Browsing by Subject "Resilience factors"

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    Examining the Relationships Between Resilience, Cardiovascular Health, and Race Among US Adults
    (Oxford University Press, 2024-12-31) Sprague, Briana; Mosesso, Kelly; Medicine, School of Medicine
    Modifiable risk and resilience factors explain up to 90% of cardiovascular disease risk. These may contribute to racial cardiovascular health (CVH) disparities, but there has been limited examination of the role of resilience on CVH and disparities. Our goal was to examine (1) which risk and resilience measures were associated with CVH and (2) whether there were differences in these measures by race among a sample of US adults. Aim 1’s sample included adults aged 34-84 from the MIDUS biomarker substudy (N = 1255). Aim 2’s sample comprised of adults aged 28-84 from the MIDUS parent study (N = 4702). The primary outcome of interest was CVH, operationalized as the AHA’s Life’s Essential 8 total score, behavior, and health subscores. The hypothesized resilience measures were psychological well-being (“PWB”; assessed with Ryff and Multidimensional Personality Scale), purpose in life, mindfulness, gratitude, and optimism (MPS subscales). Of those, greater PWB (Ryff), purpose in life, and optimism correlated with better Essential 8 total score and behavioral subscore (ps <.01). Higher PWB (MPS), as well as higher gratitude, were associated with better Essential 8 behavioral scores (p <.05). Of these, PWB (MPS), gratitude, and optimism were significantly differences by race, where Black adults had significantly greater values on all measures (p <.001). Implications for future research and practice will be discussed.
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    A qualitative study of risk and resilience in young adult women with a history of juvenile-onset fibromyalgia
    (BMC, 2021-08-17) Daffin, Morgan; Lynch-Milder, Mary K.; Gibler, Robert C.; Murray, Caitlin; Green, Carly M.; Kashikar-Zuck, Susmita; Psychiatry, School of Medicine
    Background: Juvenile-onset Fibromyalgia (JFM) is a chronic pain condition characterized by widespread musculoskeletal pain, fatigue, sleep difficulties, mood concerns, and other associated symptoms. Although diagnosed in childhood, JFM often persists into adulthood can result in continued physical, social, and psychological impairment. The purpose of this qualitative study was to identify themes of risk and resilience for long-term outcomes among young adults diagnosed with JFM in childhood. Methods: The sample included 13 young adults (ages 26-34) who had been diagnosed with JFM in adolescence. Focus groups were used to elicit qualitative information about living with JFM and perceived challenges and buffering factors impacting their adjustment. Results: The majority of participants (80%, N = 12) continued to meet criteria for fibromyalgia (FM). An iterative, thematic analysis revealed themes of resilience (e.g., greater acceptance, re-setting expectations, active coping, addressing mental health) and risk (e.g., lack of information, stigma, isolation, negative healthcare experiences). Conclusion: Results suggest the need for longer follow-up of youth with JFM as they transition to adulthood with multidisciplinary care and more attention to education about JFM and associated symptoms such as fatigue, as well as ongoing support for coping and mental health needs. A holistic approach to care during the transition years could be beneficial to minimize impact of JFM on long-term functioning.