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Resumen Objetivo: Analizar las propiedades psicométricas de la escala de resiliencia de Wagnild y Young, versión argentina, en un grupo de personas adultas mayores costarricenses. Materiales y métodos: Se contó con un grupo piloto (N = 40, X = 69.38) y otro para el análisis de las propiedades psicométricas (N = 100, X = 69.31). Se utilizó la escala de resiliencia de Wagnild y Young, versión argentina, de 25 ítems. Se efectuó un análisis por juicio de personas expertas y un estudio piloto, para establecer la escala por validar; posterior a esto, se realizó el estudio de validación completo. Se aplicaron análisis factoriales y alfa de Cronbach. Resultados: El análisis factorial extrajo dos factores denominados: a) "capacidad de autoeficacia" y b) "capacidad de propósito y sentido de vida". La consistencia interna en el nivel global fue 0.84 (21 ítems); para el primer factor, 0.81, y para el segundo factor, 0.74. Conclusiones: El instrumento es confiable y válido para valorar los niveles de resiliencia desde una óptica integral e interdisciplinaria, en una población de personas adultas mayores con las características similares a las de la muestra estudiada. A futuro, se recomienda realizar análisis cualitativos para delimitar mejor los constructos, con base en las características de la población.
Abstract Purpose: To analyze the psychometric characteristics of the Wagnild and Young Resilience Scale Argentine version in a Costa Rican elderly group. Materials and methods: The study had two groups, one for the pilot study (N = 40, X = 69.38), and another for the analysis of the psychometric properties (N = 100, X = 69.31). The 25-item Wagnild and Young Resilience Scale, Argentine version, was used. An analysis by expert judgment and a pilot study were carried out to establish the scale to be validated, after which, the complete validation study was carried out. Factor analyzes and Cronbach's alpha were applied. Results: They were obtained two factors named: a) "selfefficacy capacity", and b) "purpose in life capacity". The global internal consistency was 0.84, for the first factor was 0.81 and for the second factor was 0.74. Conclusions: The scale generated is reliable and valid to assess resilience in an elderly people with similar characteristics to the present study. In the future, it is recommended to carry out qualitative analyzes to better define the constructs based on the characteristics of the population.
Resumo Objetivo: Analisar as propriedades psicométricas da Escala de Resiliência Wagnild e Young, versão argentina, em um grupo de pessoas idosas costarriquenhas. Materiais e métodos: Um grupo piloto (N = 40, X = 69,38) e outro grupo para a análise das propriedades psicométricas (N = 100, X = 69,31) foram utilizados. A Escala de Resiliência Wagnild e Young, versão argentina, com 25 itens, foi utilizada. Para estabelecer a escala a ser validada, foi realizada uma análise de julgamento por especialistas e um estudo piloto, após o qual foi realizado o estudo de validação completo. A análise fatorial e o alfa de Cronbach foram aplicados. Resultados: A análise fatorial extraiu dois fatores: a) "capacidade de autoeficácia" e b) "capacidade de propósito e significado na vida". A consistência interna ao nível global foi de 0,84 (21 itens); para o primeiro fator foi de 0,81 e para o segundo fator foi de 0,74. Conclusões: O instrumento é confiável e válido para avaliar níveis de resiliência a partir de uma perspectiva holística e interdisciplinar em uma população de idosos com características semelhantes às da amostra estudada. Recomendam-se futuras análises qualitativas para melhor delimitar as construções com base nas características da população.
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ABSTRACT Objective: To describe and analyze the relationship between pregnancy-related anxiety, prenatal distress, and individual resilience in pregnant women during the first trimester of pregnancy and compare it with the obstetric variable of parity. Method: Quantitative, descriptive, cross-sectional study using non-probabilistic circumstantial sampling. A total of 144 women participated. The Prenatal Distress Questionnaire, the Resilience Scale, and the Pregnancy-Related Anxiety Questionnaire were used. A descriptive analysis with measures of central tendency was performed, and the reliability of the instruments was assessed. Results: The average age was 33.57 years. 58.3% were multiparous and 41.7% primiparous. Anxiety was found in 21.5% and very high levels of resilience in 54.9%. Primiparous women showed higher levels of worry about the future and fear of childbirth than multiparous women. Pregnant women with high resilience showed lower levels of anxiety and stress. Conclusion: Pregnant women with higher levels of resilience show less anxiety and stress during the first trimester of pregnancy. Primiparous women show more anxiety and stress than multiparous women.
RESUMO Objetivo: Descrever e analisar a relação entre a ansiedade relacionada à gravidez, o estresse pré-natal e a resiliência individual em mulheres grávidas durante o primeiro trimestre da gravidez e compará-la com a variável obstétrica da paridade. Método: Estudo quantitativo, descritivo, transversal usando amostragem circunstancial não probabilística. Um total de 144 mulheres participaram. Foram utilizados o Questionário de Estresse Pré-natal, a Escala de Resiliência e o Questionário de Ansiedade Relacionada à Gravidez. Foi realizada uma análise descritiva com medidas de tendência central, e a confiabilidade dos instrumentos foi avaliada. Resultados: A idade média foi de 33,57 anos. 58,3% eram multiparas e 41,7% primíparas. Ansiedade foi encontrada em 21,5% e níveis muito altos de resiliência em 54,9%. Mulheres primíparas apresentaram níveis mais altos de preocupação com o futuro e medo do parto do que mulheres multiparas. Mulheres grávidas com alta resiliência mostraram níveis mais baixos de ansiedade e estresse. Conclusões: Mulheres grávidas com níveis mais altos de resiliência apresentam menos ansiedade e estresse durante o primeiro trimestre da gravidez. Mulheres primíparas mostram mais ansiedade e estresse do que mulheres multiparas.
RESUMEN Objetivo: Describir y analizar la relación entre la ansiedad relacionada con el embarazo, el distrés prenatal y la resiliencia individual, en mujeres gestantes durante el primer trimestre de embarazo y compararlo con la variable obstétrica de paridad. Método: Estudio cuantitativo, descriptivo y transversal utilizando muestreo no probabilístico circunstancial. Participaron 144 mujeres. Se emplearon el Cuestionario de Distrés Prenatal, la Escala de Resiliencia y el Cuestionario de Ansiedad Relacionada con el Embarazo. Se realizó un análisis descriptivo con medidas de tendencia central y se evaluó la confiabilidad de los instrumentos. Resultados: La edad promedio fue de 33,57 años. El 58,3% eran multíparas y el 41,7% primíparas. El 21,5% presenta ansiedad y el 54,9% niveles muy altos de resiliencia. Las primíparas mostraron mayores niveles preocupación sobre el futuro y miedo al parto que las multíparas. Las gestantes con alta resiliencia muestran valores más bajos en ansiedad y estrés. Conclusiones: Las gestantes con niveles más elevados de resiliencia manifiestan menos ansiedad y estrés durante el primer trimestre de embarazo. Las primíparas presentan más ansiedad y estrés que las multíparas.
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ABSTRACT Objective: to translate and cross-culturally adapt the Resilience at Work Scale for the Brazilian context. Method: Methodological study comprising the stages of conceptual, item, semantic, and operational equivalences. Resilience at Work Scale is composed of 25 items (long version) and 20 items (short version), rated on a seven-point Likert scale. A test-retest was applied to a sample of 45 educators and health workers. Quadratic weighted Kappa and intraclass correlation were used. Result: The adaptation of the 25 items followed the phases of translation, back translation, external assessment, expert committee, pre-tests, test-retest reliability, and equivalence between the original and adapted versions. Two items initially showed less than 90% comprehensibility, but satisfactory results were obtained in a new pre-test after adjustments. The overall Intraclass correlation coefficient was 0.83. Conclusion: The final version of the Resilience at Work Scale 25-Brasil was properly adapted to the Brazilian culture to measure resilience at work. It is an Emancipatory Technology as it enables the implementation of knowledge that contributes to thinking, reflecting, and acting in the face of the individual or collective health-disease continuum.
RESUMEN Objetivo: realizar la traducción y adaptación transcultural de la Resilience at Work Scale para el contexto brasileño. Método: estudio metodológico, en el cual fueron realizadas las etapas de equivalencia conceptual, de ítems, de semántica y operacional. La Resilience at Work Scale es una escala Likert de siete puntos, compuesta por 25 ítems en su versión larga y 20 ítems en la versión corta. El test-retest fue aplicado a una muestra de 45 docentes y trabajadores de la salud. Para esta evaluación, se utilizó el coeficiente Kappa ponderado con ponderación cuadrática y correlación intraclase. Resultados: la adaptación de los 25 ítems de la RAW siguió las fases de traducción, retrotraducción, evaluación externa, comité de especialistas, pre-pruebas y confiabilidad test-retest, verificando las equivalencias entre el instrumento original y el adaptado. Inicialmente, dos ítems presentaron clareza inferior a 90%. Ellos fueron reajustados y un nuevo pretest indicó un resultado satisfactorio. El coeficiente de correlación intraclase general de la RAW fue de 0,83. Conclusión: la versión final de la Resilience at Work Scale 25-Brasil se mostró promisora y con adaptación adecuada a la cultura brasileña para medir la resiliencia en el trabajo. Se trata de una Tecnología Emancipadora, ya que posibilita concretizar conocimientos que contribuye en lo que se refiere a pensar, reflexionar y actuar delante de un proceso de salud/enfermedad, sea este individual o colectivo.
RESUMO Objetivo: realizar a tradução e adaptação transcultural da Resilience at Work Scale para o contexto brasileiro. Método: estudo metodológico, em que foram executadas as etapas da equivalência conceitual, de itens, semântica e operacional. A Resilience at Work Scale é uma escala Likert de sete pontos, composta por 25 itens em sua versão longa e 20 itens na versão curta. O teste-reteste foi aplicado a uma amostra de 45 docentes e trabalhadores da saúde. Para esta avaliação, utilizou-se o coeficiente Kappa ponderado com ponderação quadrática, e correlação intraclasse. Resultados: a adaptação dos 25 itens da Resilience at Work Scale pautou-se nas fases tradução, retrotradução, avaliação externa, comitê de especialistas, pré-testes e confiabilidade teste-reteste, verificando as equivalências entre o instrumento original e o adaptado. Dois itens, inicialmente, apresentaram clareza inferior a 90%. Eles foram reajustados e novo pré-teste indicou resultado satisfatório. O coeficiente de correlação intraclasse geral da Resilience at Work Scale foi de 0,83. Conclusão: a versão final da Resilience at Work Scale 25 - Brasil mostrou-se promissora e com adaptação adequada à cultura brasileira para mensuração da resiliência no trabalho. Trata-se de uma Tecnologia Emancipatória, pois possibilita concretizar conhecimentos que contribuem quanto ao pensar, ao refletir e ao agir diante de um processo de saúde/doença, seja individual ou coletivo.
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Objective: to analyze the effects of a Mindfulness-based intervention on nurse leaders' emotional intelligence and resilience. Method: a pilot study of a randomized crossover clinical trial. The sample (n=32) was randomized into Group A (n=18) and Group B (n=14) and evaluated at the pre-test, post-test and follow-up moments. The outcomes were assessed using the Emotional Intelligence Measure, the Connor-Davidson Resilience Questionnaire and the Five Facet Mindfulness Questionnaire, and analyzed using Generalized Linear Mixed Models. Results: a total of 32 nurses with a mean age of 42.6 years old were evaluated. The analyses showed significant interactions between the effects of the group x moment factors on the Self-motivation (p=0.005), Sociability (p<0.001), Self-control (p=0.013), and Total (p=0.002) emotional intelligence skill scores; as well as on the Observe (p=0.042), Describe (p=0.008), Non-judgment (p<0.001), Act with awareness (p=0.004) and Total (p<0.001) mindfulness facets. Post-test: there was a statistically significant increase in the Sociability (p=0.009) and Self-control (p=0.015) emotional intelligence skills; as well as in the Non-judgment (p=0.022) and Total (p=0.002) mindfulness facets. Follow-up: a significant increase was observed in the Non-judgment (p=0.024) and Total (p=0.026) mindfulness facets. The "resilience" variable did not present statistical significance in the "group x moment" factor, both in the post-test and during follow-up. Conclusion: the Mindfulness-based intervention used proved to be effective in increasing nurse leaders' emotional intelligence and dispositional mindfulness skills. Brazilian Registry of Clinical Trials (RBR-3c62gy), registered on March 4 th , 2020, updated on September 16 th , 2022.
Objetivo: analizar los efectos de una intervención basada en mindfulness sobre la inteligencia emocional y la resiliencia de enfermeros líderes. Método: estudio piloto de un ensayo clínico aleatorizado cruzado. Muestra (n=32) aleatorizada en el grupo A (n=18) y grupo B (n=14), se los evaluó en el pretest, postest y seguimiento. Los resultados fueron evaluados mediante la Medida de Inteligencia Emocional, el Cuestionario de Resiliencia de Connor-Davidson y el Cuestionario Mindfulness de Cinco Facetas, y analizados por el Generalized Linear Mixed Models . Resultados: fueron evaluadas 32 enfermeras con una edad promedio de 42,6 años. Los análisis mostraron interacciones significativas de los efectos de los factores grupo vs. momento en los puntajes de las habilidades de automotivación (p=0,005), sociabilidad (p<0,001), autocontrol (p=0,013) y total (p=0,002) de inteligencia emocional; de las facetas observar (p=0,042), describir (p=0,008), no juzgar (p<0,001), actuar con conciencia (p=0,004) y total (p<0,001) de mindfulness. Postest: hubo un aumento estadísticamente significativo de las habilidades de sociabilidad (p=0,009) y autocontrol (p=0,015) de inteligencia emocional; de las facetas no juzgar (p=0,022) y total (p=0,002) de mindfulness . Seguimiento: se observó un aumento significativo en las facetas no juzgar (p=0,024) y total (p=0,026) de mindfulness . La variable resiliencia no presentó significación estadística en el factor grupo vs. momento en el postest y seguimiento. Conclusión: la intervención basada en mindfulness utilizada demostró ser eficaz para aumentar la inteligencia emocional y las habilidades de mindfulness disposicional de los enfermeros líderes. Registro Brasileño de Ensayos Clínicos (RBR-3c62gy), registrado el 4 de marzo de 2020, actualizado el 16 de septiembre de 2022.
Objetivo: analisar os efeitos de uma intervenção baseada em mindfulness na inteligência emocional e resiliência de enfermeiros líderes. Método: estudo-piloto de ensaio clínico randomizado cruzado. Amostra (n=32) randomizada em grupo A (n=18) e grupo B (n=14), avaliados nos momentos pré-teste, pós-teste e seguimento. Os desfechos foram avaliados pela Medida de Inteligência Emocional, pelo Questionário de Resiliência Connor-Davidson e pelo Questionário das Cinco Facetas de Mindfulness , e analisados pelo Generalized Linear Mixed Model . Resultados: foram avaliadas 32 enfermeiras com idade média de 42,6 anos. As análises mostraram interações significativas dos efeitos dos fatores Grupo x Momento nos escores das habilidades de automotivação (p=0,005), sociabilidade (p<0,001), autocontrole (p=0,013) e total (p=0,002) de inteligência emocional; das facetas observar (p=0,042), descrever (p=0,008), não julgar (p<0,001), agir com consciência (p=0,004) e total (p<0,001) de mindfulness . Pós-teste: houve aumento estatisticamente significante das habilidades de sociabilidade (p=0,009) e autocontrole (p=0,015) de inteligência emocional; das facetas não julgar (p=0,022) e total (p=0,002) de mindfulness . Seguimento: observou-se aumento significativo das facetas não julgar (p=0,024) e total (p=0,026) de mindfulness . A variável resiliência não apresentou significância estatística no fator Grupo x Momento, no pós-teste e seguimento. Conclusão: a intervenção baseada em mindfulness utilizada mostrou-se efetiva no aumento das habilidades de inteligência emocional e mindfulness disposicional de enfermeiros líderes. Registro Brasileiro de Ensaios Clínicos (RBR-3c62gy), registrado em 04 de março de 2020, atualizado em 16 de setembro de 2022.
Sujets)
Humains , Soins , Essai clinique , Résilience psychologique , Intelligence émotionnelle , Pleine conscience , LeadershipRésumé
Abstract Objective This systematic review aims to describe the relationship between psychological resilience and mood disorders. Methods This is a systematic review and meta-analysis. The following databases were searched on November 6, 2020: PubMed, PsycINFO, and Embase. Results Twenty-three articles were included and the majority of the studies included (95.7%) showed that psychological resilience has a positive impact in mood disorders. Our meta-analysis showed that individuals with bipolar disorder presented significantly lower levels of psychological resilience compared to controls (standardized mean difference [SDM]: -0.99 [95% confidence interval {95%CI}: -1.13 to -0.85], p < 0.001). In addition, individuals with depression had significantly lower levels of psychological resilience compared to controls (SDM: -0.71 [95%CI -0.81 to -0.61], p < 0.001). Conclusion Our results showed that individuals with mood disorders are less resilient than individuals without mood disorders. Our findings reinforce the importance of investigating interventions that may help to improve psychological resilience considering its positive impact in the context of mood disorders.
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Objective @#To investigate the mediating effect of negative emotions on visual impairment and resilience among middle-aged and elderly populations, so as to provide insights into improving psychological health among middle-aged and elderly populations.@*Methods@#Demographic information, visual impairment, negative emotions and resilience in the residents at ages of 45 years and older were collected through the database of the Yushu Physical and Mental Health Survey carried out by Institute of Psychology of Chinese Academy of Sciences. Structural equation model was used to analyze the effects of visual impairment and resilience and the mediating role of negative emotions. @*Results@#Totally 2 997 middle-aged and elderly populations were enrolled, with the median age of 50.00 (interquartile range, 47.00) years. There were 1 320 males (44.04%) and 1 677 females (55.96%), 1 627 illiterate persons (54.29%), and 2 780 married persons (92.76%). The scores of visual impairment, negative emotions and resilience were (6.79±2.59), (6.35±3.05) and (33.38±10.41) points, respectively. The results of structural equation model analysis showed that after adjusting for age, gender, educational level and marital status, visual impairment had a direct negative positive effect on resilience, with a direct effect value of -0.157 (95%CI: -0.177 to -0.137), and visual impairment could also negatively affect residence through negative emotions, with a mediating effect value of -0.112 (95%CI: -0.126 to -0.104), and the mediating effect contributed 41.64% to the total effect.@*Conclusion@#visual impairment could reduce residence directly or indirectly through the mediating effect of negative emotions among middle-aged and elderly populations.
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ObjectiveTo analyze the psychological resilience characteristics of visually impaired adolescents. MethodsFrom February to May, 2023, 13 visually impaired adolescents (average age of 16.5 years) from Nanjing Normal University of Special Education, Yangzhou Special Education School and Nanjing School for the Blind in Jiangsu, China were selected for semi-structured interviews with phenomenological method, and the interview data were sorted by theme analysis method. ResultsFour themes and twelve sub-themes were obtained; namely multiple sources of difficulties, including travel difficulties, learning difficulties, social difficulties and difficulties in daily life; need for external support, including insufficient family support, school support needs to be improved, need for peer support and insufficient social support; negative and positive adaptation coexist, including negative adaptation and positive adaptation; and negative coping and positive coping coexist, including positive coping and negative coping. ConclusionThe psychological resilience of visually impaired adolescents is characterized by multiple sources of difficulties, insufficient external support, coexistence of positive and negative adaptation, and coexistence of positive and negative coping. A joint family-school-society support system should be formed to reduce the source of their difficulties, and help them establish positive adaptation and positive coping methods, to enhance their psychological resilience.
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This paper reviewed the research on moral injury among foreign medical staff in the background of the COVID -19 pandemic. It was found that foreign medical staff bore multiple moral pressures and impacts in the face of the epidemic, including the collision between medical practice and utilitarian policy, the inability to meet personal needs, the rapid transformation of medical mode, and a variety of comprehensive factors. Therefore, the moral injury of foreign medical staff is particularly prominent. In order to avoid and reduce the occurrence of moral injury, it is necessary to strengthen the cultivation of moral resilience, provide psychological and social support, and carry out personalized treatment for medical staff.
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The previous moral injury theory implied the premise of taking individual as the research object, while there were few studies on collective moral injury. Collective moral injury is defined as a series of consequences of violating widely accepted moral beliefs rather than simply adding up symptoms of injured individuals within a group. From the America "Floyd Case", this paper analyzed the functional elements and generating mechanism of collective moral injury, that was, the diversification of trauma sources events could appear alone or interweave, collective moral resilience showed the characteristics of social integrity and time accumulation, the interaction between collective trauma sources and collective moral resilience determined whether collective moral injury occurs. As the We-Media become popular, collective feature of moral injury is more evident, which presents two new features that the Internet platform becomes a hub for trauma events and the information Internet recorded consolidates collective moral resilience. To deal with collective moral injury, it was needed to respond to social concerns and guidance moral public opinion, respect the original endogenous order and inherit the traditional culture, satisfy reasonable moral needs and enlighten moral sense of people as well.
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BackgroundDepressive disorders are prevalence among adolescents， with a higher incidence in females compared to males， often accompanied by more severe depressive symptoms. Sertraline is commonly prescribed for adolescent depressive disorder， however， its efficacy is only evident in certain patients. Currently， there is limited research on predicting the therapeutic efficacy of sertraline in female adolescents with depressive disorder. ObjectiveTo explore the relationship between personality traits， psychological resilience， coping style and the clinical efficacy of sertraline treatment in female adolescents with first-episode depressive disorder， in order to provide references for the treatment of this population. MethodsA total of 112 female adolescent patients with first-episode depressive disorder， meeting the diagnostic criteria of the International Classification of Diseases （tenth edition） （ICD-10）， and undergoing a 4-week treatment regimen with sertraline， were selected from the Second People's Hospital of Guizhou Province from February 2019 to January 2021.General demographic questionnaire， NEO Five-Factor Inventory （NEO-FFI）， Resilience Scale for Chinese Adolescents （RSCA）， Coping Style Scale for Middle School Students （CSSMSS）， Hamilton Anxiety Scale （HAMA） and Hamilton Depression Scale-17 item （HAMD-17） were used for assessment. Logistic regression analysis was used to investigate the factors influencing the clinical efficacy of sertraline in the treatment of female adolescents with first-episode depressive disorder. ResultsNeuroticism （β=-0.115， 95% CI： 0.807~0.984） could negatively predicted the therapeutic efficacy of sertraline in female adolescents with first-episode depressive disorder， whereas agreeableness （β=0.129， 95% CI： 1.025~1.264） and RSCA score （β=0.062， 95% CI： 1.004~1.128） could positively predict its therapeutic efficacy. ConclusionHigh neuroticism， low agreeableness and low psychological resilience may be the risk factors for the poor therapeutic effect of sertraline in the treatment of female adolescents with first-episode depressive disorder. ［Funded by 2019 Guiyang Science and Technology Program （number， Zhuke Contract ［2019］9-3-1）］
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Introducción: la resiliencia es la capacidad de adaptación de los individuos frente a los retos de la vida. Objetivo: determinar el nivel de resiliencia y su relación con factores de riesgo cardiovascular en médicos residentes del Hospital de Clínicas. Metodología: estudio observacional, analítico, transversal, retrospectivo. Muestreo no probabilístico, realizado en el periodo de mayo a julio de 2022. Se utilizó la encuesta de Wagnild & Young para evaluar la resiliencia. Se midieron variables sociodemográficas, niveles de resiliencia y factores de riesgo cardiovascular. Se utilizó el software Epi info para el análisis de los datos. A las variables cualitativas se les calculó la frecuencia absoluta y relativa y a las variables cuantitativas la media y desviación estándar. Para buscar la asociación entre el nivel de la resiliencia y los factores de riesgo cardiovascular se utilizó el Chi cuadrado, se consideró estadísticamente significativo p: <0,05. Resultados: participaron en el estudio 154 residentes, 45,5 % de los residentes presentaron sobrepeso u obesidad, 87,7 % consumen alcohol, 14,9 % sedentarismo, 5,2 % Hipertensión Arterial, 10,4 % dislipidemia y el 50 % antecedentes familiares de enfermedad cardiovascular. El 48 % de los médicos presentó baja resiliencia. Se encontró relación estadísticamente significativa entre la resiliencia baja y factores de riesgo cardiovascular (p <0,05). Conclusión: la mitad de los residentes presentan baja resiliencia y existe relación entre factores de riesgo cardiovascular y la baja resiliencia en los médicos residentes del Hospital de Clínicas.
Introduction: resilience is the ability of individuals to adapt to life's challenges. Objective: determine the level of resilience and its relationship with cardiovascular risk factors in resident doctors at the Hospital de Clínicas. Methodology: this was an observational, analytical, cross-sectional and retrospective study. We used non-probability sampling, from May to July 2022. The Wagnild & Young survey was used to evaluate resilience. Sociodemographic variables, resilience levels and cardiovascular risk factors were measured. Epi info software was used for data analysis. The absolute and relative frequency was calculated for the qualitative variables and the mean and standard deviation for the quantitative variables. To find the association between the level of resilience and cardiovascular risk factors, the Chi square was used; p: <0.05 was considered statistically significant. Results: 154 residents participated in the study, 45.5 % of the residents were overweight or obese, 87.7 % consumed alcohol, 14.9 % had a sedentary lifestyle, 5.2 % had high blood pressure, 10.4 % had dyslipidemia and 50 % had a family history of cardiovascular disease. 48 % of respondents presented low resilience. A statistically significant relationship was found between low resilience and cardiovascular risk factors (p <0.05). Conclusion: half of the residents have low resilience and there is a relationship between cardiovascular risk factors and low resilience in resident doctors at the Hospital de Clínicas.
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Resumen: Los trastornos de la conducta alimentaria son de las enfermedades crónicas más frecuentes en adolescentes y mujeres jóvenes. En México se han encontrado porcentajes desde 5 hasta 18% de conductas alimentarias de riesgo en muestras de mujeres estudiantes universitarias (Unikel-Santoncini, et al., 2004). Por otro lado, la resiliencia se define como un constructo que incluye ciertos fenómenos que consisten en la adecuada adaptación del individuo ante situaciones traumáticas, privación extrema, amenazas graves o estrés elevado (González-Arratia, 2008, en Camacho-Valadez, 2016). Esta investigación examina la relación entre la resiliencia y las conductas alimentarias de riesgo por medio de la aplicación de los instrumentos EAT-26 y RESI-M a 201 mujeres mexicanas, con un promedio de edad de 22 años. Se realizó un análisis de correlación de Producto Momento de Pearson, el cual demostró que, aquellas mujeres con mayores niveles de resiliencia mostraban menos conductas alimentarias de riesgo. Se propone realizar el mismo estudio con poblaciones más jóvenes, así como con participantes de sexo masculino.
Abstract: Eating disorders are one of the most frequent chronic diseases in adolescents and young women. In Mexico, percentages from 5 to 18% of risk eating behaviors have been found in samples of female university students (Unikel-Santoncini, et al., 2004). On the other hand, resilience is defined as a construct that includes certain phenomena that consist of the individual's adequate adaptation to traumatic situations, extreme deprivation, serious threats, or high stress (González-Arratia, 2008, in Camacho Valadez, 2016). This research examines the relationship between resilience and risk eating behaviors through the application of the EAT-26 and RESI-M instruments to 201 Mexican women, with an average age of 22 years. A Pearson Product Moment correlation analysis was performed, which showed that those women with higher levels of resilience showed less risk eating behaviors. It's proposed to carry out the same study with younger populations, as well as with male participants.
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Introducción: la resiliencia es la capacidad de adaptación de los individuos frente a los retos de la vida. Objetivo: determinar el nivel de resiliencia y su relación con factores de riesgo cardiovascular en médicos residentes del Hospital de Clínicas. Metodología: estudio observacional, analítico, transversal, retrospectivo. Muestreo no probabilístico, realizado en el periodo de mayo a julio de 2022. Se utilizó la encuesta de Wagnild & Young para evaluar la resiliencia. Se midieron variables sociodemográficas, niveles de resiliencia y factores de riesgo cardiovascular. Se utilizó el software Epi info para el análisis de los datos. A las variables cualitativas se les calculó la frecuencia absoluta y relativa y a las variables cuantitativas la media y desviación estándar. Para buscar la asociación entre el nivel de la resiliencia y los factores de riesgo cardiovascular se utilizó el Chi cuadrado, se consideró estadísticamente significativo p: <0,05. Resultados: participaron en el estudio 154 residentes, 45,5 % de los residentes presentaron sobrepeso u obesidad, 87,7 % consumen alcohol, 14,9 % sedentarismo, 5,2 % Hipertensión Arterial, 10,4 % dislipidemia y el 50 % antecedentes familiares de enfermedad cardiovascular. El 48 % de los médicos presentó baja resiliencia. Se encontró relación estadísticamente significativa entre la resiliencia baja y factores de riesgo cardiovascular (p <0,05). Conclusión: la mitad de los residentes presentan baja resiliencia y existe relación entre factores de riesgo cardiovascular y la baja resiliencia en los médicos residentes del Hospital de Clínicas.
Introduction: resilience is the ability of individuals to adapt to life's challenges. Objective: determine the level of resilience and its relationship with cardiovascular risk factors in resident doctors at the Hospital de Clínicas. Methodology: this was an observational, analytical, cross-sectional and retrospective study. We used non-probability sampling, from May to July 2022. The Wagnild & Young survey was used to evaluate resilience. Sociodemographic variables, resilience levels and cardiovascular risk factors were measured. Epi info software was used for data analysis. The absolute and relative frequency was calculated for the qualitative variables and the mean and standard deviation for the quantitative variables. To find the association between the level of resilience and cardiovascular risk factors, the Chi square was used; p: <0.05 was considered statistically significant. Results: 154 residents participated in the study, 45.5 % of the residents were overweight or obese, 87.7 % consumed alcohol, 14.9 % had a sedentary lifestyle, 5.2 % had high blood pressure, 10.4 % had dyslipidemia and 50 % had a family history of cardiovascular disease. 48 % of respondents presented low resilience. A statistically significant relationship was found between low resilience and cardiovascular risk factors (p <0.05). Conclusion: half of the residents have low resilience and there is a relationship between cardiovascular risk factors and low resilience in resident doctors at the Hospital de Clínicas.
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(analítico) La resiliencia académica es la capacidad para responder adaptativamente a las adversidades del proceso educativo y superarlas exitosamente. Este estudio explora los efectos de la resiliencia académica en una muestra de estudiantes de psicología (N = 550) de Quito, Ecuador. Los resultados de los análisis de regresión evidencian que la resiliencia se relaciona positivamente con el rendimiento académico y negativamente con la intención de abandonar los estudios universitarios. Respecto a las dimensiones de resiliencia académica (perseverancia, reflexión y búsqueda adaptativa de ayuda, así como afecto negativo y respuesta emocional), estas presentan un patrón de influencia diferenciado sobre el rendimiento y la intención de abandono. Asimismo, los efectos favorables de la resiliencia son mayores para los estudiantes que cursan niveles iniciales de carrera y se reducen en los estudiantes de niveles superiores.
(analytical) Academic resilience is the individual ability to respond adaptively to the adversities of the educational process and overcome them successfully. This study explores the effects of academic resilience in a sample of Psychology students (N=550) from Quito-Ecuador. The results of regression analyses show that resilience is positively related to academic performance and negatively related to the intention to drop out of university studies. Regarding the dimensions of academic resilience: a) perseverance, b) reflecting and adaptive help-seeking, and c) negative affect and emotional response, these present a pattern of differentiated influence on performance and dropout intention. Likewise, the favorable effects of resilience are greater for students at initial levels of career, and are reduced for students at higher levels.
(analítico) A resiliência acadêmica é a capacidade de responder de forma adaptativa às adversidades do processo educacional e superálas com sucesso. Este estudo explora os efeitos da resiliência acadêmica em uma amostra de estudantes de psicologia (N=550) de Quito-Equador. Os resultados das análises de regressão mostram que a resiliência está positivamente relacionada ao desempenho acadêmico e negativamente relacionada à intenção de abandonar os estudos universitários. Relativamente às dimensões da resiliência académica: a) perseverança, b) reflexão e procura adaptativa de ajuda, e c) afeto negativo e resposta emocional, apresentam um padrão diferenciado de influência no desempenho e na intenção de abandono. Da mesma forma, os efeitos favoráveis da resiliência são maiores para alunos que cursam níveis iniciais do curso e são reduzidos em alunos de níveis superiores.
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A Resiliência é um processo psicológico que envolve a adaptação positiva diante das adversidades, proporcionando aos indivíduos oportunidades de crescimento e aprendizado. O presente estudo buscou compreender as possíveis relações entre a história de vida de executivos e os comportamentos resilientes demonstrados no ambiente de trabalho. Este estudo é uma pesquisa qualitativa que contou com a participação de executivos de quatro organizações do setor têxtil sediadas no estado de Santa Catarina, Brasil. A coleta de dados foi realizada a partir do método biográfico e de entrevistas semiestruturadas. A análise de conteúdo revelou que a resiliência é um processo aprendido ao longo da vida, o qual auxiliou os participantes a enfrentar e superar as adversidades presentes nos contextos de trabalho em tempos difíceis. Os resultados demonstraram que a resiliência dos executivos teve impacto no alcance dos resultados organizacionais, no desenvolvimento de novas habilidades e na manutenção de sua saúde, bem-estar e qualidade de vida. A resiliência é uma capacidade que pode auxiliar no enfrentamento e superação das adversidades no ambiente de trabalho, especialmente em momentos desafiadores.
Resilience is a psychological process that involves positive adaptation in the face of encoureted adversities, offering individuals opportunities for growth and learning. This study aimed to explore the potential relationships between executives' life histories and the resilient behaviors they exhibit in the workplace. It is a qualitative research conducted with executives from four organizations in the textile sector, based in the state of Santa Catarina, Brazil. Data was collected using biographical methods and semi-structured interviews. Content analysis revealed that resilience is a learned proces that unfolds throughout life, assisting participants in confronting and surmounting the challenges present in work environments during challenging times. The results demonstrated that executives had a significant impact on achieving organizational outcomes, developing new skills, and maintaining their health, well-being, and quality of life. Resilience is a valuable capacity that can aid in facing and surpassing workplace adversities, especially in moments of difficulty.
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This narrative review addresses the world of artists who linked their creative journeys alongside their battles with epilepsy, a neurological condition engineered by recurrent epileptic seizures, with multifaceted implications in biopsychosocial domains. By examining the lives and works of celebrated artists such as Vincent Van Gogh and contemporary painters, particularly those possibly affected by epilepsy, a narrative transcends clinical elucidations, investigating historical contexts, artistic expressions, and therapeutic interventions. The focus is on uncovering the transformative influence of engaging in artistic activities for individuals struggling with epilepsy. It investigates the profound impact of artistic pursuits on people affected by epilepsy, showing the resilience of the human spirit in harnessing adversity as a source of creativity. This exploration illuminates the potential of art, not only as a means of self-expression, but also as a therapeutic medium in the setting of epilepsy and associated neurorehabilitation.
Esta revisão narrativa aborda o mundo dos artistas que associaram as suas jornadas criativas paralelamente às suas batalhas contra a epilepsia, uma condição neurológica caracterizada por ataques epilépticos recorrentes, com implicações multifacetadas em domínios biopsicossociais. Ao examinar as vidas e obras de artistas célebres como Vincent Van Gogh e pintores contemporâneos, particularmente aqueles possivelmente afetados pela epilepsia, a narrativa transcende as elucidações clínicas, investigando contextos históricos, expressão artística e intervenções terapêuticas. O foco está em desvendar a influência transformadora do envolvimento em atividades artísticas para indivíduos que lutam contra a epilepsia. Ele investiga o profundo impacto das atividades artísticas nas pessoas afetadas pela epilepsia, mostrando a resiliência do espírito humano ao aproveitar a adversidade como uma fonte de criatividade. Esta exploração ilumina o potencial da arte, não apenas como meio de autoexpressão, mas também como meio terapêutico no cenário da epilepsia e da neurorreabilitação associada.
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RESUMEN Objetivo: Construir y validar una escala de resiliencia familiar en cuidadores familiares de personas con discapacidad (ERF-PD). Métodos: El diseño de investigación es instrumental. El muestreo fue de tipo no probabilístico intencional, siendo la muestra 301 familiares de personas con discapacidad. Se construyeron inicialmente 40 ítems, los cuales fueron reduciéndose en la medida que se realizaban los análisis estadísticos respectivos. Resultados: Se obtuvo valores de 1,00 en la V de Aiken en todos los ítems. En función al análisis de ítems se depuraron 9 de ellos. Del análisis factorial exploratorio quedaron 17 ítems que explican el 56,0% de varianza total, asimismo, el análisis factorial confirmatorio obtuvo buenos índices de ajuste para esta estructura (Chi2/gl=1,876; CFI=0,982; TLI=0,979; RMSEA =0,037; SRMR=0,064). La consistencia interna evidenció coeficientes por encima de 0,70 en la escala general y en los tres factores. Conclusión: La escala presenta evidencias de validez y fiabilidad para la muestra evaluada, lo que justifica su uso en investigaciones y en la práctica profesional.
ABSTRACT Objective: To create and validate a family resilience in caregivers relatives of people with disabilities (ERF-PD). Methods: The research design is instrumental. The sampling was non probabilistic with a sample of 301 relatives of people with disabilities. Initially, 40 items were created but this number was reduced after the statistics analysis. Results: Aiken's V values of 1.00 were obtained in all items. After the item analysis, nine items were removed. From the exploratory factor analysis, 17 items remained that explain 56.0% of the overall variance; whereas the confirmatory factor analysis obtained good fit indexes for this structure (Chi2/gl=1.876; CFI=0.982; TLI=0.979; RMSEA =0.037; SRMR=0.064). Internal consistency showed coefficients above 0.70 in the general scale and its three factors. Conclusion: The scale shows evidences of validity and reliability for the evaluated sample, justifying its use in research and professional activity.
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Resumo O objetivo deste artigo é analisar os níveis de resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19. Estudo transversal analítico realizado entre os meses de outubro e dezembro de 2020. Foram empregados o teste T de Student, a análise de variância e a regressão linear múltipla com o objetivo de investigar em que medida os dois grandes fatores (resiliência e autoeficácia) impactavam nos níveis de depressão. Participaram do estudo 8.792 profissionais de enfermagem, 5.124 (58,8%) tiveram baixos níveis de resiliência. A média da pontuação geral para "depressão" foi de 0,74 e variou de 0,59 a 0,80. A média da pontuação geral para "autoeficácia" foi de 0,68 e variou de 0,56 a 0,80. Quanto aos preditores de depressão, a variável que mais fortemente impactou os níveis de depressão foi resiliência, explicando 6,6% do desfecho (p < 0,001, R2 Ajustado = 0,066). Os participantes deste estudo tiveram, em geral, baixos níveis de resiliência e autoeficácia e maiores pontuações médias para depressão. Os níveis de resiliência impactaram a variável depressão. Urge a necessidade de ações voltadas para a promoção da saúde psicológica de profissionais de enfermagem inseridos em contextos pandêmicos.
Abstract This aim of this study was to analyze levels of resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. We conducted an analytical cross-sectional study between October and December 2020. Student's t test, analysis of variance and multiple linear regression were used to investigate the impact of two main factors (Resilience and Self-efficacy) on depression. A total of 8,792 nursing professionals participated in the study; 5,124 (58.8%) had low levels of resilience. The mean overall score for Depression was 0.74, ranging from 0.59 to 0.80, while the mean overall score for Self-efficacy was 0.68, ranging from 0.56 to 0.80. The variable that had the strongest impact on depression levels was Resilience, explaining 6.6% of the outcome (p < 0.001, AdjustedR2 = 0.066). In general, respondents had low levels of resilience and self-efficacy and showed high mean depression scores. Level of resilience had an impact on depression. The findings reveal an urgent need for actions to promote the psychological health of nursing professionals working in crisis situations such as pandemics.
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The Covid-19 pandemic generated mental health problems, which motivated this research to test the effect of resilience, mediated by positive and negative affects, on life satisfaction and flourishing. A total of 261 Brazilian university students participated; they had an average age of 24.38 ± 7.44 years old, and 63.9 % were female. They answered an online survey at the beginning of social isolation containing scales on resilience, life satisfaction, positive and negative affects, and flourishing, in addition to sociodemographic questions. In the mediation model, the results indicated sufficiently adequate fits [B-Sχ² (328) = 698.28; p = 0.001; B-Sχ² / df = 2.13; cfi= 0.91; tli= 0.90; rmsea= 0.066 p (rmsea<0.05) = 0.001], showing a mediating effect for positive affect, which corroborates previous stu-dies, suggesting the importance of resilience and po-sitive emotions even during the Covid-19 pandemic to preserve the mental health of university students. These results can contribute to the implementation of an intervention project using positive psychology va-riables to promote mental health in university students.
El Covid-19 ha generado problemas de salud mental, lo que motivó esta investigación. El objetivo es pro-bar el efecto de la resiliencia en la satisfacción con la vida y el florecimiento, mediado por afectos positivos y negativos. Participaron 261 universitarios brasileros, el 63.9 % eran mujeres, con edad promedio de 24.38 ± 7.44 años. Al comienzo del aislamiento social, respondieron en línea cuestionarios que contenían escalas de resiliencia, satisfacción con la vida, afectos positivos y negativos, y florecimientos, además de cuestiones sociodemográficas. En el modelo de mediación, los resultados indicaron ajustes suficientemente adecuados [B-Sχ² (328) = 698.28; p = 0.001; B-Sχ² / gl = 2.13; cfi= 0.91; tli= 0.90; rmsea= 0.066; p (rmsea<0.05) = 0.001], mostrando un efecto mediador de afecto positivo, lo que corrobora estudios previos, sugiriendo la importancia de la resiliencia y de las emociones positivas durante la pandemia de Covid-19 para mantener la salud mental. Los resultados de este estudio pueden contribuir a la implementación de un proyecto de intervención utilizando variables de psicología positiva para promover la salud mental en estudiantes universitarios.
A Covid-19 gerou problemas de saúde mental, o que motivou esta pesquisa. O objetivo é testar o efeito da resiliência na satisfação com a vida e no florescimento, mediado por afetos positivos e negativos. Participaram 261 universitários brasileiros, 63.9 % eram mulhe-res, com idade média de 24.38 ± 7.44 anos. No início do isolamento social, eles responderam questionários on-line contendo escalas de resiliência, satisfação com a vida, afetos positivos e negativos e florescimento, além de questões sociodemográficas. No modelo de mediação, os resultados indicaram ajustes suficiente-mente adequados [B-Sχ² (328) = 698.28; p = 0.001; B-Sχ²/gl = 2,13; cfi= 0.91; tli= 0.90; rmsea= 0.066; p (rmsea<0.05) = 0.001], mostrando efeito mediador do afeto positivo, o que corrobora estudos anteriores, su-gerindo a importância da resiliência e das emoções posi-tivas durante a pandemia de Covid-19 para a manutenção da saúde mental. Os resultados deste estudo podem contribuir para a implementação de um projeto de inter-venção utilizando variáveis da psicologia positiva para promoção de saúde mental em estudantes universitários.
Sujets)
HumainsRésumé
Fundamento: desde la mirada de la psicología positiva, el trabajo con la pareja infértil, que se insemina, permite potenciar las emociones positivas que favorecen el tratamiento y fortalecer en ellos la capacidad resiliente que les conduce a un mayor bienestar psicológico para enfrentar este proceso. Objetivo: aplicar una estrategia de intervención psicológica en parejas infértiles en proceso de inseminación artificial. Métodos estudio prospectivo, de enfoque mixto, que incluyó once parejas bajo tratamiento de inseminación artificial, atendidas en el Centro de Reproducción del Hospital Abel Santamaría, en Pinar de Río, desde diciembre de 2021 hasta abril de 2022. La vía esencial para la localización y accesibilidad de la muestra objeto de estudio fue la consulta propia de psicología dentro de la comisión multidisciplinaria que estudia estas parejas. Se realizaron entrevistas clínicas, observación participante y test psicométricos. Se aplicó una estrategia de intervención psicológica basada en la psicología tradicional y la psicología positiva. Se midió la resiliencia de las parejas antes y después de la intervención. Resultados: la intervención elevó a valores medios-altos la resiliencia de las parejas infértiles que se inseminan. Promovió el desarrollo de pensamientos y estados emocionales positivos, así como la identificación de fortalezas personales y de las parejas. Conclusiones: una estrategia de intervención psicológica basada en la psicología tradicional y la positiva contribuye a elevar la resiliencia de parejas infértiles en proceso de inseminación artificial.
Foundation: from the positive psychology point of view, working with the infertile couple, who is inseminated, allows to enhance the positive emotions that favor the treatment and strengthen their resilient capacity that leads to greater psychological well-being to face this process. Objective: to apply a psychological intervention strategy in infertile couples during the artificial insemination process. Methods: prospective study, with a mixed approach, which included eleven couples undergoing artificial insemination treatment, treated at the Abel Santamaría Hospital Reproduction Center, in Pinar de Río, from December 2021 to April 2022. The essential route for localization and accessibility of the sample under study was the psychology consultation within the multidisciplinary commission that studies these couples. Clinical interviews, participant observation and psychometric tests were carried out. A psychological intervention strategy based on traditional psychology and positive psychology was applied. The resilience of the couples was measured before and after the intervention. Results: the intervention raised the resilience of infertile couples that are inseminated to medium-high values. It promoted the development of positive thoughts and emotional states, as well as the identification of personal and couple strengths. Conclusions: a psychological intervention strategy based on traditional and positive psychology contributes to increasing the infertile couples's resilience in the artificial insemination process.