Battalio Samuel L, Silverman Arielle M, Ehde Dawn M, Amtmann Dagmar, Edwards Karlyn A, Jensen Mark P
Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
Arch Phys Med Rehabil. 2017 Jun;98(6):1158-1164. doi: 10.1016/j.apmr.2016.11.012. Epub 2016 Dec 18.
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.
Cross-sectional survey study.
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%).
Convenience sample of community-dwelling adults aging with physical disabilities (N=1574), with a mean Connor-Davidson Resilience Scale (10 items) score of 29.
Not applicable.
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).
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 (F=4.09, P=.043).
The findings extend past research, providing further evidence indicating that resilience plays a unique role in nonphysical functional outcomes among individuals with physical disabilities.
在控制心理健康指标（抑郁和焦虑）及症状严重程度（疼痛、疲劳和睡眠障碍）后，确定心理韧性是否与身体残疾个体的功能结局（对社会角色的满意度、身体功能和生活质量）存在独特关联；并检验性别、年龄和诊断对心理韧性与功能之间假设关联的潜在调节作用。
横断面调查研究。
对1949名患有多发性硬化症、肌肉萎缩症、脊髓灰质炎后综合征或脊髓损伤的个体组成的社区样本进行邮寄调查（回复率81%）。参与者通过互联网或印刷广告（28%）、表明对未来研究感兴趣的既往研究参与者登记册（21%）、对研究感兴趣的部门登记册（19%）、特定残疾登记册（18%）、口碑（10%）或其他来源（3%）招募。
社区居住的身体残疾成年便利样本（N = 1574），康纳 - 戴维森心理韧性量表（10项）平均得分为29分。
不适用。
患者报告结局测量信息系统中对社会角色和活动的满意度及身体功能的测量指标、世界卫生组织老年人生活质量简表以及康纳 - 戴维森心理韧性量表（10项）。
在控制年龄、年龄平方、性别、诊断、心理健康和症状严重程度后，心理韧性与对社会角色的满意度（β = 0.17，P <.001）和生活质量（β = 0.39，P <.001）显著正相关，但与身体功能无关（β = 0.04，P >.05）。心理韧性得分每增加1分，生活质量得分增加0.50，对社会角色的满意度得分增加0.20。性别也调节了心理韧性与对社会角色满意度之间的关联（F = 4.09，P = 0.043）。
研究结果扩展了以往的研究，提供了进一步的证据表明心理韧性在身体残疾个体的非身体功能结局中发挥独特作用。
