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Zhou K, Ning F, Wang W, Zhao F. The mediating role of attribution style between psychological predictors and resilience in women newly diagnosed with breast cancer: a cross-sectional study. Support Care Cancer 2025; 33:382. [PMID: 40234267 DOI: 10.1007/s00520-025-09457-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 04/11/2025] [Indexed: 04/17/2025]
Abstract
PURPOSE This study examined how attribution style mediates the relationship between psychological predictors and resilience in recently diagnosed women with breast cancer. METHODS In total, 287 patients participated in this cross-sectional study. Pearson's correlation coefficient was used to identify the relationships between the above-mentioned variables. Multiple linear regression was utilized to examine the psychological factors that predicted resilience. Structural equation modeling (SEM) was applied to identify the mediating effects of attribution style on the relationship between psychological predictors and resilience. RESULTS Resilience was positively correlated with attribution style (r = 0.63), life attitude (r = 0.67), and confrontation coping (r = 0.56) and negatively correlated with resignation coping (r = -0.60). The predictors of resilience were life attitude (B = 0.26; 95% confidence interval [CI]: 0.20, 0.32; p < 0.001), attribution style (1.04 [0.53, 1.54], p < 0.001), confrontation coping (0.25 [0.09, 0.41], p = 0.003), and resignation coping (-0.26 [-0.48, -0.03], p = 0.026). The three SEM models consistently demonstrated significant direct, indirect, and total effects of life attitude and coping style (confrontation or resignation) on resilience. Attribution style played a significant mediating role in life attitude, coping style (confrontation or resignation), and resilience. CONCLUSION Attribution style was found to be a key mediator linking life attitude, coping style, and resilience. Interventions aimed at adjusting attribution style should be developed by considering the positive influences of life attitude and coping style on resilience in women newly diagnosed with breast cancer.
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Affiliation(s)
- Kaina Zhou
- School of Nursing, Xi'an Jiaotong University Health Science Center, No. 76 Yanta West Road, Xi'an, Shaanxi, 710061, China.
| | - Fan Ning
- School of Nursing, Xi'an Jiaotong University Health Science Center, No. 76 Yanta West Road, Xi'an, Shaanxi, 710061, China
| | - Wen Wang
- School of Nursing, Xi'an Jiaotong University Health Science Center, No. 76 Yanta West Road, Xi'an, Shaanxi, 710061, China
| | - Fang Zhao
- Xi'an Jiaotong University Second Affiliated Hospital, No. 157 Xincheng West 5th Road, Xi'an, Shaanxi, 710004, China
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Chien CH, Liu KL, Wu CT, Chuang CK, Yu KJ, Lin PH, Chang HC, Chen HY, Pang ST. Effects of an app-assisted self-management intervention for urinary incontinence on self-efficacy and related outcomes in men with prostate cancer: A randomized controlled feasibility trial. Eur J Oncol Nurs 2025; 76:102888. [PMID: 40209506 DOI: 10.1016/j.ejon.2025.102888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2025] [Revised: 03/31/2025] [Accepted: 04/01/2025] [Indexed: 04/12/2025]
Abstract
PURPOSE To assess the feasibility, acceptability, and effectiveness of an app-assisted self-management intervention for urinary incontinence (App-SMI-UI) in men with prostate cancer. METHODS We recruited men (n = 85) who had been diagnosed with prostate cancer and experienced urinary incontinence following radical prostatectomy. Participants were randomly assigned to the self-management group (n = 43) or the attrition control group (n = 42). The self-management group underwent a 12-week App-SMI-UI while the control group received a single session of multimedia dietary information. Data was collected at baseline, week 12, and week 16. The variables measured were cancer-related self-efficacy, urinary symptoms, social participation, demoralization, resilience, and satisfaction with the intervention. RESULTS Compared to the control group, the self-management group had fewer urinary symptoms and a higher willingness to engage in and satisfaction with social activity participation at week 12. By week 16, the self-management group exhibited higher cancer-related self-efficacy, greater participation in interpersonal relationship activities, and continued willingness to engage in and satisfaction with social activity participation. CONCLUSION The App-SMI-UI contributes to improving urinary symptoms, self-efficacy, and social participation among men with prostate cancer. Healthcare providers can use self-management programs to manage urinary incontinence and support prostate cancer men.
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Affiliation(s)
- Ching-Hui Chien
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
| | - Kuan-Lin Liu
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
| | - Chun-Te Wu
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Cheng-Keng Chuang
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Kai-Jie Yu
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Po-Hung Lin
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Hsiao-Chi Chang
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan; Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, Zhubei City, Hsinchu County, Taiwan
| | - Hung-Yi Chen
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
| | - See-Tong Pang
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
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Chien CH, Liu KL, Chuang CK, Wu CT, Pang ST, Yu KJ, Lin PH. Psychological Resilience in Newly Diagnosed Prostate Cancer Survivors: A Longitudinal Study. Cancer Nurs 2025:00002820-990000000-00373. [PMID: 40111051 DOI: 10.1097/ncc.0000000000001491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2025]
Abstract
BACKGROUND Psychological resilience is considered a dynamic process or outcome. Most studies that have examined the psychological resilience of prostate cancer survivors have used cross-sectional designs, limiting the understanding of changes in psychological resilience across different stages of the disease. OBJECTIVES To investigate changes in psychological resilience and demoralization among newly diagnosed prostate cancer survivors from before treatment to 1 year after treatment initiation as well as the associated influencing factors. METHODS A longitudinal design was adopted, and cases were collected from the outpatient department. Data collection occurred at four time points: prior to treatment after the treatment decision was made and at 3, 6, and 12 months after treatment. Study variables included demographic characteristics, disease characteristics, physical symptoms, fear of cancer recurrence, social participation, cancer-related self-efficacy, psychological resilience, and demoralization. RESULTS The psychological resilience and demoralization scores of prostate cancer survivors at 3, 6, and 12 months after treatment were similar to their scores before treatment. Survivors with higher fear of cancer recurrence and lower cancer-related self-efficacy had poorer psychological resilience and more severe demoralization. Severe hormonal symptoms and lower interpersonal relationship activity participation were associated with more severe demoralization in survivors with prostate cancer. CONCLUSIONS Fear of cancer recurrence, self-efficacy, hormonal symptoms, and interpersonal activity participation are associated with psychological resilience and demoralization. IMPLICATIONS FOR PRACTICE Assessing psychological resilience and demoralization is crucial in prostate cancer care. Integrated self-management interventions that address physical, psychological, and social aspects can enhance survivors' resilience.
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Affiliation(s)
- Ching-Hui Chien
- Author Affiliations: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City (Dr Chien); Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City (Dr Liu); Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou and School of Medicine, College of Medicine, Chang Gung University, Taoyuan City (Drs Chuang, Wu, Pang, Yu, and Lin), Taiwan
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Wojujutari AK, Idemudia ES, Ugwu LE. Evaluation of reliability generalization of Conner-Davison Resilience Scale (CD-RISC-10 and CD-RISC-25): A Meta-analysis. PLoS One 2024; 19:e0297913. [PMID: 39576790 PMCID: PMC11584089 DOI: 10.1371/journal.pone.0297913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 01/15/2024] [Indexed: 11/24/2024] Open
Abstract
BACKGROUND Resilience, a critical multi-faceted construct in psychological research, is often measured using Conner-Davison Resilience Scale (CD-RISC-10 and CD-RISC-25). This reliability generalization (RG) meta-analysis delves into evaluate the level of reliability generalization estimate of both CD-RISC-10 and CD-RISC-25 in assessing resilience across diverse populations and settings. METHODS A reliability generalization meta-analysis on the psychometric properties of CD-RISC-10 and CD-RISC-25 was conducted, encompassing 27 studies. The original versions' psychometric properties were systematically retrieved from databases including PubMed, PsycINFO, Google Scholar, Web of Science, Science Direct, and Scopus, with a focus on studies published between 2018 and 2023. The study protocol, including the specific methods for the reliability generalization meta-analysis, was pre-registered in the Prospero database (registration number CRD42023479052). This pre-registration ensures transparency and minimizes the risk of bias in the study design and analysis. RESULTS The analysis revealed a combined estimated overall estimate of Cronbach's Alpha of 0.89 (95% CI [0.87, 0.91], z = 77.20, p < 0.05), indicating a high level of reliability for CD-RISC-10 and CD-RISC-25. CD-RISC-10 exhibited an overall estimate of Cronbach's Alpha of 0.8732 (95% CI [0.85, 0.10], z = 69.81, p < 0.05), indicating a high level of reliability, while CD-RISC-25 also demonstrated an overall estimate of Cronbach's Alpha of 0.8922 (95% CI [0.87, 0.91], z = 77.20, p < 0.001), indicating a high level of reliability. Furthermore, CD-RISC-10 displayed commendable reliability (ωα+ = 0.86), slightly lower compared to the impressive reliability of CD-RISC-25 (ωα+ = 0.89), with a significant difference (t = 0.1159, p > 0.001). The mixed-effects model revealed a non-significant moderating effect of the CD-RISC language version on reliability estimates (coefficient = -0.0017, p <0.05). CONCLUSION The results affirm the high overall reliability of both CD-RISC-10 and CD-RISC-25, with CD-RISC-25 exhibiting a slightly superior level. The non-significant moderating effect of language version suggests that the psychometric properties of these scales remain robust across different linguistic adaptations. These findings enhance our understanding of the CD-RISC scales, providing practitioners, researchers, and clinicians valuable insights for informed scale selection in diverse contexts. The commendable reliability of both scales underscores their utility in assessing and promoting resilience across varied populations and settings. Future research should explore specific contexts, demographics, and applications, enhancing their utility for diverse populations and settings.
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Wang L, Li S, Liu X, Li R, Li R. The mediating role of resilience in the relationship between meaning in life and attitude toward death among ICU nurses: a cross-sectional study. Front Psychol 2024; 15:1414989. [PMID: 39559693 PMCID: PMC11570999 DOI: 10.3389/fpsyg.2024.1414989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 09/30/2024] [Indexed: 11/20/2024] Open
Abstract
Background The majority of elderly individuals prefer to spend their final days in the Intensive Care Unit (ICU). ICU nurses are key providers in hospice care, and their attitudes toward death influence the quality of end-of-life nursing. Positive psychology emphasizes promoting positive attitudes toward death. A sense of meaning in life and resilience are critical aspects of positive psychology, which are essential for shaping ICU nurses' attitudes toward death. Objective This study aims to investigate whether a sense of meaning in life indirectly affects attitudes toward death through the mediation of resilience. Method A total of 212 ICU nurses from four tertiary general hospitals in Guangdong and Fujian provinces, China, participated in this study. They completed an online questionnaire, including the Death Attitude Profile-Revised, the Connor-Davidson Resilience Scale, and the China Meaning in Life Questionnaire for ICU nurses. Results ICU nurses scored highest in natural acceptance (3.26 ± 0.53), followed by escaping acceptance (2.54 ± 0.59), and fear of death (2.53 ± 0.78). The proposed model fit the data well. Both the presence of meaning and the search for meaning were positive predictors of resilience (β = 0.313, p < 0.05; β = 0.256, p < 0.05). Resilience, the presence of meaning, and the search for meaning positively predicted natural acceptance (β = 0.299, p < 0.05; β = 0.294, p < 0.05; β = 0.177, p < 0.05). Conversely, these factors negatively predicted fear of death (β = -0.179, p < 0.05; β = -0.251, p < 0.05; β = -0.192, p < 0.05) and escaping acceptance (β = -0.208, p < 0.05; β = -0.208, p < 0.05; β = -0.219, p < 0.05). Mediation analysis indicated that resilience had a partial mediating role. Conclusion The presence of meaning and the search for meaning influence attitudes toward death, with resilience serving as a partial mediator. It is recommended that nursing administrators consider ICU nurses' attitudes toward death and emphasize the importance of meaning in life and resilience in death education. This approach can help protect the psychological well-being of ICU nurses, promote a deeper understanding of life's meaning, and develop a scientific perspective on death. Such measures are crucial for providing better humanistic care and psychological comfort to terminally ill patients and their families, thereby improving the quality of end-of-life care.
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Chen M, Li J, Chen C, Zhao Q, Huang H. The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model. Nurs Open 2024; 11:e70020. [PMID: 39259719 PMCID: PMC11389827 DOI: 10.1002/nop2.70020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 07/24/2024] [Accepted: 08/15/2024] [Indexed: 09/13/2024] Open
Abstract
AIM To the determinants and the underlying mechanism of health literacy, social support, and resilience on the health-related quality of life (HRQoL) among older stroke survivors. DESIGN A cross-sectional design was applied at four comprehensive hospitals in Chongqing via convenience sampling from January 2020 to June 2021. METHODS Health literacy, social support, and resilience were designed as independent variables, and HRQoL was measured as a dependent variable. Structural equation modelling with the bootstrap method was used to test the hypotheses. RESULTS The theoretically derived model exhibited a good fit (χ2/df ratio = 2.830, GFI = 0.987, CFI = 0.978, RMSEA = 0.066). Health literacy (β = 0.12, p < 0.05) and social support (β = 0.14, p < 0.05) directly affect HRQoL. Resilience (β = 0.40, p < 0.01) also mediated the relationship between health literacy, social support, and HRQoL. The three variables explaining 29.0% of HRQoL variance. PATIENT OR PUBLIC CONTRIBUTION There was no direct patient or public involvement in the design, conduct, or reporting of this study. Participants were recruited through convenience sampling from four comprehensive hospitals in Chongqing, and their perspectives or contributions were not explicitly sought. The study focused on examining the determinants and underlying mechanism of health literacy, social support, and resilience on the health-related quality of life among older stroke survivors. Nonetheless, the findings of this research may inform the development of interventions aimed at improving the health-related quality of life in post-stroke older patients.
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Affiliation(s)
- Mei Chen
- Department of Nursing, Bishan Hospital of Chongqing (Bishan Hospital of Chongqing Medical University), Chongqing, China
| | - Jinghong Li
- Department of Nursing, Chongqing Emergency Medical Center, Chongqing, China
| | - Chunyan Chen
- Department of Nursing, Bishan Hospital of Chongqing (Bishan Hospital of Chongqing Medical University), Chongqing, China
| | - Qinghua Zhao
- Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Huanhuan Huang
- Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
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Canatan SD, Arifoğlu B, Yatmaz G. Adverse Childhood events of individuals and its relationship with resilience. Arch Psychiatr Nurs 2024; 51:114-119. [PMID: 39034066 DOI: 10.1016/j.apnu.2024.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/02/2024] [Accepted: 05/03/2024] [Indexed: 07/23/2024]
Abstract
OBJECTIVE The aim of this study is to examine the relationship between childhood trauma and psychological resilience in the Turkish Cypriot community and to identify the predictors of psychological resilience. METHOD The research was conducted with 354 individuals in a web-based online environment in Northern Cyprus. Data were collected using a "Personal Information Form", the "Adverse Childhood Events Scale", and the "Resilience Scale for Adults". Percentage, mean, standard deviation, and Pearson's correlation analysis were used in the data analysis. RESULTS In the study, 16.67 % of the participants were exposed to war or conflict when they were young and 10.17 % had a mental illness. In addition, it was determined that there were statistically significant and negative correlations between the Adverse Childhood Events Scale scores and the scores they got from the Adult Resilience Scale and the sub-dimensions of the scale. Female gender and education level predicted the scores on the Resilience Scale for Adults positively, and the presence of mental disease and the scores on the Adverse Childhood Events Scale negatively predicted the scores on the Resilience Scale for Adults. CONCLUSION İn this study, gender, educational status, presence of mental illness, and the total score on the Adverse Childhood Events Scale were determined to be predictive variables affecting resilience. Considering the research findings, it is recommended that nurses plan studies for the protection of the mental health of children and adolescents and the groups exposed to trauma should be psychologically supported to raise individuals with high resilience.
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Affiliation(s)
- Sinem Dağ Canatan
- Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus via Mersin, 10, Turkey.
| | - Berna Arifoğlu
- Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus via Mersin, 10, Turkey.
| | - Gamze Yatmaz
- Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus via Mersin, 10, Turkey.
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Sharif-Nia H, Sánchez-Teruel D, Sivarajan Froelicher E, Hejazi S, Hosseini L, Khoshnavay Fomani F, Moshtagh M, Mollaei F, Goudarzian AH, Babaei A. Connor-Davidson Resilience Scale: a systematic review psychometrics properties using the COSMIN. Ann Med Surg (Lond) 2024; 86:2976-2991. [PMID: 38694299 PMCID: PMC11060289 DOI: 10.1097/ms9.0000000000001968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 03/06/2024] [Indexed: 05/04/2024] Open
Abstract
Background Psychometrical evaluation of persons of diverse contexts and different populations, including general or clinical. Objective This review study aimed to evaluate the psychometrics quality of resilience scales. Methods International and Iranian databases were searched with MESH terms, including "psychometric", "validity", "reliability", "Connor-Davidson resilience scale", "Resilience scale", for published articles up to 1 February 2023. For each of the selected studies, the risk of bias was evaluated using the COSMIN Risk of Bias Checklist. Then the COSMIN checklist was used to evaluate the entire text of the article for methodological quality. Results Considering the inclusion criteria, 80 documents were evaluated. According to the COSMIN's criteria for evaluating the risk of bias, the current study findings revealed the included studies' limitations in assessing the three versions of CD-RISC cross-cultural and content validity as well as their stability (e.g. conducting test re-test), whereas the majority of psychometric studies of CD-RISC-25, and CD-RISC-2 rated as very good or adequate in terms of structural validity. In terms of quality assessment of the included studies, the current study indicated that investigating the structural validity of the CD-RISC was mainly done based on exploratory factor analysis (EFA), and confirmatory factor analysis was absent. Conclusion The general result indicates the acceptability of the quality of the studies. However, concerns for measurement properties such as responsiveness and criterion validity as well as the standard error of measurement have been neglected.
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Affiliation(s)
- Hamid Sharif-Nia
- Traditional and Complementary Medicine Research Center, Addiction Institute Mazandaran University of Medical Sciences, Sari, Iran
- Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - David Sánchez-Teruel
- Department of Personality, Assessment and Psychological Treatment, University of Granada, Granada, Spain
| | - Erika Sivarajan Froelicher
- Department of Physiological Nursing, School of Nursing, and Department of Epidemiology & Biostatistics, School of Medicine, University of California Sand Francisco, San Francisco, CA
| | - Sima Hejazi
- Bojnurd Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Lida Hosseini
- School of Nursing and Midwifery, Iran University of Medical Sciences Tehran, Iran
| | | | - Mozhgan Moshtagh
- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand Iran
| | | | - Amir Hossein Goudarzian
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran Iran
| | - Amir Babaei
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
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Fekih-Romdhane F, Fawaz M, Hallit R, Sawma T, Obeid S, Hallit S. Psychometric properties of an Arabic translation of the 10-item Connor-Davidson resilience scale (CD-RISC-10), the 8- and 10-item post-traumatic growth inventory-short form (PTGI-SF) scales. PLoS One 2024; 19:e0293079. [PMID: 38166051 PMCID: PMC10760825 DOI: 10.1371/journal.pone.0293079] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 10/04/2023] [Indexed: 01/04/2024] Open
Abstract
BACKGROUND Given their clinical significance and impact on stress response and their potential malleability, resilience and posttraumatic growth (PTG) should receive greater attention as relevant constructs in clinical and research practice in the Arab context. We aimed through the present study to test the psychometric properties of Arabic translations of the 10-item Connor-Davidson Resilience scale (CD-RISC-10), the 10-item and the 8-item Post-Traumatic Growth Inventory-Short Form (PTGI-SF) in a sample of Lebanese adults from the general population. METHODS Three hundred eighty-seven Arabic-speaking participants (mean age = 26.17; 58.4% females) responded to a self-report web-based questionnaire. The forward and backward translation method was applied with the approval of the original developers of the scales. RESULTS Confirmatory factor analysis indicated that fit of the one-factor model was acceptable, and all indices suggested that configural, metric, and scalar invariance was supported across gender for all the three scales. The CD-RISC-10, the 10-item and the 8-item PTGI-SF yielded a good internal consistency, with a McDonald's ω of .89, .95, and .93, respectively. Higher resilience and higher PTG were significantly and positively associated with greater cognitive reappraisal and lower emotion suppression, supporting convergent validity. CONCLUSION We preliminarily suggest that these Arabic instruments are appropriate for use in Lebanese community adults to assess different positive responses after life crises, identify people with lack or low levels of resilience and growth who might need intervention, and monitor their response to therapy. Further cross-cultural validations should seek to extend their use in broader Arabic-speaking populations and settings.
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Affiliation(s)
- Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry “Ibn Omrane”, Razi Hospital, Manouba, Tunisia
- Tunis El Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Mirna Fawaz
- Faculty of Health Sciences Beirut Arab University, Tareek Al Jadida, Afeef Al Tiba, Beirut, Lebanon
| | - Rabih Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Department of Infectious Disease, Bellevue Medical Center, Mansourieh, Lebanon
- Department of Infectious Disease, Notre Dame des Secours University Hospital, Byblos, Lebanon
| | - Toni Sawma
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Sahar Obeid
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Applied Science Research Center, Applied Science Private University, Amman, Jordan
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
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Khan NH, Shahnawaz MG, Patel A, Kashyap P, Singh CB. Resilience among involuntarily childless couples and individuals undergoing infertility treatment: a systematic review. HUM FERTIL 2023; 26:1562-1583. [PMID: 37439133 DOI: 10.1080/14647273.2023.2219400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 04/18/2023] [Indexed: 07/14/2023]
Abstract
Infertility is regarded as a highly stressful and challenging experience. However, the response to this unexpected moment varies from one individual to the other. The review explores research that studies resilience in the context of infertility and its treatment. The purpose was to study the protective and risk factors associated with resilience and to identify psychosocial factors that could play a crucial role in resilience among infertile couples and individuals who are seeking infertility treatment. Four major databases (PubMed, Scopus, ScienceDirect, and Wiley Online Library) were searched with appropriate keywords. A total of 4101 articles were retrieved from the databases and after following various levels of screening 18 articles were finalized. These articles explored resilience and other psychosocial factors in couples/individuals seeking infertility treatment. The protective factors associated with resilience were quality of life, coping, social support, and posttraumatic growth. The risk factors associated with resilience were infertility-related stress, anxiety and depression. The unexpected diagnosis of infertility might be disturbing for many, still, it may not be extremely agonizing for some. Individuals who are encouraged to utilize their own resources and seek support are able to deal with stressors associated with infertility.
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Affiliation(s)
- Neda Haseeb Khan
- Department of Psychology, Jamia Millia Islamia, New Delhi, India
| | | | - Ansha Patel
- Department of Psychiatry & Psychology RNT Medical College, Paras & Shantiraj Hospitals, Psychological Clinic for Reproductive Health & Challenges, CMBS, Udaipur, FAIMER at MAHE, Karnataka, India
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Chien CH, Liu KL, Wu CT, Chuang CK, Yu KJ, Lin PH, Huang XY, Pang ST. Development and assessment of a self-management intervention for urinary incontinence among patients with prostate cancer: protocol for a randomized feasibility study. BMC Urol 2023; 23:193. [PMID: 37980490 PMCID: PMC10657576 DOI: 10.1186/s12894-023-01367-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 11/13/2023] [Indexed: 11/20/2023] Open
Abstract
BACKGROUND Urinary incontinence is a common complication among patients with prostate cancer who have undergone radical prostatectomy. Guided by social cognitive theory and a framework for the recovery of health and well-being, we propose to develop and test a self-management intervention for patients with prostate cancer who experience urinary incontinence after undergoing radical prostatectomy. METHODS In this study, a self-management intervention for urinary incontinence (SMI-UI) is developed, comprising a mobile self-management application, a self-management handbook, and professional support. The feasibility, acceptability, and effectiveness of this intervention will be assessed. Patient data from the urology departments of two hospitals will be collected through convenience sampling by adopting an experimental, parallel, and random assignment research design. Patients experiencing urinary incontinence after undergoing radical prostatectomy will be invited to participate. After completing the pretest questionnaire, patients will be randomly divided into the experimental and attention control groups. The experimental group will undergo a 12-week SMI-UI, whereas the attention control group will receive an intervention consisting of a single dietetic education information package. The two groups will be tested 12 and 16 weeks after the pretest. In this study, we recorded the sociodemographic and clinical variables; recruitment rate; retention rate; satisfaction with the intervention; cancer-related self-efficacy; urination symptoms and disturbance; social participation and satisfaction; resilience; and demoralization. TRIAL REGISTRATION ClinicalTrials.gov ID: NCT05335967 [date of registration 04-04-2022].
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Affiliation(s)
- Ching Hui Chien
- School of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District, Taipei City, 112, Taiwan.
| | - Kuan Lin Liu
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Chun Te Wu
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
| | - Cheng Keng Chuang
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
| | - Kai Jie Yu
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
| | - Po Hung Lin
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
- Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Xuan Yi Huang
- School of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District, Taipei City, 112, Taiwan
| | - See Tong Pang
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
- Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan.
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Oster C, Hines S, Rissel C, Asante D, Khadka J, Seeher KM, Amuthavalli Thiyagarajan J, Mikton C, Diaz T, Isaac V. A systematic review of the measurement properties of aspects of psychological capacity in older adults. Age Ageing 2023; 52:iv67-iv81. [PMID: 37902524 PMCID: PMC10615039 DOI: 10.1093/ageing/afad100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 05/05/2023] [Indexed: 10/31/2023] Open
Abstract
OBJECTIVE to examine the measurement properties of instruments that have been used to measure aspects of psychological capacity in adults aged 60 years and over. METHODS the databases PsycINFO, MEDLINE, EMCARE and Scopus from 2010 were searched using search terms related to psychological capacity, older persons and measurement properties. Both data extraction and risk-of-bias assessment were conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) criteria using Covidence software. RESULTS the full text of 326 articles were reviewed and a total of 30 studies were included, plus two further articles identified from reference lists (n = 32). No single instrument measuring psychological capacity was identified. Twenty (n = 20) instruments were identified that measure seven constructs of psychological capacity: Resilience; Sense of coherence; Hope; Mindfulness; Optimism; Attachment to life; Emotional regulation. CONCLUSIONS this systematic review identified potential measures of psychological capacity in older adults. The review will inform further work to develop a single comprehensive measure of psychological capacity in older adults.
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Affiliation(s)
- Candice Oster
- Caring Futures Institute, College of Nursing & Health Sciences, Flinders University, Adelaide, Australia
| | - Sonia Hines
- College of Medicine & Public Health, Flinders Rural and Remote Health, Flinders University, Alice Springs, Northern Territory, Australia
| | - Chris Rissel
- College of Medicine & Public Health, Flinders Rural and Remote Health, Flinders University, Alice Springs, Northern Territory, Australia
| | - Dennis Asante
- College of Medicine & Public Health, Flinders Rural and Remote Health, Flinders University, Alice Springs, Northern Territory, Australia
| | - Jyoti Khadka
- Caring Futures Institute, College of Nursing & Health Sciences, Flinders University, Adelaide, Australia
| | - Katrin M Seeher
- Brain Health Unit, Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland
| | | | - Christopher Mikton
- Demographic Change and Healthy Ageing Unit, Social Determinants of Health, World Health Organization, Geneva, Switzerland
| | - Theresa Diaz
- Epidemiology, Monitoring and Evaluation Unit, Department of Maternal, Newborn, Child, Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
| | - Vivian Isaac
- College of Medicine & Public Health, Flinders Rural and Remote Health, Flinders University, Alice Springs, Northern Territory, Australia
- School of Allied Health, Exercise & Sports Sciences, Faculty of Science & Health, Charles Sturt University, Albury, New South Wales, Australia
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Tu Z, He J, Wang Z, Song M, Tian J, Wang C, Ba J, Shen X. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese military personnel. Front Psychol 2023; 14:1163382. [PMID: 37599761 PMCID: PMC10437071 DOI: 10.3389/fpsyg.2023.1163382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 05/26/2023] [Indexed: 08/22/2023] Open
Abstract
Background The 10-item Connor-Davidson Resilience Scale (CD-RISC-10) is a widely used assessment of resilience. However, psychometric properties of the Chinese version of CD-RISC-10 have not been well investigated in a Chinese military personnel sample. Methods A total of 3,129 Chinese military personnel completed the CD-RISC-10, Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS). Among them, 528 recruits completed the CD-RISC-10, SAS, and SDS again after 3-month basic military training (BMT). Meanwhile, the commanding officers were asked to rate recruits' training performance on the training performance rating scale for recruits (TPRS). Confirmatory factor analysis (CFA) was implemented to examine the single-factor model of the CD-RISC-10, and multigroup CFA was conducted to test measurement invariance across military rank (officers vs. enlisted), gender (male vs. female), and time (before and after 3-month BMT). Internal consistency was evaluated using Cronbach's α and McDonald's ω, and test-retest reliability was tested using the intra-class correlation coefficient (ICC). The criterion-related validity of CD-RISC was evaluated using Pearson's correlation analysis between the CD-RISC-10 total score and SAS scores, SDS scores, and training performance ratings. Results The single-factor model of the CD-RISC-10 showed adequate fit (CFI = 0.955-0.970, TLI = 0.943-0.962, RMSEA = 0.059-0.072) in all examined subsamples (male, female, officer, and enlisted), and strict invariance was also supported across military rank, gender, and time (ΔCFI ≤ 0.001, ΔTLI ≤ 0.005, ΔRMSEA ≤ 0.006). The CD-RISC-10 showed good internal consistency in all subsamples (Cronbach's α of > 0.93 and McDonald's ω of > 0.93) and good test-retest reliability (ICC = 0.88). Moreover, concurrent and predictive validity with the SAS and SDS scores were good (r = -0.68 to -0.49, p < 0.001). The resilience level of recruits at the beginning of BMT was significantly associated with training performance rated by supervisors after training (r = 0.29, p < 0.001). Conclusion The psychometric evidence reported in this study suggests that the CD-RISC-10 is a reliable and valid assessment of resilience and a potential predictor for mental health and military performance in Chinese military personnel.
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Affiliation(s)
- Zhihao Tu
- Navy Special Medical Center, Naval Medical University, Shanghai, China
- Qingdao Special Servicemen Recuperation Center of PLA Navy, Qingdao, Shandong, China
| | - Jingwen He
- Department of Medical Psychology, No. 96110 Hospital, Yinchuan, Ningxia, China
- Second Military Medical University, Shanghai, China
| | - Ziying Wang
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Mingfang Song
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Jianquan Tian
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Chuan Wang
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Jianbo Ba
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Xinghua Shen
- Navy Special Medical Center, Naval Medical University, Shanghai, China
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14
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Ma C. The academic stress and subjective well-being of graduate nursing students: The mediating role of resilience. J Adv Nurs 2023. [PMID: 36876725 DOI: 10.1111/jan.15619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 12/01/2022] [Accepted: 02/11/2023] [Indexed: 03/07/2023]
Abstract
AIM To investigate the levels of subjective well-being in graduate nursing students, explore the impact of academic stress and resilience on subjective well-being, and examine the mediation effect of resilience on the relationship between academic stress and subjective well-being among graduate nursing students. BACKGROUND Few studies explore the impact of academic stress and resilience on subjective well-being among graduate nursing students. Understanding the status of subjective well-being and associated factors in graduate nursing students will enable the development of tailored interventions to improve their well-being and academic achievements during graduation education. DESIGN A cross-sectional design. METHODS Graduate nursing students were recruited by social media between April 2021 and October 2021, in China. Subjective well-being was measured using the General Well-Being Schedule, resilience by the Connor-Davidson Resilience Scale, and academic stress through the Questionnaire of Assessing Academic Stress for graduate nursing students. Structural equation modelling was used to test the relationship among academic stress, resilience and subjective well-being. FINDINGS The mean score of subjective well-being for graduate nursing students was 76.37. The proposed model revealed a satisfied fit with the data. Academic stress and resilience were significantly related to subjective well-being in graduate nursing students. Resilience partially mediated the relationship between academic stress and subjective well-being, and the mediation effect accounted for 20.9% of the total effect of academic stress on the subjective well-being. CONCLUSION Academic stress and resilience affected subjective well-being in graduate nursing students, while resilience partially mediated the relationship between academic stress and the subjective well-being. NO PATIENT OR PUBLIC CONTRIBUTION This study did not involve patients, service users, caregivers or members of the public.
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Affiliation(s)
- Chunhua Ma
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
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15
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Song L, Wang Y, Zhang Q, Yin J, Gan W, Shang S, Qi L, Chen S, Liu T. The mediating effect of resilience on mental health literacy and positive coping style among Chinese empty nesters: A cross-sectional study. Front Psychol 2023; 14:1093446. [PMID: 36760438 PMCID: PMC9905816 DOI: 10.3389/fpsyg.2023.1093446] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 01/05/2023] [Indexed: 01/26/2023] Open
Abstract
Objectives Empty nesters in China have limited mental health literacy (MHL), which may lead to poorer health outcomes. Studies demonstrate that MHL is associated with both resilience and positive coping style. However, the potential mechanism of MHL, resilience and positive coping style remain unclear. Therefore, the study aims to investigate the possible mediating role of resilience in the relationship between MHL and positive coping style. Method In this cross-sectional study, a total of 363 empty nesters from Huzhou, China were surveyed in 2022. The Chinese version of Mental Health Literacy Scale (C-MHLS), the Chinese version of 10-item Connor-Davidson Resilience Scale (CD-RISC-10) and the Simplified Coping Style Questionnaire (SCSQ-19) were used to assess MHL, resilience, and positive coping style, respectively. Results Positive coping style was significantly correlated with MHL and resilience, and MHL was positively correlated with resilience (p < 0.01). MHL can significantly and positively predict the positive coping style, and resilience played a partial intermediary role between MHL and positive coping style, with the intermediary effect of 77.36%. Conclusion This study indicates that MHL not only directly affected positive coping style, but also indirectly influences positive coping style by increasing the resilience of empty nesters. The results provide an empirical evidence for the development of intervention programs to improve positive coping style directly and indirectly. Consequently, community health servicers should take targeted measures which focus on MHL and resilience as breakthrough points to stimulate positive coping style of empty nesters, and ultimately achieve their overall well-being.
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Kavčič T, Zager Kocjan G, Dolenc P. Measurement invariance of the CD-RISC-10 across gender, age, and education: A study with Slovenian adults. CURRENT PSYCHOLOGY 2023; 42:1727-1737. [PMID: 33723479 PMCID: PMC7945969 DOI: 10.1007/s12144-021-01564-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2021] [Indexed: 02/07/2023]
Abstract
The study aimed to investigate measurement invariance of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) across gender, age, and education. Adults from a general population of Slovenia (N = 431; 58% female; age 18 to 59 years) filled in the CD-RISC-10, the short form of the Mental Health Continuum and the Depression, Anxiety and Stress Scale. Measurement invariance of the proposed one-factor model of CD-RISC-10 by gender, age, and level of education was examined using multiple-group confirmatory factor analysis. The results showed configural, metric, and scalar invariance of the CD-RISC-10 across gender, age, and educational groups. The measure showed satisfactory reliability, positive associations with emotional, psychological, and social well-being, and negative links with negative emotional states. Group differences in latent means suggested higher resilience in men than women, early adults as compared to emerging adults, and people with higher as compared to those with lower level of education. The Slovenian version of the CD-RISC-10 is an acceptably reliable and valid measure of resilience, suitable to detect possible differences between gender, age, and educational groups. Resilience shows favorable associations with enhanced positive mental health and diminished symptoms of mental problems.
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Affiliation(s)
- Tina Kavčič
- grid.8954.00000 0001 0721 6013Faculty of Health Sciences, University of Ljubljana, Zdravstvena pot 5, 1000 Ljubljana, Slovenia
| | - Gaja Zager Kocjan
- grid.8954.00000 0001 0721 6013Department of Psychology, Faculty of Arts, University of Ljubljana, Aškerčeva 2, 1000 Ljubljana, Slovenia
| | - Petra Dolenc
- grid.412740.40000 0001 0688 0879Faculty of Education, University of Primorska, Cankarjeva 5, 6000 Koper, Slovenia
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Li S, Yin Y, Cui G, Zhang C, Zhu H, Yao Y. The mediating and moderating effects of resilience between childhood trauma and geriatric depressive symptoms among Chinese community-dwelling older adults. Front Public Health 2023; 11:1137600. [PMID: 37124808 PMCID: PMC10140585 DOI: 10.3389/fpubh.2023.1137600] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 03/16/2023] [Indexed: 05/02/2023] Open
Abstract
Objective This study aims to examine the association between childhood traumatic events (CTEs), childhood trauma severity, and depressive symptoms, as well as to examine the mediating and moderating roles of resilience in these associations. Methods We conducted a cross-sectional study of 1,091 community-dwelling older adults in Jinan, China. The trauma history questionnaire (THQ) was used to measure CTEs and childhood trauma severity. CTEs were defined as the number of traumatic events before the age of 18. We calculated childhood trauma severity by multiplying the number of CTEs by the participants' self-perceived impact level of the events from the THQ. We then applied the 15-item Geriatric Depression Scale and 10-item Connor-Davidson Resilience Scale to assess participants' depressive symptoms and resilience, respectively. Linear regression models were used to examine the associations, and structural equation modeling was used to examine the mediating and moderating roles of resilience. Results Childhood traumatic events, childhood trauma severity, and resilience were all associated with depressive symptoms in older adults. Resilience mediated the relationship between childhood trauma severity and depressive symptoms (β = 0.082, 95% CI = 0.045-0.123), accounting for 26.6% of the overall effect (β = 0.308, 95% CI = 0.190-0.422). However, there was no evidence that resilience mediated the association between CTEs and depressive symptoms. In addition, we did not find that resilience played a moderating role in the associations of CTEs, childhood trauma severity with depressive symptoms. Conclusion Resilience plays a mediating role in the relationship between childhood trauma severity and depressive symptoms. Intervention measures on improving resilience may reduce childhood trauma severity associated with depression risk in older Chinese adults.
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Affiliation(s)
- Shaojie Li
- School of Public Health, Peking University, Beijing, China
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Yongtian Yin
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Guanghui Cui
- Department of Integrated Traditional Chinese and Western Medicine, Peking University First Hospital, Beijing, China
| | - Chi Zhang
- The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, China
| | - He Zhu
- China Center for Health Development Studies, Peking University, Beijing, China
- *Correspondence: He Zhu,
| | - Yao Yao
- China Center for Health Development Studies, Peking University, Beijing, China
- Yao Yao,
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Huang H, Gao L, Deng X, Fu H. The Relationship Between Emotional Intelligence and Expatriate Performance in International Construction Projects. Psychol Res Behav Manag 2022; 15:3825-3843. [PMID: 36578282 PMCID: PMC9791953 DOI: 10.2147/prbm.s387287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022] Open
Abstract
Purpose In the field of construction, it has been shown that individuals with higher emotional intelligence may perform better on the job. However, it is still a question worth exploring about how emotional intelligence affects expatriate performance in international construction projects. Therefore, this study aimed to verify the relationship between expatriates' emotional intelligence and expatriate performance and explore the mediating role of self-efficacy and psychological resilience. Methods A cross-sectional study was conducted in June 2021. A non-probability sampling method was used to obtain data. A total of 315 Chinese construction expatriates in 67 countries and regions around the world were evaluated using four scales: the Wong and Law Emotional Intelligence Scale, the General Self-Efficacy Scale, the Connor-Davidson Resilience scale, and the Kraimer's expatriate's performance scale. The hypothesis model was tested using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results The results of the data analysis indicated that self-efficacy (βIndirect effect = 0.175, p<0.05) and psychological resilience (βIndirect effect = 0.112, p<0.05) served as fully mediating variables (β Direct effect = 0.177, p=0.101), suggesting a way to explain how emotional intelligence affect the performance of contractor expatriates. The findings also suggest that self-efficacy and psychological resilience also play continuous and multiple mediating roles (βIndirect effect = 0.143, p<0.05) between emotional intelligence and expatriate performance. Conclusion This study attempted to investigate the mechanism of emotional intelligence's influence on expatriate performance from the perspective of individual psychological resources. The results of the study suggest that the emotional intelligence of expatriates may bring about an increase in performance levels by improving self-efficacy and psychological resilience levels. This provides a practical way to improve the performance of expatriates and a new management perspective for human resource management in international construction projects.
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Affiliation(s)
- Haiyao Huang
- Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, People’s Republic of China
| | - Lili Gao
- Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, People’s Republic of China,Department of Architecture and Civil Engineering, City University of Hong Kong, Hong Kong, People’s Republic of China
| | - Xiaopeng Deng
- Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, People’s Republic of China,Correspondence: Xiaopeng Deng, Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, People’s Republic of China, Email
| | - Hanliang Fu
- Laboratory of Neuromanagement in Engineering, Xi’an University of Architecture and Technology, Xi’an, 710055, People’s Republic of China
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Rezaeipandari H, Mohammadpoorasl A, Morowatisharifabad MA, Shaghaghi A. Psychometric properties of the Persian version of abridged Connor-Davidson Resilience Scale 10 (CD-RISC-10) among older adults. BMC Psychiatry 2022; 22:493. [PMID: 35869455 PMCID: PMC9308300 DOI: 10.1186/s12888-022-04138-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 07/13/2022] [Indexed: 01/06/2023] Open
Abstract
Abstract
Background
Resilience is an ability of an individual to respond positively to environmental challenges. This ability could help elderly people to better cope with their age-related changes and diseases. The aim of this study was to examine the psychometric properties of Persian version of abridged Connor- Davidson scale of resilience among Iranian elderly people with chronic diseases.
Methods
Standard translation/back-translation procedure was applied to prepare the Persian version of abridged Connor-Davidson scale of resilience (CD-RISC 10-P) and its face and content validity were examined by an expert panel. The internal consistency and reliability of the drafted CD-RISC 10-P were investigated using the Cronbach’s alpha and intra-class correlation coefficients. A sample of 400 Muslim and Zoroastrian Persian older adults residing in the city of Yazd, Iran was recruited to assess factor structure of CD-RISC 10-P using the confirmatory factor analysis.
Results
The calculated values of the Cronbach’s alpha (0.89) and ICC (0.90) coefficients were in the within of acceptable range. The confirmatory factor analysis outputs also confirmed the unidimensionality of the CD-RISC 10-P (RMSEA = 0.073, SRMR = 0.030).
Conclusions
The study findings showed that the CD-RISC 10-P is a valid and reliable scale to measure resilience with age-related challenges of chronic diseases among Persian-speaking elderly people. Cross-cultural adaptability of the CD-RISC 10-P is recommended to be assessed in different subgroups of the Iranian elderly people and possibly in other Persian-speaking populations of different countries.
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Analysis of the Effect of the Communication Ability of Nurses in Outpatient Infusion Room on the Treatment Experience of Patients and Their Families. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:1143662. [PMID: 36267310 PMCID: PMC9578892 DOI: 10.1155/2022/1143662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 09/18/2022] [Accepted: 09/23/2022] [Indexed: 12/03/2022]
Abstract
Objective To observe the effect of nursing communication ability in outpatient infusion room on the treatment experience of outpatients and their families and analyze whether improving nurses' communication skills can reduce the incidence of doctor-patient disputes. Methods According to the results of the communication ability survey, the outpatient nurses in our hospital are divided into groups A (score < 65), B (65 ≤ score < 80), C (80 ≤ score < 95), and D (score ≥ 95). Taking outpatients and their families in our hospital from September 2019 to December 2020 as the research objects, they were divided into corresponding groups according to the nurses who served them. Finally, there were 73 cases in group A, 85 in group B, 92 in group C, and 65 in group D. The mental toughness scale (Connor-Davidson Resilience Scale Chinese (CD-RISC)) scores and Herth Hope Index (HHI) scores of the four groups of patients were compared, and the correlation between nurse communication scores and CD-RISC scores and HHI scores was analyzed. The incidence of negative events (patient-nurse disputes, complaints, etc.) and the results of nursing satisfaction surveys during the visits of the four study groups were also counted. Results The four groups of CD-RISC and HHI total scores were ranked from highest to lowest as groups D, C, B, and A, respectively (P < 0.05). There was a positive correlation between the resilience dimension scores of the family members' CD-RISC and the toughness, strength, optimism dimension scores of the HHI and the nurses' communication dimension scores (r = 0.191-0.472, P < 0.05). Besides, the incidence of negative events was higher in group A than in the other three groups, while the satisfaction with care was lower than in the other three groups (P < 0.05). Conclusion Improving nurses' communication skills in infusion room nursing quality management can improve the mental toughness and hope level of patients' accompanying family members, which is conducive to controlling their emotions and avoiding the occurrence of dispute incidents.
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Tang Y, He C, Feng L, Wu D, Zhou X, Li T, He L, Cai Q, Yue Y. The impact of implicit theories on resilience among Chinese nurses: The chain mediating effect of grit and meaning in life. Front Psychol 2022; 13:940138. [PMID: 35967628 PMCID: PMC9366853 DOI: 10.3389/fpsyg.2022.940138] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 07/06/2022] [Indexed: 11/20/2022] Open
Abstract
Implicit theories refer to assumptions people hold about different domains, also known as mindsets. There are two implicit theories on the malleability of one's ability: entity theory and incremental theory. They constrain and regulate people's understanding and responses to an individual's behavior, leading to different social cognitive patterns and behavioral responses. Resilience is a positive adaptation in highly stressful situations that represents mechanisms for coping with and transcending difficult experiences, i.e., a person's ability to successfully adapt to change, resist the adverse effects of stressors, avoid significant dysfunction, and be chronically affected by considered a protective factor for mental health. Although previous studies showed that individuals' implicit theories are associated with resilience, this relationship has received little attention in the nursing population. It is unclear which variables may contribute to explaining the relationship between implicit theories and resilience. Therefore, the current study aims to deeply explore the relationship between implicit theories and the resilience of Chinese nurses. In addition, we also seek to demonstrate the chain mediating effects of grit and meaning in life on this relationship. We surveyed 709 Chinese nurses through online questionnaires using the self-made demographic questionnaire, the Implicit Theories Scale, the Short Grit Scale, the Meaning in Life Questionnaire, and the 10-item Connor-Davidson Resilience Scale. After controlling for demographic variables such as age, gender, educational background, marital status, professional title, and working years, the results reveal positive associations between Chinese nurses' implicit theories and their resilience, and grit and meaning in life play a partial mediating role in this relationship, respectively. Furthermore, grit and meaning in life play a chain mediating role between implicit theories and resilience. These findings contribute to understanding the psychological impact mechanism of implicit theories on nurses' resilience and provide a theoretical basis for nursing managers to formulate strategies to improve nurses' psychological resilience.
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Affiliation(s)
- Yixun Tang
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Changjiu He
- Department of Community Prevention and Control, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Lanling Feng
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Dongmei Wu
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Xiaojun Zhou
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Tao Li
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Lina He
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Qiao Cai
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| | - Yuchuan Yue
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
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Fredericks S, Lapum J, McShane J, Lai S, Nguyen M. Psychological Distress and Unmanaged Negative Emotions: Examining Resilience Among Nurses Working on COVID-19 Designated Inpatient Units. J Psychosoc Nurs Ment Health Serv 2022; 60:24-28. [PMID: 35316120 DOI: 10.3928/02793695-20220315-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Anecdotal evidence suggests nurses are engaging in resilience-based strategies to mitigate increased levels of psychological distress and unmanaged negative emotions they have been experiencing. Nurses' levels of resilience during the corona-virus disease 2019 (COVID-19) pandemic have not been clearly articulated, specifically in relation to psychological distress and negative emotions. The purpose of the current mixed-methods non-experimental descriptive study was to examine nurses' resilience during the pandemic. Sixty RNs working in acute care hospitals on inpatient units designated to care for patients with COVID-19 completed the study survey and 20 of these RNs completed an interview. Findings indicate moderate levels of resilience among participants, with the need to increase resources and support emerging as a common theme among the qualitative data. Suggestions for integration of resilience-based strategies into the clinical setting, such as creation of a dedicated space for nurses to engage in mindfulness, relaxation, and meditation, were put forward. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].
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23
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Caycho-Rodríguez T, Dominguez-Lara S, Carranza Esteban R, Cabrera-Orosco I. [New evidence of the validity of CD-RISC2 in Peruvian older adults]. Rev Esp Geriatr Gerontol 2022; 57:132-133. [PMID: 35190190 DOI: 10.1016/j.regg.2022.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 09/15/2021] [Accepted: 01/08/2022] [Indexed: 06/14/2023]
Affiliation(s)
| | | | - Renzo Carranza Esteban
- Facultad de Humanidades, Carrera de Psicología, Universidad San Ignacio de Loyola, Lima, Perú
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24
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Zhou ZQ, Yuan T, Tao XB, Huang L, Zhan YX, Gui LL, Li M, Liu H, Li XD. Cross-sectional study of traumatic stress disorder in frontline nurses 6 mo after the outbreak of the COVID-19 in Wuhan. World J Psychiatry 2022; 12:338-347. [PMID: 35317336 PMCID: PMC8900583 DOI: 10.5498/wjp.v12.i2.338] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 09/18/2021] [Accepted: 01/14/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Frontline nurses in Wuhan directly fighting severe acute respiratory syndrome coronavirus-2 diseases are at a high risk of infection and are extremely susceptible to psychological stress, especially due to the global coronavirus disease 2019 (COVID-19) pandemic. The psychological after-effects of this public health emergency on frontline nurses will last for years. AIM To assess factors influencing post-traumatic stress disorder (PTSD) among frontline nurses in Wuhan 6 mo after the COVID-19 pandemic began. METHODS A total of 757 frontline nurses from five hospitals in Wuhan, China, participated in an online survey from July 27 to August 13, 2020. This cross-sectional online study used a demographic information questionnaire, the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders, the Connor-Davidson Resilience Scale, and the Patient Health Questionnaire-4. The chi-square test and logistic regression were used to analyze the association of demographics, COVID-19-related variables, and PTSD. Logistic regression was also conducted to investigate which variables were associated with PTSD outcomes. RESULTS A total of 13.5%, 24.3%, and 21.4% of the frontline nurses showed symptoms of PTSD, depression, and anxiety, respectively. The multivariate logistic regression analysis showed that the following factors were strongly associated with PTSD: Having a relative, friend, or colleague who died of COVID-19; experiencing stigma; or having psychological assistance needs, depressive symptoms or anxiety. Showing resilience and receiving praise after the COVID-19 outbreak were protective factors. CONCLUSION Frontline nurses still experienced PTSD (13.5%) six months after the COVID-19 outbreak began. Peer support, social support, official recognition, reward mechanisms, exercise, better sleep, and timely provision of information (such as vaccine research progress) by the government via social media, and adequate protective supplies could mitigate the level of PTSD among nurses responding to COVID-19. Stigmatization, depression, and anxiety might be associated with a greater risk of PTSD among nurses.
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Affiliation(s)
- Zhi-Qing Zhou
- Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu 241001, Anhui Province, China
| | - Ting Yuan
- School of Nursing, Wannan Medical College, Wuhu 241001, Anhui Province, China
| | - Xiu-Bing Tao
- Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu 241001, Anhui Province, China
| | - Long Huang
- School of Humanities and Management, Wannan Medical College, Wuhu 241001, Anhui Province, China
| | - Yu-Xin Zhan
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China
| | - Li-Ling Gui
- Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Wuhan 430071, Hubei Province, China
| | - Mei Li
- Department of Intensive Care Unit, The Central Hospital of Wuhan Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China
| | - Huan Liu
- Department of Blood Purification Centre, Yijishan Hospital of Wannan Medical College, Wuhu 241001, Anhui Province, China
| | - Xiang-Dong Li
- Department of Gerontology, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu 241001, Anhui Province, China
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25
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Ghulam A, Bonaccio M, Costanzo S, Gialluisi A, Santonastaso F, Di Castelnuovo A, Cerletti C, Donati MB, de Gaetano G, Gianfagna F, Iacoviello L, on behalf of the Moli-Sani Study Investigators. Association of Psychological Resilience with All-Cause and Cardiovascular Mortality in a General Population in Italy: Prospective Findings from the Moli-Sani Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:222. [PMID: 35010483 PMCID: PMC8750664 DOI: 10.3390/ijerph19010222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/19/2021] [Accepted: 12/23/2021] [Indexed: 06/14/2023]
Abstract
Psychological resilience (PR) is the capacity to adapt positively in face of adversity. Its role as an independent protective factor has been acknowledged in recent years. We aimed to test the association of PR with all-cause and cardiovascular disease (CVD) mortality in a general adult population. We performed longitudinal analyses on 10,406 CVD-free individuals from the Moli-Sani cohort (follow up = 11.2 year). PR was assessed by the 25-item Connor and Davidson resilience scale. PR factors were identified through polychoric factor analysis. Associations with mortality were tested using multivariable Cox regressions. Higher levels of PR were associated with reduced all-cause mortality in a model including sex and age (HR = 0.78; 95%CI 0.62-1.00). The association decreased after inclusion of socioeconomic, clinical, and behavioral factors into the model (HR = 0.80; 95%CI 0.62-1.03). No relation was observed with cardiovascular mortality in the fully adjusted model (HR = 0.89; 95%CI 0.56-1.39). An inverse association of Factor 1 (reflecting positive acceptance of change) with all-cause mortality (HR = 0.89; 95%CI 0.82-0.98; p value = 0.01) was found. However, at a borderline non-significant way, PR predicts all-cause mortality in a general population of Italian adults. This is supported by the findings demonstrating a significant association between the PR's domain reflecting a positive acceptance of change and all-cause mortality.
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Affiliation(s)
- Anwal Ghulam
- Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese, Italy; (A.G.); (F.S.); (F.G.); (L.I.)
| | - Marialaura Bonaccio
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Simona Costanzo
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Alessandro Gialluisi
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Federica Santonastaso
- Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese, Italy; (A.G.); (F.S.); (F.G.); (L.I.)
| | | | - Chiara Cerletti
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Maria Benedetta Donati
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Giovanni de Gaetano
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
| | - Francesco Gianfagna
- Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese, Italy; (A.G.); (F.S.); (F.G.); (L.I.)
- Mediterranea Cardiocentro, 80121 Napoli, Italy;
| | - Licia Iacoviello
- Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese, Italy; (A.G.); (F.S.); (F.G.); (L.I.)
- Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy; (S.C.); (A.G.); (C.C.); (M.B.D.); (G.d.G.)
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Measurement Invariance of the Brief Resilient Coping Scale (BRCS) in Peruvian and Spanish Older Adults. J Cross Cult Gerontol 2021; 36:431-444. [PMID: 34748118 PMCID: PMC8591005 DOI: 10.1007/s10823-021-09441-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2021] [Indexed: 11/06/2022]
Abstract
Although the Brief Resilient Coping Scale (BRCS) has been validated in some European and American countries, there are no studies that evaluate its factorial invariance among different nations. In this sense, the objective of the study is to evaluate the factorial invariance of the BRCS in samples of older adults in Peru and Spain, using multigroup Confirmatory Factor Analysis. 236 older adults from Peru participated (Mean age = 72.8, SD = 6.90) and 133 older adults from Spain (Mean age = 71, SD = 7). In the Peruvian sample 78.4% were women and 21.6% men; while in the Spanish sample the majority were women (69.9%). The BRCS was scalar invariant but not strictly invariant between Spain and Peru. Our results found invariance of the structure, factor loadings and intercepts in both countries. These results support the use of BRCS in studies that compare the resilience between samples of older adults in both countries, and encourage applied research for the development of resilience in older adults in Spain and Peru.
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27
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Perceived social support, resilience and health self-efficacy among migrant older adults: A moderated mediation analysis. Geriatr Nurs 2021; 42:1577-1582. [PMID: 34768149 DOI: 10.1016/j.gerinurse.2021.10.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 10/16/2021] [Accepted: 10/19/2021] [Indexed: 11/21/2022]
Abstract
Migrant older adults become more disadvantaged in health due to aging and migration-related problems. This study aimed to examine the mediating role of resilience in the relationship between perceived social support and health self-efficacy, and to test whether gender moderated the mediating effect of resilience between perceived social support and health self-efficacy among migrant older adults. A total of 184 migrant older adults were recruited from five communities. Resilience played a partial mediating role in the relationship between perceived social support and health self-efficacy. Moreover, age moderated the relationship between resilience and health self-efficacy. The relationship between resilience and health self-efficacy was stronger in male older adults than female ones. These findings provide a better understanding of the effects of perceived social support and resilience on health self-efficacy, which could guide targeted interventions for community health nurses to promote health self-efficacy among migrant older adults.
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Li L, Shen X, Zhou X, Cao H, Feng J, Lei Z, Tian K, Liang J, Wang Y, Lu Z, Gan Y. Prevalence and Risk Factors of Home Quarantine Strategy Implementation Among Chinese Residents During the Coronavirus Disease 2019 Pandemic. Front Psychol 2021; 12:679538. [PMID: 34594261 PMCID: PMC8476788 DOI: 10.3389/fpsyg.2021.679538] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 07/19/2021] [Indexed: 12/23/2022] Open
Abstract
Background: Home quarantine is an important strategy to contain the mass spread of the coronavirus disease 2019 (COVID-19) pandemic. However, there are a dearth of studies on the prevalence and risk factors of home quarantine strategy implementation among residents. This study aims to assess the state of home quarantine strategy implementation among Chinese residents, which could provide a reference for quarantine policymakers around the world during the pandemic. Method: We conducted a cross-sectional survey of 3,398 residents in China by adopting a convenience sampling strategy. We measured the prevalence and risk factors of home quarantine strategy implementation with the Center for Epidemiological Studies-Depression Scale (CES-D), 10-item Connor-Davidson Resilience Scale (CD-RISC 10), and Perceived Social Support Scale (PSSS). A multivariable model was used to determine the factors associated with home quarantine strategy implementation. Results: A total of 2,936 (86.4%) respondents carried out home quarantine. There were some factors significantly associated with home quarantine strategy implementation among Chinese residents during the COVID-19 outbreak. Respondents who were male, lived in western and central China, were aware of the primary symptoms of COVID-19, were willing to accept recommendations on relevant protective measures, understood local quarantine measures, had better resilience, and had better social support were more likely to engage in home quarantine. Respondents who were married, were employed, were healthy, and had high depression scores were more likely to refuse to follow home quarantine guidance. Conclusions: Gender, region, marital status, employment status, health status, awareness of the primary symptoms of COVID-19, willingness to accept recommendations on relevant protective measures, understanding of local quarantine measures, depression, psychological resilience, and perceived social support were the main factors affecting the implementation of residents' home quarantine strategy. Health service policymakers should adopt relevant measures to improve the prevalence of home quarantine strategy implementation among residents during the pandemic.
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Affiliation(s)
- Liqing Li
- Department of Management Science and Engineer, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, China
| | - Xin Shen
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaogang Zhou
- Department of Human Resource Management, School of Economics and Management, East China Jiaotong University, Nanchang, China
| | - Hui Cao
- Department of Labor Economics and Management, Beijing Vocational College of Labour and Social Security, Beijing, China
| | - Jing Feng
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Zihui Lei
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Kunming Tian
- Department of Preventive Medicine, School of Public Health, Zunyi Medical University, Zunyi, China.,Department of Preventive Medicine, Institute of Reproductive Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Jiarui Liang
- Department of Social Medicine and Health Management, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Center Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
| | - Yuan Wang
- Department of Social Medicine and Health Management, School of Management, Shanxi Medical University, Taiyuan, China
| | - Zuxun Lu
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Yong Gan
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Zhang X, Deng X, Mo Y, Li Y, Song X, Li H. Relationship between infertility-related stress and resilience with posttraumatic growth in infertile couples: gender differences and dyadic interaction. Hum Reprod 2021; 36:1862-1870. [PMID: 33912966 DOI: 10.1093/humrep/deab096] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 03/22/2021] [Indexed: 12/11/2022] Open
Abstract
STUDY QUESTION Are there any gender differences and dyadic interactions in the associations between infertility-related stress and resilience and posttraumatic growth in infertile couples? SUMMARY ANSWER Husbands' posttraumatic growth was only impacted by their own infertility-related stress and resilience, whereas wives' posttraumatic growth was influenced by their own resilience and their spouses' resilience. WHAT IS KNOWN ALREADY Posttraumatic growth may play a significant role in protecting the infertile couples' psychological well-being and contribute to positive pregnancy outcomes. The reciprocal influence on each other within the infertile couple in terms of relationships between infertility-related stress and resilience and posttraumatic growth has been largely overlooked. STUDY DESIGN, SIZE, DURATION This cross-sectional study included 170 couples who were recruited from the First Affiliated Hospital of Soochow University between September 2019 and January 2020. PARTICIPANTS/MATERIALS, SETTING, METHODS The Fertility Problem Inventory, Connor-Davidson Resilience Scale-10, and Post-traumatic Growth Inventory were used to measure infertility-related stress, resilience, and posttraumatic growth. The Actor-Partner Interdependence Model was used to analyze the effects of infertility-related stress and resilience on the couple's own posttraumatic growth (actor effect) as well as on their partner's posttraumatic growth (partner effect). MAIN RESULTS AND THE ROLE OF CHANCE Husbands had higher levels of resilience than wives, while no significant gender differences were found in the levels of infertility-related stress and posttraumatic growth. Posttraumatic growth correlated with each other among infertile couples. Husbands' infertility-related stress had actor effects on their own posttraumatic growth, while wives' infertility-related stress had no effect on their own or their spouses' posttraumatic growth. Husbands' resilience had actor and partner effects on their own and their wives' posttraumatic growth, while wives' resilience only had an actor effect on their own posttraumatic growth. LIMITATIONS, REASONS FOR CAUTION First, our sample was limited to infertile Chinese couples seeking clinical treatment. Second, sociodemographic and psychological measures were self-reported. Third, as the current study is a cross-sectional study, the dynamic process of posttraumatic growth is unknown. WIDER IMPLICATIONS OF THE FINDINGS Infertile couples should be considered as a whole in studies on infertility. Couple-based psychological interventions are critical and more effective in improving mental health among individuals with infertility. Elevating the level of resilience may contribute to improving posttraumatic growth for both husbands and wives. Moreover, enhancing the ability to cope with infertility-related stress might be useful for husbands and indirectly contribute to wives' posttraumatic growth. STUDY FUNDING/COMPETING INTEREST(S) This research was supported by the National Natural Science Foundation of China (Grant No. 31900783) and the College Natural Science Research Project of Jiangsu Province (Grant No.19KJD320004). The authors declare no conflict of interest. TRIAL REGISTRATION NUMBER N/A.
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Affiliation(s)
- Xuekun Zhang
- School of Nursing, Medical College, Soochow University, Suzhou, China
| | - Xiaoling Deng
- The Reproductive Medicine Center, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Yuanyuan Mo
- School of Nursing, Medical College, Soochow University, Suzhou, China
| | - Yang Li
- School of Nursing, The University of Texas at Austin, Austin, TX, USA
| | - Xiuqing Song
- The Reproductive Medicine Center, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Huiling Li
- School of Nursing, Medical College, Soochow University, Suzhou, China.,The First Affiliated Hospital of Soochow University, Suzhou, China
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30
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Zhang X, Mo Y, Yan C, Li Y, Li H. Psychometric properties of two abbreviated Connor-Davidson Resilience scales in Chinese infertile couples. Qual Life Res 2021; 30:2405-2414. [PMID: 33811628 DOI: 10.1007/s11136-021-02820-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2021] [Indexed: 12/17/2022]
Abstract
PURPOSE This study aimed to evaluate the psychometric properties of the 10-item and 2-item Connor-Davidson Resilience Scale (CD-RISC), the agreement between these two versions, and the measurement invariance of the CD-RISC-10 across genders in Chinese infertile couples. METHODS A total of 170 infertile couples were enrolled from an infertility outpatient clinic between September 2019 and January 2020. The CD-RISC scores were tested for floor and ceiling effects. Reliability was evaluated by calculating Cronbach's α. Convergent and divergent validity were assessed by bivariate correlations between resilience and infertility-related stress, depression, anxiety, and two divergent variables. Agreement between the two versions was evaluated using the intraclass correlation coefficient (ICC) and Bland-Altman analysis. A multiple-group confirmatory factor analysis (CFA) was conducted to assess the measurement equivalence of CD-RISC-10 across genders. RESULTS No floor or ceiling effects were observed. Internal consistencies of CD-RISC-10 and CD-RISC-2 were 0.91 and 0.63, respectively. The CFA analysis indicated an excellent model fit for a one-factor structure of CD-RISC-10 (TLI > 0.950, CFI > 0.950, RMSEA < 0.060). Both scales displayed good convergent and divergent validity, and the agreement between them was significant with an ICC of 0.80 (95% CI ranging from 0.76 to 0.84). Measurement invariance across genders was supported by multigroup CFA, and a higher level of resilience was found in men than in women. CONCLUSION Our findings showed significant reliability, validity, and stability of CD-RISC-10 and acceptable internal consistency and validity of CD-RISC-2. CD-RISC-10 is recommended as a resilience measure in clinical evaluations of infertile patients.
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Affiliation(s)
- Xuekun Zhang
- School of Nursing, Medical College, Soochow University, Suzhou, China
| | - Yuanyuan Mo
- School of Nursing, Medical College, Soochow University, Suzhou, China
| | - Chunxia Yan
- The Reproductive Medicine Center, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Yang Li
- School of Nursing, The University of Texas at Austin, Austin, USA
| | - Huiling Li
- School of Nursing, Medical College, Soochow University, Suzhou, China. .,The First Affiliated Hospital of Soochow University, Suzhou, China.
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31
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Nartova-Bochaver S, Korneev A, Bochaver K. Validation of the 10-Item Connor-Davidson Resilience Scale: The Case of Russian Youth. Front Psychiatry 2021; 12:611026. [PMID: 33643092 PMCID: PMC7902788 DOI: 10.3389/fpsyt.2021.611026] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 01/04/2021] [Indexed: 11/22/2022] Open
Abstract
This study validates the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) on a Russian youth sample. A total of 689 respondents participated (M age = 20.22, SD age = 2.08; 526 females). The Warwick-Edinburgh Mental Well-being Scale, the International Positive and Negative Affect Schedule Short-Form, the Centre of Epidemiological Studies-Depression Scale, the Rosenberg Self-Esteem Scale, and the Authenticity Scale were used to examine the content validity of CD-RISC-10. Two hypotheses were examined: that the Russian version of the CD-RISC-10 (1) has structural validity (is unifactorial, as the original version) and (2) has convergent validity (which is proven by positive connections with psychological well-being and negative connections with ill-being). According to confirmatory factor analysis (CFA), it was shown that the scale really had a unifactorial structure; its reliability was satisfactory (α =.85, ω h =.84). No age trends in the CD-RISC-10 scores were detected; in males, the scores were higher than in females. As expected, CD-RISC-10 was positively connected with mental well-being, positive affect, self-esteem, and authentic living while negatively connected with depressive symptoms, negative affect, acceptance of external influence, and self-alienation. The Russian version of CD-RISC-10 seems to be a valid, stable, and reliable instrument which may be recommended for use in various areas of research and practice.
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Affiliation(s)
- Sofya Nartova-Bochaver
- Department of Psychology, National Research University Higher School of Economics, Moscow, Russia
| | - Aleksei Korneev
- Department of Psychology, Lomonosov Moscow State University, Moscow, Russia
| | - Konstantin Bochaver
- Department of Psychology, National Research University Higher School of Economics, Moscow, Russia
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32
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Kong LN, Zhang N, Yuan C, Yu ZY, Yuan W, Zhang GL. Relationship of social support and health-related quality of life among migrant older adults: The mediating role of psychological resilience. Geriatr Nurs 2020; 42:1-7. [PMID: 33197701 DOI: 10.1016/j.gerinurse.2020.10.019] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 10/26/2020] [Accepted: 10/28/2020] [Indexed: 11/18/2022]
Abstract
Migrant older adults are influenced by an accumulation of aging and adversities related to migration. This study aimed to evaluate the effects of psychological resilience and social support on health-related quality of life (HRQOL) among migrant older adults, and examine the mediating effect of psychological resilience between social support and HRQOL. A total of 149 migrant older adults were recruited from five communities in Chongqing, China. Social support and psychological resilience were positively associated with physical and mental HRQOL among migrant older adults. Psychological resilience had a partial mediating effect on the relationship between social support and physical and mental HRQOL. These findings provide a better understanding of how social support and psychological resilience work together to affect HRQOL, and it could guide the interventions to promote HRQOL among migrant older adults in the community.
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Affiliation(s)
- Ling-Na Kong
- School of Nursing, Chongqing Medical University, Chongqing, China; School of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| | - Nan Zhang
- Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| | - Chi Yuan
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Zong-Yu Yu
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Wang Yuan
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Guang-Li Zhang
- School of Nursing, Chongqing Medical University, Chongqing, China
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Psychometric properties of the Connor-Davidson Resilience Scale in women with breast cancer. Int J Clin Health Psychol 2019; 20:81-89. [PMID: 32021622 PMCID: PMC6994746 DOI: 10.1016/j.ijchp.2019.11.001] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/18/2019] [Indexed: 12/28/2022] Open
Abstract
The aim was to analyse the psychometric properties of the 10-item version of the Connor-Davidson Resilience Scale (CD-RISC 10©) in breast cancer patients. Method: A sample of 169 Spanish women who had undergone surgery for breast cancer completed the CD-RISC 10©, along with questionnaires assessing life satisfaction, emotional intelligence, self-esteem, and positive and negative affect. Results: Confirmatory Factor Analysis supported a single-factor structure with adequate fit indices. Reliability was analysed by calculating McDonald’s omega coefficient, which yielded a value of .83. Validity evidence based on relationships with other variables was provided by positive and significant correlations between scores on the CD-RISC 10© and scores on emotional intelligence (clarity and repair), life satisfaction, self-esteem and positive affect, and by a negative and significant correlation with negative affect. The majority of these correlations were above |.50|. Conclusions: The CD-RISC 10© has satisfactory psychometric properties and is a suitable tool for measuring resilience in patients with cancer. The instrument is quick and easy to apply and may be used in both clinical and research contexts.
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