Resilience Mediates the Longitudinal Relationships Between Social Support and Mental Health Outcomes in Multiple Sclerosis

Koelmel, Emily; Hughes, Abbey J.; Alschuler, Kevin N.; Ehde, Dawn M.

doi:10.1016/j.apmr.2016.09.127

Cited by 102 publications

(79 citation statements)

References 46 publications

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“…While our findings are consistent with those in the literature showing that higher levels of resilience were associated with lower depression rates and greater physical health (2,14,15), they are in contrast to Moljord's results that showed a negative correlation between resilience, physical activity, and depressive symptoms in adolescents (17).…”

Section: Discussionsupporting

confidence: 90%

“…The resilience education was also successful in decreasing anxiety/insomnia and severe depression, which are also consistent with other studies (2,14,15). The results by Hosseini Ghomi's confirmed the effectiveness of resilience training in stress reduction of mothers whose children suffered from cancer in Imam Khomeini Hospital of Tehran (16).…”

Section: Discussionsupporting

confidence: 87%

“…The results indicated that resilience education promoted the mental health of family caregivers of elderly patients with Alzheimer's disease, which is similar to other studies (2,13,14). This could be explained by stating that resilience education for caregivers was successful in inducing the feeling of strength for dealing with high levels of stress.…”

Section: Discussionsupporting

confidence: 85%

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Effectiveness of Resilience Education in the Mental Health of Family Caregivers of Elderly Patients with Alzheimer’s Disease

Ghaffari

Rostami

Fotokian

et al. 2019

Iran J Psychiatry Behav Sci

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Background: Continuing care of an elderly patient with Alzheimer's disease may result in psychosocial and physical disorders in family caregivers, as well as limitations to providing complete care. Objectives: The aim of the present study was to determine the effectiveness of resilience education in the mental health of family caregivers of elderly patients with Alzheimer's disease. Methods: This study followed a randomized, clinical trial design. The study population consisted of family caregivers of elderly patients with Alzheimer's disease who referred to hospitals and neurologists' offices located in the western cities of Mazandaran province, Iran. Data were collected between 2016 and 2017. Fifty-four family caregivers were recruited through convenience sampling and randomized into control and intervention groups (27 in each group). Demographic characteristics, Connor-Davidson Resilience Scale, and General Health Questionnaire were used for data collection. Resilience education was provided in eight sessions (45 min each) using PowerPoint presentations and educational pamphlets. The mental health scores were calculated using the indices including normality tests and analyzed using the independent and paired t-tests, analysis of variance (ANOVA), and Bonferroni test. Results: An independent t-test showed improvements in the mental health status of those who received the educational intervention (mean difference: 23.8 ± 6.4; P < 0.001). The independent t-test also indicated statistically significant differences between the groups' anxiety/insomnia (8.8 ± 2.3 versus-0.12 ± 2.5), somatic symptoms (7.2 ± 2.2 versus-0.9 ± 1.03), social dysfunction (4.5 ± 2.9 versus 0.2 ± 1.3), and depression (3.2 ± 2.2 versus-0.08 ± 0.6; P < 0.001). Conclusions: Resilience education successfully improved the mental health of family caregivers. Therefore, it is suggested that healthcare providers, Alzheimer's associations, and NGOs provide educational interventions to help promote the caregivers' mental health.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 85%

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Effectiveness of Resilience Education in the Mental Health of Family Caregivers of Elderly Patients with Alzheimer’s Disease

Ghaffari

Rostami

Fotokian

et al. 2019

Iran J Psychiatry Behav Sci

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“…The main influencing factors include social support, coping style, and individual psychological literacy differences [40][41]. Several recent studies have confirmed the association between social support and health status, such as the longitudinal association between social support and PH outcomes in patients with multiple sclerosis [42] and the association of different social support patterns with physical illness (hypertension, diabetes) or psychological illness [43]. Another example is a study of social support and PH status based on the older population in Tehran, Iran [44].…”

Section: Measures Usedmentioning

confidence: 99%

The relationship between psychological health and social support: Evidence from physicians in China

Sun

Jiang

et al. 2020

PLoS ONE

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Background The psychological health (PH) of doctors affects the quality of medical service and is related to the safety of patients. The serious problems with the doctor-patient relationship in China can lead to long-term imbalances in doctor PH, and the poor PH status of doctors has raised scholars' concern. Current research mainly focuses on how factors such as social support and the impact of the residential environment correlate with individual PH. We continue this direction of research to see how the mechanism of social support impacts physician PH, also investigating the moderating effect of demographic indicators on physician PH. Methods Based on a survey of 399 physicians, a descriptive analysis of measured data was done using SPSS 19.0. Pearson correlation coefficient analysis was used to examine the correlations between PH and the social support rating scale (SSRS) and the demographic variables. KMO and Bartlett methods were used to examine the correlations between PH and SDS (a scale to measure depression) and between PH and SAS (a scale to measure anxiety). The method of factor analysis was used for multicollinearity tests, and multiple stepwise regression analysis was used to explore the demographic factors correlated with PH and SSRS. Two-way interactions in moderated multiple regression were used to test the moderating effect of education level and title on SSRS, SDS, and SAS. Results Our results indicate that the level of PH is influenced by the age, education, and title of a doctor. A physician's title is significantly and positively correlated with PH, but age and

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“…Koelmel (2016) investigated the longitudinal relationships between social support and consequent psychological health outcomes in individuals with multiple sclerosis and examined resilience as a mediator between social support and subsequent mental health outcomes . One hundred and sixty three community‐based participants with MS across the United States through telephone‐based measures were assessed at four time points over months in the context of a previously‐reported randomized controlled trial.…”

Section: Introductionmentioning

confidence: 99%

Depression and perceived social support among Saudi patients with multiple sclerosis

Hyarat

Al-Gamal

2018

Perspect Psychiatr Care

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Resilience Mediates the Longitudinal Relationships Between Social Support and Mental Health Outcomes in Multiple Sclerosis

Cited by 102 publications

References 46 publications

Effectiveness of Resilience Education in the Mental Health of Family Caregivers of Elderly Patients with Alzheimer’s Disease

Effectiveness of Resilience Education in the Mental Health of Family Caregivers of Elderly Patients with Alzheimer’s Disease

The relationship between psychological health and social support: Evidence from physicians in China

Depression and perceived social support among Saudi patients with multiple sclerosis

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