Abstract
Objectives
To determine if resilience is uniquely associated with functional outcomes (satisfaction
with social roles, physical functioning, and quality of life) in individuals with
physical disabilities, after controlling for measures of psychological health (depression
and anxiety) and symptom severity (pain, fatigue, and sleep disturbance); and to examine
the potential moderating effect of sex, age, and diagnosis on the hypothesized associations
between resilience and function.
Design
Cross-sectional survey study.
Setting
Surveys were mailed (81% response rate) to a community sample of 1949 individuals
with multiple sclerosis, muscular dystrophy, postpoliomyelitis syndrome, or spinal
cord injury. Participants were recruited through the Internet or print advertisement
(28%), a registry of previous research participants who indicated interest in future
studies (21%), a departmental registry of individuals interested in research (19%),
disability-specific registries (18%), word of mouth (10%), or other sources (3%).
Participants
Convenience sample of community-dwelling adults aging with physical disabilities (N=1574),
with a mean Connor-Davidson Resilience Scale (10 items) score of 29.
Interventions
Not applicable.
Main Outcome Measures
Patient-Reported Outcomes Measurement Information System measures of Satisfaction
with Social Roles and Activities and Physical Functioning, the World Health Organization's
brief Older People's Quality of Life Questionnaire, and the Connor-Davidson Resilience
Scale (10 items).
Results
After controlling for age, age squared, sex, diagnosis, psychological health, and
symptom severity, resilience was significantly and positively associated with satisfaction
with social roles (β=.17, P<.001) and quality of life (β=.39, P<.001), but not physical function (β=.04, P>.05). For every 1-point increase in scores of resilience, there was an increase of
.50 in the quality of life score and .20 in the satisfaction with social roles score.
Sex also moderated the association between resilience and satisfaction with social
roles (F1,1453=4.09, P=.043).
Conclusions
The findings extend past research, providing further evidence indicating that resilience
plays a unique role in nonphysical functional outcomes among individuals with physical
disabilities.
Keywords
List of abbreviations:
CD-RISC10 (Connor-Davidson Resilience Scale (10 items)), MD (muscular dystrophy), MS (multiple sclerosis), OPQOL-brief (brief Older People's Quality of Life Questionnaire), PPS (postpoliomyelitis syndrome), PROMIS (Patient-Reported Outcomes Measurement System), SCI (spinal cord injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 16, 2016
Footnotes
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (grant nos. 90RT5023-01-00 and H133B080024).
The National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) is a center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the policy of NIDILRR, ACL, and HHS, and you should not assume endorsement by the Federal Government.
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
