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Resilience and Function in Adults With Chronic Physical Disabilities: A Cross-Lagged Panel Design
Samuel L Battalio, BS, Connie L Tang, BS, Mark P Jensen, PhD
Annals of Behavioral Medicine, kaz048, https://doi.org/10.1093/abm/kaz048
Published: 01 November 2019
Abstract
Background
Resilience is a psychological construct referring to one痴 positive adaptation in response to adversity. Evidence suggests that resilience may contribute to various function domains in adults with chronic physical disabilities.
Purpose
To test hypothesized temporal associations between resilience and four function domains (anxiety, depression, social role satisfaction, and physical function) in individuals with chronic physical disabilities.
Methods
Participants were 1,574 adults with one of four chronic physical disabilities (spinal cord injury, muscular dystrophy, multiple sclerosis, or postpolio myelitis syndrome) who were participating in a large, ongoing USA-based longitudinal survey study. Three surveys were mailed on an approximately yearly basis. Resilience was assessed using the Connor縫avidson Resilience Scale 10-item (CDRSC-10) and each function domain was assessed using the respective Patient Reported Outcome Measurement System (PROMIS) short-form.
Results
Cross-lagged path models evidenced statistically significant reciprocal relationships between resilience and each function domain except physical function. The standardized lagged coefficients corresponding to resilience predicting social role satisfaction (T1傍2 = 0.09, T2傍3 = 0.09) had similar effect sizes as those corresponding to social role satisfaction predicting resilience (T1傍2 = 0.11, T2傍3 = 0.04), although resilience was a slightly stronger predictor in the second lag. In models assessing psychological function, resilience was a stronger predictor of later psychological function (resilience-to-anxiety, T1傍2 = −0.15, T2傍3 = −0.11; resilience-to-depression, T1傍2 = −0.21, T2傍3 = −0.13) than the inverse (anxiety-to-resilience, T1傍2 = −0.11, T2傍3 = −0.06; depression-to-resilience, T1傍2 = −0.12, T2傍3 = −0.05).
Conclusions
The study findings suggest that resilience is a significant prospective predictor of psychological and social function over time in individuals with chronic physical disabilities.
Samuel L Battalio, BS, Connie L Tang, BS, Mark P Jensen, PhD
Annals of Behavioral Medicine, kaz048, https://doi.org/10.1093/abm/kaz048
Published: 01 November 2019
Abstract
Background
Resilience is a psychological construct referring to one痴 positive adaptation in response to adversity. Evidence suggests that resilience may contribute to various function domains in adults with chronic physical disabilities.
Purpose
To test hypothesized temporal associations between resilience and four function domains (anxiety, depression, social role satisfaction, and physical function) in individuals with chronic physical disabilities.
Methods
Participants were 1,574 adults with one of four chronic physical disabilities (spinal cord injury, muscular dystrophy, multiple sclerosis, or postpolio myelitis syndrome) who were participating in a large, ongoing USA-based longitudinal survey study. Three surveys were mailed on an approximately yearly basis. Resilience was assessed using the Connor縫avidson Resilience Scale 10-item (CDRSC-10) and each function domain was assessed using the respective Patient Reported Outcome Measurement System (PROMIS) short-form.
Results
Cross-lagged path models evidenced statistically significant reciprocal relationships between resilience and each function domain except physical function. The standardized lagged coefficients corresponding to resilience predicting social role satisfaction (T1傍2 = 0.09, T2傍3 = 0.09) had similar effect sizes as those corresponding to social role satisfaction predicting resilience (T1傍2 = 0.11, T2傍3 = 0.04), although resilience was a slightly stronger predictor in the second lag. In models assessing psychological function, resilience was a stronger predictor of later psychological function (resilience-to-anxiety, T1傍2 = −0.15, T2傍3 = −0.11; resilience-to-depression, T1傍2 = −0.21, T2傍3 = −0.13) than the inverse (anxiety-to-resilience, T1傍2 = −0.11, T2傍3 = −0.06; depression-to-resilience, T1傍2 = −0.12, T2傍3 = −0.05).
Conclusions
The study findings suggest that resilience is a significant prospective predictor of psychological and social function over time in individuals with chronic physical disabilities.