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Gepubliceerd in: Quality of Life Research 11/2017

28-06-2017

Resilience to health challenges is related to different ways of thinking: mediators of physical and emotional quality of life in a heterogeneous rare-disease cohort

Auteurs: Carolyn E. Schwartz, Wesley Michael, Bruce D. Rapkin

Gepubliceerd in: Quality of Life Research | Uitgave 11/2017

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Abstract

Background

We sought to understand what distinguishes people who confront health challenges but still manage to thrive. This study investigated whether resilience helps to explain the impact of health challenges on quality of life (QOL) outcomes, and how resilience relates to appraisal.

Methods

A web-based survey of rare-disease panel participants included the Centers for Disease Control Healthy Days Core Module, the PROMIS-10, and comorbidities. The QOL Appraisal Profile—v2 assessed cognitive processes underlying QOL. Resilience was operationalized statistically using residual modeling, and hierarchical regressions tested the mediation hypothesis that resilience accounts for a significant amount of the relationship of appraisal to QOL.

Results

The study sample (n = 3,324; mean age 50; 86% female; 90% White) represented a range of diagnostic codes, with cancer and diseases of the nervous system being the most prevalent health conditions. After adjusting for comorbidities (catalysts), resilience was associated with better physical and emotional functioning, and different appraisal processes were associated with better or worse physical or emotional functioning. After controlling for catalysts, 62% of the association of Physical Functioning and 23% of the association between Emotional Functioning and appraisal were mediated by resilience. Physical and emotional resilience comprised some of the same appraisal processes, but physically resilient people were characterized by more appraisal processes than their emotionally resilient counterparts.

Conclusions

Resilient people employ different appraisal processes than non-resilient people, and these processes differ for physical and emotional outcomes. Resilience was a stronger mediator of the relationship between physical rather than emotional functioning and appraisal.
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Literatuur
1.
go back to reference Windle, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology, 21(02), 152–169.CrossRef Windle, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology, 21(02), 152–169.CrossRef
2.
go back to reference Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219–239.CrossRefPubMed Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219–239.CrossRefPubMed
3.
go back to reference Folkman, S., Moskowitz, J. T., Ozer, E. M., Park, C. L., & Gottlieb, B. H. (1997). Positive meaningful events and coping in the context of HIV/AIDS. In D. Meichenbaum (Ed.), Coping with chronic stress. The Plenum Series on Stress and Coping (pp. 293–315). New York: Plenum Press.CrossRef Folkman, S., Moskowitz, J. T., Ozer, E. M., Park, C. L., & Gottlieb, B. H. (1997). Positive meaningful events and coping in the context of HIV/AIDS. In D. Meichenbaum (Ed.), Coping with chronic stress. The Plenum Series on Stress and Coping (pp. 293–315). New York: Plenum Press.CrossRef
4.
go back to reference Linville, P. W. (1987). Self-complexity as a cognitive buffer against stress-related illness and depression. Journal of Personality and Social Psychology, 52, 663.CrossRefPubMed Linville, P. W. (1987). Self-complexity as a cognitive buffer against stress-related illness and depression. Journal of Personality and Social Psychology, 52, 663.CrossRefPubMed
5.
go back to reference Baker, S. L., & Kirsch, I. (1991). Cognitive mediators of pain perception and tolerance. Journal of Personality Social Psychology, 61(3), 504–510.CrossRefPubMed Baker, S. L., & Kirsch, I. (1991). Cognitive mediators of pain perception and tolerance. Journal of Personality Social Psychology, 61(3), 504–510.CrossRefPubMed
6.
go back to reference Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self- efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37–44.CrossRefPubMed Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self- efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37–44.CrossRefPubMed
7.
go back to reference Wrosch, C., & Scheier, M. F. (2003). Personality and quality of life: the importance of optimism and goal adjustment. Quality of Life Research, 12(Suppl. 1), 59–72.CrossRefPubMed Wrosch, C., & Scheier, M. F. (2003). Personality and quality of life: the importance of optimism and goal adjustment. Quality of Life Research, 12(Suppl. 1), 59–72.CrossRefPubMed
8.
go back to reference Marrie, R. A., & Horwitz, R. I. (2010). Emerging effects of comorbidities on multiple sclerosis. Lancet Neurology, 9(8), 820–828.CrossRefPubMed Marrie, R. A., & Horwitz, R. I. (2010). Emerging effects of comorbidities on multiple sclerosis. Lancet Neurology, 9(8), 820–828.CrossRefPubMed
9.
go back to reference Taylor, S. E., Lerner, J. S., Sage, R. M., Lehman, B. J., & Seeman, T. E. (2004). Early environment, emotions, responses to stress, and health. Journal of Personality, 72(6), 1365–1394.CrossRefPubMed Taylor, S. E., Lerner, J. S., Sage, R. M., Lehman, B. J., & Seeman, T. E. (2004). Early environment, emotions, responses to stress, and health. Journal of Personality, 72(6), 1365–1394.CrossRefPubMed
10.
go back to reference Skodol, A. E., Bender, D. S., Pagano, M. E., Shea, M. T., Yen, S., Sanislow, C. A., et al. (2007). Positive childhood experiences: Resilience and recovery from personality disorder in early adulthood. The Journal of clinical psychiatry, 68(7), 1102.CrossRefPubMedPubMedCentral Skodol, A. E., Bender, D. S., Pagano, M. E., Shea, M. T., Yen, S., Sanislow, C. A., et al. (2007). Positive childhood experiences: Resilience and recovery from personality disorder in early adulthood. The Journal of clinical psychiatry, 68(7), 1102.CrossRefPubMedPubMedCentral
11.
go back to reference Cole, S. W., Arevalo, J. M., Manu, K., Telzer, E. H., Kiang, L., Bower, J. E., et al. (2011). Antagonistic pleiotropy at the human IL6 promoter confers genetic resilience to the pro-inflammatory effects of adverse social conditions in adolescence. Developmental Psychology, 47(4), 1173.CrossRefPubMedPubMedCentral Cole, S. W., Arevalo, J. M., Manu, K., Telzer, E. H., Kiang, L., Bower, J. E., et al. (2011). Antagonistic pleiotropy at the human IL6 promoter confers genetic resilience to the pro-inflammatory effects of adverse social conditions in adolescence. Developmental Psychology, 47(4), 1173.CrossRefPubMedPubMedCentral
12.
go back to reference Huber, M., Knottnerus, J. A., Green, L., van der Horst, H., Jadad, A. R., Kromhout, D., et al. (2011). How should we define health? British Medical Journal, 343, d4163.CrossRefPubMed Huber, M., Knottnerus, J. A., Green, L., van der Horst, H., Jadad, A. R., Kromhout, D., et al. (2011). How should we define health? British Medical Journal, 343, d4163.CrossRefPubMed
13.
go back to reference Sprangers, M. A. G., & Schwartz, C. E. (2008). Reflections on genes and sustainable change: Toward a state and trait conceptualization of health-related quality of life. Health Quality of Life Outcomes, 6, 89.CrossRefPubMedPubMedCentral Sprangers, M. A. G., & Schwartz, C. E. (2008). Reflections on genes and sustainable change: Toward a state and trait conceptualization of health-related quality of life. Health Quality of Life Outcomes, 6, 89.CrossRefPubMedPubMedCentral
14.
go back to reference Schwartz, C. E., & Sprangers, M. A. G. (2009). Reflections on genes and sustainable change: Toward a trait and state conceptualization of response shift. Journal of Clinical Epidemiology, 62, 1118–1123.CrossRefPubMed Schwartz, C. E., & Sprangers, M. A. G. (2009). Reflections on genes and sustainable change: Toward a trait and state conceptualization of response shift. Journal of Clinical Epidemiology, 62, 1118–1123.CrossRefPubMed
15.
go back to reference Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: a theoretical model. Social Science and Medicine, 48(11), 1507–1515.CrossRefPubMed Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: a theoretical model. Social Science and Medicine, 48(11), 1507–1515.CrossRefPubMed
16.
go back to reference Schwartz, C. E., & Sprangers, M. A. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548.CrossRefPubMed Schwartz, C. E., & Sprangers, M. A. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548.CrossRefPubMed
17.
go back to reference Schwartz, C. E., Bode, R., Repucci, N., Becker, J., Sprangers, M. A. G., & Fayers, P. M. (2006). The clinical significance of adaptation to changing health: A meta-analysis of response shift. Quality of Life Research, 15, 1533–1550.CrossRefPubMed Schwartz, C. E., Bode, R., Repucci, N., Becker, J., Sprangers, M. A. G., & Fayers, P. M. (2006). The clinical significance of adaptation to changing health: A meta-analysis of response shift. Quality of Life Research, 15, 1533–1550.CrossRefPubMed
18.
go back to reference Rapkin, B. D., & Schwartz, C. E. (2004). Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift. Health and Quality of Life Outcomes., 2(1), 14.CrossRefPubMedPubMedCentral Rapkin, B. D., & Schwartz, C. E. (2004). Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift. Health and Quality of Life Outcomes., 2(1), 14.CrossRefPubMedPubMedCentral
19.
go back to reference Schwartz, C. E., & Rapkin, B. D. (2004). Reconsidering the psychometrics of quality of life assessment in light of response shift and appraisal. Health and Quality of Life Outcomes., 2, 16.CrossRefPubMedPubMedCentral Schwartz, C. E., & Rapkin, B. D. (2004). Reconsidering the psychometrics of quality of life assessment in light of response shift and appraisal. Health and Quality of Life Outcomes., 2, 16.CrossRefPubMedPubMedCentral
20.
go back to reference Rapkin, B. D., & Schwartz, C. E. (2016). Distilling the essence of appraisal: a mixed methods study of people with multiple sclerosis. Quality of Life Research, 25(4), 793–805.CrossRefPubMed Rapkin, B. D., & Schwartz, C. E. (2016). Distilling the essence of appraisal: a mixed methods study of people with multiple sclerosis. Quality of Life Research, 25(4), 793–805.CrossRefPubMed
21.
go back to reference Li, Y., & Rapkin, B. (2009). Classification and regression tree analysis to identify complex cognitive paths underlying quality of life response shifts: A study of individuals living with HIV/AIDS. Journal of Clinical Epidemiology, 62, 1138–1147.CrossRefPubMedPubMedCentral Li, Y., & Rapkin, B. (2009). Classification and regression tree analysis to identify complex cognitive paths underlying quality of life response shifts: A study of individuals living with HIV/AIDS. Journal of Clinical Epidemiology, 62, 1138–1147.CrossRefPubMedPubMedCentral
22.
go back to reference Rapkin, B. D., & Schwartz, C. E. (2016). Distilling the essence of appraisal: A mixed methods study of people with multiple sclerosis. Quality of Life Research, 25(4), 793–805.CrossRefPubMed Rapkin, B. D., & Schwartz, C. E. (2016). Distilling the essence of appraisal: A mixed methods study of people with multiple sclerosis. Quality of Life Research, 25(4), 793–805.CrossRefPubMed
23.
go back to reference Finkelstein, J., Kallen, M. A., Quaranto, B., Rapkin, B. D., & Schwartz, C. E. (2012). Appraisal processes in people awaiting spine surgery : Investigating quality of life using mixed methods. Quality of Life Research, 20, 106. Finkelstein, J., Kallen, M. A., Quaranto, B., Rapkin, B. D., & Schwartz, C. E. (2012). Appraisal processes in people awaiting spine surgery : Investigating quality of life using mixed methods. Quality of Life Research, 20, 106.
24.
go back to reference Taminiau-Bloem, E. F., van Zuuren, F. J., Koeneman, M. A., Rapkin, B. D., Visser, M. R., Koning, C. C., et al. (2010). A’short walk’is longer before radiotherapy than afterwards: A qualitative study questioning the baseline and follow-up design. Health and Quality of Life Outcomes, 8(1), 1.CrossRef Taminiau-Bloem, E. F., van Zuuren, F. J., Koeneman, M. A., Rapkin, B. D., Visser, M. R., Koning, C. C., et al. (2010). A’short walk’is longer before radiotherapy than afterwards: A qualitative study questioning the baseline and follow-up design. Health and Quality of Life Outcomes, 8(1), 1.CrossRef
25.
go back to reference Morganstern, B. A., Bernard, B., Dalbagni, G., Shabsigh, A., & Rapkin, B. (2011). The psychological context of quality of life: A psychometric analysis of a novel idiographic measure of bladder cancer patients’ personal goals and concerns prior to surgery. Health and Quality of Life Outcomes, 9, 10.CrossRefPubMedPubMedCentral Morganstern, B. A., Bernard, B., Dalbagni, G., Shabsigh, A., & Rapkin, B. (2011). The psychological context of quality of life: A psychometric analysis of a novel idiographic measure of bladder cancer patients’ personal goals and concerns prior to surgery. Health and Quality of Life Outcomes, 9, 10.CrossRefPubMedPubMedCentral
26.
go back to reference Schwartz, C. E., Rapkin, B. D., & Healy, B. C. (2016). Reserve and reserve-building activities research: Key challenges and future directions. BMC Neuroscience, 17, 62.CrossRefPubMedPubMedCentral Schwartz, C. E., Rapkin, B. D., & Healy, B. C. (2016). Reserve and reserve-building activities research: Key challenges and future directions. BMC Neuroscience, 17, 62.CrossRefPubMedPubMedCentral
27.
go back to reference Schwartz, C. E., Snook, E., Quaranto, B., Benedict, R. H., Rapkin, B. D., & Vollmer, T. (2013). Cognitive reserve and appraisal in multiple sclerosis. Multiple Sclerosis and Related Disorders, 2(1), 36–44.CrossRefPubMed Schwartz, C. E., Snook, E., Quaranto, B., Benedict, R. H., Rapkin, B. D., & Vollmer, T. (2013). Cognitive reserve and appraisal in multiple sclerosis. Multiple Sclerosis and Related Disorders, 2(1), 36–44.CrossRefPubMed
28.
go back to reference Schwartz, C. E., Snook, E. M., Quaranto, B. R., Benedict, R. H. B., & Vollmer, T. (2013). Cognitive reserve and patient-reported outcomes. Multiple Sclerosis Journal, 19(1), 87–105.CrossRefPubMed Schwartz, C. E., Snook, E. M., Quaranto, B. R., Benedict, R. H. B., & Vollmer, T. (2013). Cognitive reserve and patient-reported outcomes. Multiple Sclerosis Journal, 19(1), 87–105.CrossRefPubMed
29.
go back to reference Schwartz, C. E., Quaranto, B. R., Healy, B. C., Benedict, R. H. B., & Vollmer, T. (2013). Cognitive reserve and symptom experience in multiple sclerosis: A buffer to disability progression over time? Archives of Physical Medicine and Rehabilitation, 94, 1971–1981.CrossRefPubMed Schwartz, C. E., Quaranto, B. R., Healy, B. C., Benedict, R. H. B., & Vollmer, T. (2013). Cognitive reserve and symptom experience in multiple sclerosis: A buffer to disability progression over time? Archives of Physical Medicine and Rehabilitation, 94, 1971–1981.CrossRefPubMed
30.
go back to reference Schwartz, C. E., Dwyer, M. G., Benedict, R. H. B., Weinstock-Guttman, B., Bergsland, N. P., Li, J., et al. (2016). Reserve-building activities and MRI metrics: A comparison between multiple sclerosis patients and healthy controls. BMC Neurology, 16, 108.CrossRefPubMedPubMedCentral Schwartz, C. E., Dwyer, M. G., Benedict, R. H. B., Weinstock-Guttman, B., Bergsland, N. P., Li, J., et al. (2016). Reserve-building activities and MRI metrics: A comparison between multiple sclerosis patients and healthy controls. BMC Neurology, 16, 108.CrossRefPubMedPubMedCentral
32.
go back to reference Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th ed.). Hoboken, NJ: Wiley. Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th ed.). Hoboken, NJ: Wiley.
33.
go back to reference Measuring healthy days. (2000). Population assessment of health-related quality of life. Atlanta, GA: Centers for Disease Control and Prevention. Measuring healthy days. (2000). Population assessment of health-related quality of life. Atlanta, GA: Centers for Disease Control and Prevention.
34.
go back to reference Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., & Cella, D. (2009). Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Quality of Life Research, 18(7), 873–880.CrossRefPubMedPubMedCentral Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., & Cella, D. (2009). Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Quality of Life Research, 18(7), 873–880.CrossRefPubMedPubMedCentral
35.
go back to reference Rapkin, B. D., Garcia, I., Michael, W., Zhang, J., & Schwartz, C. E. (2017). Distinguishing appraisal and personality influences on quality of life in chronic illness: Introducing the Quality-of-Life Appraisal Profile version 2. Quality of Life Research. doi:10.1007/s11136-017-1600-y. Rapkin, B. D., Garcia, I., Michael, W., Zhang, J., & Schwartz, C. E. (2017). Distinguishing appraisal and personality influences on quality of life in chronic illness: Introducing the Quality-of-Life Appraisal Profile version 2. Quality of Life Research. doi:10.​1007/​s11136-017-1600-y.
36.
go back to reference Reed, B. R., Mungas, D., Farias, S. T., Harvey, D., Beckett, L., Widaman, K., et al. (2010). Measuring cognitive reserve based on the decomposition of episodic memory variance. Brain, 133(Pt 8), 2196–2209.CrossRefPubMedPubMedCentral Reed, B. R., Mungas, D., Farias, S. T., Harvey, D., Beckett, L., Widaman, K., et al. (2010). Measuring cognitive reserve based on the decomposition of episodic memory variance. Brain, 133(Pt 8), 2196–2209.CrossRefPubMedPubMedCentral
37.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.CrossRefPubMed Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.CrossRefPubMed
38.
go back to reference Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.CrossRefPubMed Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.CrossRefPubMed
39.
go back to reference Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81(1), 1–17.CrossRefPubMed Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81(1), 1–17.CrossRefPubMed
40.
go back to reference Walker, B., Holling, C. S., Carpenter, S., & Kinzig, A. (2004). Resilience, adaptability and transformability in social–ecological systems. Ecology and society, 9, 2. Walker, B., Holling, C. S., Carpenter, S., & Kinzig, A. (2004). Resilience, adaptability and transformability in social–ecological systems. Ecology and society, 9, 2.
Metagegevens
Titel
Resilience to health challenges is related to different ways of thinking: mediators of physical and emotional quality of life in a heterogeneous rare-disease cohort
Auteurs
Carolyn E. Schwartz
Wesley Michael
Bruce D. Rapkin
Publicatiedatum
28-06-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1633-2

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