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Jesus MD, Ware D, Meanley S, Brennan-Ing M, Okafor CN, Shoptaw S, Haberlen S, Stosor V, Friedman MR, Plankey M. Disrupting the Path from Depression to Loneliness: Multilevel Resilience among Older Sexual Minority Men with and without HIV. AIDS Behav 2024; 28:3574-3586. [PMID: 39046610 PMCID: PMC11471709 DOI: 10.1007/s10461-024-04416-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/05/2024] [Indexed: 07/25/2024]
Abstract
Existing studies examining resilience among sexual minority men (SMM) have been limited by only analyzing 1 level of resilience. We therefore investigated the impact of multiple levels of resilience on the bidirectional relationship between loneliness and depression symptoms among older SMM. Loneliness, depression symptoms, and multilevel resilience scores were collected across 3 time points (October 2016 to March 2017 [T1]; October 2017 to March 2018 [T2]; and October 2018 to March 2019 [T3]) among 1,264 SMM aged 40 years and older living with and without HIV. Longitudinal mediation models were used to test the mediating effect of the multilevel resilience factors at T2 on the bidirectional relationship between loneliness and depression symptoms, adjusting for sociodemographic covariates. The multilevel resilience factors were negatively associated with loneliness and depression symptoms at T1. The individual-level global resilience factor was associated with decreased odds of depression symptoms (odds ratio [OR] = 0.50; 95% CI, 0.32-0.78), while the interpersonal-level relationship confidence (OR = 0.43; 95% CI, 0.24-0.77) and reliability (OR = 0.36; 95% CI, 0.15-0.84) factors were associated with decreased odds of loneliness at T3. The total effect of loneliness at T1 on depressive symptoms at T3 was β = 0.20 (95% CI, 0.11-0.28) and was reduced to β = 0.08 (95% CI, -0.04 to 0.20) after the inclusion of the multilevel resilience factors. The total effect of depressive symptoms at T1 on loneliness at T3 was similar (β = 0.21; 95% CI, 0.13-0.28) with the direct effect of β = 0.01 (95% CI, -0.08 to 0.11) after the inclusion of the multilevel resilience factors. Regarding specific indirect effects, individual-level global resilience (depression symptoms at T3 only) as well as the interpersonal-level relationship reliability and confidence (loneliness at T3 model only) factors were statistically significant. Multilevel resilience factors mediated the bidirectional relationship between loneliness and depression symptoms. Mental health interventions should consider implementing resilience-informed strategies that mitigate depression symptoms and loneliness among older SMM.
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Affiliation(s)
- Maria De Jesus
- Department of Environment, Development and Health, School of International Service and Center on Health, Risk, and Society, American University, 4400 Massachusetts Avenue NW, Washington, DC, 20016, USA.
| | - Deanna Ware
- Department of Medicine, Georgetown University Medical Center, Washington, DC, USA
| | - Steven Meanley
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, USA
| | - Mark Brennan-Ing
- Department of Geriatrics, Brookdale Center for Healthy Aging, City University of New York, New York City, NY, USA
| | - Chukwuemeka N Okafor
- Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, USA
| | - Steve Shoptaw
- Department of Family Medicine, University of California, Los Angeles, CA, USA
| | - Sabina Haberlen
- Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins, Baltimore, MD, USA
| | - Valentina Stosor
- Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - M Reuel Friedman
- Department of Infectious Diseases and Microbiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
| | - Michael Plankey
- Department of Medicine, Division of General Internal Medicine, Georgetown University, Washington, DC, USA
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Kaniasty K, Baran M, Urbańska B, Boczkowska M, Hamer K. Sense of danger, sense of country's mastery, and sense of personal mastery as concomitants of psychological distress and subjective well-being in a sample of Poles following Russia's invasion of Ukraine: Prospective analyses. Appl Psychol Health Well Being 2024; 16:967-985. [PMID: 37640052 DOI: 10.1111/aphw.12483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 08/08/2023] [Indexed: 08/31/2023]
Abstract
This study investigated psychological toll of the ongoing war in neighboring Ukraine in a sample of adult Poles (N = 1245). Data were collected online in early February and August 2022. Prospective analyses that accounted for psychological health status assessed before the Russian invasion showed that higher levels of sense of danger due to the war predicted higher levels of psychological distress and lower levels of affect balance close to 6 months after Russia attacked Ukraine. Sense of country's mastery (i.e. beliefs that government, its major institutions, and citizens would effectively cope with various emergencies and crises) served as a protective factor. Likewise, Poles who had confidence in their personal mastery (e.g., beliefs in ability to exercise control over life challenges) exhibited less distress and more subjective well-being. These findings emerged after controlling for sociodemographic factors, the presence of stressful experiences associated with the COVID-19 pandemic, and other life events. Wars dramatically reverberate beyond the borders of the countries involved. People's own sense of mastery and their trust in the resilience of their governmental and public institutions are critical in times of coping with existential security threats and wars.
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Affiliation(s)
- Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Indiana, Pennsylvania, USA
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Maria Baran
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | - Beata Urbańska
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Marta Boczkowska
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | - Katarzyna Hamer
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
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Kimhi S, Kaim A, Bankauskaite D, Baran M, Baran T, Eshel Y, Dumbadze S, Gabashvili M, Kaniasty K, Koubova A, Marciano H, Matkeviciene R, Teperik D, Adini B. A full-scale Russian invasion of Ukraine in 2022: Resilience and coping within and beyond Ukraine. Appl Psychol Health Well Being 2024; 16:1005-1023. [PMID: 37424002 DOI: 10.1111/aphw.12466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 06/11/2023] [Indexed: 07/11/2023]
Abstract
The study examined the resilience and coping of samples from Ukraine and five nearby countries during the war in Ukraine. The research focused on (1) the levels of community and societal resilience of the Ukrainian respondents compared with the populations of five nearby European countries and (2) commonalities and diversities concerning coping indicators (hope, well-being, perceived threats, distress symptoms, and sense of danger) across the examined countries. A cross-sectional study was conducted, based on data collection through Internet panel samples, representing the six countries' adult populations. Ukrainian respondents reported the highest levels of community and societal resilience, hope, and distress symptoms and the lowest level of well-being, compared to the population of the five nearby European countries. Hope was the best predictor of community and societal resilience in all countries. Positive coping variables, most notably hope, but also perceived well-being are instrumental in building resilience. While building resilience on a societal level is a complex, multifaceted task, various dimensions must be considered when planning actions to support these states. It is essential to monitor the levels of resilience, during and following the resolution of the crisis, both in Ukraine and in the neighboring countries.
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Affiliation(s)
- Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
| | - Arielle Kaim
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
| | | | - Maria Baran
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Tomasz Baran
- Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | - Yohannan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- Psychology Department, University of Haifa, Haifa, Israel
| | - Salome Dumbadze
- Applied Psychology, School of Social Sciences, Georgian Institute of Public Affairs, Tbilisi, Georgia
| | - Manana Gabashvili
- Applied Psychology, School of Social Sciences, Georgian Institute of Public Affairs, Tbilisi, Georgia
| | - Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Indiana, Pennsylvania, USA
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Alice Koubova
- Institute of Philosophy, Czech Academy of Sciences, Prague, Czech Republic
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | | | - Dmitri Teperik
- International Center for Defense and Security, Tallinn, Estonia
| | - Bruria Adini
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Kaim A, Tov MS, Kimhi S, Marciano H, Eshel Y, Adini B. A longitudinal study of societal resilience and its predictors during the Israel-Gaza war. Appl Psychol Health Well Being 2024; 16:1479-1496. [PMID: 38515210 DOI: 10.1111/aphw.12539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 03/04/2024] [Indexed: 03/23/2024]
Abstract
This study assesses the resilience of Israeli society during the ongoing Israel-Gaza conflict and pinpoints factors that influence this resilience in prolonged national crises. A longitudinal study was carried out with two surveys, both using the same questionnaire to gage societal, community, and individual resilience levels, along with hope, morale, distress, perceived threats, and government support. The initial survey was administered 5 days after the war escalated and the second 1 month later. The study's results reveal a decline in societal resilience over time. The regression analysis identified four major associations at both resilience measurement points. The key variables are community resilience and hope, both contributing positively. Attitudes towards government support (specifically being a government supporter vs. an opponent) also played a role. Additionally, there was a negative association with levels of religiosity, particularly distinguishing between ultra-orthodox and secular individuals. In the temporal analysis predicting future resilience (from data at the first time point to predict resilience at the second time point), societal resilience at the first measurement was the strongest forecaster of its resilience at the second measurement. Additionally, the main continuous variable from the previous analysis, community resilience, continued to be an influential and positive forecaster in the time-based analysis. The research suggests that the initial unifying effect of the conflict, similar to a "Rally around the flag" phenomenon, may be short-lived. The study underlines the importance of community strength, hope, government support, and religious considerations in shaping societal resilience in the face of conflict.
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Affiliation(s)
- Arielle Kaim
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Maya Siman Tov
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- Psychology Department, University of Haifa, Haifa, Israel
| | - Bruria Adini
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Maltby J. Networking trait resilience: Unifying fragmented trait resilience systems from an ecological systems theory perspective. J Pers 2024. [PMID: 38429249 DOI: 10.1111/jopy.12925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 01/09/2024] [Accepted: 02/11/2024] [Indexed: 03/03/2024]
Abstract
OBJECTIVE This study reconceptualized trait resilience, defining it as a network of systems; utilizing direct resilience assessments-engineering, ecological, adaptive capacity, social cohesion-and proxy resilience assessments-personality, cognitive, emotional, eudaimonia, and health. BACKGROUND The background of the study addresses the fragmented conceptualization of trait resilience by proposing a unifying network model based on ecological systems theory, illustrating the dynamic interplay of resilience factors across varying levels of disturbance. METHOD In Study One, four USA or UK samples (total n = 2396) were used to depict the trait resilience network. Study Two (n = 1091) examined the relationship between the network and disturbance at two time-points, using mental health levels as a disturbance metric. RESULTS Study One found that adaptive capacity, and sometimes positive emotional processes, were central variables to the network. Study Two found that in lower disturbance groups, adaptive capacity remained important, while in higher disturbance groups, a broader set of variables became central to the network. CONCLUSIONS Study One suggests a Broaden-and-Build approach, where adaptive capacity is a foundational resilience capability, reciprocally associated with positive emotional mechanisms. Study Two suggests a new "Dynamic Resilience Spectrum Theory," proposing that increased disturbances necessitate the use of a more diverse set of resilience traits.
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Affiliation(s)
- John Maltby
- School of Psychology and Vision Sciences, College of Life Sciences, University of Leicester, Leicester, UK
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Ndoye F, Bâ I, Diop D, Tine JAD, Diop RA, Thiam MH, Sall M, Sall B. Drogue, violence et résilience : consommateurs de drogue en cure et anciens délinquants violents à Dakar. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2024; 36:119-131. [PMID: 38834518 DOI: 10.3917/spub.242.0119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
In Senegal, violent delinquency and illicit drug use are on the increase. This study focuses on two distinct groups: drug users (DUs) undergoing rehabilitation and violent ex-offenders (VEs). The methodology adopted includes a quantitative survey of the general population (n=1009), followed by a qualitative survey of fifteen participants, including eight DUs undergoing treatment at the Centre de prise en charge intégrée des addictions de Dakar (CEPIAD) (Integrated Addictions Management Center of Dakar) and the Centre Jacques Chirac de Thiaroye, and seven former VEs from the Grand Yoff district. This neighborhood, known for its violence, is juxtaposed with the Grand Yoff social housing estate, a residential area also affected by outbreaks of violence. This study aims to establish the link(s) between drug use and criminal violence by analyzing the life stories of young adults who have managed to leave drug use and delinquency behind. It then looks to identify the determinants of resilience in certain young people. The study revealed delinquent violence among young people does not systematically result from drug use. Rather, drug use is a factor conducive to violence. The links between drugs and violence depend on individual predisposition, the type of drugs used, and the level of addiction. Resilience results from a web of individual, sociocultural, and environmental factors. It is not static, but rather the result of a series of successes, failures, and even relapses.
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Kegelaers J. Are we really studying resilience in sport? A critical review of adopted methodologies. Front Psychol 2023; 14:1270887. [PMID: 37954183 PMCID: PMC10637379 DOI: 10.3389/fpsyg.2023.1270887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 10/11/2023] [Indexed: 11/14/2023] Open
Abstract
Psychological resilience has gained considerable attention in sport. Nevertheless, the construct often remains poorly understood and multiple conceptual and methodological issues pervade the literature. The purpose of the present article is to provide a critical review of the commonly adopted methodologies to study resilience in sport. This review is divided into four sections. The first section will briefly discuss opposing conceptualizations of resilience as a static trait or a dynamic process. The second section will then discuss key methodological implications relating to the conceptualization of resilience as a dynamic process. In the third section, common methodologies to study resilience in sport are presented and critically reviewed. These methodologies are broadly divided into: (i) self-report resilience measures, (ii) qualitative research, and (iii) direct assessment of functioning in relation to observed adversity. In the final section, some avenues for future research are offered.
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Affiliation(s)
- Jolan Kegelaers
- Brussels University Consultation Center, Department of Psychology, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium
- Sport Psychology and Mental Support, Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
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Kimhi S, Eshel Y, Marciano H, Adini B. Impact of the war in Ukraine on resilience, protective, and vulnerability factors. Front Public Health 2023; 11:1053940. [PMID: 37397735 PMCID: PMC10311639 DOI: 10.3389/fpubh.2023.1053940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 05/25/2023] [Indexed: 07/04/2023] Open
Abstract
War or armed conflict is one of the most severe human-made adversities. The current study examines the resilience, protective, and vulnerability factors of a sample of Ukrainian civilians, during the current Russian-Ukrainian war. The level of resilience and coping indicators were compared with the responses of an Israeli sample following an armed conflict in May 2021. The data were collected by an internet panel company. A representative sample of Ukrainian residents (N = 1,001) responded to an online questionnaire. A stratified sampling method was employed regarding geographic distribution, gender, and age. The data concerning the Israeli population (N = 647) were also collected by an internet panel company during a recent armed conflict with Gaza (May 2021). Three notable results emerged in this study: (a) The Ukrainian sample reported significantly higher levels of the following: Distress symptoms, sense of danger, and perceived threats, compared with the Israeli sample. However, despite these harsh feelings, the Ukrainian respondents reported substantially higher levels of hope and societal resilience compared, to their Israeli counterparts, and somewhat higher individual and community resilience. (b) The protective factors of the respondents in Ukraine (level of hope, wellbeing, and morale), predicted the three types of resilience (individual, community, and social) better than the vulnerability factors (sense of danger, distress symptoms, and level of threats). (c) The best predictors of the three types of resilience were hope and wellbeing. (d) The demographic characteristics of the Ukrainian respondents hardly added to the prediction of the three types of resilience. It appears that a war that threatens the independence and sovereignty of a country may, under certain conditions, enhance the societal resilience and hope of the population under risk, despite a lower sense of wellbeing and higher levels of distress, sense of danger, and perceived threats.
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Affiliation(s)
- Shaul Kimhi
- School of Public Health, Tel Aviv University, Tel Aviv, Israel
| | - Yohanan Eshel
- Department of Psychology, University of Haifa, Haifa, Israel
- Stress and Resilience Research Center, Tel Hai, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine and ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
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Trudel-Fitzgerald C, Ouellet-Morin I. The cost of resilience: How allostatic load may jeopardize health through repeated demands for (successful) adaptation. Psychoneuroendocrinology 2022; 144:105874. [PMID: 35953388 DOI: 10.1016/j.psyneuen.2022.105874] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 07/19/2022] [Indexed: 01/22/2023]
Affiliation(s)
- Claudia Trudel-Fitzgerald
- Department of Psychology, Université du Québec à Trois-Rivières, Québec, Canada; Research Center, Institut Universitaire en Santé Mentale de Montréal, Québec, Canada; Lee Kum Sheung Center for Health and Happiness, Harvard T.H. Chan School of Public Health, MA, United States.
| | - Isabelle Ouellet-Morin
- Research Center, Institut Universitaire en Santé Mentale de Montréal, Québec, Canada; School of Criminology, Université de Montréal, Québec, Canada
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