Total Resilience Score Research Articles

The effect of mobile health application training based on micro-learning method on the level of resilience and happiness among intensive care nurses: a randomized controlled trial

BackgroundIncreasing the level of resilience and happiness of intensive care nurses can lead to an improvement in their psychological health. This study aimed to extract the possible effectiveness of mHealth application utilizing the micro-learning method on a mobile phone platform on the intensive care nurses’ resilience and happiness.Materials and methodsThis single-blind randomized controlled trial was conducted in 2022-24. Sixty nurses working in intensive care units at two hospitals in Tehran, Iran were recruited using purposive sampling and randomly assigned to either the intervention or control group. Techniques of resilience and increasing happiness were taught to the intervention group using the mHealth application based on the micro-learning method. No training was provided to the control group. For data collection, questionnaires of individual characteristics, Connor-Davidson Resilience, and Oxford Happiness were used.ResultsBefore the intervention, there was no significant difference between the mean of the subscales and the total score of resilience and happiness of the intervention and control groups (P < 0.05). However, after the intervention, there was a significant difference (P < 0.05). After using the mHealth application, the total resilience score of the intervention group increased from 67.30 ± 10.12 to 79.27 ± 5.87 (P < 0.0001), while the resilience of the control group changed from 68.80 ± 9.09 to 65.93 ± 8.44 (P = 0.548). Similarly, using the mHealth educational application based on micro-learning led to an increase in the happiness score of the intervention group from 38.50 ± 11.10 to 67.83 ± 8.84 (P < 0.0001), whereas the happiness score of the control group nurses after the intervention (38.93 ± 14.33) compared to the baseline (41.40 ± 14.51) did not change significantly (P = 0.388).ConclusionsThe use of the mHealth application based on the micro-learning method played an effective role in training resilience and happiness skills in nurses. It is recommended to conduct more studies using this new educational approach.Trial registrationThe study has been registered in the Iranian Registry of Clinical Trials (No. IRCT20221225056916N1, Date: 04/29/2023).

Survey of psychological resilience among university students majoring in long-term-care–related disciplines in Taiwan

BackgroundThe psychological resilience of university students majoring in long-term-care (LTC)–related disciplines is crucial for workforce retention and effective care provision in this field. This study aims to investigate the differences in levels of psychological resilience among these students in Taiwan.MethodsThis cross-sectional study involved 258 participants selected via stratified random sampling from 23 universities across Taiwan from November 2021 to November 2022, representing a diverse educational context. The research instrument used was the Resilience Scale for Adults, a validated psychological resilience questionnaire. The independent variables included participants’ demographic data, while the dependent variables encompassed five dimensions of resilience: personal strength, family cohesion, social resources, social skills, future organizational style, and total resilience score. Data analysis was performed using descriptive statistics, independent-samples t-tests, analysis of variance, and multiple regression analysis.ResultsParticipants with LTC work experience and leadership roles in campus clubs demonstrated significantly higher scores in personal strength (LTC: t = 2.04, p = 0.04, d = 0.29; leadership: t = 2.89, p = 0.01, d = 0.45), social resources (leadership: t = 2.47, p = 0.01, d = 0.34), social skills (leadership: t = 4.51, p = 0.01, d = 0.62), and future organizational style (LTC: t = 2.72, p = 0.01, d = 0.39). Higher academic performance was linked to greater personal strength, social resources, future organizational style, and total resilience (F = 4.69–3.12, p < 0.05). Regression analysis confirmed the predictive value of leadership experience and LTC work on various resilience dimensions. These results underscore the importance of practical exposure and extracurricular engagement in fostering resilience.ConclusionStudents engaged in club activities, leadership roles, and LTC work displayed higher psychological resilience. Educational institutions should foster club participation, leadership experiences, and partnerships with workplaces to enhance student resilience and professional readiness.

Trauma, Resilience, and Treatment Outcomes in a Pediatric MOUD Clinic

Background: In this study, we explored the relationship between adverse childhood experiences and childhood protective factors (i.e., resilience) with outpatient treatment outcomes among youths receiving buprenorphine-based medication for opioid use disorder over a six-month period. Methods: An observational study was conducted among 42 participants utilizing the modified Adverse Childhood Experience Questionnaire and the Southern Kennebec Healthy Start Resilience survey. Treatment outcomes included the end of treatment, buprenorphine-based medication treatment nonadherence, and opioid relapse. Cox proportional hazard models were fit for all treatment outcomes. Results: Reported adverse childhood experiences were high compared with the national average and demonstrated a significant inverse association with time to buprenorphine treatment nonadherence. Total resilience score was not significantly associated with any treatment outcome. Analysis of potential confounders and other covariates likewise demonstrated no relationship. Conclusions: Higher reported adverse childhood experience scores were associated with greater hazard of buprenorphine-based medication nonadherence. This finding underscores the need for ACE screening and trauma-informed care in this population.

Relationship of Resilience With Depression, Anxiety, and Stress Among Nursing and Midwifery Students in Qom, Iran, During the COVID-19 Pandemic

Background and Objectives: The COVID-19 pandemic affected physical and mental health of people, including college students. Several studies in Iran have reported high symptoms of depression, anxiety, and stress in college students during the pandemic; however, few studies have investigated their resilience during the pandemic. This study aims to determine the relationship of resilience with anxiety, depression, and stress of nursing and midwifery students in Qom, Iran during the COVID-19 pandemic. Methods: This is a descriptive-correlational study. Participants were 192 nursing and midwifery students of Qom University of Medical Sciences in 2021, who were selected using a simple random sampling method. The instruments included the Corona Disease Anxiety Scale, the Connor-Davidson resilience scale, and the 21-item depression, anxiety, stress scale (DASS-21). The data was analyzed using descriptive statistics and analytical tests of Pearson’s correlation test and regression analysis in SPSS software, version 22. Results: The mean score of anxiety, depression, stress, and total DASS-21 score was 14.6±4.4, 14.48±4.29, 15±4.32, and 32.46±9.88, respectively. The mean total resilience score was 53.5±16.5. There was a significant negative correlation between depression, anxiety, stress, and total DASS-21 score with resilience in students during the pandemic (P&lt;0.001). Conclusion: During the COVID-19 pandemic, nursing and midwifery students’ resilience had a significant relationship with their depression, anxiety, and stress. The lower resilience can increase the stress, depression, and anxiety of nursing and midwifery students.

Abstract C031: The association of adverse childhood experiences (ACEs) and cancer history with resilience: Results from Alabama sites of the RURAL cohort study

Abstract Background: Prior studies have reported a significant association between Adverse Childhood Experiences (ACEs) and various health outcomes, including cancer; however, these have been limited to descriptive and cross-sectional studies. These studies reported that resilience, or the ability to adapt to challenging life experiences, is inversely associated with ACEs and cancer history. To date, there are no studies evaluating the interaction of ACEs and a cancer diagnosis on resilience among adult survivors. The primary aim of this study is to estimate the prevalence of ACEs among RURAL Alabama participants and to determine if the presence of ≥ 4 ACEs and a cancer history influences the odds of reporting self-perceived low and medium (vs. high) resilience compared to those with 0-3 ACEs and no cancer history. Methods: We utilized data from Alabama participants of the RURAL (Risk Underlying Rural Areas Longitudinal) Cohort Study, a prospective study designed to evaluate risk factors for heart and lung disorders in four rural southeastern states. Individuals aged 25-64 years and residents of two counties in Alabama were enrolled and completed a baseline and 3-month follow-up survey. The 30-item Early Trauma Inventory was used to assess the prevalence of ACEs, and the 10-item Connor Davidson-10 Resilience Scale was used to measure self-perceived resilience. Participants were categorized as having high resilience if their total resilience score was ≥75th percentile, medium resilience for scores ≥25th and &amp;lt;75th percentile, and low resilience for scores &amp;lt;25th percentile. Weighted multinomial logistic regression models were used to evaluate the association between number of ACEs (0-3 ACEs vs. ≥ 4 ACEs) and resilience categories and tested interactions between ACEs and cancer history; a p-value &amp;lt;0.05 was considered statistically significant. Results: Of the 556 participants, 38.9% reported having 0-3 ACEs, and 61.1% reported ≥ 4 ACEs. In adjusted models among participants with no cancer history, those experiencing ≥ 4 ACEs had 2.38 times the odds of reporting low (vs. high) resilience (95% CI: 1.93, 2.94) and 1.18 times the odds of reporting medium (vs. high) resilience (95% CI: 1.04, 1.35) compared to those experiencing 0-3 ACEs. Among participants with a cancer history, those experiencing ≥ 4 ACEs had 1.82 times odds of reporting low (vs. high) resilience (95% CI: 1.01, 3.28) and 0.76 times odds of reporting medium (vs. high) resilience (95% CI: 0.49, 1.18) compared to those experiencing 0-3 ACEs. Interactions between ACEs and cancer history were not statistically significant for low and medium (vs. high) resilience (p-values: 0.4 and 0.06, respectively). Conclusion: Those with a cancer history and ≥ 4 ACEs were more likely to report self-perceived low resilience. Significant interactions between ACEs and cancer history were not observed in predicting low and medium resilience (vs. high). To better understand the cumulative effects of ACEs, it is necessary to longitudinally evaluate individuals’ ability to adapt, especially among cancer survivors. Citation Format: Stephie Abraham, Kathy B. Baumgartner, Richard Baumgartner, Jesse Hsu, Joanna Walsh, Mahasin S Mujahid, Viola Vaccarino, Stephanie Boone. The association of adverse childhood experiences (ACEs) and cancer history with resilience: Results from Alabama sites of the RURAL cohort study [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr C031.

Psychological resilience and associated factors in caring for mass burn patients among rescue nurses: A cross-sectional study

This current study explored the relationship between challenge-hindrance stressors, coping style, and psychological resilience among rescue nurses caring for mass burn patients. MethodsThis study is multicenter and cross-sectional. Registered nurses who saved and cared for extensively burned patients at two tertiary hospitals in mainland China between January and August of 2023 were selected through purposeful sampling. Online surveys were used to gather data. Multiple linear regression and Pearson correlation were used to examine the link between challenge-hindrance stressors, coping style, and psychological resilience. Results121 nurses completed the online questionnaires. The mean score for psychological resilience was 63.80 ± 11.63, for the challenge-stressor 16.23 ± 4.38, and for hindrance-stressor 9.85 ± 3.89. The total score for positive coping style was 23.69 ± 7.73, and that for the negative coping style 11.45 ± 5.21. Pearson analysis showed total resilience score was positively correlated with challenge stressors (r = 0.697, p＜0.05) and positive coping style (r = 0.616, p＜0.05), and negatively correlated with the hindrance stressors (r = −0.512, p＜0.05) and negative coping style (r = −0.589, p＜0.05) among rescuer nurses. Multiple linear regression analyses identified that having attended rescues before, challenge-hindrance, and coping style are the potential influencing factors of resilience. ConclusionIn mass burns accidents, rescuer nurses have a medium level of psychological resilience, which positively and significantly correlated with challenge stressors and positive coping style. It is suggested that more attention should be devoted to the target population to formulate effective intervention plans, reduce psychological impact, and improve their capacity for coping with disasters.

The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study

BackgroundSelf-efficacy of patients on hemodialysis is considered a main component of the successful management of chronic kidney diseases. The self-efficacy of these patients may be influenced by many individual and social factors. This study aimed to assess the association between perceived self-efficacy and social support by patients on hemodialysis treatment and the resilience of their families.MethodsThis cross-sectional study was conducted on 183 patients and 183 families of hemodialysis patients in the largest hemodialysis center in northwest of Iran. Data was collected from July to December 2021 using chronic kidney disease self-efficacy, multidimensional perceived social support (MSPSS), and the Walsh family resilience questionnaire (WFRQ). The collected data were analyzed by SPSS software using descriptive and inferential statistical tests.ResultsThe findings showed that the mean score of patients’ self-efficacy was 171.63 ± 38.19 in a possible range of 25 to 250. Moreover, the mean score of perceived social support was 62.12 ± 16.12 in a possible range of 7 to 84. The mean total score of family resilience was 119.08 ± 26.20 in a possible range of 32 to 84. Also, the results of the study showed a positive and significant relationship between the self-efficacy of patients with their perceived social support and the resilience of their families (p < 0.01).ConclusionThe results of the study showed that there is a significant relationship between patient self-efficacy and family resilience and social support received in chronic kidney patients undergoing hemodialysis. Therefore, it is suggested to consider practical strategies in the field of family resilience and social support to improve patients’ self-efficacy.

Predictive Role of Resilience and Hope on Adherence to Treatment in Hemodialysis Patients.

To determine the predictive role of resilience and hope on adherence to treatment in hemodialysis patients hospitalized in two hospitals affiliated to Shiraz University of Medical Sciences (Shiraz, Iran). This is a descriptive-analytical study that was conducted in 2021-2022 on 120 patients treated in hemodialysis sections in Namazi and Shahid Faqihi teaching hospitals. Sampling was conducted using a stratified random method. Demographic information questionnaires, Connor and Davidson's resilience, Snyder's hope and adherence to kidney patients' treatment questionnaires were used to collect the data. The finds showed that the levels of resilience, hope, and adherence to treatment had hight level. More specifically, it was indicated that the mean and standard deviation for the total resilience score, the hope variable, and adherence to total treatment was 75.45±14.34, 40.43±3.66, and 80.12±18.20, respectively; which have maximum possible scores of 100, 48 and 100. Thus, it can be said that no correlation was observed between resilience and adherence to treatment variables (p>0.05); hope variable and adherence to treatment (p>0.05), and adherence to treatment with hope and resilience variables (p>0.05). However, hope and resilience variables showed a direct and weak correlation with each other (r=0.36, p<0.05); that is, patients who had more hope indicated better resilience as well. Although in this study we found that the resilience and hope variables were not able to predict the treatment adherence, hope and resilience indicated a direct and weak correlation. It is recommended that nurses should pay more attention to hope and resilience of hemodialysis patients in order to promote their health.

Relationship between family resilience and dyadic coping in colorectal cancer patients and their spouses, based on the actor-partner interdependence model

PurposeTo explore the relationship between dyadic coping and family resistance in colorectal cancer patients and their spouses. Methods178 pairs of colorectal cancer patients and their spouses hospitalized in a three tertiary hospital in Changsha were selected from July 2021 to March 2022. The Family Resilience Assessment Scale and the Dyadic Coping Inventory were used to investigate, which relationship was analyzed by APIM. ResultsThe total score of patients' dyadic coping was 121.51 ± 16.8, and spouses' score was 123.72 ± 16.6. The total score of family resilience was 176.42 ± 16.0, and spouses' score was 182.72 ± 17.03. There was a significant positive relationship between dyadic coping and family resistance of colorectal cancer patients and their spouses (r > 0.7, P < 0.001). The positive dyadic coping of colorectal cancer patients and their spouses had a positive effect on their own and their spouses’ family resilience and the effect was the same. The negative dyadic coping of colorectal cancer patients and their spouses had a negative impact on their own family resilience, and the overall model showed a subject pattern. ConclusionsThe level of family resilience of colorectal cancer patients and their spouses was affected by the level of dyadic coping. Medical workers should regard patients and their spouses as a whole and formulate mutually supportive coping strategies with family as the center, so as to increase positive coping behavior and enhance their family's ability to cope with cancer.

Increasing the Resilience of Mothers With Preterm Infant: The Effect of Kangaroo Mother Care.

Having a preterm infant is a stressful experience for parents, especially for mothers. This study was conducted to identify the effect of kangaroo mother care on the resilience of mothers with preterm infant hospitalized in Neonatal Intensive Care Unit. In this randomized controlled trial study, 60 mothers with preterm infant hospitalized in Neonatal Intensive Care Unit were randomly selected and allocated to intervention and control groups (30 per group), in Fatemiyeh Hospital, Hamadan, Iran. Data collection tool included demographic information and Conner & Davidson Resilience Questionnaire (CD-RISC), which were completed by mothers before and after the intervention. Kangaroo Mother Care (KMC) as an intervention was run in at least one hour daily for a week in the intervention group. The mother-infant pairs in the control group only received conventional method of care (CMC). There was a significant increase in the total resilience score of the mothers in the KMC group (from 58.87±14.71 to 69.67±14.50) after intervention (P<0.001); however, resilience score decreased significantly in the mothers of CMC group (from 57.77±13.33 to 51.63±12.20). Kangaroo mother care could increase the resilience of mothers of preterm infants. Therefore using this approach as a complementary, effective, Low-cost, non-invasive care is recommended to maintain and promote the health of mothers with preterm infant.

Resilience provides mediating effect of resilience between fear of progression and sleep quality in patients with hematological malignancies.

Hematological tumors are common malignant tumors, with high morbidity and mortality rates. Most patients with hematological malignancies develop sleep disorders that seriously affect their life and health because of acute onset of disease, rapid progression, high recurrence rates, complex treatment methods, and treatment costs. To explore the mediating effect of resilience on fear of disease progression and sleep quality in patients with hematological malignancies. A cross-sectional analysis of 100 patients with hematological malignancies, treated in the First Affiliated Hospital of Jinzhou Medical University between August 2022 and August 2023, was conducted. Patients were assessed using a general data survey, a simplified scale for the fear of progression (FoP) of disease, a resilience scale, and the Pittsburgh Sleep Quality Index. Statistical analysis was conducted to determine the relationship between various patient characteristics and FoP, resilience, and sleep quality. Spearman's correlation analysis was used to examine the correlations between mental resilience, FoP, and sleep quality. The total FoP score mean value in patients with hematological malignancies was 38.09 ± 5.16; the total resilience score mean value was 40.73 ± 7.04; and the Pittsburgh Sleep Quality Index score mean value was 10.72 ± 1.90. FoP, resilience, and sleep quality of the patients were associated with family per capita monthly income and patient education level (P < 0.05). Spearman correlation analysis revealed that FoP was negatively correlated with resilience and sleep quality scores (r = -0.560, -0.537, P < 0.01), respectively, and resilience was significantly associated with sleep quality scores (r = 0.688, P < 0.01). Mediation analysis showed that the mediating effect of resilience between FoP and sleep quality in patients with hematological malignancies was -0.100 and accounted for 50.51% of the total effect. This indicated that FoP directly and indirectly affected sleep quality through the mesomeric effect of resilience. Resilience is an intermediary variable between FoP and sleep quality in patients with hematological malignancies. Medical staff should evaluate and follow-up FoP and resilience to implement measures to improve sleep quality.

Measurement of Supply Chain Resilience and Safety Level of China Lighting Industry Chain

The supply chain resilience and safety level of lighting industry chain are one of the key fields of domestic concern at present. Based on a literature review, the ideas and methods of measuring the supply chain resilience and safety level of lighting industry chain were put forward. Then, an evaluation index system of industry chain resilience and safety was established, which included five dimensions: the risk management level, integrity, control force, stability, and competitiveness of industry chain. Considering the resilience of China’s industry chain and the main safety difficulties faced, the evaluation system was used to measure and evaluate the supply chain resilience and safety level of China’s lighting industry chain on the basis of the specific connotations and core elements of industry chain safety. The evaluation results show that the total score of the supply chain resilience and safety level of China’s lighting industry chain is 0.92, indicating the relatively high supply chain resilience and safety level of China’s lighting industry chain. Suggestions are put forward to strengthen the management of technological innovation ability, low-carbon ability, and domestic self-sufficiency rate of input products, so as to boost the high-quality, sustainable, and rapid development of China’s lighting industry. The research results can provide a scientific decision basis for the supply chain resilience and safety level of China’s lighting industry chain.

Current status and influencing factors of family resilience in families of children with epilepsy: a cross-sectional study.

The study was designed to describe the level of family resilience and identify the protective factors and vulnerability factors of family resilience in families of children with epilepsy. So as to provide theoretical guidance for implementing intervention programs to promote family resilience. From November 2020 to July 2021, 258 parents of children with epilepsy were investigated using a convenience sampling method. The questionnaire included demographic data, Chinese-Family Resilience Assessment Scale, Social Support Rating Scale, and the Beck Depression Inventory. SPSS25.0 was used for descriptive statistical analysis, univariate analysis, and multivariate linear regression analysis. In this study, two hundred and fifty-eight primary caregivers completed the paper questionnaires. The total score of family resilience was (134.97 ± 16.57), which was above the medium level. Multiple linear regression analysis revealed that subjective support (β=0.327, P<0.001), comorbidity (β=0.181, P<0.05), objective support (β=0.117, P<0.05), and parental depression (β=-0.158, P<0.05) were significantly related to family resilience. These variables contribute 31.7% of the variance in family resilience (F=18.07, P< 0.001). The families of children with epilepsy presented appropriate resilience after the children were diagnosed with epilepsy. Family resilience was correlated with multiple factors, subjective and objective support could be protective factors, comorbidity and parental depression could be vulnerability factors of family resilience. Therefore, future psychosocial interventions could focus on enhancing subjective support and objective support, reducing parental depression, and screening for epilepsy comorbidity to promote the family resilience of children with epilepsy.

Mental Health, Stigma, Resilience, and Mental Health Literacy among Schoolteachers: A Cross-sectional Survey from South India

Abstract Introduction: The mental well-being of teachers profoundly influences educational quality and directly impacts the mental health of students. Recognizing the challenges faced by schoolteachers is crucial for policymakers to address these issues. Objective: The objective of this study is to investigate Indian schoolteachers’ mental health, aiming to uncover issues such as stigma, resilience, and mental health literacy. Methods: This cross-sectional study employed an online survey method, incorporating demographic information, Depression, Anxiety, and Stress Scale, Connor-Davidson Resilience Scale, Reported and Intended Behaviour Scale, and Mental Health Literacy Questionnaire. Google Form survey was disseminated through e-mail to teachers across 65 schools. The study targeted full-time teachers aged between 25 and 50 years, with at least 3 years of experience. Results: Among the 404 completed surveys, a significant majority (59.4%) of teachers demonstrated elevated scores, signaling a need for diagnostic evaluation for anxiety and depression, with 37.4% experiencing comorbid symptoms, and 30.7% reporting elevated stress levels. Teachers with anxiety and depression symptomatology had significantly lower hardiness (t = 3.616, P ≤ 0.001), coping (t = 2.946, P = 0.003), optimism (t = 2.156, P = 0.032), emotion regulation (t = 3.133, P = 0.002), self-efficacy (t = 5.042, P ≤ 0.001), and total resilience scores (t = 3.213, P = 0.001). Despite the majority reporting no personal experience with mental health issues, a substantial number expressed neutrality toward living (42.8%), working (36.1%), or residing nearby (37.6%) with individuals with mental health problems. However, 34.9% slightly disagreed with maintaining relationships with friends facing mental health challenges. While teachers exhibited above-average knowledge of mental health problems and related skills, they also displayed higher levels of erroneous beliefs or stereotypes. Conclusion: These results provide preliminary, data-based insights into the mental health, resilience, stigma, and mental health literacy of schoolteachers in India. The findings underscore the need for targeted programs to empower teachers as effective gatekeepers of child and adolescent mental health.

Youth Epidemiology and Resilience (YEAR) in a student population: prevalence and predictors of mental health symptoms.

Adolescence is a pivotal developmental phase, marked by a high prevalence of mental health issues. The Singapore Youth Epidemiology and Resilience (YEAR) study aims to assess the prevalence of mental health symptoms, sociodemographic risk factors, and the protective role of resilience in a multi-ethnic, Asian school-going adolescent population. School-based adolescents aged 11-18 and their parents were invited from a stratified sample of national schools, designed to be demographically representative of the mainstream school-going population. In the screening phase, adolescents completed a battery of questionnaires including the Youth Self-Report (YSR), Child Behaviour Checklist (CBCL), and the Singapore Youth Resilience Scale (SYRESS). Thereafter, diagnostic interviews were conducted on high-risk and control participants. Data analysis was conducted to establish prevalence rates of mental health symptoms, and to examine the associations between mental health symptoms, sociodemographic factors, and resilience. The final study sample consisted of 3336 adolescents and 2475 parents. Based on adolescents' response on the YSR, 37.3%, 13.1% and 27.7% of the YEAR Study population scored in the clinical range for internalizing, externalizing and total problems respectively. Based on parents' reporting on their children on the CBCL, 15.9%, 4.0% and 11.2% scored in the clinical range for internalizing, externalizing and total problems respectively. Sociodemographic risk factors for specific mental health symptoms were identified, including belonging to the age category of 15-16 (OR, 1.8-2.2) and those living in either a 4-, 5-room or executive flat (OR, 0.6-0.7), or in condominiums and other apartments (OR, 0.4-0.6). Total resilience scores were moderately correlated with total [rs(3334) = -.49, p <.01] and internalizing [rs(3334) = -.50, p <.01] problem scores on the YSR. This study illustrates the state of mental health of school-going adolescents aged 11-18. The greater prevalence of internalizing symptoms indicates the need for stronger attention for identifying internalizing problems and targeted interventions for those at risk of such symptoms. The association between mental health symptoms and resilience factors highlights the protective potential of resilience building for adolescents.

Marsh migration and beyond: A scalable framework to assess tidal wetland resilience and support strategic management

Tidal wetlands are critical but highly threatened ecosystems that provide vital services. Efficient stewardship of tidal wetlands requires robust comparative assessments of different marshes to understand their resilience to stressors, particularly in the face of relative sea level rise. Existing assessment frameworks aim to address tidal marsh resilience, but many are either too localized or too general, and few directly translate resilience evaluations to recommendations for management strategies. In response to the deficiencies in existing frameworks, we identified a set of metrics that influence overall marsh resilience that can be assessed at any spatial scale. We then developed a new comprehensive assessment framework to rank relative marsh resilience using these metrics, which are nested within three categories. We represent resilience as the sum of results across the three metric categories: current condition, adaptive capacity, and vulnerability. Users of this framework can add scores from each category to generate a total resilience score to compare across marshes or take the score from each category and refer to recommended management actions we developed based on expert elicitation for each combination of category results. We then applied the framework across the contiguous United States using publicly available data, and summarized results at multiple spatial scales, from regions to coastal states to National Estuarine Research Reserves to finer scale marsh units, to demonstrate the framework’s value across these scales. Our national analysis allowed for comparison of tidal marsh resilience across geographies, which is valuable for determining where to prioritize management actions for desired future marsh conditions. In combination, the assessment framework and recommended management actions function as a broadly applicable decision-support tool that will enable resource managers to evaluate tidal marshes and select appropriate strategies for conservation, restoration, and other stewardship goals.

Research on the influence of physical games in the process of preschool children’s psychological development

Abstract This paper takes preschool children as the research object, combines the knowledge of psychology education, and improves the LSTM to bi-directional LSTM combining the benefits of LSTM’s temporal characteristics with CNN’s local features while also taking contextual semantics into account to produce a C-BiL model that performs better and can be used to study how sports games affect children’s psychology. Three layers make up the entire C-BiL model: the first layer produces word vectors using CNN and Bi-LSTM; the second layer produces sentence vectors using CNN and Bi-LSTM; and the third layer produces output using Softmax. There was a significant improvement in all psychological indicators of children after 3 months of performing sports games. Among them, the total score of social skills increased from 36.01±4.95 to 41.08±1.37, and the total score of psychological resilience increased from 35.75±5.70 to 44.13±2.37 Therefore, sports games can promote children’s cognitive development, build good self-concept and self-confidence, help children’s intellectual development, and cultivate children’s resilience and positive spirit.

Fear, Optimism, Pessimism, and Resilience in Jordanian Population during COVID-19 Crisis

Background: COVID-19 spread to pandemic levels in a matter of weeks. COVID-19 is a pandemic that affected people worldwide and resulted in negative psychological consequences. It is essential to understand the factors that assisted people in adapting to this pandemic. Objective: The study aimed to assess resilience and its predictors during the COVID-19 pandemic among the Jordanian population. Methods: A cross-sectional design with purposive snowball sampling was used. The sample included 913 participants. Data were collected using online questionnaires, including the Connor-Davidson Resilience Scale, Fear of COVID-19 Scale, and Arabic Scale of Optimism and Pessimism. Multiple linear regression was used to analyze the data. Results: The mean total score of fear, optimism, pessimism, and resilience was 17.54 (SD= 5.9), 51 (SD= 13.51), 24.84 (SD= 12.31), and 24.73 (SD=6.2), respectively. Up to 75% of the sample scored 29 or less on the resilience scale. Employment status, fear of COVID-19, optimism, and pessimism were significant predictors of resilience. Conclusion: Jordanian population showed lower resilience levels. Individuals who were employed, optimistic, and not pessimistic had a lower level of fear of COVID-19 and a higher level of resilience. The findings from the study emphasize the effect of the COVID-19 pandemic on essential aspects of the psychological health of populations.

Factors Affecting the Resilience of Iranian Nurses During the COVID-19 Pandemic

Background: Nurses, more than all other healthcare industry members, are at the forefront of the crisis in the event of sudden pandemics. This study aimed to determine the factors contributing to the resilience of Iranian nurses during the pandemic. Methods: In this cross-sectional web-based survey, the Google forms platform was used to distribute an online Connor-Davidson resilience scale (CD-RISC) to 1025 nurses. The study data were collected in November 2020 via Iranian nurses’ social networks in hospitals nationwide. Using SPSS software, version 22 and multivariate linear regression, the data were evaluated. The significance level was set as less than 5%. Results: The nurses’ mean total resilience score was 68.95±12.76. Multiple linear regression analysis revealed that age (β=0.242, P=0.004), gender (β=-0.061, P=0.046), role (β=0.193, P&lt;0.001), and getting COVID-19 (β=-0.061, P=0.046) are predictors of nurses’ resilience status. Other personal and occupational characteristics were not influential. Conclusion: The resilience of nurses employed in hospitals across the country appears to be higher than that of the general population. Female, young nurses, and those infected with COVID-19 were at a greater risk. The existence of facilities, improvement of working conditions, and provision of sufficient human resources help maintain nurses’ mental health during the pandemic. Longitudinal studies are recommended to evaluate the duration of this level of resilience and its impact on the long-term mental well-being of nurses in the coming months and years.

A cross-sectional study factors associated with resilience among medical staff in radiology departments during COVID-19, Riyadh, Kingdom of Saudi Arabia

ObjectivesThis study aims to assess the level of resilience of medical workers in radiology departments in Riyadh, Kingdom of Saudi Arabia, during the COVID-19 outbreak and to explore associated factors.SettingMedical...