Resilience in severe mental disorders: correlations to clinical measures and quality of life in hospitalized patients with major depression, bipolar disorder, and schizophrenia.

Autor: Nunes KG; Graduation Program in Psychiatry and Behavior Science, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil. k.gomes.nunes@gmail.com.; Center of Clinical Research, Center of Experimental Research, and Psychiatric Service Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. k.gomes.nunes@gmail.com.; I-QOL: Innovations and Interventions for Quality of Life Research Group, Porto Alegre, Brazil. k.gomes.nunes@gmail.com.; Porto Alegre, Brazil. k.gomes.nunes@gmail.com., da Rocha NS; Graduation Program in Psychiatry and Behavior Science, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Center of Clinical Research, Center of Experimental Research, and Psychiatric Service Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.; I-QOL: Innovations and Interventions for Quality of Life Research Group, Porto Alegre, Brazil.
Jazyk: angličtina
Zdroj: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2022 Feb; Vol. 31 (2), pp. 507-516. Date of Electronic Publication: 2021 Jun 25.
DOI: 10.1007/s11136-021-02920-3
Abstrakt: Purpose: To evaluate resilience in severe mental disorders and correlate it with clinical measures and quality of life.
Methods: Resilience (Resilience Scale, RS) and quality of life (WHOQOL-BREF questionnaire) were prospectively evaluated in a sample of 384 hospitalized patients diagnosed with severe mental disorders (depression, bipolar disorder and schizophrenia). Clinical outcomes were measured using the Global Assessment of Functioning Scale (GAF), Clinical Global Impression (CGI), Cumulative Illness Rating Scale (CIRS), Hamilton Scale-Depression (HAM-D), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS).
Results: Resilience measure showed a difference between the three clinical groups analyzed in the study, with lower scores in depressed patients than in bipolar disorder or schizophrenia patients. There was a trend toward a correlation between resilience and depressive symptoms (Hamilton Scale-Depression; P = 0.052; r s  = - 0.163). The scores in the resilience scale's personal competence domain presented a tendency of association with general psychiatric symptoms (Brief Psychiatric Rating Scale; P = 0.058; r = - 0.138). There was a significantly positive association between resilience and all domains of quality of life (r = 0.306-0.545; P < 0.05). Sociodemographic data like age, education, intelligence quotient, sex, and marital status were associated with resilience.
Conclusion: Depressive patients had low scores on the resilience scale compared to patients with other disorders. Resilience was positively associated with quality of life. Therefore, it deserves special attention, as it promotes more positive outcomes and improves patients' quality of life with severe mental disorders.
(© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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