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Gepubliceerd in: Quality of Life Research 2/2022

25-06-2021

Resilience in severe mental disorders: correlations to clinical measures and quality of life in hospitalized patients with major depression, bipolar disorder, and schizophrenia

Auteurs: Katiúscia Gomes Nunes, Neusa Sica da Rocha

Gepubliceerd in: Quality of Life Research | Uitgave 2/2022

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Abstract

Purpose

To evaluate resilience in severe mental disorders and correlate it with clinical measures and quality of life.

Methods

Resilience (Resilience Scale, RS) and quality of life (WHOQOL-BREF questionnaire) were prospectively evaluated in a sample of 384 hospitalized patients diagnosed with severe mental disorders (depression, bipolar disorder and schizophrenia). Clinical outcomes were measured using the Global Assessment of Functioning Scale (GAF), Clinical Global Impression (CGI), Cumulative Illness Rating Scale (CIRS), Hamilton Scale-Depression (HAM-D), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS).

Results

Resilience measure showed a difference between the three clinical groups analyzed in the study, with lower scores in depressed patients than in bipolar disorder or schizophrenia patients. There was a trend toward a correlation between resilience and depressive symptoms (Hamilton Scale-Depression; P = 0.052; rs = − 0.163). The scores in the resilience scale's personal competence domain presented a tendency of association with general psychiatric symptoms (Brief Psychiatric Rating Scale; P = 0.058; r = − 0.138). There was a significantly positive association between resilience and all domains of quality of life (r = 0.306–0.545; P < 0.05). Sociodemographic data like age, education, intelligence quotient, sex, and marital status were associated with resilience.

Conclusion

Depressive patients had low scores on the resilience scale compared to patients with other disorders. Resilience was positively associated with quality of life. Therefore, it deserves special attention, as it promotes more positive outcomes and improves patients' quality of life with severe mental disorders.
Literatuur
2.
go back to reference Griffiths, F. E., Boardman, F. K., Chondros, P., Dowrick, C. F., Densley, K., Hegarty, K. L., et al. (2014). The effect of strategies of personal resilience on depression recovery in an Australian cohort: A mixed methods study. Health (London, England), 19(1), 86–106.CrossRef Griffiths, F. E., Boardman, F. K., Chondros, P., Dowrick, C. F., Densley, K., Hegarty, K. L., et al. (2014). The effect of strategies of personal resilience on depression recovery in an Australian cohort: A mixed methods study. Health (London, England), 19(1), 86–106.CrossRef
3.
go back to reference Kesebir, S., Ünübol, B., Tatlıdil Yaylacı, E., Gündoğar, D., & Ünübol, H. (2015). Impact of childhood trauma and affective temperament on resilience in bipolar disorder. International Journal of Bipolar Disorders, 3, 3–7.CrossRef Kesebir, S., Ünübol, B., Tatlıdil Yaylacı, E., Gündoğar, D., & Ünübol, H. (2015). Impact of childhood trauma and affective temperament on resilience in bipolar disorder. International Journal of Bipolar Disorders, 3, 3–7.CrossRef
4.
go back to reference Friborg, O., Hjemdal, O., Rosenvinge, J. H., Martinussen, M., Aslaksen, P. M., & Flaten, M. A. (2006). Resilience as a moderator of pain and stress. Journal of Psychosomatic Research, 61(2), 213–219.CrossRef Friborg, O., Hjemdal, O., Rosenvinge, J. H., Martinussen, M., Aslaksen, P. M., & Flaten, M. A. (2006). Resilience as a moderator of pain and stress. Journal of Psychosomatic Research, 61(2), 213–219.CrossRef
6.
go back to reference Russo, S. J., Murrough, J. W., Han, M. H., & Charney, D. S. (2012). Neurobiology of resilience. Nature Neuroscience, 15(11), 1475–84.CrossRef Russo, S. J., Murrough, J. W., Han, M. H., & Charney, D. S. (2012). Neurobiology of resilience. Nature Neuroscience, 15(11), 1475–84.CrossRef
8.
go back to reference Hjemdal, O., Aune, T., Reinfjell, T., Stiles, T. C., & Friborg, O. (2007). Resilience as a predictor of depressive symptoms: A correlational study with young adolescents. Clinical Child Psychology and Psychiatry, 12(1), 91–104.CrossRef Hjemdal, O., Aune, T., Reinfjell, T., Stiles, T. C., & Friborg, O. (2007). Resilience as a predictor of depressive symptoms: A correlational study with young adolescents. Clinical Child Psychology and Psychiatry, 12(1), 91–104.CrossRef
9.
go back to reference Faye, C., Mcgowan, J. C., Denny, C. A., & David, D. J. (2018). Neurobiological mechanisms of stress resilience and implications for the aged population. Current Neuropharmacology., 16, 234–270.CrossRef Faye, C., Mcgowan, J. C., Denny, C. A., & David, D. J. (2018). Neurobiological mechanisms of stress resilience and implications for the aged population. Current Neuropharmacology., 16, 234–270.CrossRef
11.
go back to reference Kim-Cohen, J. (2007). Resilience and developmental psychopathology. Child and Adolescent Psychiatric Clinics of North America, 16(2), 271–283.CrossRef Kim-Cohen, J. (2007). Resilience and developmental psychopathology. Child and Adolescent Psychiatric Clinics of North America, 16(2), 271–283.CrossRef
12.
go back to reference Elisei, S., Sciarma, T., Verdolini, N., & Anastasi, S. (2013). Resilience and depressive disorders. Psychiatria Danubia, 25(SUPPL.2), 263–7. Elisei, S., Sciarma, T., Verdolini, N., & Anastasi, S. (2013). Resilience and depressive disorders. Psychiatria Danubia, 25(SUPPL.2), 263–7.
13.
go back to reference Mcgrath, L. M., Cornelis, M. C., Lee, P. H., Robinson, E. B., Duncan, L. E., Barnett, J. H., et al. (2013). Genetic predictors of risk and resilience in psychiatric disorders: A cross-disorder genome-wide association study of functional impairment in major depressive disorder, bipolar disorder, and schizophrenia. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 162(8), 779–788.CrossRef Mcgrath, L. M., Cornelis, M. C., Lee, P. H., Robinson, E. B., Duncan, L. E., Barnett, J. H., et al. (2013). Genetic predictors of risk and resilience in psychiatric disorders: A cross-disorder genome-wide association study of functional impairment in major depressive disorder, bipolar disorder, and schizophrenia. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 162(8), 779–788.CrossRef
16.
go back to reference Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A., & Harvey, S. B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. British Medical Journal Open, 8(6), 1–9. Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A., & Harvey, S. B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. British Medical Journal Open, 8(6), 1–9.
17.
go back to reference Pakalnieskiene, V., Viliuniene, R., & Hilbig, J. (2016). Patients’ resilience and distress over time: Is resilience a prognostic indicator of treatment? Comprehensive Psychiatry, 69, 88–99.CrossRef Pakalnieskiene, V., Viliuniene, R., & Hilbig, J. (2016). Patients’ resilience and distress over time: Is resilience a prognostic indicator of treatment? Comprehensive Psychiatry, 69, 88–99.CrossRef
18.
go back to reference Liu, H., Zhang, C., Ji, Y., & Yang, L. (2018). Biological and psychological perspectives of resilience: Is it possible to improve stress resistance? Frontiers in Human Neuroscience, 12(August), 1–12. Liu, H., Zhang, C., Ji, Y., & Yang, L. (2018). Biological and psychological perspectives of resilience: Is it possible to improve stress resistance? Frontiers in Human Neuroscience, 12(August), 1–12.
19.
go back to reference Haase, J. E., Kintner, E. K., Monahan, P. O., & Robb, S. L. (2014). The resilience in illness model (RIM) part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nursing, 37(3), E1-12.CrossRef Haase, J. E., Kintner, E. K., Monahan, P. O., & Robb, S. L. (2014). The resilience in illness model (RIM) part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nursing, 37(3), E1-12.CrossRef
20.
go back to reference Newton-John, T., Mason, C., & Hunter, M. (2014). The role of resilience in adjustment and coping with chronic pain. Rehabilitation Psychology, 59(3), 360–365.CrossRef Newton-John, T., Mason, C., & Hunter, M. (2014). The role of resilience in adjustment and coping with chronic pain. Rehabilitation Psychology, 59(3), 360–365.CrossRef
21.
go back to reference de Souza Cotian, M., Vilete, L., Volchan, E., & Figueira, I. (2014). Revisão sistemática dos aspectos psicossociais, neurobiológico, preditores e promotores de resiliência em militares. Jornal Brasileiro de Psiquiatria, 63(1), 72–85.CrossRef de Souza Cotian, M., Vilete, L., Volchan, E., & Figueira, I. (2014). Revisão sistemática dos aspectos psicossociais, neurobiológico, preditores e promotores de resiliência em militares. Jornal Brasileiro de Psiquiatria, 63(1), 72–85.CrossRef
22.
go back to reference Elliott, T. R., Yu-Yu, H., Meyer, E. C., DeBeer, B. B., Oi-Man, K., Kimbrel, N. A., et al. (2015). Resilience, traumatic brain injury, depression, and posttraumatic stress among Iraq/Afghanistan war veterans. Rehabilitation Psychology, 60(3), 263–76.CrossRef Elliott, T. R., Yu-Yu, H., Meyer, E. C., DeBeer, B. B., Oi-Man, K., Kimbrel, N. A., et al. (2015). Resilience, traumatic brain injury, depression, and posttraumatic stress among Iraq/Afghanistan war veterans. Rehabilitation Psychology, 60(3), 263–76.CrossRef
23.
go back to reference Betancourt, T., Meyers-Ohki, S., Charrow, A., & Hansen, N. (2013). Mental health and resilience in HIV/AIDS affected children: A review of the literature and recommendations for future research. Journal of Child Psychology and Psychiatry, 54(4), 423–444.CrossRef Betancourt, T., Meyers-Ohki, S., Charrow, A., & Hansen, N. (2013). Mental health and resilience in HIV/AIDS affected children: A review of the literature and recommendations for future research. Journal of Child Psychology and Psychiatry, 54(4), 423–444.CrossRef
26.
go back to reference Nuernberg, G. L., Baeza, F. L., Fleck, M. P., & Rocha, N. S. (2016). Outcomes of inpatients with severe mental illness: A naturalistic descriptive study. Revista Brasileira de Psiquiatria, 38(2), 141–147.CrossRef Nuernberg, G. L., Baeza, F. L., Fleck, M. P., & Rocha, N. S. (2016). Outcomes of inpatients with severe mental illness: A naturalistic descriptive study. Revista Brasileira de Psiquiatria, 38(2), 141–147.CrossRef
27.
go back to reference Pesce, R. P., Assis, S. G., Avanci, J. Q., Santos, N. C., Malaquias, J. V., & Carvalhaes, R. (2005). Adaptação transcultural, confiabilidade e validade da escala de resiliência. Cadernos de Saúde Pública, 21(2), 436–448.CrossRef Pesce, R. P., Assis, S. G., Avanci, J. Q., Santos, N. C., Malaquias, J. V., & Carvalhaes, R. (2005). Adaptação transcultural, confiabilidade e validade da escala de resiliência. Cadernos de Saúde Pública, 21(2), 436–448.CrossRef
28.
go back to reference Wagner, F., & Trentini, C. M. (2010). Estratégias de avaliação rápida da inteligência através das Escalas Wechsler. Revista Neuropsicologia Latinoamericana, 2(1), 47–54. Wagner, F., & Trentini, C. M. (2010). Estratégias de avaliação rápida da inteligência através das Escalas Wechsler. Revista Neuropsicologia Latinoamericana, 2(1), 47–54.
29.
go back to reference Smith, G. N., Ehmann, T. S., Flynn, S. W., MacEwan, G. W., Tee, K., Kopala, L. C., et al. (2011). The assessment of symptom severity and functional impairment with DSM-IV Axis V. Psychiatric Services (Washington, D.C.), 62(4), 411–417.CrossRef Smith, G. N., Ehmann, T. S., Flynn, S. W., MacEwan, G. W., Tee, K., Kopala, L. C., et al. (2011). The assessment of symptom severity and functional impairment with DSM-IV Axis V. Psychiatric Services (Washington, D.C.), 62(4), 411–417.CrossRef
30.
go back to reference De Lima, M. S., Soares, B. G. D. O., Paoliello, G., Vieira, R. M., Martins, C. M., Neto, J. I. D. M., et al. (2007). The Portuguese version of the Clinical Global Impression—Schizophrenia Scale: Validation study. Revista Brasileira de Psiquiatria, 29(3), 246–249.CrossRef De Lima, M. S., Soares, B. G. D. O., Paoliello, G., Vieira, R. M., Martins, C. M., Neto, J. I. D. M., et al. (2007). The Portuguese version of the Clinical Global Impression—Schizophrenia Scale: Validation study. Revista Brasileira de Psiquiatria, 29(3), 246–249.CrossRef
31.
go back to reference Vilela, J. A. A., Crippa, J. A. S., Del-Ben, C. M., & Loureiro, S. R. (2005). Reliability and validity of a Portuguese version of the Young Mania Rating Scale. Brazilian Journal of Medical and Biological Research, 38(9), 1429–1439.CrossRef Vilela, J. A. A., Crippa, J. A. S., Del-Ben, C. M., & Loureiro, S. R. (2005). Reliability and validity of a Portuguese version of the Young Mania Rating Scale. Brazilian Journal of Medical and Biological Research, 38(9), 1429–1439.CrossRef
33.
go back to reference Crippa, J. A. S., Sanches, R. F., Hallak, J. E. C., Loureiro, S. R., & Zuardi, A. W. (2002). Factor structure of Bech’s version of the Brief Psychiatric Rating Scale in Brazilian patients. Brazilian Journal of Medical and Biological Research, 35(10), 1209–1213.CrossRef Crippa, J. A. S., Sanches, R. F., Hallak, J. E. C., Loureiro, S. R., & Zuardi, A. W. (2002). Factor structure of Bech’s version of the Brief Psychiatric Rating Scale in Brazilian patients. Brazilian Journal of Medical and Biological Research, 35(10), 1209–1213.CrossRef
34.
go back to reference Miller, M. D., Paradis, C. F., Houck, P. R., Mazumdar, S., Stack, J. A., Rifai, A. H., et al. (1992). Rating chronic medical illness burden in geropsychiatric practice and research: Application of the Cumulative Illness Rating Scale. Psychiatry Research, 41(3), 237–248.CrossRef Miller, M. D., Paradis, C. F., Houck, P. R., Mazumdar, S., Stack, J. A., Rifai, A. H., et al. (1992). Rating chronic medical illness burden in geropsychiatric practice and research: Application of the Cumulative Illness Rating Scale. Psychiatry Research, 41(3), 237–248.CrossRef
35.
go back to reference Zhu, Y., Womer, F. Y., Leng, H., Chang, M., Yin, Z., Wei, Y., et al. (2019). The relationship between cognitive dysfunction and symptom dimensions across schizophrenia, bipolar disorder, and major depressive disorder. Frontiers in Psychiatry, 10(April), 1–8. Zhu, Y., Womer, F. Y., Leng, H., Chang, M., Yin, Z., Wei, Y., et al. (2019). The relationship between cognitive dysfunction and symptom dimensions across schizophrenia, bipolar disorder, and major depressive disorder. Frontiers in Psychiatry, 10(April), 1–8.
36.
go back to reference Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165–178.PubMed Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165–178.PubMed
37.
go back to reference Fleck, M. P., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., et al. (2000). Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Revista de Saude Publica, 34(2), 178–183.CrossRef Fleck, M. P., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., et al. (2000). Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Revista de Saude Publica, 34(2), 178–183.CrossRef
38.
go back to reference Rocha, N. S., Power, M. J., Bushnell, D. M., & Fleck, M. P. (2012). Cross-cultural evaluation of the WHOQOL-BREF domains in primary care depressed patients using Rasch Analysis. Medical Decision Making, 32(1), 41–55.CrossRef Rocha, N. S., Power, M. J., Bushnell, D. M., & Fleck, M. P. (2012). Cross-cultural evaluation of the WHOQOL-BREF domains in primary care depressed patients using Rasch Analysis. Medical Decision Making, 32(1), 41–55.CrossRef
41.
go back to reference Mak, W. W. S., Ng, I. S. W., & Wong, C. C. Y. (2011). Resilience: Enhancing well-being through the positive cognitive triad. Journal of Counseling Psychology, 58(4), 610–617.CrossRef Mak, W. W. S., Ng, I. S. W., & Wong, C. C. Y. (2011). Resilience: Enhancing well-being through the positive cognitive triad. Journal of Counseling Psychology, 58(4), 610–617.CrossRef
42.
go back to reference Rutten, B. P. F., Hammels, C., Geschwind, N., Menne-Lothmann, C., Pishva, E., Schruers, K., et al. (2013). resilience in mental health: Linking psychological and neurobiological perspectives. Acta Psychiatrica Scandinavica, 128(1), 3–20.CrossRef Rutten, B. P. F., Hammels, C., Geschwind, N., Menne-Lothmann, C., Pishva, E., Schruers, K., et al. (2013). resilience in mental health: Linking psychological and neurobiological perspectives. Acta Psychiatrica Scandinavica, 128(1), 3–20.CrossRef
43.
go back to reference Toyoshima, K., Kako, Y., Toyomaki, A., Shimizu, Y., Tanaka, T., Nakagawa, S., Inoue, T., Martinez-Aran, A., Vieta, E., & Kusumi, I. (2019). Associations between cognitive impairment and quality of life in euthymic bipolar patients. Psychiatry Research, 271, 510–515.CrossRef Toyoshima, K., Kako, Y., Toyomaki, A., Shimizu, Y., Tanaka, T., Nakagawa, S., Inoue, T., Martinez-Aran, A., Vieta, E., & Kusumi, I. (2019). Associations between cognitive impairment and quality of life in euthymic bipolar patients. Psychiatry Research, 271, 510–515.CrossRef
44.
go back to reference Toyoshima, K., Inoue, T., Masuya, J., Ichiki, M., Fujimura, Y., & Kusumi, I. (2019). Evaluation of subjective cognitive function using the cognitive complaints in bipolar disorder rating assessment (COBRA) in Japanese adults. Neuropsychiatric Disease and Treatment, 15, 2981–2990.CrossRef Toyoshima, K., Inoue, T., Masuya, J., Ichiki, M., Fujimura, Y., & Kusumi, I. (2019). Evaluation of subjective cognitive function using the cognitive complaints in bipolar disorder rating assessment (COBRA) in Japanese adults. Neuropsychiatric Disease and Treatment, 15, 2981–2990.CrossRef
45.
go back to reference Fiszdon, J. M., Roberts, D. L., Penn, D. L., Choi, K.-H., Tek, C., Choi, J., et al. (2017). Understanding Social Situations (USS): A proof-of-concept social–cognitive intervention targeting theory of mind and attributional bias in individuals with psychosis. Psychiatric Rehabilitation Journal, 40, 12–20.CrossRef Fiszdon, J. M., Roberts, D. L., Penn, D. L., Choi, K.-H., Tek, C., Choi, J., et al. (2017). Understanding Social Situations (USS): A proof-of-concept social–cognitive intervention targeting theory of mind and attributional bias in individuals with psychosis. Psychiatric Rehabilitation Journal, 40, 12–20.CrossRef
47.
go back to reference Seok, J.-H., Lee, K.-U., Kim, W., Lee, S.-H., Kang, E.-H., Ham, B.-J., et al. (2012). Impact of early-life stress and resilience on patients with major depressive disorder. Yonsei Medical Journal, 53(6), 1093.CrossRef Seok, J.-H., Lee, K.-U., Kim, W., Lee, S.-H., Kang, E.-H., Ham, B.-J., et al. (2012). Impact of early-life stress and resilience on patients with major depressive disorder. Yonsei Medical Journal, 53(6), 1093.CrossRef
48.
go back to reference Campbell-Sills, L., Cohan, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44(4), 585–599.CrossRef Campbell-Sills, L., Cohan, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44(4), 585–599.CrossRef
Metagegevens
Titel
Resilience in severe mental disorders: correlations to clinical measures and quality of life in hospitalized patients with major depression, bipolar disorder, and schizophrenia
Auteurs
Katiúscia Gomes Nunes
Neusa Sica da Rocha
Publicatiedatum
25-06-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02920-3

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