Abstract
We developed the Headington Institute Resilience Inventory as a psychometrically valid, multifactored self-report measure to identify dimensions of resilience for international aid workers. We define resilience as the capacity to adapt during traumatic incidents so that one not only just survives but survives well. By utilizing a dynamic approach to resilience to predict this adaptive capacity, we aim to identify dimensions that could lead to personalized protective training exercises, essential because of the work in areas of constant tension where there is a high risk of exposure to traumatic events. From 84 theory-driven items, through exploratory and confirmatory factor analyses with 2 samples of aid workers (ns = 724 and 829), we identified and refined the most robust factors. Our resulting 7-factor, 33-item measure had αs greater than .69 for all factors, test–retest reliability coefficients between .79 and .94, and an estimate of composite scale reliability of .82. The findings are congruent with social–cognitive theories of resilience, which provide a plausible understanding of resilience as a multifaceted, dynamic construct. Although continued research is needed to fully validate the construct of resilience, this framework identifies dimensions of protective assets that are believed to be amenable to development, thus providing aid workers with a working definition of resilience.
Impact and Implications
In an effort to promote the wellbeing and effectiveness of humanitarian aid workers, we have developed a self-report measure aimed at encouraging engagement in resilience practices. We provide initial evidence of validity for its use in this population. Given the critical role of humanitarian expatriate and national staff in the implementation of the United Nations Sustainable Development Goals, a measure of resilience can inform efforts to help sustain humanitarians in difficult operating environments.
References
2012). Stress, mental health, and burnout in national humanitarian aid workers in Gulu, northern Uganda. Journal of Traumatic Stress, 25, 713–720. 10.1002/jts.21764
(2014). The standards for educational and psychological tests (2014 ed.). Washington, DC: American Psychological Association.
. (2012). Managing stress in humanitarian workers: Guidelines for good practice (3rd ed.). Retrieved from https://www.antaresfoundation.org/guidelines#.WchfvMiGPIU
. (2012). Children under stress - COMT genotype and stressful life events predict cortisol increase in an acute social stress paradigm. International Journal of Neuropsychopharmacology, 15, 1229–1239. 10.1017/S1461145711001763
(2005). Humanitarianism transformed. Perspectives on Politics, 3, 723–740. 10.1017/S1537592705050401
(1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244. 10.1037/0022-3514.61.2.226
(1989). Predictors of stress-related illness in city bus drivers. Journal of Occupational Medicine, 31, 657–663. 10.1097/00043764-198908000-00008
(1995, July). A short hardiness scale. Paper presented at the American Psychological Society Annual Convention, New York, NY.
(2017). An ecological-systemic approach to resilience: A view from the trenches. Traumatology, 23, 35–42. 10.1037/trm0000074
(2006). Resilience of humanitarian aid workers. Retrieved from http://www.dochas.ie/Shared/Files/4/resilience-of-aid-workers.pdf.
(1996). IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology, 70, 349–361. 10.1037/0022-3514.70.2.349
(2012). Beyond resilience and PTSD: Mapping the heterogeneity of responses to potential trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 74–83. 10.1037/a0017829
(1986). The role of factor analysis in the development and evaluation of personality scales. Journal of Personality, 54, 106–148. 10.1111/j.1467-6494.1986.tb00391.x
(2017). Social and occupational factors associated with psychological distress and disorder among disaster responders: A systematic review. Journal of Mental Health, 26, 373–384. 10.1080/09638237.2017.1294732
(2007). Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20, 1019–1028. 10.1002/jts.20271
(2013). Personality traits as moderators of the associations between deployment experiences and PTSD symptoms in OEF/OIF service members. Anxiety, Stress, and Coping: An International Journal, 26, 36–51. 10.1080/10615806.2011.638053
(2014).
(Standards and guidelines for validation practices: Development and evaluation of measurement instruments . In B. D. ZumboE. K. H. Chan (Eds.),Social indicators research series : Vol. 54. Validity and validation in social, behavioral, and health sciences (pp. 9–24). Zurich, Switzerland: Springer. 10.1007/978-3-319-07794-9_22004). Working models of attachment shape perceptions of social support: Evidence from experimental and observational studies. Journal of Personality and Social Psychology, 87, 363–383. 10.1037/0022-3514.87.3.363
(2012). Humanitarian space: A review of trends and issues (Humanitarian Policy Group Report 32). London, United Kingdom: Overseas Development Institute.
(2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76–82. 10.1002/da.10113
(2007). Perceived stress in anxiety disorders and the general population: A study of the Sheehan stress vulnerability scale. Psychiatry Research, 151, 249–254. 10.1016/j.psychres.2006.11.008
(2012). Humanitarian relief workers and trauma-related mental illness. Epidemiologic Reviews, 34, 144–155. 10.1093/epirev/mxr026
(2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research and Evaluation, 10, 1–9. Retrieved from http://pareonline.net/getvn.asp?v=10&n=7
(2017).
(Developing resilience . In C. L. ParkJ. M. CurrierJ. I. HarrisJ. M. Slattery (Eds.), Trauma, meaning, and spirituality: Translating research into clinical practice (pp. 185–189). Washington, DC: American Psychological Association.2014). The (de)militarization of humanitarian aid: A historical perspective. Humanities, 3, 232–243. 10.3390/h3020232
(2006). Distress and post-traumatic stress disorders in high risk professionals: Adult attachment style and the dimensions of anxiety and avoidance. Clinical Psychology and Psychotherapy, 13, 256–263. 10.1002/cpp.492
(2011). Association between the Five Factor personality traits and perceived stress: Is the effect mediated by general self-efficacy? Anxiety, Stress, and Coping: An International Journal, 24, 407–419. 10.1080/10615806.2010.540012
(2001). Trauma exposure and PTSD symptoms in international relief and development personnel. Journal of Traumatic Stress, 14, 205–212. 10.1023/A:1007804119319
(2014). Aid in danger: The perils and promise of humanitarianism. Philadelphia, PA: University of Pennsylvania Press. 10.9783/9780812209631
(2011). Organisational and cultural factors that promote coping: With reference to Haiti and Christchurch. New Zealand Journal of Psychology, 40, 64–70.
(2010). Response interpolation and scale sensitivity: Evidence against 5-point scales. Journal of Usability Studies, 5, 104–110.
(2013). Psychological resilience: A review and critique of definitions, concepts, and theory. European Psychologist, 18, 12–23. 10.1027/1016-9040/a000124
(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. 10.1002/mpr.143
(2016). A systematic review of health outcomes among disaster and humanitarian responders. Prehospital and Disaster Medicine, 31, 635–642. 10.1017/S1049023X16000832
(2013). A new look at Horn’s parallel analysis with ordinal variables. Psychological Methods, 18, 454–474. 10.1037/a0030005
(2017). Personality strengths as resilience: A one-year multiwave study. Journal of Personality, 85, 423–434. 10.1111/jopy.12250
(2003). A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 37, 504–528. 10.1016/S0092-6566(03)00046-1
(2014). Examining the factor structure of the Connor-Davidson Resilience Scale (CD-RISC) in a post 9/11 U.S. military veteran sample. Journal of Psychological Trauma: Theory, Research, Practice, and Policy, 21, 443–451. 10.1177/1073191114524014
(2015). Building aid workers’ resilience: Why a gendered approach is needed. Gender and Development, 23, 449–462. 10.1080/13552074.2015.1095542
(2012). Attachment theory as a framework for understanding compassion fatigue among humanitarian relief workers. Philippine Journal of Social Sciences and Humanities, 17, 17–28.
(2011). What is resilience? The Canadian Journal of Psychiatry, 56, 258–265. 10.1177/070674371105600504
(1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524. 10.1037/0003-066X.44.3.513
(2002). Social and psychological resources and adaptation. Review of General Psychology, 6, 307–324. 10.1037/1089-2680.6.4.307
(2012). Towards an understanding of resilience and its relevance to medical training. Medical Education, 46, 349–356. 10.1111/j.1365-2923.2011.04188.x
(1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. 10.1080/10705519909540118
(2016). Aid worker security report: Figures at a glance 2016. Aid Worker Security Database. Retrieved from https://aidworkersecurity.org/
. (2014). Violence against health workers in complex security environments. Stockholm International Peace Research Institute: Background Paper. Retrieved from https://www.sipri.org/publications/2014/sipri-background-papers/violence-against-healthcare-workers-complex-security-environments
(2009). Key facts on resilience and response to stress for Navy and USMC leaders. Journal of Special Operations Medicine, 9, 110–112. Retrieved from http://www.socom.mil/JSOMDocs/Forms/JSOM.aspx
(2011). Development and initial validation of the Response to Stressful Experiences Scale. Military Medicine, 176, 161–169. 10.7205/MILMED-D-10-00258
(2006). Trauma and posttraumatic reactions in German development aid workers: Prevalences and relationship to social acknowledgement. International Journal of Social Psychiatry, 52, 91–100. 10.1177/0020764006061248
(2014).
(Resilience training for action and agency to stress and trauma: Becoming the hero of your life . In M. KentM. C. DavisJ. W. Reich (Eds.), The resilience handbook: Approaches to stress and trauma (pp. 227–245). New York, NY: Routledge.1979). Stressful life events, personality, and health: An inquiry into hardiness. Journal of Personality and Social Psychology, 37, 1–11. 10.1037/0022-3514.37.1.1
(2013). Resilience: A meta-analytic approach. Journal of Counseling and Development, 91, 269–279. 10.1002/j.1556-6676.2013.00095.x
(2009). Resilience: A conceptual bridge between coping and development. European Psychologist, 14, 40–50. 10.1027/1016-9040.14.1.40
(2010). Emotional and sexual maltreatment: Anxious attachment mediates psychological adjustment. Journal of Social and Clinical Psychology, 29, 347–367. Retrieved from http://search.ebscohost.com.naomi.fuller.edu:2048/login.aspx?direct=true&db=aph&AN=49165639&site=ehost-live. 10.1521/jscp.2010.29.3.347
(2013). Factors affecting mental health of local staff working in the Vanni region, Sri Lanka. Psychological Trauma: Theory, Research, Practice, and Policy, 5, 581–590. 10.1037/a0030969
(1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149. 10.1037/1082-989X.1.2.130
(1992). Assessing war trauma in children: A case study of Lebanese children. Journal of Refugee Studies, 5, 1–15. 10.1093/jrs/5.1.1
(2011). Suicidal or self-harming ideation in military personnel transitioning to civilian life. Suicide and Life-Threatening Behavior, 41, 392–405. 10.1111/j.1943-278X.2011.00039.x
(2013).
(Risk and resilience in development . In P. D. Zelazo (Ed.), Handbook of developmental psychology (Vol. 2, pp. 579–607). New York, NY: Oxford University Press.2011). Promoting psychological resilience in the U.S. military. Santa Monica, CA: RAND.
(2014).
(An attachment perspective on resilience to stress and trauma . In M. KentM. C. DavisJ. W. Reich (Eds.), The resilience handbook: Approaches to stress and trauma (pp. 156–168). New York, NY: Routledge.1985). The Stress Vulnerability Scale. Berkeley, CA: University of California, Berkeley Wellness Letter.
(2016). A way forward for spirituality, resilience, and international social science. Journal of Psychology and Theology, 44, 166–172.
(2013).
(Religion, spirituality, and mental health . In R. F. PaloutzianC. L. Park (Eds.), Handbook of the psychology of religion and spirituality (2nd ed., pp. 540–559). New York, NY: Guilford Press.2007). Parallel analysis engine to aid determining number of factors to retain [Computer software]. Retrieved from http://smishra.faculty.ku.edu/parallelengine.htm
(2014).
(Introduction to allostasis and allostatic load . In M. KentM. C. DavisJ. W. Reich (Eds.), The resilience handbook: Approaches to stress and trauma (pp. 44–52). New York, NY: Routledge.1990). Survey of exposure to community violence: Self-report version. Rockville, MD: National Institute for Mental Health.
(2006). Patterns of mean-level change in personality traits across the life course: A meta-analysis of longitudinal studies. Psychological Bulletin, 132, 1–25. 10.1037/0033-2909.132.1.1
(2013). Free i-resilience report in Good Day at Work. Retrieved from www.robertsoncooper.com/improve-your-resilience/i-resilience-free-report-preview
(1981).
(The psychological situation in social learning theory . In D. Magnusson (Ed.), Toward a psychology of situations: An interactional perspective (pp. 169–178). Hillsdale, NJ: Lawrence Erlbaum.2013). Resilience in mental health: Linking psychological and neurobiological perspectives. Acta Psychiatrica Scandinavica, 128, 3–20. 10.1111/acps.12095
(1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. The British Journal of Psychiatry, 147, 598–611. 10.1192/bjp.147.6.598
(2012). Resilience as a dynamic concept. Development and Psychopathology, 24, 335–344. 10.1017/S0954579412000028
(1998). Do you remember? Recollections of adult attachment patterns. Personal Relationships, 5, 219–234. 10.1111/j.1475-6811.1998.tb00169.x
(2006). Stability and change of attachment representations during emerging adulthood: An examination of mediators and moderators of change. Personal Relationships, 13, 363–374. 10.1111/j.1475-6811.2006.00123.x
(2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99, 323–338. 10.3200/JOER.99.6.323-338
(2016). Assessing personality with multi-descriptor items: More harm than good? European Journal of Psychological Assessment. Advance online publication. 10.1027/1015-5759/a000368
(2015). Positive and negative posttraumatic change following childhood sexual abuse are associated with youths’ adjustment. Child Maltreatment, 20, 278–290. 10.1177/1077559515590872
(2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15, 194–200. 10.1080/10705500802222972
(2011). Statistica quick reference guide. Retrieved from http://documentation.statsoft.com/STATISTICAHelp.aspx?path=common/CommonMenus/HelpQuickReferenceGuide
. (2005). The Hyogo framework for action 2005–2015: Building the resilience of nations and communities to disasters. Geneva, Switzerland: UNISDR. Retrieved from http://www.unisdr.org/2005/wcdr/intergover/official-doc/L-docs/Hyogo-frameworkfor-action-english.pdf
. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1, 165–178.
(1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX.
(2013). The PTSD Checklist for DSM–5 (PCL-5). Scale from the National Center for PTSD. Retrieved from www.ptsd.va.gov
(2010). The resilience network: What is resilience? A systematic review and concept analysis. Reviews in Clinical Gerontology, 21, 1–18.
(2011). A methodological review of resilience measurement scales. Health and Quality of Life Outcomes, 9,
(8 . 10.1186/1477-7525-9-82005). Volontaire en ONG: L’aventure ambiguë. Paris, France: Editions Charles Léopold Mayer.
(2013). A survey of family therapists’ adult attachment styles in the United Kingdom. Contemporary Family Therapy, 35, 452–464. 10.1007/s10591-012-9230-6
(