The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China

Abstract

Research has indicated that clinical serious disease may lead to posttraumatic growth (PTG). However, little is known about PTG among hemodialysis (HD) patients. The study examined the relationship among resilience, rumination and PTG among Chinese HD patients. 196 HD patients were recruited from a tertiary hospital in a Northern city of China between 1 June 2015 and 30 May 2016. Patients were surveyed using the Posttraumatic Growth Inventory-Chinese version, Connor-Davidson Resilience Scale, and Chinese Event Related Rumination Inventory. Correlation analyses showed that resilience was most highly positively correlated with PTG (r = .70, p < .001), deliberate rumination moderately correlated to PTG (r = .50, p < .001), and intrusive rumination was lower negatively related to PTG (r = -.26, p < .001). Regression analyses showed that age, gender, duration of dialysis, resilience and deliberate rumination had significant associations with PTG (β = -.31, p ＜ .0001; β = -.14, p = .002; β = .10, p = .032; β = .44, p < .001; β = .20, p < .001). They together explained 65% of the total variance in PTG (F [8,195] = 46.74, p < .001). However, intrusive rumination was not associated with PTG (p > .05). The results suggested that resilience and deliberate rumination may be instrumental for PTG improvement.

Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries

“…Rumination is known to mediate the relationship between mental health and sleep quality [ 39 , 68 ]. Studies of young adults and college students reported rumination mediated the relationships between depressed mood and stressful life events on sleep quality [ 39 , 68 ]. These studies agree with the findings of the present study in that increased rumination could explain why perceived stress, anxiety, and sleep quality were negatively correlated among university students.…”

“…Unlike rumination, higher levels of psychological resilience (referred to as resilience from here on) characterized by the ability to quickly recover from a stressful event, are associated with the ability to better manage stress [ 35 , 36 ]. Several studies suggested that resilience can reduce the adverse effects of stress on mental health and sleep [ 37 , 38 , 39 , 40 ]. Individuals with higher levels of resilience tended to cope better with adversity, and resilience served as a protective factor against negative psychological outcomes such as stress, depression, and anxiety [ 37 , 38 , 39 , 40 , 41 , 42 ].…”

“…Several studies suggested that resilience can reduce the adverse effects of stress on mental health and sleep [ 37 , 38 , 39 , 40 ]. Individuals with higher levels of resilience tended to cope better with adversity, and resilience served as a protective factor against negative psychological outcomes such as stress, depression, and anxiety [ 37 , 38 , 39 , 40 , 41 , 42 ]. Thus, varying levels of psychological resilience likely change how stress and anxiety influence sleep.…”

“…Moderation analysis examines the strength of the relationship between two variables under different values of a moderating variable (moderator) [ 44 ]. Given the complex relationships between stress, anxiety, stress response styles, and sleep behaviors [ 13 , 14 , 15 , 28 , 29 , 30 , 31 , 37 , 38 , 39 , 40 , 41 , 42 ], multiple mediation and moderation analysis models were proposed to examine relationships between perceived stress and anxiety on sleep under the mediation of rumination and the moderation of resilience.…”

Importance of resilience research and multi-level interventions

“…La calidad de vida y los valores de resiliencia aumentaron significativamente después de 10 semanas de entrenamiento con ejercicio en el grupo de ejercicio en relación con el control N=ERC 44 receptores de trasplante renal (Li et al, 2018) Explorar la relación entre la resiliencia, rumiación deliberada y crecimiento postraumá� co en pacientes con hemodiálisis.…”