Resilience, frailty and outcomes in geriatric rehabilitation

Abstract

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Does psychological resilience mediate the relation between daily functioning and prefrailty status?

“…This indicates that psychological resilience does not play a mediating role. This was unexpected since, in previous studies, the associations with limitations in ADLs (Yang and Wen, 2015;Hardy et al, 2004) and (pre)frailty (Kohler et al, 2020;Wong et al, 2021) were found. Kohler et al (2020), for example, found an association in 65 year olds in geriatric rehabilitation using the Brief Resilience Scale (Smith et al, 2008) and the Frailty Index from comprehensive geriatric assessments (Searle et al, 2008).…”

“…This was unexpected since, in previous studies, the associations with limitations in ADLs (Yang and Wen, 2015;Hardy et al, 2004) and (pre)frailty (Kohler et al, 2020;Wong et al, 2021) were found. Kohler et al (2020), for example, found an association in 65 year olds in geriatric rehabilitation using the Brief Resilience Scale (Smith et al, 2008) and the Frailty Index from comprehensive geriatric assessments (Searle et al, 2008). However, it is clear that it is difficult to compare our communitydwelling sample with a geriatric population and with different measurements for both resilience and frailty.…”

“…Furthermore, the intervention of Treichler et al (2020) showed that psychological resilience can increase at an older age and has the potential to enhance health and well-being. Psychological resilience is negatively associated with frailty (Kohler et al, 2020, Wong et al, 2021. Improved psychological resilience might protect against frailty and vice versa, as corroborated in a sample of patients with cirrhosis (Wong et al, 2021).…”

“…A dynamic outcome approach, taking into account the stressfulness of an event (e.g., hospital admission, illness) or resilience as a process, might yield different results. Kohler et al (2020) already demonstrated the convenience of an outcome-based approach in the relation between frailty and psychological resilience using the Brief Resilience Scale, which takes into account one's ability to recover from stress. However, evidence is still scarce as the explained variance of scales analyzing resilience as an outcome still lacks systematic clearance.…”

The hanging chin sign as a mortality predictor in geriatric patients at the emergency department: a retrospective cohort study

“…Our hypothesis is that the inability of keeping the head up, being unable to stand or raising up the arms, is an expression of severe illness and /or lack of resilience and/or frailty. Since these three factors are predictors of mortality [ 19 – 22 ], we hypothesize that the hanging chin sign and the absence of PA view and lateral view are predictors of mortality as well.…”