Resilience in relation to older adults with multimorbidity: A scoping review

Seong, Hohyun; Lashley, Heather; Bowers, Katherine; Holmes, Sarah; Fortinsky, Richard H.; Zhu, Shiqun; Corazzini, Kirsten

doi:10.1016/j.gerinurse.2022.08.017

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…Male patients aged 65 years or younger felt obligated to support themselves, and their family members relied on their limited income, This is due to the traditional Chinese view of men as career-oriented and providing a pivotal part of family income ( Su et al, 2019 ; Wu et al, 2022 ), therefore, men had experienced higher economic burdens and lower levels of resilience. Patients aged 71 years and older were more likely to have multimorbidity ( Lenti et al, 2022 ), and their physical function, physical activity, psychological state, and quality of life were all lower ( Seong et al, 2022 ). While, this finding is at odds with earlier research, which indicated neither an upgrading in resilience with age ( Harms et al, 2019 ) nor a decrease with age ( Tamura et al, 2021 ; Musich et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

A latent class analysis of resilience and its association with patient-reported symptoms in patients with esophageal cancer after esophagectomy

Li,

Zhang,

et al. 2023

Front. Psychol.

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PurposeTo identify the latent classes of resilience in patients with esophageal cancer after esophagectomy and develop a deeper understanding of the association between these classes and patient-reported symptoms.BackgroundChina accounts for more than half of the global burden of esophageal cancer, and patients with esophageal cancer experience numerous symptoms that affect their quality of life and prognosis. Given that resilience is a key element that alleviates the progression of symptoms, it may represent a potential means of to enhancing cancer patients’ physical and psychological well-being.MethodsThe study was implemented in the thoracic surgery departments of three tertiary hospitals in eastern China. The participants were patients who were still hospitalized after esophagectomy. Data were gathered by self-report questionnaires, and a latent class analysis was utilized to identify different categories of resilience among the patients.ResultsA total of 226 patients were recruited. The three classes of resilience identified included high strength and striving (53.5%), medium resilience but weak self-recovery (35.9%), and minimal tenacity and external support (10.6%). Patients with low income (OR = 12.540, p = 0.004) were more likely to be in the minimal tenacity and external support class. Patients without comorbidities (OR = 2.413, p = 0.013) and aged 66–70 years (OR = 4.272, p < 0.001) were more likely to be in the high strength and striving class. The patient-reported symptoms and symptom-related interference of patients after esophagectomy varied considerably among the three categories of resilience.ConclusionAccurate interventions should be devised and executed according to the features of each type of resilience in patients after esophagectomy to maximize intervention efficacy. These findings highlight the important role of precision nursing.

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Section: Discussionmentioning

confidence: 99%

A latent class analysis of resilience and its association with patient-reported symptoms in patients with esophageal cancer after esophagectomy

Li,

Zhang,

et al. 2023

Front. Psychol.

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“…Psychological resilience includes measures such as Ego Resiliency Scale (Block & Kremen, 1996), Resilience Appraisal Scale (Johnson et al, 2010), Resilience Scale for Adults (Friborg et al, 2003), and Dispositional Resilience (Bartone et al, 1989). General resilience appraises multidimensional aspects of resilience including personality, perseverance, coping, an internal locus of control, self-efficacy, and adaptation (Seong et al, 2022). General resilience can be specifically assessed using the 25-Item Resilience Scale (RS-25) (Wagnild & Young, 1993), Connor-Davidson Resilience Scale (CD-RISC) (Connor & Davidson, 2003), and Brief Resilient Coping Scale (BRCS) (Sinclair & Wallston, 2004).…”

Section: Measures Of Resiliencementioning

confidence: 99%

“…Prior research found that several items of the RS-25 were ambiguous and/or redundant for older adults, and participants scored high in resilience (Resnick & Inguito, 2011). It was suggested that those items could be removed, and therefore the modified version of RS-25 with 15 items has been used in several recent studies to measure resilience in older adults (Orwig et al, 2018; Resnick et al, 2019; Seong et al, 2022). In addition, 25 items add to participant burden and a more parsimonious measure of resilience that is psychometrically sound would be beneficial (Wagnild, 2016).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Resilience Scale in Older Adults Post-Hip Fracture

et al. 2023

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Objectives: The purpose of this study was to evaluate the psychometric properties of the modified 25-item Resilience Scale (RS-25) in older adults post-hip fracture using Rasch analysis. Methods: This was a descriptive study using baseline data from the Seventh Baltimore Hip Studies (BHS-7). There were 339 hip fracture patients included in this analysis. Results: Findings suggest there was support for reliability of the measure based on person and item separation index. The INFIT and OUTFIT statistics for testing validity were all in the acceptable range indicating that each item on the modified RS-25 fits the appropriate concept. There was no evidence of Differential Item Functioning (DIF) between genders. Conclusions: This study demonstrated evidence that the modified RS-25 is a reliable and valid measure to evaluate resilience among older adults post-hip fracture and therefore can be used in this population in clinical practice and research.

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Exploratory graph analysis on the Connor–Davidson Resilience Scale (CD-RISC) among older adults in China

Wang,

Xu,

Yang

et al. 2023

Sci Rep

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It is important for healthy aging to understand resilience in depth. This study aims to examine the dimensional structure underlying the Connor–Davidson Resilience Scale (CD-RISC) among Chinese older adults. Exploratory Graph Analysis (EGA) was used to evaluate the dimensional structure of CD-RISC in two large samples: training sample (n = 11,493) and cross-validation sample (n = 7662). Then, Confirmatory Factor Analysis (CFA) was used to compare the fit of the theoretical dimensions with the EGA dimensions. Finially, Generalized Linear Model was used to examine the association between resilience scores and self-rated health (SRH) after controlling other covariates in order to evaluate the predictive value of the EGA dimensions. The EGA indicated two demensions(named foresight and self-adjustment) of the 25-item CD-RISC. The CFA comparison found that the two-demension structure of CD-RISC fit significantly better than the theoretical three-demension structure. After controlling for sociodemographic characteristics, generalized linear model showed that the EGA dimensions has better protective value with SRH. Compared with older adults with lowest quartile of foresight, those with second (odds ratio, OR = 0.68, 95% CI = 0.62 ~ 0.75), third (OR = 0.50, 95% CI = 0.45 ~ 0.56) and fourth quartile (OR = 0.42, 95% CI = 0.37 ~ 0.48) of foresight had lower odds ratio of poor SRH. Similarly, older adults with the second (OR = 1.11, 95% CI = 1.01 ~ 1.23) and fourth (OR = 0.79, 95% CI = 0.69 ~ 0.90) quartile of self-adjustment also had lower OR of poor SRH than those with lowest quartile of self-adjustment. These findings show that EGA outperforms the traditional methods, which may be helpful to understand resilience deeply. CD-RISC should be interpreted into two aspects among community-dwelling older adults in China, highlighting the significance of the practical value and cultural context of resilience.

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Resilience in relation to older adults with multimorbidity: A scoping review

Cited by 5 publications

References 34 publications

A latent class analysis of resilience and its association with patient-reported symptoms in patients with esophageal cancer after esophagectomy

A latent class analysis of resilience and its association with patient-reported symptoms in patients with esophageal cancer after esophagectomy

Psychometric Properties of the Resilience Scale in Older Adults Post-Hip Fracture

Exploratory graph analysis on the Connor–Davidson Resilience Scale (CD-RISC) among older adults in China

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