articles

Изучение психосоциальных факторов, влияющих на приверженность пациентов к лечению хронических заболеваний.

This research article scrutinises the psychosocial underpinnings that influence adherence to treatment among patients with chronic diseases, assuming that adherence is a multifaceted phenomenon shaped by a complex set of psychosocial factors. Purpose: the aim of the study is to uncover the complex relationship between these factors and adherence to treatment, using linear sampling to capture the dynamics and temporal evolution of adherence behaviour in the context of chronic illness. Materials and methods. Using a rigorous methodological framework, participants with many chronic conditions were included in the study, with inclusion and exclusion criteria carefully developed to ensure a representative and diverse group. The study utilised a range of validated psychometric tools to quantify psychosocial variables such as social support, stress levels and health beliefs, as well as a multifaceted approach to assess adherence combining self-report, pharmacy records and biometric measures. Advanced statistical analyses, including mixed-effects models and structural equation modelling, were used to identify relationships between psychosocial factors and adherence to treatment, taking into account the complexity and longitudinal nature of the data. Results. The findings highlight the critical role of social support in increasing treatment adherence as well as the detrimental effects of elevated stress levels, emphasising the critical interplay between individual psychological resilience and external support systems. The study also clarifies the influence of health beliefs and illness perceptions on adherence behaviour, advocating a better understanding of the cognitive and affective dimensions that determine patients’ engagement in treatment. Findings. The article concludes by arguing that a paradigm shift towards integrating psychosocial support mechanisms into holistic models of care is needed to increase adherence in chronic disease management. It calls for the implementation of health care policies and practices that not only address the biomedical aspects of chronic disease, but also the psychosocial complexities inherent in long-term disease management. Findings from the study encourage further research into specialised psychosocial interventions aimed at improving adherence and consequently quality of life for people coping with the challenges of chronic illness.

Resilience and Social Support as Resources for Kinship Caregivers Who are Coping with COVID-19

ABSTRACT This study explored the roles of social support and resilience in understanding the impact of barriers to needed services as well as the impact of COVID-19 on kinship caregivers’ efforts to care for themselves. Based upon a sample of 135 kinship caregivers, analyses suggested that social support and resilience mediated barriers to service – self-care relationships as well as impact of COVID-19 – self-care relationships, subject to whether overall impact or physical/mental health-relational impact was considered. These findings help to understand why some kinship caregivers are more adept at meeting their own self-care needs than are others during COVID-19 and have implications for enhancing resilience and social support among kinship caregivers in the face of COVID-19.

Assessment and enhancement of community water supply system sustainability: A dual framework approach

Population growth, pollution, and urbanization strain water sustainability, leading to the premature failure of community-managed water systems globally. This underscores the formidable task of precisely defining and quantifying sustainability within these community contexts. Based on the “You can't manage what you can't measure” adage, this study developed dual frameworks at community scale to assess and enhance the water supply system's sustainability. The assessment framework includes dimensions, indicators, and variables that convene into a Water Sustainability Index (WSI). WSI ranges from 1 to 4 where a score below 1.5 indicates poor water sustainability, while a score exceeding 3.5 signifies excellent sustainability. Likewise, the enhancement framework consists of dimensions, goals, and strategies. These frameworks relied on three specific dimensions, efficiency, resiliency, and community support. The identification of indicators, variables, and goals was based on SMART criteria. While the dimensions, indicators and goals are to remain consistent regardless of study areas, variables and strategies are site-specific and their selection needs to be based on each community's situations and data availability. The assessment framework suggested that the Asian Institute of Technology (AIT) community has achieved fair water sustainability status with a score of 2.25. The strategic framework yielded several recommendations aimed at enhancing the sustainability of the water supply system at the AIT. The study's outcomes offer tools to evaluate the current situation of sustainability and assists local community authorities in devising solutions to enhance sustainability in community supply systems. Looking ahead, these frameworks lay the groundwork for future investigations, to explore localized, community-centric strategies for sustainable water management.

Association Between Internet Gaming Disorder and Suicidal Ideation Mediated by Psychosocial Resources and Psychosocial Problems Among Adolescent Internet Gamers in China: Cross-Sectional Study.

Adolescent internet gaming disorder (IGD) was associated with severe harm, including suicidal ideation. While suicidal ideation was predictive of completed suicides, further research is required to clarify the association between IGD and suicidal ideation among adolescents, as well as the mechanisms involved. This study aimed to investigate the understudied association between IGD and suicidal ideation, as well as novel mechanisms associated with it, among Chinese adolescent internet gamers through psychosocial coping resources and psychosocial problems. An anonymous, self-administered, cross-sectional survey was conducted among secondary school students who had played internet games in the past year in Guangzhou and Chengdu, China (from October 2019 to January 2020). In total, 1693 adolescent internet gamers were included in this study; the mean age was 13.48 (SD 0.80) years, and 60% (n=1016) were males. IGD was assessed by the 9-item Internet Gaming Disorder Checklist of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders [Fifth Edition]), while a single item assessed suicidal ideation: "Have you ever considered committing suicide in the past 12 months?" Univariate and multivariate logistic regression associations were conducted to test the significance and directions of the potential factors for suicidal ideation. The mediation mechanism was examined by structural equation modeling. Among all participants, the prevalence of IGD and suicidal ideation was 16.95% (287/1693) and 43.06% (729/1693), respectively. IGD cases were 2.42 times more likely than non-IGD cases to report suicidal ideation (adjusted odds ratio [OR] 2.42, 95% CI 1.73-3.37). Other significant factors of suicidal ideation included psychosocial coping resources (resilience and social support, both adjusted OR 0.97, 95% CI 0.96-0.98) and psychosocial problems (social anxiety: adjusted OR 1.07, 95% CI 1.05-1.09; loneliness, adjusted OR 1.13, 95% CI 1.10-1.16). The association between IGD and suicidal ideation was partially mediated by 3 indirect paths, including (1) the 2-step path that IGD reduced psychosocial coping resources, which in turn increased suicidal ideation; (2) the 2-step path that IGD increased psychosocial problems, which in turn increased suicidal ideation; and (3) the 3-step path that IGD reduced psychosocial coping resources which then increased psychosocial problems, which in turn increased suicidal ideation, with effect sizes of 10.7% (indirect effect/total effect: 0.016/0.15), 30.0% (0.05/0.15), and 13.3% (0.02/0.15), respectively. The direct path remained statistically significant. IGD and suicidal ideation were alarmingly prevalent. Evidently and importantly, IGD was a significant risk factor for suicidal ideation. The association was partially explained by psychosocial coping resources of resilience and social support and psychosocial problems of social anxiety and loneliness. Longitudinal studies are needed to confirm the findings. Pilot randomized controlled trials are recommended to evaluate the effectiveness of interventions in reducing suicidal ideation by reducing IGD, improving psychosocial coping resources, and reducing psychosocial problems investigated in this study.

Antecedents of Life Satisfaction Among Women in Kashmir: An Empirical Study From India

Psychologists believe that life satisfaction is a crucial indicator of an individual's overall health and happiness, regardless of their work or culture. This topic has been extensively researched, with the authors identifying novel antecedents of life happiness. Life satisfaction and health are strongly related, and enhancing one area can improve the other. Frequent shifts in life satisfaction can be harmful to overall health and life expectancy. However, there is still potential to investigate life satisfaction from a fresh perspective, particularly in the Indian context. This study aimed to investigate the factors influencing people's levels of pleasure in life, focusing on three categories of women in the Kashmir region: single women, married women, and widowed women. The study used a quantitative research design, including all three types of women: married, unmarried, and widowed. The research objectives were to study optimism, spirituality, resilience, and social support as predictors of life satisfaction among unmarried, married, and widowed women in Kashmir. The findings showed that optimism, spirituality, resilience, and perceived social support all have a beneficial impact on one's level of life satisfaction. Self-confidence under pressure has the biggest impact on life satisfaction, while optimism has the lowest effect amongst all variables.

The association of perceived social support, resilience, and posttraumatic stress symptoms among coronavirus disease patients in the United States

BackgroundPosttraumatic stress disorder (PTSD) has become a main psychological consequence of COVID-19. This study assessed the association between social support, psychological resilience, and probable COVID-19-related PTSD. MethodsThe PTSD Checklist for DSM-5, Medical Outcomes Study Social Support Survey, and Connor-Davidson Resilience Scale (CD-RISC) were used to assess for PTSD symptoms, social support, and resilience among COVID-19 patients treated at a large medical system in New York City between July 2020 and July 2023. Logistic regression evaluated the association between social support and resilience with PTSD. We further investigated whether associations differed across age, gender, site of acute care, vaccination status, and pre-existing mental disorders. ResultsAmong the 1484 participants, 16.6 % had probable COVID-19-related PTSD. Higher scores on measures of resilience (OR: 0.68, 95 % CI: 0.61–0.75) and social support (OR: 0.96, 95 % CI: 0.93–0.99) were associated with lower odds of probable COVID-19-related PTSD. The association between resilience and PTSD was moderated by sex (p for interaction = 0.001), with resilience showing a stronger negative association with PTSD among men relative to women. Associations between resilience, social support, and COVID-19-related PTSD did not differ by age, sites of acute care, vaccination status, and pre-existing mental disorders. LimitationsCross-sectional design precludes establishing causal relationships; assessment timing was not considered; the short CD-RISC may limit measurement precision; single-center study may not be fully generalizable. ConclusionsThese findings suggest that individuals with low social support and resilience may be at higher risk of PTSD and should be screened and be the target of preventive interventions.

A hopeful future: a qualitative investigation of positive psychological functioning in young mothers

ABSTRACT Aims/Background Young mothers have reported facing specific challenges such as stigmatisation and social isolation, which may be exaggerated by the increasing maternal age in industrialised countries. Despite these challenges, some young mothers have been shown to exhibit resilience and confidence during the transition to parenthood. Using strength-based psychological concepts, this study aimed to identify the facilitators of and barriers to the development of positive psychological states in young Australian mothers. Design/Methods Using semi-structured interview questions, 11 women who had given birth between 15 and 22 were asked to share their experiences of pregnancy, birth, and motherhood. Their responses were analysed using the Framework method; initially coding the data to a priori themes such as resilience and social support, and then to higher order themes. Results Five higher order themes were developed from participant responses: 1. Everything is about to change, 2. Disrespected and disempowered, 3. Resilience, 4. It takes a village, and 5. A hopeful future. Across these themes, participants described the mixed emotional experiences of pregnancy and birth, experiences of stigma from various sources, efforts to maintain mental wellbeing, reliance on support networks, and aspirations for themselves and their children. Conclusion Findings from the current study highlight several key strategies for managing the challenges of early motherhood and promoting positive psychological states. Recommendations include fostering self-efficacy, supporting identity development, and establishing strong support networks across social and healthcare contexts. Recognizing and celebrating the strengths of young mothers is essential for effectively supporting them through the complex experience of motherhood.

A Narrative Review of Burnout Syndrome in Medical Personnel.

A review of the literature, including PubMed searches and analyses of risk factors and protective measures, was conducted to assess the prevalence, impacts, and biomarkers associated with burnout among healthcare workers. Various instruments for evaluating burnout were examined, including the widely used Maslach Burnout Inventory, alongside specific tools tailored to different occupational populations. Healthcare workers, particularly physicians, exhibit significantly higher rates of burnout compared to the general population. Factors such as night shifts, workload, and exposure to biohazards contribute to elevated burnout risk. Biomarkers like cortisol, melatonin, and thyroid hormones have been linked to burnout, highlighting physiological implications. Burnout poses significant challenges to healthcare systems globally, impacting patient care, worker retention, and overall well-being. Identifying and addressing risk factors while promoting protective factors such as resilience and social support are crucial in mitigating burnout. Further research into prevention strategies and biomarker monitoring is warranted to support the mental and physical health of healthcare workers.

All wounds speak – performing trauma/witnessing grief

While ‘trauma' has become a buzzword encompassing any distressing event, its definition as an unassimilated psychological wound, unresolved and recurrent, also means that it cannot ever be completely known. Trauma therapy seeks to reintegrate experiences, breaking the cycle of perpetual suffering through fragmentary recollection. Drama and performance art offer a platform for this reintegration, potentially facilitating healing. However, the fine line between therapeutic confrontation and re-traumatization necessitates careful navigation, avoiding triggering negative emotions. Crucially, not all traumatic events lead to PTSD; resilience and communal support can mitigate the effects of distressing experiences, as seen in instances of shared acceptance and forgiveness. Theatre's role in addressing trauma lies in its ability to bear witness, creating spaces for communal acknowledgment and shared grieving. While contemporary performances often revel in discomfort, embracing unresolved narratives, they prompt reflection on the limitations of representation. Art's transformative potential lies not in explicit curative intent but in its expression of unresolved complexities of human experience. Through patience, acceptance, and a refusal to impose meaning, creative arts can serve as a site for healing, fostering empathy and connection amidst the fragmentary experience of what Freud called ‘traumatic neurosis,’ what has since come to be called Post Traumatic Stress Disorder.

Housing inequality and psychological resilience among youth Chinese during a pandemic: The influence of community resilience and governance efficacy

BackgroundResearch on the impact of residential inequality on individual mental health has highlighted community differences, and it is worth investigating whether pandemics exacerbate the mental health issues caused by this inequality. By introducing a community resilience measurement model from crisis management, this paper refines the measurement of community differences, focusing on whether the global COVID-19 pandemic has intensified the mental health disparities caused by residential inequality at the community level. MethodsThis study employed the Conjoint Community Resilience Assessment Measure-10 (CCRAM-10) and used Structural Equation Modeling (SEM) to analyze 4469 questionnaires collected during the pandemic from 31 provinces in China. The subjects were young people under the age of 35 living in various communities. ResultsUsing the community resilience measurement model, the results revealed that there is inequality in community resilience and its support for individual psychological resilience among Chinese communities. SEM results indicated that both the direct impact of community resilience perception and the mediating role of governance efficacy significantly enhanced the psychological resilience of residents. In the subgroup analysis, the direct effect of community resilience was most significant in commercial housing communities. The indirect effect of governance efficacy was strongest in older urban communities. ConclusionCommercial housing communities effectively supported individual psychological resilience through their strong community resilience. Rural communities and urban villages in China highlighted the vulnerability of residential inequality during the pandemic. The government should improve public services and community participation in these areas to better address the challenges posed by the pandemic.

Risk perception and quality of working life of nurses in infectious disease department in China: The chain-mediating effects of psychological resilience and social support.

To determine whether social support and psychological resiliency are significant mediators of the associations between risk perception and quality of working life in Chinese nurses working with infectious diseases. A cross-sectional study. A cross-sectional survey of 879 nurses in infectious diseases department of specialty or general hospitals in China completed online questionnaires on the nurses' risk perception questionnaire, quality of working life, psychological resilience and the social support rating scale. Our study observed that risk perception directly negatively influences the quality of working life of infectious disease nurses, while psychological resilience and social support positively chain mediate this relationship. Critical elements impacting the quality of working life of infectious disease nurses are risk perception, psychological resilience and social support. Managers may think about decreasing the level of risk perception and enhancing the quality of working life of infectious disease nurses by enhancing their psychological resilience and providing support. The quality of working life of infectious disease nurses should be a priority for nursing management; it is critical to maintain their health and well-being, raise the quality of care and lower turnover. Managers should create resilience-building programmes and support tools to assist nurses properly perceive risks and adopt protective strategies to deal with them to improve the quality of working life for nurses.

Resilience experienced by university students during the COVID-19 pandemic: A qualitative exploration based on focus-group interviews

PurposeUniversity students have been one of the most affected groups worldwide during the COVID-19 pandemic, having experienced increased stress, anxiety, and depression. Resilience is reported as the most predictive factor in decreasing the impact of the threats of the COVID-19 pandemic. However, university students’ resilience during the COVID-19 pandemic has not received much attention; this is a research gap that this study aimed to address. MethodsSeventeen 2nd- and 4th-year South Korean students who had experienced at least one year of university life during the COVID-19 pandemic participated in this study between June and July 2021.This study involved three focus-group interviews that were recorded and transcribed verbatim, and data were analyzed using qualitative content analysis. ResultsEight conceptual categories emerged from the three main themes distilled from participants’ responses: 1) factors impeding resilience: experience of loss, experience of a dangerous situation, expansion of uncertainty, and accumulated stress; 2) strategies to strengthen resilience: change and innovation, loss and confrontation, and transcendence; and 3) outcomes from strengthening resilience: adapting to the changing world (“the new normal”). Conclusions: This study found several factors that impede resilience and strategies to further support resilience. Universities and relevant community organizations can use these findings to develop educational programs and interventions to strengthen resilience in university students, helping them to better cope with future challenges and overcome adversity.

Letter to the Editor Regarding “Correlation Between Resilience and Social Support in Elderly Ischemic Stroke Patients”

Letter to the Editor Regarding “Correlation Between Resilience and Social Support in Elderly Ischemic Stroke Patients”

VICTIMIZATION, SOCIAL SUPPORT AND RESILIENCE AMONG HIGH SCHOOL ADOLESCENTS IN THE MUNICIPALITY OF GJILAN

This study aims to look at the victimization of bullying, resilience, as well as the social and family support that adolescents of high schools in the municipality of Gjilan receive after dealing with bad or bullying situations. Through the realization of this study we aim to identify how present is the victimization of adolescents against bullying in high schools, how much they are resistant to those experiences they have gone through in their lives, as well as to identify from whom they receive support when they feel bullied or are victims of bullying, from family and social support, as well as their interconnectedness. The instrument used is the questionnaire divided into four sections such as: victimization, resilience, social support and family support questionnaire. This study is correlational which was conducted with N = 200 participants, of which (N = 101 or 50.5%) participants were girls, while (N = 99 or 49.5%) were boys. The correlated results confirm that we have a positive and significant correlation between resilience and social support, as well as a positive correlation with family support. From the Chi-Square analysis, shows that both males and females are victims of bullying in the secondary schools of the municipality of Gjilan. In terms of resilience, the average of girls is 3.06, that is, higher than the average of boys 2.45. As for the gender differences in relation to bullying victimization, we see that the average of girls is 1.41, that is, higher than the average of boys 1.20.

Life satisfaction, psychological distress, compassion satisfaction and resilience: when the pleasure of helping others protects veterinary staff from emotional suffering.

Individuals working in veterinary field suffer significantly from mental health problems, and research has extensively focused on psychological and work-related predictors of psychological distress. This study intended to approach psychological distress through a positive lens by investigating the predictive role of life satisfaction on psychological distress in veterinary staff, and the mediating effect of compassion satisfaction, resilience and perceived social support. A total of 868 veterinary staff (i.e. veterinarians, veterinary nurses, veterinary assistants and veterinary administrative staff) completed a web-survey assessing life satisfaction, psychological distress, compassion satisfaction, resilience, and social support. Life satisfaction negatively predicts psychological distress, and compassion satisfaction and resilience showed a mediation effect on the relationship between life satisfaction and psychological distress, with compassion satisfaction explaining 59% and resilience 6.4% of the effect of life satisfaction on psychological distress. Current data support the role of life satisfaction as a protective dimension on psychological distress within a broader sample population of veterinary staff in Portugal, highlighting the role of compassion satisfaction and resilience in contributing in minimising distress among veterinary staff.

Resilience Informatics: Role of Informatics in Enabling and Promoting Public Health Resilience to Pandemics, Climate Change, and Other Stressors.

Climate change, local epidemics, future pandemics, and forced displacements pose significant public health threats worldwide. To cope successfully, people and communities are faced with the challenging task of developing resilience to these stressors. Our viewpoint is that the powerful capabilities of modern informatics technologies including artificial intelligence, biomedical and environmental sensors, augmented or virtual reality, data science, and other digital hardware or software, have great potential to promote, sustain, and support resilience in people and communities. However, there is no "one size fits all" solution for resilience. Solutions must match the specific effects of the stressor, cultural dimensions, social determinants of health, technology infrastructure, and many other factors.

Understanding resilience: Lifestyle-based behavioral predictors of mental health and well-being in community-dwelling older adults during the COVID-19 pandemic

BackgroundChanges in sleep, physical activity and mental health were observed in older adults during early stages of the COVID-19 pandemic. Here we describe effects of the COVID-19 pandemic on older adult mental health, wellbeing, and lifestyle behaviors and explore predictors of better mid-pandemic mental health and wellbeing.MethodsParticipants in the Adult Changes in Thought study completed measures of lifestyle behaviors (e.g., sleep, physical activity) and mental health and wellbeing both pre-pandemic during regular study visits and mid-pandemic via a one-time survey. We used paired t-tests to compare differences in these measures pre- vs. mid-pandemic. Using multivariate linear regression, we further explored demographic, health, and lifestyle predictors of pandemic depressive symptoms, social support, and fatigue. We additionally qualitatively coded free text data from the mid-pandemic survey for related comments.ResultsParticipants (N = 896) reported significant changes in mental health and lifestyle behaviors at pre-pandemic vs. mid-pandemic measurements (p < 0.0001). Qualitative findings supported these behavioral and wellbeing changes. Being male, never smoking, and lower pre-pandemic computer time and sleep disturbance were significantly associated with lower pandemic depressive symptoms. Being partnered, female, never smoking, and lower pre-pandemic sleep disturbance were associated with higher pandemic social support. Pre-pandemic employment, more walking, less computer time, and less sleep disturbance were associated with less pandemic fatigue. Participant comments supported these quantitative findings, highlighting gender differences in pandemic mental health, changes in computer usage and physical activity during the pandemic, the value of spousal social support, and links between sleep disturbance and mental health and wellbeing. Qualitative findings also revealed additional factors, such as stresses from personal and family health situations and the country’s concurrent political environment, that impacted mental health and wellbeing.ConclusionsSeveral demographic, health, and lifestyle behaviors appeared to buffer the effects of the COVID-19 pandemic and may be key sources of resilience. Interventions and public health measures targeting men and unpartnered individuals could promote social support resilience, and intervening on modifiable behaviors like sleep quality, physical activity and sedentary activities like computer time may promote resilience to fatigue and depressive symptoms during future community stressor events. Further research into these relationships is warranted.

Enhancing Nursing Competence in China: The Interplay of Resilience, Mindfulness and Social Support

ObjectivesTo address the nursing crisis, it is imperative to comprehend the factors that influence nursing competencies, which are crucial for the delivery of quality patient care. BackgroundFacing demographic shifts and increasingly complex healthcare demands, China's nursing sector struggles with workforce shortages and the need to enhance core competencies. This research explores the interplay of social support, psychological resilience, mindfulness and nursing competencies in various hospital environments in China. MethodsThrough a cross-sectional survey, 941 nurses across tertiary, secondary and private healthcare settings completed self-assessment questionnaires. The analysis included multiple linear regression and comparative methods to assess how psychological resilience, mindfulness and social support have an impact on nursing competencies. ResultsFindings revealed a strong relationship between psychological resilience and nursing competencies, with resilience being a key predictor. Mindfulness and social support also significantly contributed to competency levels. Nurses in tertiary hospitals showed greater competencies than those in secondary or private facilities. ConclusionEnhancing nursing competencies requires targeted interventions focusing on professional development and supportive workplace cultures. Incorporating psychological resilience, social support and mindfulness into nurse training is crucial for improving practice and policy.

Social Support, Caregiver Burden, Quality of Life and Resilience Among Mothers with Down Syndrome Children in East Kalimantan: A Mixed Method Study

One effect of spending time with children who have Down syndrome is that parents may spend less time interacting with their surroundings. Parents' resilience and quality of life will both be impacted by this behavior. The study sought to ascertain the relationship between quality of life, resilience, carer load, and social support in mothers of children with Down syndrome. This study employed a hybrid methodology, with two phases in February and May of 2023: quantitative and qualitative. In the initial phase, 135 parents with DS children were involved. The qualitative phase involved 8 individuals after that. The quality-of-life variable has a strong correlation; however, it is correlated negatively, meaning that the variable's resilience decreases as quality-of-life increases. However, the variables measuring the burden of caring and social support show a negligible connection with a negative direction. This implies that the resilience variable decreases with increasing stress and increases with social support. Six themes surfaced in the qualitative stage in the meantime. Social support, caregiver burden, and quality of life influence the strengthening of parents who have DS children; therefore, protection service providers can consider parenting using this method as early detection in maintaining the resilience of parents who have DS children.

72374 - Assessment of resilience and social support in the context of colorectal surgery

72374 - Assessment of resilience and social support in the context of colorectal surgery