Article

OBJECTIVES: To investigate the links between resilience and depressive symptoms,
social functioning, and physical functioning in people aging with disability and
to investigate the effects of resilience on change in functional outcomes over
time. DESIGN: Longitudinal postal survey. SETTING:
Surveys were mailed to a
community sample of individuals with 1 of 4 diagnoses: multiple sclerosis,
muscular dystrophy, postpoliomyelitis syndrome, or spinal cord injury. The survey
response rate was 91% at baseline and 86% at follow-up. PARTICIPANTS: A
convenience sample of community-dwelling individuals (N=1594; age range, 20-94y)
with multiple sclerosis, muscular dystrophy, postpoliomyelitis syndrome, or
spinal cord injury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Patient
Health Questionnaire-9 (to assess depressive symptoms) and Patient Reported
Outcomes Measurement Information System (to assess social role satisfaction and
physical functioning). RESULTS: At baseline, resilience was negatively correlated
with depressive symptoms (r=-.55) and positively correlated with social and
physical functioning (r=.49 and r=.17, respectively). Controlling for baseline
outcomes, greater baseline resilience predicted a decrease in depressive symptoms
(partial r=-.12) and an increase in social functioning (partial r=.12) 3 years
later. CONCLUSIONS: The findings are consistent with a view of resilience as a
protective factor that supports optimal functioning in people aging with
disability.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS