Jayakrishnan K, Baruah Arunjyoti, Kumar Pankaj, Javeth Athar
College of Nursing, AIIMS Kalyani, West Bengal, India.
Department of Psychiatric Nursing, LGBRIMH, Tezpur, Assam, India.
J Caring Sci. 2023 May 21;12(2):84-93. doi: 10.34172/jcs.2023.31964. eCollection 2023 Jun.
Resilience is an ability of an individual to effectively adjust and thrive in adverse stressful conditions. Resilience has protective and compensatory effects against depression. Evaluating resilience clinically and modifying it among patients with depression hugely impacts their prognosis. We aimed to explore different clinical scales for measuring resilience as well as interventions used with an intent to improve resilience among patients with depression.
A systematic literature review was conducted by searching PubMed central, Biomed central, and google scholar, using relevant MeSH keywords. The population of interest were the patients who were clinically diagnosed with Bipolar or Unipolar Depression and the population were not restricted to any country. Clinical scales for evaluation and interventions for resilience among patients with depression were set as an outcome of the study. Randomized controlled trials (RCTs), Quasi-experimental studies, observational studies, and narrative reviews were considered relevant research designs for extraction.
A total of 8689 articles were identified and 13 articles were included in the final review, which yielded five scales that have been identified and have been used to evaluate resilience among the patients who are clinically diagnosed with depression and six different interventions for building resilience among patients with depression.
Resilience-building interventions will not only act as a preventive measure against depression but also help in promoting recovery and sustaining remission after a depressive episode. Clinical evaluation of resilience and management will significantly support boosting emotional experience.
心理韧性是个体在不利压力条件下有效调整并茁壮成长的能力。心理韧性对抑郁症具有保护和补偿作用。在临床上评估心理韧性并对抑郁症患者进行调整，对其预后有重大影响。我们旨在探索用于测量心理韧性的不同临床量表以及旨在提高抑郁症患者心理韧性的干预措施。
通过使用相关医学主题词（MeSH）关键词搜索PubMed中央数据库、生物医学中心数据库和谷歌学术进行系统的文献综述。研究对象为临床诊断为双相或单相抑郁症的患者，且研究对象不限于任何国家。将抑郁症患者心理韧性的评估临床量表和干预措施作为研究结果。随机对照试验（RCT）、准实验研究、观察性研究和叙述性综述被视为相关的提取研究设计。
共识别出8689篇文章，最终纳入综述的有13篇文章，从中确定了五个已被用于评估临床诊断为抑郁症患者心理韧性的量表，以及六种用于增强抑郁症患者心理韧性的不同干预措施。
增强心理韧性的干预措施不仅可作为预防抑郁症的手段，还有助于促进康复并在抑郁发作后维持缓解状态。对心理韧性的临床评估和管理将显著有助于提升情绪体验。
