Abstract
Objectives
To investigate the links between resilience and depressive symptoms, social functioning,
and physical functioning in people aging with disability and to investigate the effects
of resilience on change in functional outcomes over time.
Design
Longitudinal postal survey.
Setting
Surveys were mailed to a community sample of individuals with 1 of 4 diagnoses: multiple
sclerosis, muscular dystrophy, postpoliomyelitis syndrome, or spinal cord injury.
The survey response rate was 91% at baseline and 86% at follow-up.
Participants
A convenience sample of community-dwelling individuals (N=1594; age range, 20–94y)
with multiple sclerosis, muscular dystrophy, postpoliomyelitis syndrome, or spinal
cord injury.
Interventions
Not applicable.
Main Outcome Measures
Patient Health Questionnaire-9 (to assess depressive symptoms) and Patient Reported
Outcomes Measurement Information System (to assess social role satisfaction and physical
functioning).
Results
At baseline, resilience was negatively correlated with depressive symptoms (r=−.55) and positively correlated with social and physical functioning (r=.49 and r=.17, respectively). Controlling for baseline outcomes, greater baseline resilience
predicted a decrease in depressive symptoms (partial r=−.12) and an increase in social functioning (partial r=.12) 3 years later.
Conclusions
The findings are consistent with a view of resilience as a protective factor that
supports optimal functioning in people aging with disability.
Keywords
List of abbreviations:
CD-RISC-10 (Connor-Davidson Resilience Scale-10), MD (muscular dystrophy), MS (multiple sclerosis), PHQ-9 (Patient Health Questionnaire-9), PPS (postpoliomyelitis syndrome), PROMIS (Patient Reported Outcomes Measurement Information 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: March 07, 2015
Footnotes
Supported by the Department of Education, National Institute on Disability and Rehabilitation Research (grant no. H133B080024). However, the contents of this article do not necessarily represent the policy of the Department of Education, and endorsement by the Federal Government should not be assumed.
Disclosure: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
