Resilience and function in adults with physical disabilities: an observational study

Publication date: Available online 18 December 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Samuel L. Battalio, Arielle M. Silverman, Dawn M. Ehde, Dagmar Amtmann, Karlyn A. Edwards, Mark P. Jensen
ObjectiveTo determine if resilience is uniquely associated with functional outcomes (satisfaction with social roles, physical functioning, and quality of life) in individuals with physical disabilities, after controlling for measures of psychological health (depression and anxiety) and symptom severity (pain, fatigue, sleep disturbance). We also examined the potential moderating effect of gender, age, and diagnosis on the hypothesized associations between resilience and function.DesignCross-sectional survey study.SettingSurveys were mailed (81% response rate) to a community sample of 1949 individuals multiple sclerosis, muscular dystrophy, post poliomyelitis syndrome, or spinal cord injury. Participants were recruited through web or print advertisement (28%), a registry of previous research participants who indicated interest in future studies (21%), a departmental registry of individuals interested in research (19%), disability specific registries (18%), by word of mouth (10%), or other sources (3%).ParticipantsA convenience sample of community-dwelling adults aging with physical disabilities (N=1574) with a mean Connor-Davidson Resilience Scale (CD-RISC10) score of 29.InterventionsNot applicable.Main Outcome MeasuresPatient Reported Outcomes Measurement Information System (PROMIS) measures of Satisfaction with Social Roles and Activities and Physical Functioning, the World Health Organization's Older People's Quality of Life Questionnaire (OPQOL-brief), and the Connor-Davidson Resilience Scale (CD-RISC10).ResultsAfter controlling for age, age², gender, diagnosis, psychological health, and symptom severity, resilience was significantly and positively associated with satisfaction with social roles (β = .17, p < .001) and quality of life (β = .39, p < .001), but not physical function (β = .04, p > .05). For every 1 point increase in scores of resilience, there was an increase of .5 in the quality of life score and .2 in the satisfaction with social roles score. Gender also moderated the association between resilience and satisfaction with social roles, F(1, 1453) = 4.09, p = .043.ConclusionsThe findings extend past research, providing further evidence indicating that resilience plays a unique role in non-physical functional outcomes among individuals with physical disabilities.



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