Resilience interventions.

Alvord, Mary K.; Rich, Brendan A.; Berghorst, Lisa H.

doi:10.1037/14862-023

Cited by 14 publications

(49 citation statements)

References 56 publications

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“…Alvord and Grados ( 32 ) have noted that resiliency is a set of competencies and skills that can be learned. Others have noted that the availability of community support systems outside the family can bolster resilience ( 33 ). They note that resilience training can be preventative for both healthy and at-risk populations as well as therapeutic for those with clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic

Seifer

Petok

Agrawal

et al. 2021

Reprod Biol Endocrinol

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Background On March 17, 2020 an expert ASRM task force recommended the temporary suspension of new, non-urgent fertility treatments during an ongoing world-wide pandemic of Covid-19. We surveyed at the time of resumption of fertility care the psychological experience and coping strategies of patients pausing their care due to Covid-19 and examined which factors were associated and predictive of resilience, anxiety, stress and hopefulness. Methods Cross sectional cohort patient survey using an anonymous, self-reported, single time, web-based, HIPPA compliant platform (REDCap). Survey sampled two Northeast academic fertility practices (Yale Medicine Fertility Center in CT and Montefiore’s Institute for Reproductive Medicine and Health in NY). Data from multiple choice and open response questions collected demographic, reproductive history, experience and attitudes about Covid-19, prior infertility treatment, sense of hopefulness and stress, coping strategies for mitigating stress and two validated psychological surveys to assess anxiety (six-item short-form State Trait Anxiety Inventory (STAl-6)) and resilience (10-item Connor-Davidson Resilience Scale, (CD-RISC-10). Results Seven hundred thirty-four patients were sent invitations to participate. Two hundred fourteen of 734 (29.2%) completed the survey. Patients reported their fertility journey had been delayed a mean of 10 weeks while 60% had been actively trying to conceive > 1.5 years. The top 5 ranked coping skills from a choice of 19 were establishing a daily routine, going outside regularly, exercising, maintaining social connection via phone, social media or Zoom and continuing to work. Having a history of anxiety (p < 0.0001) and having received oral medication as prior infertility treatment (p < 0.0001) were associated with lower resilience. Increased hopefulness about having a child at the time of completing the survey (p < 0.0001) and higher resilience scores (p < 0.0001) were associated with decreased anxiety. Higher reported stress scores (p < 0.0001) were associated with increased anxiety. Multiple multivariate regression showed being non-Hispanic black (p = 0.035) to be predictive of more resilience while variables predictive of less resilience were being a full-time homemaker (p = 0.03), having received oral medication as prior infertility treatment (p = 0.003) and having higher scores on the STAI-6 (< 0.0001). Conclusions Prior to and in anticipation of further pauses in treatment the clinical staff should consider pretreatment screening for psychological distress and provide referral sources. In addition, utilization of a patient centered approach to care should be employed.

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Section: Discussionmentioning

confidence: 99%

Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic

Seifer

Petok

Agrawal

et al. 2021

Reprod Biol Endocrinol

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“…One's assets can be increased through cognitive-behavioral training or strength-based approaches (Coyle, 2012). Resources through provision of student services can additionally enhance resilience (Alvord et al, 2016). Protective factors are described by Rutter (2012) as "influences that modify, ameliorate or alter a person's response to some environmental hazard that predisposes to a maladaptive outcome" (p. 600).…”

Section: Resiliencementioning

confidence: 99%

“…By targeting both individual (internal) and system (external) factors, we developed a framework that presents the various processes and mechanisms in which resilience training could take shape (see Figure 2). Especially, individual traits or characteristics under certain mechanisms become potentially modifiable (Alvord et al, 2016;Feder et al, 2010). Hence, schools could modify/inculcate such traits by providing soft skill training within the formal curriculum to enhance students' resilience against adversities and challenges.…”

Section: Resiliencementioning

confidence: 99%

Effectiveness of resilience interventions for higher education students: A meta-analysis and metaregression.

Ang¹,

Lau²,

Cheng³

et al. 2022

Journal of Educational Psychology

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Our review explores the effectiveness of resilience interventions on improving resilience, reducing depressive symptoms, and overcoming stress symptoms among higher education students. We conducted a systematic search in 10 electronic English and Chinese language databases. Twenty-nine randomized, controlled trials (RCTs) met the inclusion criteria and were included in this review. Effect sizes from 25 RCTs were calculated for meta-analysis and metaregression. The results of a random effects model reveal that resilience interventions are effective in improving resilience with small effect size (g = .32, 95% CI [.15, .49]), reducing depressive symptoms with small effect size (g = .25, 95% CI [.06, 44]), and overcoming stress (g = .22, 95% CI [.08, .32]). Subgroup analyses conclude that effect sizes of resilience interventions comprising skills that enhance social competency are statistically significantly larger than those of interventions without. In addition, the effect sizes are larger when resilience interventions used synchronous communication and delivered through a mixture of didactic and dialectic approaches. Metaregression reveals that trials rated with low scores in the Medical Education Research Study Quality Instrument considerably influence scores in resilience. Our meta-analysis supports the use of resilience interventions as a universal prevention strategy among higher education students. This review ends with implications for practice and directions for further research on developing resilience interventions. Educational Impact and Implications StatementThe results of this meta-analysis concluded that resilience interventions can potentially build resilience and reduce depressive and stress symptoms among higher education students. Interventions were more effective when they focused on building students' social competency, used synchronous communication, and delivered through a mixture of didactic and dialectic approaches.

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“…One of the most important concepts to consider when thinking about positive psychology for African Americans is resilience. Once thought of as a static individual trait, today we realize that resilience is a dynamic process (Alvord, Rich, & Berghorst, 2016; APA, Task Force on Resilience and Strength in Black Children and Adolescents, 2008;Masten, 2016). Resilience is a person's ability to overcome diffi cult situations or to thrive in the face of risk.…”

Section: Introduction To Resiliencementioning

confidence: 99%

Introduction to African American Psychology and Positive Psychology

2019

African American Psychology

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Resilience interventions.

Cited by 14 publications

References 56 publications

Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic

Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic

Effectiveness of resilience interventions for higher education students: A meta-analysis and metaregression.

Introduction to African American Psychology and Positive Psychology

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