Gonçalves Leonardo, Evaldt Vitória Maria Tabosa, Sica da Rocha Neusa
Post Graduate Program in Psychiatry at Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
Clinical Research Center and Psychiatry Service, I-Qol, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil.
PLoS One. 2025 Aug 6;20(8):e0327846. doi: 10.1371/journal.pone.0327846. eCollection 2025.
Resilience is a concept that has been widely studied in different contexts and is related to adaptation to different stress levels. Although research in psychotherapy has produced vast knowledge about the effectiveness and mechanisms that mediate response, there is still no clarity about the role of resilience in this process, especially research in psychotherapy with patients with severe mental illness. Due to the implications of severe mental illness in different areas of life, in these patients, the capacity for resilience may be impaired, and the mechanisms involved in mediating this process are still not well explained.
Verify the associations between personality traits and resilience and their potential confounders (sociodemographic factors, pharmacological treatment, type of psychotherapy, social support, depressive and anxiety symptoms). Assess depressive symptoms as a possible mediator of the relationship between personality traits and resilience.
This is a naturalistic cross-sectional study, with 83 participants undergoing psychotherapy from different theoretical lines (psychodynamic, cognitive-behavioural, and interpersonal). Sociodemographic characteristics were evaluated, as well as resilience (25-item Connor Davidson Resilience Scale), depressive symptoms (Beck Depression Inventory), anxious symptoms (Beck Anxiety Inventory), and Personality traits (Personality Inventory for DSM-5).
Resilience was negatively associated with depressive symptoms (B = -12.1, p < 0.001). The mediation effect was significant for depressive symptoms (b = -7.21, BCa 95% CI [-12.6, -3.07]). This variable mediated approximately 46% of the relationship between negative affectivity and resilience.
Resilience was positively associated with antagonism traits and negatively with negative affectivity and depressive symptoms. Depressive symptoms mediated 46% of the relationship between negative affectivity and resilience. The main findings of this study contribute to a greater understanding of the mechanisms involved in resilience, thus influencing the mental health outcomes of patients with severe mental illness.
心理韧性是一个在不同背景下得到广泛研究的概念，与适应不同压力水平相关。尽管心理治疗领域的研究已经产生了关于疗效和介导反应机制的大量知识，但心理韧性在这一过程中的作用仍不明确，尤其是在针对重度精神疾病患者的心理治疗研究中。由于重度精神疾病对生活不同领域的影响，这些患者的心理韧性能力可能受损，而介导这一过程的机制仍未得到充分解释。
验证人格特质与心理韧性之间的关联及其潜在混杂因素（社会人口学因素、药物治疗、心理治疗类型、社会支持、抑郁和焦虑症状）。评估抑郁症状作为人格特质与心理韧性之间关系的可能中介变量。
这是一项自然主义横断面研究，83名参与者接受了来自不同理论流派（精神动力学、认知行为和人际）的心理治疗。评估了社会人口学特征，以及心理韧性（25项Connor-Davidson心理韧性量表）、抑郁症状（贝克抑郁量表）、焦虑症状（贝克焦虑量表）和人格特质（DSM-5人格量表）。
心理韧性与抑郁症状呈负相关（B = -12.1，p < 0.001）。抑郁症状的中介效应显著（b = -7.21，BCa 95%CI [-12.6, -3.07]）。该变量介导了消极情感与心理韧性之间约46%的关系。
心理韧性与敌对特质呈正相关，与消极情感和抑郁症状呈负相关。抑郁症状介导了消极情感与心理韧性之间46%的关系。本研究的主要发现有助于更深入地理解心理韧性所涉及的机制，从而影响重度精神疾病患者的心理健康结局。
