Characteristics associated with low resilience in patients with depression and/or anxiety disorders

Min, Jung-Ah; Jung, Young-Eun; Kim, Daijin; Yim, Haejun; Kim, Jung-Jin; Kim, Tae-Suk; Lee, Chang-Uk; Lee, Chul; Chae, Jeong‐Ho

doi:10.1007/s11136-012-0153-3

Cited by 101 publications

(72 citation statements)

References 73 publications

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“…GDPs were more prone to use catastrophizing (e.g., “I often think that what I have experienced is much worse than what others have experienced”) and self-blame (e.g., “I feel that I am the one to blame for it”) than HCs, which is compatible with descriptions of generalized negative emotionality in GDPs (Bagby et al., 2007), and with their consideration as non-adaptive emotion-regulation strategies. More counterintuitively, however, GDPs were also more prone to use positive refocusing (e.g., “I think of pleasant things that have nothing to do with it”), which is customarily included within the set of adaptive strategies contributing to resilience and emotional wellbeing (Hanley & Garland, 2014; Min et al., 2013). This difference apparently contradicts previous reports in which positive refocusing has been observed to inversely correlate with specific and general measures of psychopathology (Garnefski, Kraaij, & van Etten, 2005; Kelly, Lydecker, & Mazzeo, 2012).…”

Section: Discussionmentioning

confidence: 99%

Gambling with Rose-Tinted Glasses on: Use of Emotion-Regulation Strategies Correlates with Dysfunctional Cognitions in Gambling Disorder Patients

et al. 2016

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Background and aimsExisting research shows that gambling disorder patients (GDPs) process gambling outcomes abnormally when compared against healthy controls (HCs). These anomalies present the form of exaggerated or distorted beliefs regarding the expected utility of outcomes and one’s ability to predict or control gains and losses, as well as retrospective reinterpretations of what caused them. This study explores the possibility that the emotional regulation strategies GDPs use to cope with aversive events are linked to these cognitions.Methods41 GDPs and 45 HCs, matched in sociodemographic variables, were assessed in gambling severity, emotion-regulation strategies (cognitive emotion-regulation questionnaire, CERQ), and gambling-related cognitions (gambling-related cognitions scale, GRCS).ResultsGDPs showed higher scores in all gambling-related cognition dimensions. Regarding emotion regulation, GDPs were observed to use self-blame and catastrophizing, but also positive refocusing, more often than controls. Additionally, in GDPs, putatively adaptive CERQ strategies shared a significant portion of variance with South Oaks gambling screen severity and GRCS beliefs. Shared variability was mostly attributable to the roles of refocusing on planning and putting into perspective at positively predicting severity and the interpretative bias (GDPs propensity to reframe losses in a more benign way), respectively.Discussion and conclusionsResults show links between emotion-regulation strategies and problematic gambling-related behaviors and cognitions. The pattern of those links supports the idea that GDPs use emotion-regulation strategies, customarily regarded as adaptive, to cope with negative emotions, so that the motivational and cognitive processing of gambling outcomes becomes less effective in shaping gambling-related behavior.

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Section: Discussionmentioning

confidence: 99%

Gambling with Rose-Tinted Glasses on: Use of Emotion-Regulation Strategies Correlates with Dysfunctional Cognitions in Gambling Disorder Patients

et al. 2016

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“…Supporting this notion, investigators administered the Connor-Davidson Resilience scale (Connor & Davidson, 2003) to people diagnosed with depression and/or anxiety disorders and found that there was significant variability in their responses to the resilience questionnaire, and that those who reported higher resilience reported greater purpose in life, spirituality, and more frequent exercising than those who reported lower resilience (Min et al, 2013). In another study using this scale to assess resilience in people diagnosed with PTSD, investigators found that people diagnosed with PTSD who reported higher resilience exhibited significantly better responses to treatment (both drug and therapy) than those reporting lower resilience (Davidson et al, 2005).…”

Section: Resilience In Remissionmentioning

confidence: 99%

A resilience framework for promoting stable remission from depression

Waugh

Koster

2015

Clinical Psychology Review

154

126

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A significant proportion of people in remission from depression will experience a recurrence of depression. One theoretical mechanism for this recurrence is that with each additional episode of depression, people become more sensitive to the deleterious effects of less powerful stressors. We propose that research on resilience -the ability to adapt to and recover from stress -can inform interventions to prevent recurrence in people in remission. We conceptualize resilience as a dynamic process that may be deficient in people in remission from depression, rather than as a static personal quality that is unattainable to people who have experienced psychopathology. The three aspects of resilience that we suggest are the most important to target to prevent recurrence are (1) improving stress recovery from minor daily stressors that may aid remitted people in coping with major stressors, (2) increasing positivity, like promoting positive emotions during stress, (3) and training flexibility -the ability to identify different demands in the environment and employ the appropriate coping strategy to meet those demands. We offer suggestions for the appropriate assessment of changes in resilience in remitted people and provide some examples of effective resilience interventions.

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“…The resilience approach in mental health research proposes a biopsychosocial model, including components relevant to biological predispositions, personal adaptive and maladaptive re-activities (e.g., coping behaviors), individual psychological development and social factors [54]. In this realm, measures of resilience have been found strongly associated with mental health in both general population and physical illness [55][56][57][58][59]. In line with present findings, the original as well as all other studies performed have also found sound negative correlations between RS-14 and depression, anxiety, stress, and posttraumatic stress measures [5,11,26,27,30].…”

Section: Unadjusted Adjustedmentioning

confidence: 99%

The Greek Version of the Resilience Scale (RS-14): Psychometric Properties in three Samples and Associations with Mental Illness, Suicidality, and Quality of Life

Ntountoulaki¹,

Paika²,

Kotsis³

et al. 2017

JPCPY

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Background: Resilience is defined as the capacity to successfully maintain or regain mental health and well-being in the face of significant adversity or risk. The Wagnild and Young Resilience Scale-14 (RS-14) is a brief measure assessing resilience. We aimed to assess the psychometric properties of its Greek version in three samples, people with long-term conditions (LTCs) attending the emergency department, people with LTCs attending specialty clinics and people without LTCs. Associations between resilience and mental illness, suicidality, and quality of life were also investigated. Methods:The RS-14 was administered to 495 participants; 366 patients with diabetes, chronic pulmonary obstructive disease (COPD) and rheumatic diseases attending either the emergency department (N=74) or specialty clinics (N=292) and 129 individuals without LTCs. Diagnosis of mental disorders was established by the Mini International Neuropsychiatric Interview (MINI). Associations with depressive symptom severity (PHQ-9), suicidal risk (RASS), and health-related quality of life (WHOQOL-BREF) were also investigated. Results:The Greek version of RS-14 showed a coherent one-dimensional factor structure with remarkable stability across the three samples. Cronbach's alphas were 0.88-0.91 across the three samples, being 0.89 for the entire sample. Furthermore, greater RS-14 scores were associated with better mental health, lower depressive symptom severity and suicidal risk and better health-related quality of life and satisfaction with general health. Conclusion:The results of the present study showed that the Greek version of RS-14 may reliably assess resilience. In addition, lower levels of resilience are associated with established mental disorders and increased suicidal risk, and thus may detrimentally impact mental health. These findings deserve replication in prospective studies.

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Characteristics associated with low resilience in patients with depression and/or anxiety disorders

Abstract: Spirituality, purpose in life, and trait anxiety contribute to different levels of resilience in patients with depression and/or anxiety disorders. Our results would deepen the understanding of resilience and provide potential targets of resilience-focused intervention in these patients.

Cited by 101 publications

References 73 publications

Gambling with Rose-Tinted Glasses on: Use of Emotion-Regulation Strategies Correlates with Dysfunctional Cognitions in Gambling Disorder Patients

Gambling with Rose-Tinted Glasses on: Use of Emotion-Regulation Strategies Correlates with Dysfunctional Cognitions in Gambling Disorder Patients

A resilience framework for promoting stable remission from depression

The Greek Version of the Resilience Scale (RS-14): Psychometric Properties in three Samples and Associations with Mental Illness, Suicidality, and Quality of Life

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