The association between resilience and psychosocial functioning in schizophrenia: A systematic review and meta-analysis

Wambua, Grace Nduku; Kilian, Sanja; Ntlantsana, Vuyokazi; Chiliza, Bonginkosi

doi:10.1016/j.psychres.2020.113374

Cited by 24 publications

(22 citation statements)

References 63 publications

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“…The highest frequencies of bad state resilience were reported by PP. In a previous studies, low levels of resilience were described in psychotic ( Wambua et al, 2020 ) and depressive patients ( Pardeller et al, 2020 ). In both cases ( Pardeller et al, 2020 ; Wambua et al, 2020 ), poorer resilience was associated with poorer psychological function.…”

Section: Discussionmentioning

confidence: 90%

“…In a previous studies, low levels of resilience were described in psychotic ( Wambua et al, 2020 ) and depressive patients ( Pardeller et al, 2020 ). In both cases ( Pardeller et al, 2020 ; Wambua et al, 2020 ), poorer resilience was associated with poorer psychological function. Interestingly, resilience was found to be associated with improved longitudinal rates of recovery in patients who experienced a first-episode of psychosis ( Torgalsbøen et al, 2018 ) and also in bipolar disorder patients ( Echezarraga et al, 2018 ), underlining the importance of resilience and positive mental health outcomes in PP.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Resilience and mental health during the COVID-19 pandemic

Verdolini

Amoretti

Montejo

et al. 2021

Journal of Affective Disorders

124

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 90%

Resilience and mental health during the COVID-19 pandemic

Verdolini

Amoretti

Montejo

et al. 2021

Journal of Affective Disorders

124

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“…SMI scholars sought to understand the influence of resilience on health and functioning. For people with schizophrenia spectrum disorders, resilience was associated with psychosocial functioning (Wambua, Kilian, Ntlantsana, & Chiliza, 2020), and to counteract the effects of severe trauma on well‐being, such as risk of diabetes and early heart disease (Lee, Martin, Tu, Palmer, & Jeste, 2018). Greater resilience was associated with lower numbers of depressive episodes and suicide attempts in patients with bipolar (Şenormancı, Güçlü, Özben, Karakaya, & Şenormancı, 2020).…”

Section: Introductionmentioning

confidence: 99%

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

et al. 2021

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ObjectivesResilience, the ability to bounce back from a stressful situation, is a valuable asset for aiding adults with serious mental illness (SMI) in navigating the recovery process. People with SMI experience stress, including traumatic experiences at disproportionate rates. The purposes of this study were to examine the factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS) among adults with SMI living in the community.DesignA cross‐sectional survey design was used. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and correlational analyses were employed.MethodsThree hundred fifteen adults with SMI were recruited for two studies (Sample 1, n = 122; Sample 2, n = 193) from three states. All participants completed the BRS along with nearly identical positive psychology‐ and psychopathology‐related measures.ResultsEFA revealed the BRS was unidimensional and explained 61.20% of the variance. Results from seven CFA models suggested a bifactor structure for the BRS, which fit the data best. Internal reliability of the BRS was computed to be within acceptable ranges (α = .87, ω = .90). The BRS was positively correlated with measures of positive coping and life satisfaction, providing convergent validity. Divergent validity was supported by negative correlations between the BRS and measures of psychiatric symptoms, succumbing, and self‐stigma.ConclusionsThe BRS is a valid measure that can be used by clinical and research professionals to assess levels of resilience in adults with SMI at baseline and across time.Practitioner points The Brief Resilience Scale (BRS) was developed to measure a person’s ability to bounce back from stressful situations. The BRS was examined in adults with serious mental illness living in the community. The BRS presented a bifactor structure measuring resilience (an outcome) and correlated with positive psychology‐ and psychopathology‐related measures. The BRS can be used by practitioners to assess levels of resilience in their clients at baseline and over time to evaluate the effectiveness of therapeutic interventions.

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“…Many prior studies have evaluated resilience among individuals who have experienced full threshold or diagnosable psychosis. Recent reviews and analyses in this area have found lower levels of resilience in schizophrenia-spectrum disorder cohorts compared to nonpsychiatric controls and a positive association between resilience and psychosocial functioning (Wambua et al, 2020), and have highlighted the potential for resilience factors to be protective against suicidal thoughts and behaviors for this group (Harris et al, 2020).…”

Section: Psychosis-like Experiences and Traumamentioning

confidence: 99%

Psychosis-like experiences and resilience: A systematic and critical review of the literature.

Rouhakhtar¹,

Klaunig²,

Akouri-Shan³

et al. 2022

Psychological Services

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Resilience research has documented the ability to cope with traumatic and stressful situations and/or retain functioning given certain risk factors in the context of psychosis. In this study, we conducted the first systematic review of the literature on psychosis-like experiences (PLEs) and resilience. Fifteen articles (from 11 unique study samples) from 10 countries were included in this systematic review, with a total of 11,937 unique study participants. Inclusion criteria were broad, capturing a wide range of individuals with PLEs who have not yet experienced threshold psychosis, such as individuals in the general population with elevated self-reports of PLEs, as well as clinical groups diagnosed by clinician interviews (i.e., clinical-or ultra-high-risk for psychosis [CHR or UHR]). For this review, studies needed to include research aims and empirical research related to resilience, and use an established or author-defined measure of psychological and/or social resilience. Data reporting quality was assessed with the Strengthening the Reporting of Observational Studies in Epidemiology and place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status, social capital (PROGRESS) guidelines. Study aims and measurement of key variables varied widely, and all studies were cross-sectional. In 73% of the studies, resilience was inversely associated with PLEs or psychosis risk status (e.g., CHR or UHR). Results related to specific resilience subscales were mixed. Author-defined resilience was typically related to internal/ psychological resources. Future research, particularly longitudinal research involving multidimensional measurement of resilience (e.g., internal and external factors), along with well-defined theoretical models, are necessary before drawing firm conclusions on resilience and PLEs. We propose a dynamic, multifaceted, developmentally appropriate, and culturally sensitive model of resilience for future research.

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The association between resilience and psychosocial functioning in schizophrenia: A systematic review and meta-analysis

Cited by 24 publications

References 63 publications

Resilience and mental health during the COVID-19 pandemic

Resilience and mental health during the COVID-19 pandemic

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

Psychosis-like experiences and resilience: A systematic and critical review of the literature.

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