Predictors of resilience in healthcare workers during the COVID-19 pandemic: a longitudinal study comparing the first and second waves.

Few studies have investigated the effects of the pandemic caused by COVID-19 on health professionals, especially nurses, from the point of view of the protective factors of mental health. The aim of this study was to assess the level of resilience in healthcare workers, to determine whether there were differences between two moments of the pandemic. Applying a longitudinal study, participants (N = 590) from healthcare workers completed surveys in the first wave of the COVID-19 pandemic and the second wave. Socio-demographic and psychosocial variables such as resilience, emotional intelligence, optimism, self-efficacy, anxiety, and depression are used. There were differences between the two waves in all protective and risk variables except anxiety. In the first wave, there were three socio-demographic and psychosocial variables that explained 67.1% of the variance in resilience. In the first wave, three sociodemographic and psychosocial variables explained 67.1% of the variance in resilience in healthcare professionals. The enhancement of specific protective variables in healthcare professionals exposed to situations of high emotional stress can minimise the negative impact of the situation and promote more resilient responses in this professional group as a result.

Adaptation of the Suicide Attempt Resilience Scale (SRSA-18, Spanish version) for adolescents.

BACKGROUND: The assessment of resilience as an outcome in adolescents remains a challenge, with few instruments available. Some studies have focused on risk factors, but few have focused on protective factors as a formula for measuring resilient outcomes. AIMS: To adapt a new Suicide Attempt Resilience Scale (SRSA-18) for use with adolescents, analysing its structural validity, the gender and age invariance of the measure, and divergent and convergent validity, together with its reliability. METHOD: The psychometric properties of the scale were assessed in 628 participants aged between 13 and 18 years, of whom 342 (54.5%) were girls. RESULTS: After a process of adaptation for adolescents, exploratory and confirmatory factor analysis yielded a three-dimensional structure with adequate goodness-of-fit indices, invariance of the measure according to gender and age, adequate levels of reliability (ω = 0.91), high convergent validity with the 14-Item Resilience Scale and high divergent validity with the suicidal act/planning subdimension of the Adolescent Suicidal Behavior Assessment Scale. CONCLUSIONS: There is a need to create and adapt instruments to measure resilience in some populations with high psychosocial vulnerability as a key aspect for measuring the impact of prevention and mental health promotion programmes in adolescents.

Exploring resilience and well-being of family caregivers of people with dementia exposed to mandatory social isolation by COVID-19.

BACKGROUND: The COVID-19 pandemic has raised questions about the resilience of health care systems worldwide. In this regard, one group of people whose physical and mental health has been affected has been family caregivers of people with dementia. OBJECTIVE: This study aims to identify the variables that predict a high degree of well-being in family caregivers of people with dementia during this period of mandatory lockdown. METHODS: A total of 310 respondents participated in an online survey (266 women and 44 men) from various regions in Spain, aged between 20 and 73 years old (M = 46.45; SD = 15.97), and all were family members. RESULTS: The results showed that there were notable differences in all the protective variables, together with a significant strong positive relationship between well-being and resilience (r = 0.92; p < 0.01) and with coping strategies (r = 0.85; p < 0.01), and there were also some significant negative relationships between well-being and difficulties in emotional regulation (ρ = -.78; p < 0.01). The most predictive variables of a higher level of well-being included the type of dementia (ß = 1.19; CI (95%) = 1.01-1.29; p< 0.01), living in a large house (ß = 0.97; CI (95%) =. 23-0.98; p < 0.01), social support as a coping strategy (ß = 1.27; CI (95%) = 1.21-1.29; p < 0.01) and mainly resilience (ß = 1.34; CI (95%) = 1.30-1.37; p < 0.01). DISCUSSION: We discuss the importance of promoting higher levels of resilience through the development of protective psychosocial variables in caregivers of people with dementia exposed to situations of mandatory social isolation as a modulator of the psychosocial well-being of these family caregivers.