Resilience in chronic diseases: A systematic review

Cal, Sílvia Fernanda; Sá, Lis Ribeiro de; Glustak, Maria Eugênia; Santiago, Mittermayer Barreto

doi:10.1080/23311908.2015.1024928

Cited by 107 publications

(104 citation statements)

References 39 publications

(60 reference statements)

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“…The participants disclosed their ways of dealing with their stressors that may or may not be related to personal resilience. An association has been shown to exist between resilience and quality of life and health promotional behavior 54. It is likely that more research is required to deepen the understanding of the role of resilience influences on coping and CDSM in older adults.…”

Section: Resultsmentioning

confidence: 99%

A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

Jacobs¹,

Ownby²,

Acevedo³

et al. 2017

JMDH

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PurposeChronic illness and low levels of health literacy affect health outcomes for many individuals, particularly older adults and racial/ethnic minorities. This study sought to understand the knowledge, strengths, and areas of need regarding self-management of chronic illness in order to lay the groundwork for content development of an intervention to increase health literacy and maximize patient engagement in chronic disease self-care.Patients and methodsIn-depth, qualitative interviews were conducted in Spanish and English with 25 older adults with various chronic illnesses. Topics included knowledge and understanding of chronic conditions, medications, and disease self-management skills. Qualitative data were coded by searching text and conducting cross-case analysis. An inductive analysis was then employed to allow for the patterns and themes to emerge.ResultsEmerged themes included 1) social support, 2) coping strategies, 3) spirituality, 4) chronic disease health literacy, 5) anger, and 6) depression. While participants had a general overall knowledge of chronic illness, they had deficits in knowledge regarding their own illnesses and medications.ConclusionChronic illness self-management is a complex and dynamic behavioral process. This study identified themes that leverage patient motivation to engage in self-care in a personalized manner. This information will guide the development of an intervention to promote health literacy and optimal disease self-management.

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Section: Resultsmentioning

confidence: 99%

A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

Jacobs¹,

Ownby²,

Acevedo³

et al. 2017

JMDH

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“…The authors found an inverse correlation between resiliency scores and the progression of chronic diseases, suggesting that resilience may influence the process of illness and health outcome 38 .…”

Section: Discussionmentioning

confidence: 96%

“…Five recent systematic reviews have focused on resiliency and/or interventions targeting at vulnerable populations with a chronic condition 19,38–41 . Two reviews assessed interventions aimed at improving some aspect of chronic diseases management in ethnic minorities 40,41 .…”

Section: Discussionmentioning

confidence: 99%

Resilience in Vulnerable Populations With Type 2 Diabetes Mellitus and Hypertension: A Systematic Review and Meta-analysis

Pesantes¹,

Lazo-Porras²,

Dabrh³

et al. 2015

Canadian Journal of Cardiology

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Background Patients with chronic conditions and limited access to healthcare experience stressful challenges due to the burden of managing both their conditions and their daily life demands. Resilience provides a mechanism of adapting to stressful experiences. We conducted a systematic review and meta-analysis to synthesize the evidence about interventions to enhance resiliency in managing hypertension or type-2 diabetes in vulnerable populations, and to assess the efficacy of these interventions on clinical outcomes. Methods We searched multiple databases from early inception through February 2015 including randomized controlled trials that enrolled patients with type-2 diabetes or hypertension. All interventions that targeted resilience in vulnerable populations were included. Data were synthesized to describe the characteristics and efficacy of resilience interventions. We pooled the total effects by calculating standardized mean difference using the random-effects model. Results The final search yielded seventeen studies. All studies were conducted in the United States and generally targeted minority participants. Resiliency interventions used diverse strategies; discussion groups or workshops were the most common approach. Conclusions Interventions aimed at enhancing the resiliency of patients from vulnerable groups are diverse. Outcomes were not fully conclusive. There was some evidence that resilience interventions had a positive effect on HbA1c levels, but not blood pressure. The incorporation of resiliency-oriented interventions into the arsenal of prevention and management of chronic conditions appears to be an opportunity that remains to be better investigated and exploited, and there is need to pursue further understanding of the core components of any intervention that claims to enhance resilience.

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“…Resilience enables an individual not only to adapt but also to be better off and to grow in addition to overcoming a specific adversity. Patients with low resilience scores have less ability to deal with traumatic stress and other challenges related to the process of becoming ill (Cal et al 2015). Both stress and resilience have been related to psychophysiological processes that may influence on both PTSD and CVDs.…”

Section: Ptsd and Cvds From The Mind-body Medicine Perspective: Resilmentioning

confidence: 99%

Cardiovascular Disease Risk Factors in Patients With Posttraumatic Stress Disorder (Ptsd): A Narrative Review

et al. 2017

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Resilience in chronic diseases: A systematic review

Cited by 107 publications

References 39 publications

A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

Resilience in Vulnerable Populations With Type 2 Diabetes Mellitus and Hypertension: A Systematic Review and Meta-analysis

Cardiovascular Disease Risk Factors in Patients With Posttraumatic Stress Disorder (Ptsd): A Narrative Review

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