Empirical Support for Resilience as More than the Counterpart and Absence of Vulnerability and Symptoms of Mental Disorder
Abstract
The construct of resilience has been viewed as the direct counterpart of factors jeopardizing mental health, i.e., vulnerability and psychopathology. Any operationalization of resilience, thus, risks lying on the same latent continuum as indicators of mental illness, although indicating their absence. A factor analysis combining items from these measurement domains, followed by analyses of second-order factor scores was performed to test this assumption. A random selection of 1,724 participants (34% response rate) from the general population of Norway responded. All items were discriminated well by their primary factors. A second-order factor analysis extracted two components, which was confirmed on a hold-out sample by confirmatory factor methods. The Resilience Scale for Adults (RSA), which measures protective factors, correlated with both second-order factors. Thus, the RSA shared common variance with vulnerability and psychopathology, as well as being unique from illness indices. A hierarchical regression analysis that tested interactions between vulnerability and resilience further supported the unique contributions of the RSA. Thus, the notion of resilience-protective indicators as solely counterparts of vulnerability and psychopathology is not empirically supported.
References
2006). A review of instruments measuring resilience. Issues in Comprehensive Pediatric Nursing, 29, 103–125.
(1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
(2006). Cognitive vulnerability to emotional disorders. Mahwah, NJ: Erlbaum.
(2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52, 69–77.
(2007). Screening for depression and anxiety disorders in primary care patients. Depression and Anxiety, 24, 455–460.
(2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behavior Research and Therapy, 44, 585–599.
(1998). Resilience and thriving: Issues, models, and linkages. Journal of Social Issues, 54, 245–266.
(2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301, 386–389.
(2003). Från barndom till vuxenliv: En översikt av longitudinell forskning [
(From childhood to adulthood: An overview of longitudinal research ]. Stockholm: Gothia.2004). Psychobiological mechanisms of resilience and vulnerability: Implications for successful adaptation to extreme stress. American Journal of Psychiatry, 161, 195–216.
(1991). Scaled test statistics and robust standard errors for nonnormal data in covariance structure-analysis. A Monte-Carlo study. British Journal of Mathematical and Statistical Psychology, 44, 347–357.
(1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50, 975–990.
(2002). Family adversity, positive peer relationships, and children’s externalizing behavior: A longitudinal perspective on risk and resilience. Child Development, 73, 1220–1237.
(1987). Modelling the etiology of neurosis: Long-term and short-term factors. In , The epidemiology of psychiatric disorders (pp. 178–191). Baltimore, MD: Johns Hopkins University Press.
(1993). Resilience as process. Development and Psychopathology, 5, 517–528.
(1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272–299.
(2005). Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research, 14, 29–42.
(2004). Resilience as a measure of adaptive capacity. Journal of the Norwegian Psychological Association, 41, 206–208.
(2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research, 12, 65–76.
(2006). Likert-based vs. semantic differential-based scorings of positive psychological constructs: A psychometric comparison of two versions of a scale measuring resilience. Personality and Individual Differences, 40, 873–884.
(1985). Stress-resistant children: The search for protective factors. In , Recent research in developmental psychopathology (pp. 213–233). Oxford: Pergamon.
(1984). The study of stress and competence in children: A building block for developmental psychopathology. Child Development, 55, 97–111.
(2001). Promotion and prevention experiences: Relating emotions to nonemotional motivational states. In , Handbook of affect and social cognition (pp. 186–211). Mahwah, NJ: Erlbaum.
(1997). Expressed emotion and the course of late-life depression. Journal of Abnormal Psychology, 106, 336–340.
(2007). Measuring protective factors: The development of two resilience scales in Norway. Child and Adolescent Psychiatric Clinics of North America, 16, 303–321.
(2001). Preliminary results from the development and validation of a Norwegian scale for measuring adult resilience. Journal of the Norwegian Psychology Association, 38, 310–317.
(2006). Resilience predicting psychiatric symptoms: A prospective study of protective factors and their role in adjustment to stressful life events. Clinical Psychology and Psychotherapy, 13, 194–201.
(1995). Evaluating model fit. In , Structural equation modeling: Concepts, issues, and applications (pp. 76–99). Thousand Oaks, CA: Sage.
(2001). The role of vulnerability in understanding psychopathology. In R.E. Ingram J.M. Price, Eds., Vulnerability to psychopathology: Risk across the lifespan (pp. 3–19). New York: Guilford.
(2001). LISREL 8: Users reference guide. Lincolnwood, IL: Scientific Software International.
(2001). Genetic risk factors for major depression in men and women: Similar or different heritabilities and same or partly distinct genes? Psychological Medicine, 31, 605–616.
(2003). The structure of genetic and environmental risk factors for common psychiatric and substance-use disorders in men and women. Archives of General Psychiatry, 60, 929–937.
(2007). Prevalence, comorbidity, and service utilization for mood disorders in the United States at the beginning of the twenty-first century. Annual Review of Clinical Psychology, 3, 137–158.
(1993). Annotation: Methodological and conceptual issues in research on childhood resilience. Journal of Child Psychology and Psychiatry, 34, 441–453.
(1999). Poverty and children’s adjustment. Thousand Oaks, CA: Sage.
(2003). Resilience and vulnerability: Adaptation in the context of childhood adversities. New York: Cambridge University Press.
(2006). Resilience in development: A synthesis of research across five decades. In D.J. Cohen D. Cicchetti, Eds., Developmental psychopathology: Risk, disorder, and adaptation (pp. 739–795). Hoboken, NJ: Wiley.
(2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.
(2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling, 11, 320–341.
(1999). Competence in the context of adversity: Pathways to resilience and maladaptation from childhood to late adolescence. Development and Psychopathology, 11, 143–169.
(2002). Resilience in development. In C.R. Snyder S.J. Lopez, Eds., Handbook of positive psychology (pp. 74–88). New York: Oxford University Press, Inc.
(1957). Psychobiology: A science of man. Springfield, IL: Charles C. Thomas.
(2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses, and internal consistency in a large population. British Journal of Psychiatry, 179, 540–544.
(1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
(2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instrumentation, and Computers, 32, 396–402.
(2002). Dimensions of temperament as vulnerability factors in depression. Molecular Psychiatry, 7, 948–953.
(1990). Hard growing: Children who survive. In K.H. Nuechterlein D. Cicchetti J.E. Rolf A.S. Masten S. Weintraub, Eds., Risk and protective factors in the development of psychopathology (pp. 97–119). New York: Cambridge University Press.
(1998). Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders. British Journal of Psychiatry, 173, 24–28.
(1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598–611.
(1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316–331.
(1999). Resilience concepts and findings: Implications for family therapy. Journal of Family Therapy, 21, 119–144.
(1995). General systems theories and developmental psychopathology. In D. Cicchetti D.J. Cohen, Eds., Developmental psychopathology: Vol. 1. Theory and methods (2nd ed., pp. 23–40). New York: Wiley.
(2003). Adaptation among youth facing multiple risks: Prospective research findings. In , Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 364–391). New York: Cambridge University Press.
(2003). Young children with mentally ill parents: Resilient developmental systems. In , Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 29–49). New York: Cambridge University Press.
(1997). Psychopathology as an outcome of development. Development and Psychopathology, 9, 251–268.
(1983). Negative thinking in depression: Cause, effect, or reciprocal relationship. Advances in Behavior Research and Therapy, 5, 3–25.
(2007). Extradyadic sexual relationships in Norway. Archives of Sexual Behavior, 36, 55–65.
(2007). Mental habits: Metacognitive reflection on negative self-thinking. Journal of Personality and Social Psychology, 92, 526–541.
(2003). Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology, 33, 1313–1330.
(1992). Overcoming the odds: High risk children from birth to adulthood. Ithaca, NY: Cornell University Press.
(2001). Journeys from childhood to midlife: Risk, resilience, and recovery. Ithaca, NY: Cornell University Press.
(1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.
(2003). Resilience and vulnerability among sons of alcoholics: Relationship to development outcomes between early childhood and adolescence. In , Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 76–103). New York: Cambridge University Press.
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