Understanding resilience in young people with complex mental health needs: A Delphi study

Thompson, Ellysia-Grace; Knowles, Susan Frances; Greasley, Pete

doi:10.1177/1359104518794789

Cited by 7 publications

(8 citation statements)

References 30 publications

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“…This is somewhat surprising considering the well-known physical health risks associated with SMI, and emerging therapeutic practices targeting healthy lifestyle behaviors and mind–body connection [ 121 , 122 ]. The self-regulatory strategies identified also mirror prior research [ 18 , 32 , 114 , 123 ], and highlighted the importance of engaging in supportive services, coping skills, youth’s agency in working towards goals and participating in meaningful occupations. Results demonstrate a variety of potential mechanisms of change that can be further explored and expanded on in efforts to support processes of resilience in young people with SMI.…”

Section: Discussionsupporting

confidence: 65%

“…As noted by these authors, variability in how resilience is framed and defined has contributed to significant challenges in the measurement of resilience, the interpretation of study comparisons, and current understandings of resilience-informed interventions in research and clinical practice. There is currently no gold standard for self-report measures of resilience for those undertaking quantitative studies [ 113 ], and the extent to which existing measures apply to youth living with SMI is not well understood [ 114 ].…”

Section: Discussionmentioning

confidence: 99%

“…Future research is warranted that fully contextualizes various types of adversity during this transitional period of development [ 35 ]. Further, enhancing access and engagement in trauma-specific evidence-based treatment should be considered in future research and clinical practice, as this may be a central resource for supporting positive cascading effects in the resilience processes of transition-age youth living with SMI [ 14 , 18 , 114 ]. Similar to prior reviews of resilience research [ 31 , 34 ], clinical outcomes designed to assess pathology and impairment were still a common focus.…”

Section: Discussionmentioning

confidence: 99%

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A scoping review of resilience among transition-age youth with serious mental illness: tensions, knowledge gaps, and future directions

Nesbitt,

Sabiston,

deJonge

et al. 2023

BMC Psychiatry

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Introduction The study of resilience among transition-age youth (aged 16–29 years) living with serious mental illness (SMI) has provided a promising new direction for research with the capacity to explore individuals’ strengths and resources. However, variability in how resilience is defined and measured has led to a lack of conceptual clarity. A comprehensive synthesis is needed to understand current trends and gaps in resilience research among this population. The purpose of the current study was to map how resilience has been conceptualized and operationalized among transition-age youth with SMI, explore resilience factors and outcomes that have been studied, and recommend areas for future research. Methods A six-stage scoping review methodology was used to systematically identify relevant empirical literature across multiple databases (MEDLINE, EMBASE, PsycINFO, AMED, CINAHL, Scopus), addressing transition-age youth diagnosed with SMI and resilience. Topic consultation and reaction meetings were conducted to gather feedback from transition-age youth with SMI, researchers, and clinicians during the review process to enhance the applicability of the review findings. A meta-narrative approach was used to organize included studies into research traditions (i.e., paradigms of inquiry with similar storylines, theoretical and methodological orientations). Resilience factors and outcomes, and the consultative meetings, were analyzed using content analysis. Results Twenty-four studies met inclusion criteria (14 quantitative, 9 qualitative, 1 mixed-method). Four research traditions were identified, each contributing a unique storyline which conceptualized and operationalized resilience in slightly different ways: Stress Adaptation, Person-Environment Interactions, Recovery-Focused, and Critical and Cultural Perspectives. Resilience factors and outcomes were most commonly evaluated at the individual-level or within the immediate environment (e.g., personal characteristics, social support networks). Limited research has explored the influence of macro-level systems and health inequalities on resilience processes. Results from the consultative meetings further demonstrated the importance of health services and sociocultural factors in shaping processes of resilience among youth. Conclusion The present results may be used to inform future work, as well as the development of age-appropriate, strengths-based, and resilience-oriented approaches to service delivery. Interdisciplinary and intersectional research that prioritizes community and youth engagement is needed to advance current understandings of resilience among transition-age youth with SMI.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A scoping review of resilience among transition-age youth with serious mental illness: tensions, knowledge gaps, and future directions

Nesbitt,

Sabiston,

deJonge

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

show abstract

“…Resilience can help teenagers to understand what they need to do when faced with di culties. It can help them to nd ways to prevent long-term psychological distress and maintain a normal developmental trajectory, while encouraging the creation of meaning to help them to make sense of their situation and identity [27]. A study on patients with depression found that alexithymia was negatively correlated with resilience [28].…”

Section: The Mediated Effect Of Resilience In Alexithymia and Nssimentioning

confidence: 99%

Relationship between alexithymia, loneliness, resilience and non- suicidal self-injury in adolescents with depression: a multi-center study

zhang

Chen

et al. 2023

Preprint

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Objective Non-suicidal self-injury (NSSI) behaviors are prevalent in adolescents and have adverse effects on physical and mental health. However, little is known about the relationship between NSSI and alexithymia, or the underlying mechanisms that could explain this relationship. This study aimed to elucidate the current status of NSSI in adolescent depression, and analyze the relationship between alexithymia, loneliness, resilience, and adolescent depression with NSSI, so as to provide a theoretical basis for psychotherapeutic interventions. Method The study sample involved inpatients and outpatients from 12 hospitals across China and adolescents with depression who met the DSM-5 diagnostic criteria for depression episode. The following scales were used: The Functional Assessment of Self-Mutilation, Toronto Alexithymia Scale, UCLA Loneliness Scale, and Connor Davidson Resilience Scale. Results The detection rate of NSSI in adolescents with depression from 2021.01.01-2022.01.01 was 76.06% (1782/2343). Spearman's correlation analysis revealed a significant correlation between alexithymia, loneliness, resilience and NSSI in depressed adolescents, the results of the independent samples t-test showed that the differences between the two groups for each factor were statistically significant. Binary logistic regression results showed that alexithymia (B = 0.023, p = 0.003, OR = 1.023, 95% CI: 1.008–1.038) and depression (B = 0.045, p < 0.001, OR = 1.046, 95% CI: 1.026–1.066) are risk factors for NSSI, resilience (B = − 0.052, p < 0.001, OR = 0.949, 95% CI: 0.935 − 0.964) is a protective factor for NSSI. Alexithymia directly predicted NSSI and also indirectly influenced NSSI through the mediated effect of resilience. Loneliness moderates the first half of the path of this mediated model. Conclusion The data from this study provide evidence for the mediating effect of resilience between alexithymia and NSSI, as well as evidence that loneliness can moderate the first segment of the pathway in this moderated mediation model. We discuss perspectives for future research and interventions based on the findings of the study.

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“…Teenagers who are resilient will know what to do when faced with challenges [ 29 ]. While supporting the production of meaning can aid in helping people make sense of their situation and identity, it can also assist them in finding methods to prevent long-term psychological suffering and maintain a normal developmental trajectory [ 30 ]. Alexithymia was discovered to be inversely linked with resilience in a study of depressed people [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between alexithymia, loneliness, resilience and non-suicidal self-injury in adolescents with depression: a multi-center study

Zhang

Sun

et al. 2023

BMC Psychiatry

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Objective Non-suicidal self-injury (NSSI) behaviors are prevalent in adolescents and have adverse effects on physical and mental health. However, little is known about the relationship between NSSI and alexithymia, or the underlying mechanisms that could explain this relationship. This study aimed to elucidate the current status of NSSI in adolescent depression, and analyze the relationship between alexithymia, loneliness, resilience, and adolescent depression with NSSI, so as to provide a theoretical basis for psychotherapeutic interventions. Method The study sample involved inpatients and outpatients from 12 hospitals across China and adolescents with depression who met the DSM-5 diagnostic criteria for depression episode. The following scales were used: The Functional Assessment of Self-Mutilation, Toronto Alexithymia Scale, UCLA Loneliness Scale, and Connor Davidson Resilience Scale. Results The detection rate of NSSI in adolescents with depression from 2021.01.01-2022.01.01 was 76.06% (1782/2343). Spearman’s correlation analysis revealed a significant correlation between alexithymia, loneliness, resilience and NSSI in depressed adolescents, and the results of the non-parametric test showed that the differences between the two groups for each factor were statistically significant. Binary logistic regression results showed that alexithymia (B = 0.023, p = 0.003, OR = 1.023, 95% CI: 1.008–1.038) and depression (B = 0.045, p < 0.001, OR = 1.046, 95% CI: 1.026–1.066) are risk factors for NSSI, resilience (B = − 0.052, p < 0.001, OR = 0.949, 95% CI: 0.935 − 0.964) is a protective factor for NSSI. Alexithymia directly predicted NSSI and also indirectly influenced NSSI through the mediated effect of resilience. Loneliness moderates the first half of the path of this mediated model. Conclusion The present study confirms a moderated mediation effect: Alexithymia can have an impact on NSSI behaviors in depressed adolescents through the mediating role of resilience. Loneliness, as a moderating variable, moderated the first half of the pathway of the mediating model. We discuss perspectives for future research and interventions based on the findings of the study.

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Understanding resilience in young people with complex mental health needs: A Delphi study

Cited by 7 publications

References 30 publications

A scoping review of resilience among transition-age youth with serious mental illness: tensions, knowledge gaps, and future directions

A scoping review of resilience among transition-age youth with serious mental illness: tensions, knowledge gaps, and future directions

Relationship between alexithymia, loneliness, resilience and non- suicidal self-injury in adolescents with depression: a multi-center study

Relationship between alexithymia, loneliness, resilience and non-suicidal self-injury in adolescents with depression: a multi-center study

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