Conceptualizing resilience in adult mental health literature: A systematic review and narrative synthesis

Ayed, Nadia; Toner, Sarah; Priebe, Stefan

doi:10.1111/papt.12185

Cited by 81 publications

(105 citation statements)

References 57 publications

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“…Wachs [79] Li [108] Resilient people have the ability to adjust and cope successfully in the face of adversity, exhibiting a stable trajectory of healthy functioning across time and the capacity for positive emotions after having experienced stressful life events.…”

Section: Reference Articles Definition Proposed Citation Sourcementioning

confidence: 99%

Towards a Transversal Definition of Psychological Resilience: A Literature Review

et al. 2019

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Background and objectives: This paper addresses psychological resilience, a multidisciplinary theoretical construct with important practical implications for health sciences. Although many definitions have been proposed in several contexts, an essential understanding of the concept is still lacking up to now. This negatively affects comparisons among research results and makes objective measurement difficult. The aim of this review is to identify shared elements in defining the construct of resilience across the literature examined in order to move toward a conceptual unification of the term. Materials and methods: A literature review was performed using the electronic databases ‘PubMed’ and ‘PsycINFO’. Scientific studies written in English between 2002 and May 2019 were included according to the following key terms: ‘Psychological’, ‘resilience’, and ‘definition’. Results: The review identifies five macro-categories that summarize what has been reported in the recent literature concerning the resilience phenomenon. They serve as a preliminary and necessary step toward a conceptual clarification of the construct. Conclusions: We propose a definition of psychological resilience as the ability to maintain the persistence of one’s orientation towards existential purposes. It constitutes a transversal attitude that can be understood as the ability to overcome the difficulties experienced in the different areas of one’s life with perseverance, as well as good awareness of oneself and one’s own internal coherence by activating a personal growth project. The conceptual clarification proposed will contribute to improving the accuracy of research on this topic by suggesting future paths of investigation aimed at deeply exploring the issues surrounding the promotion of resilience resources.

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Section: Reference Articles Definition Proposed Citation Sourcementioning

confidence: 99%

Towards a Transversal Definition of Psychological Resilience: A Literature Review

et al. 2019

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“…13 For example, a recent literature review identified resilience as a dynamic process, encompassing immunity, growth and bouncing back, and as a characteristic, including personal and social resources. 14 In relation to the three conceptualisations, the current study defined psychological resilience as outcomes, attributes or processes of coping with, adapting to and rebounding from adverse events. [13][14][15][16] Several studies have examined psychological resilience to suicidal experiences in people with schizophrenia.…”

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confidence: 99%

“…14 In relation to the three conceptualisations, the current study defined psychological resilience as outcomes, attributes or processes of coping with, adapting to and rebounding from adverse events. [13][14][15][16] Several studies have examined psychological resilience to suicidal experiences in people with schizophrenia. 7,[17][18][19][20] A qualitative study reported a spectrum of psychological factors including passive acceptance, resistance (inner strength, getting on with things, withstanding pressure), and active responses (cognitive and emotional coping strategies) as potentially contributing to psychological resilience.…”

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confidence: 99%

Factors that contribute to psychological resilience to suicidal thoughts and behaviours in people with schizophrenia diagnoses: qualitative study

et al. 2019

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Background Suicide is a leading cause of premature death in people with a diagnosis of schizophrenia. Although exposure to stressors can play a part in the pathways to death by suicide, there is evidence that some people with a diagnosis of schizophrenia can be resilient to the impact of suicide triggers. Aims To investigate factors that contribute to psychological resilience to suicidal thoughts and behaviours from the perspectives of people with a diagnosis of schizophrenia. Method A qualitative design was used, involving semi-structured, face-to-face interviews. Twenty individuals with non-affective psychosis or schizophrenia diagnoses who had experience of suicide thoughts and behaviours participated in the study. The interviews were audio-recorded, transcribed verbatim and examined using inductive thematic analysis. Results Participants reported that psychological resilience to suicidal thoughts and behaviours involved ongoing effort. This ongoing effort encompassed: (a) understanding experiences (including reconciliation to mental health experiences and seeking reasons to live), (b) active behaviours (including talking to people and keeping occupied), and (c) relationship dynamics (including feeling supported by significant others and mental health professionals). Conclusions Psychological resilience was described as a dynamic process that developed over time through the experiences of psychosis and the concomitant suicidal experiences. Psychological resilience can be understood using a multicomponential, dynamic approach that integrates buffering, recovery and maintenance resilience models. In order to nurture psychological resilience, interventions should focus on supporting the understanding and management of psychosis symptoms and concomitant suicidal experiences. Declaration of interest None.

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“…Resilience is a complex construct, increasingly recognized as playing an important role in chronic illness in general and particularly in FMS [ 17 ]. While resilience has been given different definitions over history and in varying scientific disciplines, internal personal characteristics such as balance, perseverance, self-reliance, and, possibly most importantly, attribution of meaning and purpose to life are among the most important attributes of this concept [ 18 , 19 ]. Resilience is associated with important neurophysiological aspects, such as the capacity to perform inhibition of the amygdala by the median prefrontal cortex (mPFC), which can protect against the development of PTSD and chronic pain [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Workplace-Related Factors on the Prevalence of Fibromyalgia among Israeli Kindergarten Teachers

Buskila¹,

Chen-Levi²,

Buskila

et al. 2020

Pain Research and Management

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Background. Fibromyalgia syndrome (FMS), a chronic widespread pain disorder, has been associated with various models of stress, including those that are workplace-related. In a previous study, we have documented the significantly increased prevalence of FMS among schoolteachers, as well as correlating symptoms with stressful workplace-related factors. In the current study, we have focused on the specific population of kindergarten teachers and attempted to document both the prevalence of FMS symptoms among this group and the association with stress and symptoms of posttrauma. Methods. All participants in the study were working as kindergarten teachers in Israel at the time of the study. Participants responded to a questionnaire documenting FMS symptom, which included the widespread pain index (WPI) and symptom severity scale (SSS), which together constitute the suggested American College of Rheumatology (ACR) FMS diagnostic criteria. Additional items on the questionnaire documented work motivation and performance, the occurrence of workplace-related stressful events, and the presence of posttraumatic symptoms. Results. 242 participants were recruited to the current study, including 239 (98.8%) females and 3 (1.2%) males. 62 individuals (25.6%) were found to fulfill ACR FMS criteria. Significant differences in work performance were found between teachers fulfilling FMS criteria compared with those not fulfilling criteria. Thus, FMS-positive teachers reported significantly higher rates of missing workdays, leaving work early, and a lower quality of interaction with children in the kindergarten and with peers and supervisors. Motivation to work was also significantly lower among these individuals. The widespread pain index (WPI) and symptom severity scale (SSS), which together constitute the components of the FMS diagnostic criteria, were positively correlated with both stress and posttraumatic symptoms. In addition, widespread pain, disordered sleep, difficulty with concentration, and other FMS symptoms were strongly correlated with many specific stressful factors at the workplace, including the number of children in the kindergarten, interaction with parents, lack of optimal physical conditions in the classrooms, and various demands on behalf of the educational system. Conclusion. FMS symptoms were found to be highly prevalent among Israeli kindergarten teachers, at a rate that greatly exceeds the prevalence in the general Israeli population. Stressful work-related events appear to be positively associated with the occurrence of FMS symptoms and may serve as triggers for their development. Healthcare professionals treating individuals engaged in this occupation should be vigilant for the occurrence of symptoms that are clinically associated with FMS and overlapping functional disorders.

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Conceptualizing resilience in adult mental health literature: A systematic review and narrative synthesis

Cited by 81 publications

References 57 publications

Towards a Transversal Definition of Psychological Resilience: A Literature Review

Towards a Transversal Definition of Psychological Resilience: A Literature Review

Factors that contribute to psychological resilience to suicidal thoughts and behaviours in people with schizophrenia diagnoses: qualitative study

Effects of Workplace-Related Factors on the Prevalence of Fibromyalgia among Israeli Kindergarten Teachers

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