Association between psychological resilience and subjective well-being in older adults living with chronic illness

Abstract

We aimed to determine the impact of resilience on well-being in chronically ill adults, hypothesizing that resilient participants would have higher quality of life, life satisfaction, and happiness and less psychological distress than those with low resilience. Patients who received treatment for a chronic illness at Baylor Scott & White Health and self-identified an informal caregiver (nonpaid friend/family member who provides regular care) were eligible. After the Center for Community Research and Development administered a phone survey from March to June 2017, we built linear and ordinal logistic regression models to assess the effect of resilience on well-being while adjusting for health, finances, marital status, and gender. Forty-one participants completed the study. The average age was 67 ± 10 years; the most common illness was heart failure (39%). Participants had high resilience (median 4 [quartile 1 ¼ 3, quartile 3 ¼ 5], scale: 1-5), low psychological distress (4 [2, 7], scale: 0-24), high quality of life (8 [5, 9], scale: 0-10) and life satisfaction (5 ± 2, scale: 1-7), and 81% were pretty/very happy. The effect of resilience was significant in the expected directions in unadjusted analyses. After accounting for demographic, social, and clinical factors, resilience remained highly significant for psychological distress and happiness (b ¼-1.91, P ¼ 0.002; odds ratio ¼ 4.71, P ¼ 0.003, respectively). Psychological resilience may be a resource to preserve well-being for chronically ill individuals.

Perceived Risk and Mental Health Problems among Healthcare Professionals during COVID-19 Pandemic: Exploring the Mediating Effects of Resilience and Coronavirus Fear

“…Resilient healthcare professionals can preserve a positive outlook towards the patients, fulfil their duties realistically, and have effective strategies to reduce stress despite these challenges (Stevenson et al 2011). In wider literature, resilience has been found to be a strong predictor of psychological distress and quality of life (Tecson et al 2019) and subjective, psychological well-being, and mental health (Yıldırım 2019). Previous research has also identified mediator role of resilience between various psychological factors and subjective well-being and psychological health in the context of COVID-19 (Yıldırım and Arslan 2020), suggesting that resilience can be a great source of mental health as it buffers the detrimental effects of stress on psychological health (Ong et al 2006).…”

A moderated-mediation model of fear of illness and subjective psychological well-being during COVID-19 pandemic

“…This could act as a challenge in coping up with the adversity and pose a threat to positive mental health. Prior research demonstrates the negative effect of perceived distress on subjective psychological well-being (Jiang 2020;Meng and D'Arcy 2016;Tecson et al 2019).…”

“…Hence, resilience is associated with both positive and negative mental health (Shapero et al 2019;Srivastava 2011). Resilience has revealed to result in lowering symptoms of negative mental health (Tecson et al 2019). Further, researches indicated that resilience enhances positive mental health (Cuhadar et al 2016;Vieselmeyer et al 2017) in particular subjective well-being (Satici 2016;Tecson et al 2019; Yildirim and Arslan 2020) and it acts as a protective factor (Sera ni 2020).…”

“…So far, while the greater emphasis has been given to the pathogenic aspect, very little attention has been paid to the positive mental health and salutogenic factors. Moreover, studies assessing both psychological distress and psychological well-being in the same sample are scant (e.g., Jiang 2020;Paredes et al 2020;Tecson et al 2019). Nevertheless, the aforementioned studies revealing an inverse relationship between psychological well-being and psychological distress were carried out in different contexts, other than pandemics or outbreak of diseases.…”

The mediating effect of resilience on the relationship between Type D personality and self‐care behavior in patients with heart failure

“…Since patients with heart failure usually suffer repeated crises, resilience for managing and overcoming these is important (Kralik, van Loon, & Visentin, 2006). Resilience to overcome crises and adversity and to perform adaptive functions (Masten, 2001), can be strengthened by external help or education (Grafton, Gillespie, & Henderson, 2010) and improved well-being in adults with chronic disease (Tecson, Wilkinson, Smith, & Ko, 2019). Coronary artery disease patients with higher resilience showed higher health-promoting behaviors (Cheon & Kang, 2016), and hypertension patients showed similar results; the higher the resilience, the higher the self-care capacity (Jeong, Lee, & Kim, 2017).…”