Department of Personality, Psychological Assessment and Treatment, University of Deusto, Bilbao, Spain.
Psychiatry Department, University Hospital Santiago Apostol, Vitoria-Gasteiz, Spain.
Stress Health. 2018 Feb;34(1):115-126. doi: 10.1002/smi.2767. Epub 2017 Jun 22.
The individual process of resilience has been related to positive outcomes in mental disorders. We aimed (a) to identify the resilience domains from the Resilience Questionnaire for Bipolar Disorder that are associated cross sectionally and longitudinally with mental health outcomes in bipolar disorder (BD) and (b) to explore cross-lagged associations among resilience factors. A clinical adult sample of 125 patients diagnosed with BD (62.10% female, mean age = 46.13, SD = 10.89) gave their informed consent and completed a battery of disease-specific tools on resilience, personal recovery, symptomatology, psychosocial functioning, and quality of life, at baseline and at follow-up (n = 63, 58.10% female, mean age = 45.13, SD = 11.06, participation rate = 50.40%). Resilience domains of self-management of BD, turning point, self-care, and self-confidence were significantly associated with mental health indicators at baseline. In addition, self-confidence at baseline directly predicted an increase in personal recovery at follow-up, and self-confidence improvement mediated the relationship between interpersonal support and self-care at baseline and personal recovery at follow-up. These findings highlight that resilience domains are significantly associated with positive mental health outcomes in BD and that some predict personal recovery at follow-up. Moreover, some resilience factors improve other resilience factors over time.
个体韧性过程与精神障碍的积极结果有关。我们旨在：(a) 从双相情感障碍的韧性问卷中确定与双相情感障碍心理健康结果相关的韧性领域，包括横断面和纵向结果；(b) 探索韧性因素之间的交叉滞后关联。一个由 125 名被诊断为双相情感障碍的成年患者组成的临床样本（62.10%为女性，平均年龄为 46.13，标准差为 10.89）同意参与，并在基线和随访时完成了一系列与疾病相关的工具，包括韧性、个人康复、症状、心理社会功能和生活质量（n=63，58.10%为女性，平均年龄为 45.13，标准差为 11.06，参与率为 50.40%）。BD 的自我管理、转折点、自我护理和自信等韧性领域与基线时的心理健康指标显著相关。此外，基线时的自信直接预测了随访时个人康复的增加，而自信的改善则介导了基线时的人际支持和自我护理与随访时的个人康复之间的关系。这些发现强调了韧性领域与双相情感障碍的积极心理健康结果显著相关，并且一些因素可以预测随访时的个人康复。此外，一些韧性因素随着时间的推移会提高其他韧性因素。
