State or trait? Measuring resilience by generalisability theory in breast cancer

Ye, Zeng Jie; Zhang, Zhang; Zhang, Xiao Ying; Tang, Ying; Chen, Peng; Liang, Mu Zi; Sun, Zhe; Yu, Yuan Liang

doi:10.1016/j.ejon.2020.101727

Cited by 49 publications

(34 citation statements)

References 32 publications

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“…In my study, we concluded that resilience was acted as not only a stable state-like positive psychological capability, which could be changed and improved, but also as a personality trait. This was in agreement with the recent study of measuring resilience by generalizability theory in breast cancer (34). Thus, counseling and psychotherapy initiatives such as stress management and resilience-enhancement training should be provided for women to reduce the negative effects of pregnancy on the prevalence of prenatal depression.…”

Section: Discussionsupporting

confidence: 90%

Prevalence of Prenatal Depression Among Pregnant Women and the Importance of Resilience: A Multi-Site Questionnaire-Based Survey in Mainland China

et al. 2020

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Background: Prenatal depression is associated with adverse maternal and fetal health consequences, yet it has not raised sufficient concerns in China. Psychological worries and stress may lead to prenatal depression, but resilience could relieve some of the negative effects of worries and stress and mitigate prenatal depression. Aims: This study aimed to assess the prevalence of prenatal depression and explore its associated factors. Method: A multisite cross-sectional study was conducted that included 605 pregnant women from three hospitals in two provincial capitals (Shenyang and Zhengzhou) and one municipality (Chongqing). A smartphone questionnaire was employed to assess prenatal depression using the Center for Epidemiologic Studies Depression Scale (CES-D). Multivariate logistic regression analysis was performed to explore factors associated with prenatal depression. Results: The prevalence of prenatal depression (CES-D≥16) among Chinese pregnant women was 28.4%. Logistic regression analyses revealed that prenatal depression was positively associated with worries about appearance (odds ratio [OR] 1.666, 95% confidence interval [CI] 1.043-2.661) and perceived stress (OR 1.156, 95% CI 1.104-1.211) and negatively associated with monthly income, relationship with mother (OR 0.287, 95% CI 0.103-0.796), and resilience (OR 0.935, 95% CI 0.918-0.953). Conclusion: These findings revealed that Chinese pregnant women suffered from high levels of prenatal depression (28.4%). Worries about appearance and perceived stress were risk factors for prenatal depression, whereas a pregnant woman's harmonious relationship with her own mother and resilience could relieve the negative impacts of pregnancy that can lead to prenatal depression. Improving resilience and maintaining

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Section: Discussionsupporting

confidence: 90%

Prevalence of Prenatal Depression Among Pregnant Women and the Importance of Resilience: A Multi-Site Questionnaire-Based Survey in Mainland China

et al. 2020

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“…Whether it should be considered a temporary state of mind, meaning it can change according to the situation, or a trait, meaning it is a stable characteristic of a person, has been under debate. 28 Viewing resilience as a personality trait has been very influential; however, it is limited by the denial of the complexities of psychological principles. 29 In this regard, Richardson's metatheory of resilience and resiliency defined resilience as having both trait and contextual factors.…”

Section: Discussionmentioning

confidence: 99%

Resilience and Work-Related Stress May Affect Depressive Symptoms in Nursing Professionals during the COVID-19 Pandemic Era

Hong

Lee

et al. 2021

Psychiatry Investig

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Objective We aimed to investigate the effect of nursing professionals’ resilience on their mental health, work-related stress, and anxiety in response to the COVID-19 pandemic.Methods We conducted an online survey in the Asan Medical Center and Ulsan University Hospital, South Korea. We extracted data of 824 nursing professionals who consented to participate, including demographic variables and the Stress and Anxiety to Viral Epidemics-9 (SAVE-9), PHQ-9, GAD-7, and Brief Resilience Scale scores.Results Resilience was negatively correlated with Patient Health Questionnaire-9 (PHQ-9) (rho=-0.23), Generalized Anxiety Scale-7 items (GAD-7) (rho=-0.25), Stress and Anxiety to Viral Epidem-ics-6 items (SAVE-6) (rho=-0.15), and Stress And anxiety to Viral Epidemics-3 items (SAVE-3) (rho=-0.13, all, p<0.001). Logistic regression analysis adjusting age, marital status, and years of employment revealed that high level of general anxiety [adjusted odds ratio (aOR)=1.40, 95% confidence interval (CI)=1.31–1.50], work-related stress during viral epidemics (aOR=1.16, 95% CI=1.03–1.29), and a low level of resilience (aOR=0.91, 95% CI=0.85–0.97) were expecting variables for the depression of healthcare workers.Conclusion Nursing professionals’ level of resilience may be associated with low level of work-related stress and anxiety induced by a viral epidemic. We need to explore further the possibility of resilience as coping strategy of healthcare workers in this pandemic era.

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“…It is a five‐point Likert scale (1 = never, 2 = seldom, 3 = sometimes, 4 = often, and 5 = always), with higher scores indicating higher levels of resilience (range from 25 to 125). RS‐SC has been validated by Classic Test Theory, Item Response Theory, and Generalisability Theory 16–18 . The Cronbach α of RS‐SC was 0.83 in the previous studies.…”

Section: Methodsmentioning

confidence: 96%

Resilience patterns and transitions in the Be Resilient To Breast Cancer trial: an exploratory latent profile transition analysis

Zhang

Tang

et al. 2021

Psycho-Oncology

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Objective Be Resilient to Breast Cancer (BRBC), a theoretically‐derived, resilience‐based, culturally‐tailored, supportive‐expressive group therapy (SEGT), has been developed to help promote patients' resilience in breast cancer. Data from patients receiving BRBC intervention was utilized to explore and define characteristics of resilience patterns and their transitions over time. Methods Resilience was used as a primary outcome and 391 patients completed Resilience Scale Specific to Cancer at enrollment (T0), 2 months (T1), 6 months(T2), and 12 months (T3) after intervention. latent profile transition analysis was performed to model the change in resilience and predict positive transitioning probabilities between resilience patterns (from one pattern to another pattern with a higher level) over time. Results One hundred and forty four resilience patterns were identified after BRBC intervention. 33.1%, 50.3%, and 40.5% of patients experienced positive resilience transitions from T0 to T1, T1 to T2, and T2 to T3, respectively. Patients with middle age, unmarried status, higher education level, and less advanced tumor stage were more likely to experience positive resilience transitions. Conclusion Different transitions of resilience patterns are observed after BRBC intervention. Age, marital status, education, and tumor stage may be four factors affecting the efficacy of SEGT intervention in breast cancer.

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State or trait? Measuring resilience by generalisability theory in breast cancer

Cited by 49 publications

References 32 publications

Prevalence of Prenatal Depression Among Pregnant Women and the Importance of Resilience: A Multi-Site Questionnaire-Based Survey in Mainland China

Prevalence of Prenatal Depression Among Pregnant Women and the Importance of Resilience: A Multi-Site Questionnaire-Based Survey in Mainland China

Resilience and Work-Related Stress May Affect Depressive Symptoms in Nursing Professionals during the COVID-19 Pandemic Era

Resilience patterns and transitions in the Be Resilient To Breast Cancer trial: an exploratory latent profile transition analysis

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