Resilience: Concepts, theories and relevance in the COVID-19 pandemic
TL;DR: In this paper, Thieme et al. proposed a transdiagnostic approach, the operationalisation of resilience as the outcome of a developmental process, the appropriate measurement and consideration of stressorexposure, longitudinal study designs and the translational identification of resilience mechanisms.
Abstract: Mental illnesses, especially those in which stress is a major pathogenetic factor, are among the most common, burdensome and costly diseases of our time On the other hand, despite frequent exposure and omnipresent adversities and stressors, mental health is by far the more common phenomenon than mental illness, i e resilience to stress-associated illness is the rule Research into psychological resilience and its underlying cognitive and neurobiological mechanisms therefore offers innovative opportunities for understanding the natural protective mechanisms against stress-associated mental illness, points to new avenues for prevention and health promotion, and complements disease-related research The prerequisites for a uniform understanding and successful neurobiological research of resilience are appropriate methods of conceptualisations, operationalisations and study designs These include a transdiagnostic approach, the operationalisation of resilience as the outcome of a developmental process, the appropriate measurement and consideration of stressorexposure, longitudinal study designs and the translational identification of resilience mechanisms © 2021 Thieme All rights reserved
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TL;DR: All-cause age-standardised YLD rates decreased by 3·9% from 1990 to 2017; however, the all-age YLD rate increased by 7·2% while the total sum of global YLDs increased from 562 million (421–723) to 853 million (642–1100).
7,419 citations
TL;DR: The Connor‐Davidson Resilience scale (CD‐RISC) demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement.
Abstract: Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0–4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CDRISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Depression and Anxiety 18:76–82, 2003. & 2003 Wiley-Liss, Inc.
6,854 citations
TL;DR: An examination of converging findings from variable-focused and person-focused investigations of resilience suggests that resilience is common and that it usually arises from the normative functions of human adaptational systems, with the greatest threats to human development being those that compromise these protective systems.
Abstract: The study of resilience in development has overturned many negative assumptions and deficit-focused models about children growing up under the threat of disadvantage and adversity. The most surprising conclusion emerging from studies of these children is the ordinariness of resilience. An examination of converging findings from variable-focused and person-focused investigations of these phenomena suggests that resilience is common and that it usually arises from the normative functions of human adaptational systems, with the greatest threats to human development being those that compromise these protective systems. The conclusion that resilience is made of ordinary rather than extraordinary processes offers a more positive outlook on human development and adaptation, as well as direction for policy and practice aimed at enhancing the development of children at risk for problems and psychopathology.
5,961 citations
5,173 citations
TL;DR: The shorter GHQ is remarkably robust and works as well as the longer instrument, and the latter should only be preferred if there is an interest in the scaled scores provided in addition to the total score.
Abstract: Background. In recent years the 12-item General Health Questionnaire (GHQ-12) has been extensively used as a short screening instrument, producing results that are comparable to longer versions of the GHQ.Methods. The validity of the GHQ-12 was compared with the GHQ-28 in a World Health Organization study of psychological disorders in general health care. Results are presented for 5438 patients interviewed in 15 centres using the primary care version of the Composite International Diagnostic Instrument, or CIDI-PC.Results. Results were uniformly good, with the average area under the ROC curve 88, range from 83 to 95. Minor variations in the criteria used for defining a case made little difference to the validity of the GHQ, and complex scoring methods offered no advantages over simpler ones. The GHQ was translated into 10 other languages for the purposes of this study, and validity coefficients were almost as high as in the original language. There was no tendency for the GHQ to work less efficiently in developing countries. Finally gender, age and educational level are shown to have no significant effect on the validity of the GHQ.Conclusions. If investigators wish to use a screening instrument as a case detector, the shorter GHQ is remarkably robust and works as well as the longer instrument. The latter should only be preferred if there is an interest in the scaled scores provided in addition to the total score.
3,339 citations