Resilience mediates the relationship between depression and psychological health status in patients with heart failure: A cross-sectional study

Liu, Ju Chi; Chang, Ling-Yin; Wu, Shan; Tsai, Pei‐Shan

doi:10.1016/j.ijnurstu.2015.07.005

Cited by 50 publications

(51 citation statements)

References 42 publications

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“…The predominant factor in this study was the patient's level of physical functioning while the other factors including resilience, psychological comorbidity, social status and demographics were not found to be significant. In contrast a study of resilience and psychological health in CHF patients from Taiwan [33] found an association between physical and psychological status and depression in CHF patients and that resilience, as measured by the Chinese version of the Resilience Scale [34], mediated, or explained, the association. Interestingly the same study found no mediating association between depression and physical health status in patients.…”

Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 70%

“…Three themes emerged from these 4 papers: interventions that may increase resilience and selfmanagement [31], resilience as a predictor of effective selfcare and self-management in patients living with long term conditions including COPD [1] and the role resilience plays in relation to the physical and psychological impact of living with CHF [32,33]. Additionally one paper referenced cultural factors as having an impact on how resilience may manifest and be understood in communities with different sociocultural norms and understanding [33].…”

Section: Resultsmentioning

confidence: 99%

“…Some show correlations between resilience, reported psychological comorbidity and effective self-management [1,33], whilst others report factors other than resilience may have stronger correlations [32]. We suggest these findings indicate future research is needed to assess the impact of resilience, the inter-relationships between psychological and physical health, human behavior and the dynamics of self-management in patients with COPD and/or CHF.…”

Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 91%

“…Interestingly the same study found no mediating association between depression and physical health status in patients. In the same paper Lui et al [33] reflect on the impact of culture and religion on the manifestation of resilience in certain groups and how these may shape and influence responses to adversity.…”

Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 99%

“…The relative importance, contribution and interaction between these components are extensively examined in resilience related research [35][36][37][38]. The expression and interpretation of resilience and its mechanisms may also be linked with cultural practices, beliefs and social norms which may need to be taken into consideration in any future study [25,33,39,40].…”

Section: Issn 2572-5548mentioning

confidence: 99%

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Resilience in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure

Evans¹,

Bell²,

Smith³

2016

Chron Obstruct Pulmon Dis

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Background: Chronic Obstructive Pulmonary Disease (COPD) and Chronic Heart Failure (CHF) place a significant burden on individuals and health care systems. Selfmanagement has been shown to be effective in reducing the symptoms of these conditions and improving quality of life. Resilient behavior has been suggested as underpinning the ability to self-manage well. This review sought to assess the effectiveness of interventions designed to increase resilience in people with COPD and/or CHF.

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Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 70%

Section: Resultsmentioning

confidence: 99%

Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 91%

Section: The Role Of Resilience In Relation To the Physical And Psychmentioning

confidence: 99%

Section: Issn 2572-5548mentioning

confidence: 99%

See 3 more Smart Citations

Resilience in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure

Evans¹,

Bell²,

Smith³

2016

Chron Obstruct Pulmon Dis

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Association of Resilience With Depression and Health-Related Quality of Life for Patients With Hidradenitis Suppurativa

et al. 2017

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IMPORTANCE Hidradenitis suppurativa (HS) places a significant burden on the health-related quality of life (HRQOL) of patients, many of whom have depression. Resilience can play a role in mitigating the negative stressors, such as the symptoms of HS, on patients' mental health. OBJECTIVE To investigate the correlation among resilience, depression, and HRQOL for patients with HS. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional survey study of 154 patients from 2 referral centers in the United States and in Denmark was conducted from June 1, 2016, to March 31, 2017. Patients were considered eligible if they were 18 years or older and had a visit for HS at 1 of the 2 referral centers in the past 2 years (from January 1, 2014, through December 31, 2016). Patients were excluded if they declined to participate, could not read or write in English or Danish, or had a cognitive disability that would preclude their understanding of the survey questions. MAIN OUTCOMES AND MEASURES The survey instrument included 4 questionnaires: (1) a sociodemographic and clinical characteristics questionnaire, (2) the Brief Resilient Coping Scale, (3) the Hospital Anxiety and Depression Scale, and (4) the Dermatology Life Quality Index. The main outcome of interest was the HRQOL as measured by the Dermatology Life Quality Index. RESULTS All 154 patients submitted a completed survey. The mean (SD) age of the participants was 40.93 (13.5) years; most participants were women (130 [84.4%]), and most participants self-identified as white (139 [90.2%]). The rate of depression among the patients in this study was comparable to those reported in previous studies; 55 patients (35.7%) were classified as having depression, and 32 patients (20.8%) had borderline depressive symptoms. Patient-rated HS severity and the depression score each independently estimated 27% and 10% of variation in HRQOL, respectively. The interaction term for resilience and depression was significant, indicating that resilience moderates depression. Analysis of the mediation effects of resilience was not significant, indicating that resilience did not mediate the association between depressive symptoms and HRQOL. The resilience score was significantly associated with depressive symptoms (regression coefficient a = −0.21; P < .001), and the depressive symptoms score (c = 0.637; P < .001) was significantly associated with lower HRQOL (c′ = 0.644; P < .001). However, both the direct association (b = 0.033; P = .86) and the indirect association (a × b = 0.007; P = .87) of resilience with HRQOL were not significant. CONCLUSIONS AND RELEVANCE Patients with higher resilience levels experienced a smaller decrease in HRQOL as depressive symptoms increased. Because the findings suggest that resilience can be taught, there is an opportunity to develop a resiliency training program and investigate its role in stress levels and depressive symptoms, as well as in HRQOL and disease activity.

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Impact of perceived social support on depression in Chinese rural‐to‐urban migrants: The mediating effects of loneliness and resilience

Liang

Teng

2019

Journal Community Psychology

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The present study aimed to examine whether loneliness and resilience played the roles of mediators on the relationship between perceived social support and depression. A total of 712 Chinese rural‐to‐urban migrants from Nanjing, who were measured with perceived social support, resilience, loneliness, and depression, participated in the study. Results indicated that perceived social support and resilience were negatively associated with depression. Loneliness was a significant and negative predictor for depression. In addition, we also revealed that resilience and loneliness partially mediated the relationship between perceived social support and depression. These findings might develop a better understanding of depression in the course of migration.

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Resilience mediates the relationship between depression and psychological health status in patients with heart failure: A cross-sectional study

Cited by 50 publications

References 42 publications

Resilience in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure

Resilience in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure

Association of Resilience With Depression and Health-Related Quality of Life for Patients With Hidradenitis Suppurativa

Impact of perceived social support on depression in Chinese rural‐to‐urban migrants: The mediating effects of loneliness and resilience

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