加拿大艾伯塔省急性精神科病房患者出院前心理复原力低下的患病率及其相关因素。

The prevalence and correlates of low resilience in patients prior to discharge from acute psychiatric units in Alberta, Canada.

作者信息

Owusu Ernest, Mao Wanying, Shalaby Reham, Elgendy Hossam Eldin, Agyapong Belinda, Eboreime Ejemai, Lawal Mobolaji A, Nkire Nnamdi, Wei Yifeng, Silverstone Peter H, Chue Pierre, Li Xin-Min, Vuong Wesley, Ohinmaa Arto, Taylor Valerie, Hilario Carla T, Greenshaw Andrew J, Agyapong Vincent I O

机构信息

Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.

Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.

出版信息

BMC Psychiatry. 2025 Mar 27;25(1):295. doi: 10.1186/s12888-025-06704-8.

DOI:10.1186/s12888-025-06704-8

PMID:40148879

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951555/

Abstract

BACKGROUND

Many people experience at least one traumatic event in their lifetime. Although such traumatic events can precipitate psychiatric disorders, many individuals exhibit high resilience by adapting to such events with little disruption or may recover their baseline level of functioning after a transient symptomatic period. Low levels of resilience are under-explored, and this study investigates the prevalence and correlates of low resilience in patients before discharge from psychiatric acute care facilities.

METHODS

Respondents for this study were recruited from nine psychiatric in-patient units across Alberta. Demographic and clinical information were collected via a REDCap online survey. The brief resilience scale (BRS) was used to measure levels of resilience where a score of less than 3.0 was indicative of low resilience. A chi-square analysis followed by a binary logistic regression model was employed to identify significant predictors of low resilience.

RESULTS

A total of 1,004 individuals took part in this study. Of these 35.9% were less than 25 years old, 34.7% were above 40 years old, 54.8% were female, and 62.3% self-identified as Caucasian. The prevalence of low resilience in the study cohort was 55.3%. Respondents who identified as females were one and a half times more likely to show low resilience (OR = 1.564; 95% C.I. = 1.79-2.10), while individuals with 'other gender' identity were three and a half times more likely to evidence low resilience (OR = 3.646; 95% C.I. = 1.36-9.71) compared to males. Similarly, Caucasians were two and one-and-a-half times respectively more likely to present with low resilience compared with respondents who identified as Black (OR = 2.21; 95% C.I. = 1.45-3.70) or Asian (OR = 1.589; 95% C.I. = 1.45-2.44). Additionally, individuals with a diagnosis of depression were significantly more likely to have low resilience than those with a diagnosis of either bipolar disorder (OR = 2.567; 95% C.I. = 1.72-3.85) or schizophrenia (OR = 4.081;95% C.I. = 2.63-6.25).

CONCLUSION

Several demographic and clinical factors were identified as predictors of likely low resilience. The findings may facilitate the identification of vulnerable groups to enable their increased access to support programs that may enhance resilience.

CLINICAL TRIAL REGISTRATION

clinicaltrials.gov, NCT05133726. Registered on the 24th of November 2021.

摘要

背景

许多人在一生中至少经历过一次创伤性事件。尽管此类创伤性事件可能引发精神障碍，但许多人通过适应此类事件且几乎不受干扰，展现出了高度的复原力，或者在经历短暂的症状期后可能恢复到基线功能水平。低复原力水平的研究较少，本研究调查了精神科急性护理机构出院前患者中低复原力的患病率及其相关因素。

方法

本研究的受访者来自艾伯塔省的九个精神科住院单元。通过REDCap在线调查收集人口统计学和临床信息。使用简易复原力量表（BRS）来测量复原力水平，得分低于3.0表明复原力低。采用卡方分析，随后进行二元逻辑回归模型，以确定低复原力的显著预测因素。

结果

共有1004人参与了本研究。其中，35.9%的人年龄小于25岁，34.7%的人年龄大于40岁，54.8%为女性，62.3%自我认定为白种人。研究队列中低复原力的患病率为55.3%。自我认定为女性的受访者表现出低复原力的可能性是男性的1.5倍（OR = 1.564；95%置信区间 = 1.79 - 2.10），而自我认定为“其他性别”的个体表现出低复原力的可能性是男性的3.5倍（OR = 3.646；95%置信区间 = 1.36 - 9.71）。同样地，与自我认定为黑人（OR = 2.21；95%置信区间 = 1.45 - 3.70）或亚洲人（OR = 1.589；95%置信区间 = 1.45 - 2.44）的受访者相比，白种人出现低复原力的可能性分别高出2倍和1.5倍。此外，被诊断为抑郁症的个体比被诊断为双相情感障碍（OR = 2.567；95%置信区间 = 1.72 - 3.85）或精神分裂症（OR = 4.081；95%置信区间 = 2.63 - 6.25）的个体更有可能具有低复原力。