Is Psychological Resilience Associated With Physical Recovery in Older Adults?

Wells, Margaret

doi:10.1097/tgr.0000000000000025

Cited by 5 publications

(5 citation statements)

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“…This association has been postulated to be an important concept to consider in the development of better individualised therapy plans and improved prognostication. 17 Therefore, our study' s objectives are to determine if there is an independent relationship between psychological resilience and change in MBI scores weekly, over a period of 21 days, and to determine if psychological resilience is independently associated with the ability to achieve functional independence (defined by an MBI status of more than 85).…”

Section: Introductionmentioning

confidence: 99%

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The effect of psychological resilience on functional outcomes in post-operative hip fracture patients in a Singapore community hospital

Tan

Fang

Koh

et al. 2020

Proceedings of Singapore Healthcare

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Background: In Singapore, the number of hip fractures per year is projected to increase from 2500 to 9000 by 2050. Psychological factors are increasingly recognised as important predictors of healthy aging. While there are a growing number of studies examining resilience in different populations, there is a paucity of literature examining psychological resilience in individuals with hip fractures. Objectives: We aim to identify the association between high psychological resilience and improved functional outcomes in post-operative hip fracture patients in a Singapore Community Hospital, defined by a Conner-Davidson Resilience Scale 25 (CD-RISC 25) score of 62 and above. Methods: We conducted a pilot prospective cohort study in Bright Vision Community Hospital in Singapore. Post-operative elderly hip fracture patients were invited to participate in the study. Psychological resilience scores were measured on Day 1 of admission using CD-RISC 25. Functional outcomes were then tracked weekly for 21 days while participants underwent rehabilitation using the Modified Barthel Index (MBI). Results: High psychological resilience was found in 52.40% of the post-operative hip fracture participants in this study. Of those participants with high psychological resilience, 55% achieved functional independence ( n = 11), compared with 47.47% of participants with low psychological resilience ( n = 9) – although this result did not achieve statistical significance. Conclusion: One in two post-operative hip fracture patients had high psychological resilience, and our study suggests that patients with high psychological resilience can possibly achieve higher gains in functional scores and achieve functional independence.

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Section: Introductionmentioning

confidence: 99%

“…This association has been postulated to be an important concept to consider in the development of better individualised therapy plans and improved prognostication. 17…”

Section: Introductionmentioning

confidence: 99%

The effect of psychological resilience on functional outcomes in post-operative hip fracture patients in a Singapore community hospital

Tan

Fang

Koh

et al. 2020

Proceedings of Singapore Healthcare

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“…Psychologically, enhanced resilience has been shown to be a significant protective factor against psychopathologies [ 4 ] as greater resilience is associated with lower rates of emotional vulnerability and psychological distress [ 38 ] as well as a reduced likelihood of PTSD symptomology following an adverse event [ 73 , 97 ]. Greater resilience is also associated with better physical health [ 67 , 102 ], and has shown to maximize benefits from treatment interventions for illnesses such as coronary heart disease and diabetes [ 18 , 106 ]. In a workplace setting, more resilient individuals are less likely to experience frequent stress and suffer from burnout [ 64 , 95 ].…”

Section: Introductionmentioning

confidence: 99%

An empirical evaluation of The Resilience Shield model

2022

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Background Resilience refers to the process through which individuals deal with the adversity they experience. Previous research has shown there are multiple factors that contribute to individuals’ resilience, leading to increasing interest in the development of multidimensional resilience models. Once such recently proposed model is The Resilience Shield, which clusters groups of protective factors into different shield layers. The stronger these layers, the better the protection against adversity (Pronk et al. in The Resilience Shield, Pan Macmillan Australia, 2021). While this model was based in part on existing literature, no empirical evaluation has occurred to date. The aim of this study was therefore to evaluate the model fit for each of the modifiable shield layers and the overall model, and to examine whether each of the constructs included contributes to observed resilience scores. Methods Participants completed a series of questionnaires via The Resilience Shield website assessing constructs relevant to each resilience shield layer. Data from 3337 participants was analysed using Structural Equation Modelling and regression analyses. Results The results showed acceptable fit of the measurement model for the Social, Mind, and Professional Layers, but poor fit for the Body Layer. There was also good fit for the overall model. In addition, all but one of the constructs included in The Resilience Shield survey explained independent variance in either dispositional resilience scores, or dispositional vulnerability scores. Conclusion These results broadly support the multidimensional structure proposed by The Resilience Shield model and suggest that (at least in the population in which it was tested) this may be an acceptable model to index individuals’ performance on a range of indicators that contribute to resilience.

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“…We are not aware of previously published studies examining the correlation between resilience and rehabilitation outcomes following a fracture. However, the correlation has been postulated as an important concept to consider in the development of better individualised therapy plans , improved prognostication and selection of patients suitable for rehabilitation .…”

Section: Introductionmentioning

confidence: 99%