Article

OBJECTIVES: (1) To determine if resilience exhibits similar stability across time
as depression, fatigue, and sleep quality; and (2) to determine if changes in
resilience over a period of 1 year are associated with changes in depression,
fatigue, sleep quality, and physical function over the same time period. DESIGN:
Observational longitudinal survey study with measures administered 2 times, 1
year apart. SETTING: Community-based population sample.
PARTICIPANTS: Adults with
physical disabilities (N=893). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Primary outcomes were measures of resilience (Connor-Davidson
Resilience Scale), depression (Patient Health Questionnaire-9), fatigue
(Patient-Reported Outcomes Measurement Information System [PROMIS] Fatigue Short
Form), sleep quality (PROMIS Sleep Disturbance), and physical function (8-item
PROMIS Physical Functioning). RESULTS: Resilience (r=.71, P<.001) exhibited
similar stability over 1 year to depression (r=.71, P<.001), fatigue (r=.79,
P<.001), and sleep quality (r=.68, P<.001). A decrease in resilience was
associated with an increase in depression (F1,885=70.23; P<.001; R2=.54) and
fatigue (F1,885=25.66; P<.001; R2=.64), and an increase in resilience was
associated with improved sleep quality (F1,885=30.76; P<.001; R2=.48) and
physical function (F1,885=16.90; P<.001; R2=.86) over a period of 1 year, while
controlling for age, sex, and diagnosis. CONCLUSIONS: Resilience exhibits similar
test-retest stability as other important domains that are often treatment
targets. Changes in resilience were associated with changes in depression,
fatigue, sleep quality, and physical functioning over the course of 1 year.
Further longitudinal and experimental research is warranted to investigate the
potential causal effect of changes in resilience on quality of life in
individuals with physical disabilities.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS