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This study evaluated the validity and reliability of the Persian version of the Disaster Resilience Measuring Tool (DRMT-C19).
Methods
The research was a methodological, psychometric study. Standard translation processes were performed. Face validity and content validity were determined along with construct and convergent validity. To determine the final version of the questionnaire, 483 health care rescuers were selected using a consecutive sampling method. Other resilience-related questionnaires were used to assess concurrent validity. All quantitative data analyses were conducted using SPSS 22 and Jamovi 2.3.28 software.
Results
The content validity and reliability were indicated using Scale’s Content Validity Ratio (S-CVR) = 0.92 and Scale’s Content Validity Index (S-CVI) = 0.93. The comprehensiveness of the measurement tool = 0.875%. Cronbach’s α = 0.89 and the test re-test reliability using interclass correlation coefficients (ICC) = 0.68 to 0.92. Exploratory factor analysis determined 4 factors which accounted for more than 58.54% of the variance among the items. Confirmatory factor analysis determined 12 factors. The concurrent validity between the DRMT-C19 and the Connor-Davidson Resilience Scale (CD-RISC) was r = 0.604 (P ≤ 0.0001).
Conclusions
The DRMT-C19 has satisfactory psychometric properties and is a valid, reliable, and valuable tool for assessing resilience against disasters in Iran’s Persian-speaking health care rescuers.
The Indus civilization in South Asia (c. 320 – 1500BC) was one of the most important Old World Bronze Age cultures. Located at the cross-roads of Asia, in modern Pakistan and India, it encompassed ca. one million square kilometers, making it one the largest and most ecologically, culturally, socially, and economically complex among contemporary civilisations. In this study, Jennifer Bates offers new insights into the Indus civilisation through an archaeobotanical reconstruction of its environment. Exploring the relationship between people and plants, agricultural systems, and the foods that people consumed, she demonstrates how the choices made by the ancient inhabitants were intertwined with several aspects of society, as were their responses to social and climate changes. Bates' book synthesizes the available data on genetics, archaeobotany, and archaeology. It shows how the ancient Indus serves as a case study of a civilization navigating sustainability, resilience and collapse in the face of changing circumstances by adapting its agricultural practices.
With a specific focus on violence and abuse, this chapter explores some the challenges that LGBTIQ people often experience, but also the strengths that LGBTIQ people display. The chapter reviews research on intimate partner violence experienced by LGBTIQ people (including identity-related abuse) and the violence perpetrated against animals in these contexts. Situating challenges alongside strengths is an important counter to the often negative messages and stereotypes that circulate about LGBTIQ people, as it encourages a focus on identifying sites of resistance and opportunities for change. The chapter therefore also explores the resiliencies that LGBTIQ people display in the face of adversity, including through relationships with animal companions.
To examine feasibility, acceptability, and preliminary effectiveness of a novel group-based telemedicine psychoeducation programme aimed at supporting psychological well-being among adolescents with Fontan-palliated CHD.
Study design:
A 5-week telemedicine psychoeducation group-based programme (WE BEAT) was developed for adolescents (N = 20; 13–18 years) with Fontan-palliated CHD aimed at improving resiliency and psychological well-being. Outcome measures included surveys of resilience (Connor–Davidson Resilience Scale), benefit finding (Benefit/Burden Scale for Children), depression, anxiety, peer relationships, and life satisfaction (National Institutes of Health Patient-Reported Outcomes Measurement Information System scales). Within-subject changes in these outcomes were compared pre- to post-intervention using Cohen’s d effect size. In addition, acceptability in the form of satisfaction measures and qualitative feedback was assessed.
Results:
Among eligible patients reached, 68% expressed interest in study participation. Of those consented, 77% have been scheduled for a group programme to date with 87% programme completion. Twenty adolescents (mean age 16.1 ± SD 1.6 years) participated across five WE BEAT group cohorts (range: 3–6 participants per group). The majority (80%) attended 4–5 sessions in the 5-session programme, and the median programme rating was a 9 out of 10 (10 = most favourable rating). Following WE BEAT participation, resiliency (d = 0.44) and perceptions of purpose in life increased (d = 0.26), while depressive symptoms reduced (d = 0.36). No other changes in assessed outcome measures were noted.
Conclusions:
These findings provide preliminary support that a group-based, telemedicine delivered psychoeducation programme to support psychological well-being among adolescents with CHD is feasible, acceptable, and effective. Future directions include examining intervention effects across diverse centres, populations, and implementation methods.
In this chapter, I first document the great agrarian famine of 1879–80, followed by a detailed analysis of peasants’ livelihood circumstances in the countryside of Diyarbekir, Erzurum and Van, and the politics of food and water scarcity as it impacted agricultural production and the agrarian economy. Next, I turn to the appearance of new environmental disasters in the 1880s and 1890s. These crises exacerbated conflict between local powerbrokers and peasants, and radically transformed settlement patterns within Ottoman Kurdistan. The second major section of the chapter depicts how climatic factors and the periodicity of environmental change impacted pastoralists and it includes a discussion of how climatic fluctuations affect the physiology of herd animals. I conclude this section by examining pastoralist survival strategies, and how these contributed to the growth of intercommunal tension in Kurdistan in the last decades of the nineteenth century.
This chapter makes four historical interventions. First, It argues that the relief program of the Ottoman central state during the continuum of crisis aimed to maintain agriculture, cities, and the army, but not pastoralists. Although pastoralists lost millions of herd animals, their source of food, financial capital, and sociopolitical power, available historical documents indicate that the Hamidian government did not distribute grain or flocks to pastoralists, and neither did they lend money to rebuild their herds, as they did for peasants. It is unclear whether this was a deliberate policy of the state in order to turn pastoralists into taxable agriculturalists. What is clear is that the traditional Ottoman famine relief policies contributed to mounting ecological and economic disequilibrium between peasants and pastoralists in times of crises and to irreversibly expanding this imbalance in the political ecology of Kurdistan in the post-crises period by triggering displacement, migration, and proletarianization among pastoralist communities.
The impact of disasters on the health and wellbeing of children is well documented, with children identified as bellwethers of community recovery. It has also been demonstrated that building community-wide resilience benefits from being approached through a child-centric model of community participation. While much of this work has been focused on the USA, there is a need to develop models to adapt these approaches in international environments. Small Island Developing States (SIDS) are particularly at risk for disaster events. SIDS tend to have less diverse economies and a high dependence on climate-sensitive sectors that are vulnerable to disasters. The National Center for Disaster Preparedness at Columbia University along with Save the Children created The Resilient Children, Resilient Communities Initiative to build child-focused resilience within communities. The Initiative, which has already been applied to sites in the USA, is being adapted for the context of Dominica. The Initiative focuses on child-serving institutions and uses a Community Preparedness Index to quantify the current inventory of policies and practices related to children. The Initiative aims to implement strategies to improve the ability of the community to meet the needs of children in a disaster. This paper explores the application of these concepts surrounding the Initiative.
Based on a range of detailed case studies, this innovative book presents a model for early career language teacher development. It showcases the lived experiences of English language teachers in their training years, as well as the reflections of two more experienced English language teachers, and uses these case studies to provide practical guidelines on early career needs and development. It outlines four essential and highly connected conditions that will enable teachers to survive and thrive in the profession: reflection, support, resilience, and well-being. Using an innovative, evidence-based, data-informed approach to reflective practice, the book covers teachers' philosophy, principles, theory, practice, and critical reflection beyond practice. Each chapter contains practical reflection activities, to encourage reflection throughout from the reader on what the research reveals. It is essential reading for graduate students who are training to become language teachers, as well as language teacher trainers and lecturers.
Moving prevention for college students out of the mental health clinic and into the classroom changes the campus environment. A curricular approach to enhancing student resilience is described through an exemplar of a one-credit general education course focused on adaptive responses to stress, Changing Minds, Changing Lives (CMCL). The experiential, strength-based curriculum is designed to meet basic psychological needs, buffer predictable stress, and boost adaptive resilience. Based on a social–ecological model of resilience, the CMCL program functions as a campus opportunity structure teaching self-regulation skills, facilitating greater connectedness, and strengthening resilience capacities. The model operationalizes the resilience response as a set of concrete actions that facilitate adaptive reorientation and reorganization in the face of challenge, mobilize relevant assets and resources, and leverage social connections to navigate adversity. Evidence-based applications of strength-based pedagogy, mindfulness practices, expressive writing, and inclusive group process in the course structure are described, and empirical validation of model efficacy is reviewed.
This chapter discusses the implications of considering the health system as part of the national social infrastructure, using the example of the demand surge experienced during the COVID-19 pandemic for the UK’s rationed, largely free at the point of need National Health Service (NHS). It explores the impact of the past prioritization of the cost efficiency of the service rather than long-term need. An infrastructure perspective incorporating resilience and peak-demand considerations sheds new light on the performance of the health service and underlines the role of healthcare systems in human capital investment and economy-wide productivity.
Introduction: Resilience is a dynamic process involving the interaction between risk and protective factors that act to modify the effects of adverse life events. Understanding the resilience of caregivers of patients with AD and its predictors is essential for the development of intervention strategies aimed at solutions that can contribute to the improvement of their emotional disorders, such as anxiety, stress, anddepression.
Methods: 93 dyads of patients diagnosed with AD, where 60 (64.5%) dyads had Late-onset AD (LOAD) and 33 (35.5%) dyads had Young-onset AD (YOAD). Patients were assessed for: quality of life (QoL), disease awareness, and depression. Caregivers were assessed for: resilience, depression, anxiety, burden, and QoL. Additionally, caregivers provided information about mood, neuropsychiatric symptoms, dementia severity, and patients’ activities of daily living.
Results: Caregivers showed moderate levels of resilience, with an average score of 140 (SD = 13.20), moderate level of burden 28.94 (SD = 14.74), low level of anxiety 7.56 (SD = 7.44), and low level of depressive symptoms 8.17 (SD = 6.34). Patients had an average cognition score of 18.81, 63.4% had mild dementia, low depression index .2 (SD = 5.78), low index of neuropsychiatric symptoms 16.11 (SD = 14.47), and partially compromised disease awareness 9.06 (SD = 5.12).
Conclusions: No relationship was found between caregivers’ resilience and patients’ clinical condition, indicating that resilience seems to be associated with caregivers’ individual characteristics. Interventions such as psychoeducational groups, behavioral or religious counseling, may stimulate or develop resilience characteristics in caregivers who exhibit avoidance or denial behaviors regarding the patient’s diagnosis.
The emergency response capacity of nurses is quite important during the COVID-19 epidemic. This study aimed to determine the relationship of resilience with emergency response capacity and occupational stresses during COVID-19 re-outbreak.
Methods
This is a cross-sectional study that involved 241 new nurses. Questionnaires (including demographic characteristics and self-report questionnaires) were sent via QR code and used to conduct an online survey of new nurses. Resilience, emergency response capacity, and occupational stressors were measured using questionnaires.
Results
Mean resilience score was 62.68 ± 14.04, which corresponds to a moderate level. Age, marital status, and work experience were significantly associated with resilience (P = 0.037, P = 0.046, P = 0.011) and emergency response capacity (P = 0.018, P = 0.045, P < 0.000). Total score and 3 dimensions of resilience were positively correlated with emergency response competency questionnaire and 3 dimensions (P < 0.01). Total scores of the nurse job stress scale and patient care dimension were negatively correlated with resilience scores (P < 0.05). Resilience played a partial mediating role in occupational stressors and emergency response capacity, and mediating effect accounted for 45.79% of the total effect.
Conclusions
The nursing superintendent must pay more attention to the resiliency of new nurses to reduce occupational stressors and improve emergency response capacity while helping new nurses cope with COVID-19 re-outbreak.
Food systems in Africa are under pressure from climate change, conflicts, health pandemics such as COVID-19 and rising food prices. The COVID-19 pandemic highlighted weaknesses in global food systems and indeed Africa’s was not spared. Although COVID-19 mortality and morbidity in Africa were relatively low in comparison to other regions, the containment measures employed by countries amplified a rather dire situation. Disruptions were seen in livelihoods, food value chains, increases in food prices and loss of income. These changes affected access to nutritious foods. A resilient food system that can withstand and recover from disruption and shocks will be important for ensuring access to healthy diets for all. This review paper assesses the state of food insecurity and malnutrition situation pre-COVID-19 and the impact of COVID-19 on Africa’s food systems and access to healthy diet. To put Africa on a path to accelerated recovery, a resilient and sustainable food system will be crucial. The following recommendations are made: i) increasing agriculture productivity, with special attention to the foods that contribute to healthy diets- fruits and vegetables, and animal source foods ii) promoting the production and consumption of nutritious African traditional and indigenous foods iii) transforming Africa’s food systems to be gender-sensitive iv) investing in well-targeted social protection programs v) supporting food environments that protect healthy diets and vi) employing data and information to monitor food systems transformation.
Genetic vulnerability to mental disorders has been associated with coronavirus disease-19 (COVID-19) outcomes. We explored whether polygenic risk scores (PRSs) for several mental disorders predicted poorer clinical and psychological COVID-19 outcomes in people with pre-existing depression.
Methods
Data from three assessments of the Australian Genetics of Depression Study (N = 4405; 52.2 years ± 14.9; 76.2% females) were analyzed. Outcomes included COVID-19 clinical outcomes (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] infection and long COVID, noting the low incidence of COVID-19 cases in Australia at that time) and COVID-19 psychological outcomes (COVID-related stress and COVID-19 burnout). Predictors included PRS for depression, bipolar disorder, schizophrenia, and anxiety. The associations between these PRSs and the outcomes were assessed with adjusted linear/logistic/multinomial regressions. Mediation (N = 4338) and moderation (N = 3326) analyses were performed to explore the potential influence of anxiety symptoms and resilience on the identified associations between the PRSs and COVID-19 psychological outcomes.
Results
None of the selected PRS predicted SARS-CoV-2 infection or long COVID. In contrast, the depression PRS predicted higher levels of COVID-19 burnout. Anxiety symptoms fully mediated the association between the depression PRS and COVID-19 burnout. Resilience did not moderate this association.
Conclusions
A higher genetic risk for depression predicted higher COVID-19 burnout and this association was fully mediated by anxiety symptoms. Interventions targeting anxiety symptoms may be effective in mitigating the psychological effects of a pandemic among people with depression.
The primary aims of this multicenter, prospective observational study were to investigate spiritual well-being, resilience, and psychosocial distress in an Italian sample of glioblastoma patients undergoing radiochemotherapy. The secondary aim was to explore the influence of demographic, clinical, and psychological characteristics on survival.
Methods
The assessment was conducted only once, within the first week of radiochemotherapy treatment. Spiritual well-being was evaluated by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-Sp-12), and religious/spiritual beliefs and practices were evaluated by the System of Belief Inventory. Resilience was evaluated by the Connor−Davidson Resilience Scale (CD-RISC). Psychosocial distress was evaluated the by Distress Thermometer and Hospital Anxiety Depression Scale. We conducted an univariable analysis of overall survival (OS) using data from the most recent follow-up available, considering demographic and clinical variables that could influence survival. Follow-up was defined as either the time of death or the latest follow-up visit recorded.
Results
We recruited 104 patients, and the median follow-up time was 18.3 months. “Distressed” patients had lower scores than “not distressed” patients on the FACIT-Sp-12 and CD-RISC. While OS was not significant according to the FACIT-Sp-12 threshold, the Kaplan−Meier log-rank test was 0.05 according to the CD-RISC threshold. Among demographic variables, age showed significant associations with OS (p = 0.011). Resilience showed significant associations with OS (p = 0.025).
Significance of results
Data showed that high spiritual well-being was associated with high resilience and an absence of psychosocial distress in our sample of glioblastoma patients undergoing radiochemotherapy. Patients with greater resilience survived longer than those with lesser resilience. Profiling spiritual well-being and resilience in glioblastoma patients undergoing radiochemotherapy can be seen as a resource to identify novel characteristics to improve clinical take-in-charge of glioblastoma patients.
Exposure to multiple forms of victimisation in childhood (often referred to as poly-victimisation) has lifelong adverse effects, including an elevated risk of early-adulthood psychopathology. However, not all poly-victimised children develop mental health difficulties and identifying what protects them could inform preventive interventions. The present study investigated whether individual-, family- and/or community-level factors were associated with lower levels of general psychopathology at age 18, among children exposed to poly-victimisation. Additionally, it examined whether these factors were specific to poly-victimised children or also associated with fewer mental health difficulties in young adults regardless of whether they had been poly-victimised.
Methods
We used data from the Environmental Risk (E-Risk) Longitudinal Twin Study, a population-representative cohort of 2,232 children born in 1994–1995 across England and Wales and followed to 18 years of age (with 93% retention, n = 2,066). Poly-victimisation (i.e., exposure to two or more of physical abuse, sexual abuse, emotional abuse and neglect, physical neglect, bullying by peers, and domestic violence) and nine putative protective factors (intelligence quotient, executive functioning, temperament, maternal and sibling warmth, atmosphere at home, maternal monitoring, neighbourhood social cohesion, and presence of a supportive adult) were measured prospectively between ages 5 and 12 years from interviews with mothers and children, surveys of neighbours, child-protection referrals, and researchers’ observations. Early-adulthood psychopathology was assessed in interviews with each twin at age 18 and used to construct a latent factor of general psychopathology.
Results
Approximately a third (n = 720) of participants were prospectively defined as exposed to poly-victimisation (53% male). Poly-victimised children had greater levels of general psychopathology at age 18 than non-poly-victimised children (adjusted [adj.] β = 4.80; 95% confidence interval [95% CI] 3.13, 6.47). Presence of a supportive adult was the only factor robustly associated with lower levels of general psychopathology among poly-victimised children (adj.β = −0.61; 95% CI −0.99, −0.23). However, this association was also evident in the whole sample regardless of poly-victimisation exposure (adj.β = −0.52; 95% CI −0.81, −0.24) and no significant interaction was observed between the presence of a supportive adult and poly-victimisation in relation to age-18 general psychopathology.
Conclusions
Having at least one adult to turn to for support was found to be associated with less psychopathology in early adulthood among both poly-victimised and non-poly-victimised children. This suggests that strategies to promote better availability and utilisation of supportive adults should be implemented universally. However, it may be beneficial to target these interventions at poly-victimised children, given their higher burden of psychopathology in early adulthood.
In this brief discussion of McKaughan and Howard-Snyder’s “How Does Trust Relate to Faith?” I call into question the authors’ finding that faith is necessarily resilient while trust is not. To do this, I demonstrate how the constraints of McKaughan and Howard-Snyder’s inquiry screen out a particular kind of trust, two-place trust, which does manifest resilience. Turning then to two-place trust, I offer two positive reasons—proportionality and the value of relationships—to think that trust may be essentially resilient after all. If this is correct, it takes us a step closer to understanding how trust relates to faith.
Modern careers are enacted in turbulent and stressful environments and workers face increasing uncertainty in navigating their careers. Therefore, it is essential to support workers in coping with stress by enhancing their resilience. We propose that strengths-based leaders help their workers to find their own unique pathway to developing resilience by building upon their pre-existing strengths. In turn, we propose that resilience allows workers to transform the support and opportunities provided by their strengths-based leader into the active state of work engagement. We conducted a two-wave time-lagged survey among a representative sample of 1,095 Dutch employees. Results of our structural equation modelling indicated that T1 strengths-based leadership was positively related to T2 employee work engagement and that T2 employee resilience mediated the relationship between strengths-based leadership (T1) and employee work engagement (T2). We conclude that strengths-based leadership might be a tool to develop a resilient and engaged workforce and make suggestions for developing strengths-based leadership.
Latinx individuals in the U.S. have higher levels of stress than other ethnic groups. Latinx immigrants living in non-traditional immigration destinations (NTIDs) have worse access to social and medical support and were particularly vulnerable during the COVID-19 pandemic. This study aims to contextualize stress in Latinx immigrants in an NTID during the COVID-19 pandemic and to understand Latinx immigrants’ preferences for stress management interventions given the sociopolitical and public health context.
Method
Using a community-based participatory research approach with mixed methods research design, community co-researchers gathered data using a quantitative survey and then contextualized survey results using a qualitative community conversation.
Results
Community conversation participants were surprised at the relatively low levels of reported stress and pandemic impact in survey participants, and they proposed the reason was the level of pre-pandemic stressors. Guatemalan immigrants in an NTID reported more stigma but fewer changes between pre- and post-pandemic stress levels. Survey respondents preferred to learn about stress management through YouTube videos or groups led by professionals.
Conclusions
Understanding the diversity of stress experiences among Latinx immigrant groups is critical to developing effective interventions. Coping strategy preferences are variable among different Latinx immigration groups, but asynchronous and/or professional-led stress management was preferred.
Enhancing resilience is one way to prevent future mental illnesses and encourage recovery in the face of adversity. To develop and test the acceptability and feasibility (A&F) of a combined family and individual resilience intervention in two rural/semi-rural low-income settings in India and Kenya. We developed a five-session intervention including Life Skills Education (LSE) and a model of family resiliency. Among adolescents aged 14–16 years and their families in India and Kenya, we collected socio-demographics and audio records of delivery and undertook a process evaluation. Due to COVID-19, we developed a hybrid intervention. The facilitators and participants preferred the in-person model. India: Of 17 families, 10 fully completed the intervention. They identified three critical components: 1) story-telling, 2) cooperation and working together and 3) expressing feelings. Kenya: All 15 families completed the intervention. Critical elements were 1) seeing social value in learning to make good decisions, 2) promoting an optimistic view of life, 3) hearing stories that resonated with their situation and 4) enhancing family performance through knowledge-building. We mapped the active ingredients, showing fidelity and acceptability. The intervention showed promising A&F parameters. Flexibility and local adaptation were important for delivery.