Effects of resilience on quality of life in patients with bipolar disorder

Lee, Dong−Yun; Cha, Boseok; Park, Chul‐Soo; Kim, Bong-Jo; Lee, Cheol Soon; Lee, So-Jin; Seo, Ji-Yeong; Cho, Young Ah; Ha, Jong Hun; Choi, Jae-Won

doi:10.1016/j.jad.2016.08.075

Cited by 38 publications

(37 citation statements)

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“…Resilience was seldom studied in RA [18], a consensus was reached that higher level of resilience was beneficial for patients with RA and targeted psychological intervention required more emphasis. Consistent with previous studies [20, 21], resilience was strongly and positively associated with mental HRQOL in this study. RA patients with high resilience scores enjoyed high mental HRQOL, because they could recover easily and quickly from setbacks in their disease conditions.…”

Section: Discussionsupporting

confidence: 93%

“…Resilience has been expected to predict and evaluate HRQOL among patients with chronic diseases [19–21, 24, 25]. Resilience was seldom studied in RA [18], a consensus was reached that higher level of resilience was beneficial for patients with RA and targeted psychological intervention required more emphasis.…”

Section: Discussionmentioning

confidence: 99%

“…Rutter proposed four possible mechanisms of resilience: (1) reducing the impact of risk factors, including changes in individuals’ cognition about risk factors, and avoiding or reducing contact with them; (2) reducing the negative chain reaction of negative life events; (3) improving the levels of self-esteem and self-efficacy; (4) helping individuals access available resources for hope and success [17]. In view of the results of previous studies, resilience can directly indicate lower levels of perceived distress, better adjustment and health outcomes among patients with chronic diseases, such as RA, cancer, diabetes and psychiatric disorders [18–21]. Moreover, resilience can also act as a ‘moderator’ to enhance or attenuate the effects of stressors on physical and mental well-being.…”

Section: Introductionmentioning

confidence: 99%

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Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study

Liu

et al. 2017

Health Qual Life Outcomes

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BackgroundPositive psychological constructs that can moderate or mediate the negative impact of disease activity on health-related quality of life (HRQOL) in patients with rheumatoid arthritis (RA) have not been explored widely. This study aimed to assess the associations of disease activity, resilience with HRQOL and the moderating and mediating roles of resilience among Chinese RA patients.MethodsA multi-center, cross-sectional study was conducted in RA inpatients in northeast of China. A total 298 subjects completed the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and Ego-Resiliency Scale (ERS) to measure HRQOL and resilience. For the SF-36, physical function, physical role limitation, bodily pain and general health perception are gathered into physical component summary (PCS), while vitality, social functioning, emotional role limitation and mental health are gathered into mental component summary (MCS). Disease activity was evaluated by the Disease Activity Score 28-C-reactive protein (DAS28-CRP). Hierarchical regression analysis was applied to examine the associations of disease activity, resilience and the disease activity*resilience interaction with PCS and MCS, respectively. Asymptotic and resampling strategies were utilized to examine the mediating role of resilience.ResultsThe mean scores of PCS and MCS were 40.67 and 59.14, respectively. Disease activity was negatively associated with both PCS and MCS, and resilience was only positively associated with MCS. The disease activity*resilience interaction term were significantly associated with MCS (β = 0.144, P = 0.003). The associations between disease activity and MCS were gradually reduced in low (1 SD below the mean, β = −0.369, P < 0.001), mean (β = −0.218, P < 0.001) and high (1 SD above the mean, β = −0.068, P = 0.369) groups of resilience. Resilience acted as a partial mediator in the disease activity-MCS association (effect size was −0.085, BCa 95% CI: −0.159, −0.028).ConclusionsDisease activity was negatively associated with both physical and mental HRQOL, and resilience was only positively associated with mental HRQOL. Resilience could attenuate and mediate the association between disease activity and mental HRQOL. In addition to controlling disease activity, targeted intervention strategies designed for resilience should be strengthened to improve the HRQOL of this population.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study

Liu

et al. 2017

Health Qual Life Outcomes

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“…In patients with stress-related psychiatric disorders we observed lower levels of resilience and higher levels of perceived stress compared to HC. These findings are in line with previous studies showing that patients with mental disorders often lack strategies of a resilient mindset, which can improved during recovery (Lee et al 2017). Likewise perceived stress has been shown to be elevated in states of emotional-ill being (Kadzikowska-Wrzosek 2012).…”

Section: Resilience and Psychosomatic Stress In Patients With Psychossupporting

confidence: 91%

Viewing an alpine environment positively affects emotional analytics in patients with stress-related psychiatric disorders

Hüfner

Ower

Kemmler

et al. 2020

Preprint

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Background: Patients with stress-related psychiatric (psychosomatic) disorders often don´t respond well to medical treatment and experience many side effects. It is thus of clinical relevance to identify alternative, scientifically based, treatments. Our approach is based on the recent evidence that urbanicity has been shown to be associated with an increased risk for mental disorders. Conversely green and blue environments show a dose-dependent beneficial impact on mental health. Methods: Here we evaluate the effect of viewing stimuli of individuals in an alpine environment on emotional analytics in 183 patients with stress-related psychiatric disorders and 315 healthy controls (HC). Emotional analytics (valence: unhappy vs happy, arousal: calm vs excited, dominance: controlled vs in control) were assessed using the Self-Assessment Manikin. Results: Patients showed significantly lower levels of resilience and significantly higher scores of self-perceived stress. Emotional analytics of patients indicated that they feel less happy, less in control and had higher levels of arousal than HC when viewing neutral stimuli. The comparison alpine>neutral stimuli showed a significant a positive effect of alpine stimuli on emotional analytics in both groups. Patients and HC both felt attracted to the scenes displayed in the alpine stimuli. Emotional analytics correlated positively with resilience and inversely with perceived stress. Conclusions: Preventive and therapeutic programs for patients with stress-related psychiatric disorders should take benefits of outdoor natural environments into account. Organizational barriers which are preventing the implementation of such programs in clinical practice need to be identified and addressed.

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“…In patients with somatoform, depressive and anxiety disorders we observed lower levels of resilience and higher levels of perceived stress compared to HC. These ndings are in line with previous studies showing that patients with mental disorders often lack strategies of a resilient mindset, which can improved during recovery (Lee et al 2017). Likewise perceived stress has been shown to be elevated in states of emotional-ill being (Kadzikowska-Wrzosek 2012).…”

Section: Resilience and Psychosomatic Stress In Patients With Psychossupporting

confidence: 91%

Viewing an alpine environment positively affects emotional analytics in patients with somatoform, depressive and anxiety disorders as well as in healthy controls

Hüfner

Ower

Kemmler

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: Patients with somatoform, depressive or anxiety disorders often don´t respond well to medical treatment and experience many side effects. It is thus of clinical relevance to identify alternative, scientifically based, treatments. Our approach is based on the recent evidence that urbanicity has been shown to be associated with an increased risk for mental disorders. Conversely, green and blue environments show a dose-dependent beneficial impact on mental health. Methods: Here we evaluate the effect of viewing stimuli of individuals in an alpine environment on emotional analytics in 183 patients with psychiatric disorders (mostly somatoform, depressive and anxiety disorders) and 315 healthy controls (HC). Emotional analytics (valence: unhappy vs happy, arousal: calm vs excited, dominance: controlled vs in control) were assessed using the Self-Assessment Manikin. Further parameters related to mental health and physical activity were recorded.Results: Emotional analytics of patients indicated that they feel less happy, less in control and had higher levels of arousal than HC when viewing neutral stimuli. The comparison alpine>neutral stimuli showed a significant a positive effect of alpine stimuli on emotional analytics in both groups. Patients and HC both felt attracted to the scenes displayed in the alpine stimuli. Emotional analytics correlated positively with resilience and inversely with perceived stress.Conclusions: Preventive and therapeutic programs for patients with somatoform, depressive and anxiety disorders should consider taking the benefits of natural outdoor environments such as alpine environments, into account. Organizational barriers which are preventing the implementation of such programs in clinical practice need to be identified and addressed.

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Effects of resilience on quality of life in patients with bipolar disorder

Cited by 38 publications

References 50 publications

Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study

Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study

Viewing an alpine environment positively affects emotional analytics in patients with stress-related psychiatric disorders

Viewing an alpine environment positively affects emotional analytics in patients with somatoform, depressive and anxiety disorders as well as in healthy controls

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