جستجوی مقالات مرتبط با کلیدواژه "Resilience" در نشریات گروه "پزشکی"

There is widespread consensus that the healthcare system relies heavily on its human resources. Consequently, the capacity and capability of human resources are crucial factors in the success of healthcare systems.

This study examines the correlation between resilience, burnout, and productivity among employees of the health system in Iran.

A cross-sectional study with an analytical approach was conducted at Zahedan University of Medical Sciences (ZAUMS) in southern Iran in 2023. The research population included all employees of health centers and hospitals at ZAUMS, with a sample size of 350 participants. Data were collected using three standard questionnaires: Connor and Davidson's resilience scale, Moslesh's job burnout scale, and a human resource productivity questionnaire. Data analysis was performed using SPSS software, with a significance level set at P < 0.05.

The findings showed that 56.6% of participants were female, and the mean age was 34.3 ± 7.6 years. The total scores for resilience, job burnout, and productivity were 90.0, 85.3, and 73.4, respectively. Job burnout was significantly higher among hospital employees compared to those in health centers (P = 0.001). The results also indicated that as staff age increased, their workplace resilience improved. Additionally, resilience was positively correlated with productivity (P = 0.001). However, no significant correlation was found between job burnout and either productivity or resilience (P = 0.532 and P = 0.476, respectively).

Increasing employees' resilience is essential for boosting their productivity. Efforts to enhance resilience should focus on three key dimensions: Courage, optimism, and cooperation. Providing resilience-enhancing training for hospital and health center employees, along with strategies to address burnout, can be highly effective. Furthermore, managing the relationship between supervisors and employees, designing an appropriate work environment, and fostering work engagement can improve workplace interactions and reduce job-related stress by increasing resilience.

Given the importance of spiritual health, resilience, and Self-efficacy in medical students for coping with the challenges of their long training path, this study was conducted to analyze these variables and their correlations among a group of medical students.

This descriptive study was performed on 300 medical students. The subjects were randomly selected, their demographic information recorded, and they were asked to carefully complete the questionnaires. The Spiritual Well-Being Scale, the Connor-Davidson Resilience Scale, and Sherer’s Self-efficacy Scale were used to measure spiritual health, resilience, and Self-efficacy, respectively. Data were analyzed using SPSS version 26 and EQS 6.4. Results were reported as mean ± SD, and statistical significance was set at P-value ≤ 0.05.

In this study, the mean scores for spiritual health, resilience, and Self-efficacy were 73.02, 79.67, and 59.01, respectively. The results showed a positive and significant correlation between religious health and resilience (β = 0.34, P < 0.001) and between existential health and resilience (β = 0.33, P < 0.001). Additionally, a significant correlation was found between religious health and Self-efficacy, both directly and indirectly (β = 0.85, P < 0.001), and between existential health and Self-efficacy indirectly (β = 0.29, P < 0.001). Furthermore, resilience had a direct effect on Self-efficacy (β = 0.87, P < 0.001).

Spiritual health can predict resilience and Self-efficacy. Since individuals with high mental health demonstrate greater resilience, it can be concluded that providing supportive factors, such as religion and spirituality, to enhance mental health and spiritual intelligence can lead to improved resilience and Self-efficacy.

The current study aimed at assessing the ability of system resilience against threats using an integrated method based on entropy and technique for order of preference by similarity to ideal solution (TOPSIS) in an oil company.

The threats were identified through field observation, literature review, and expert opinion in the industry. Afterward, the required data were gathered, and the resilience status was examined using three structured questionnaires for each category of the threats. The weights of resilience criteria computed for each group of the threats using entropy, and were then ranked through the TOPSIS method.

Learning (0.34) and anticipating (0.15) had the highest and lowest impacts on the category of regular threats, respectively. In the case of irregular threats, anticipating (0.31) and monitoring (0.21) had the highest and lowest impacts, respectively. As for unexampled threats, learning and anticipating (0.26) had the highest impact, and responding (0.23) had the lowest impact. The results of TOPSIS analysis indicated that regular threats, irregular threats, and unexampled threats were ranked in the first, second, and third positions with scores of 0.52, 0.48, and 0.46, respectively.

To ameliorate resilience in complicated systems, managers should strengthen RE-related indicators along with working on the indicators which are in poor condition. The findings of this study can be used by managers and decision-makers to identify system weaknesses and improve comprehensive technical and applied plans.

To comprehend the complex interplay between autism symptoms, family well-being, and maternal coping abilities, it is essential to delve into the relationship between these factors. This study aimed to investigate how maternal resilience influences the connection between the severity of autism symptoms and the overall quality of life (QoL) for families with autistic children. A cross-sectional correlational study was designed to investigate the correlation between variables. The study population consisted of mothers of autistic children aged 4 to 12 years residing in Mashhad, Iran. A convenience sample of 372 mothers was recruited from rehabilitation, educational, and therapeutic centers catering to autistic individuals in Mashhad, Iran between January and March 2023. For data analysis, Pearson correlation and SEM were used, with the aid of SPSS and Amos 24. The mean score for the severity of autism symptoms was 160.26 (±11.66). The mean resilience score was 49.98 (±6.55). Also, the mean score for family QoL was 75.33 (±9.81). The results showed significant direct relationships among the severity of autism symptoms, family QoL, autism symptoms, and maternal resilience in mothers of autistic children (P=0.001). Additionally, the study demonstrated that maternal resilience played a significant mediating role in the connection between autism symptoms and family QoL (P=0.001). The study uncovered a negative connection between the severity of autism symptoms and family QoL, suggesting that more pronounced symptoms can negatively impact family well-being. Additionally, the study found a positive link between maternal resilience and family QoL, indicating that fostering resilience in mothers of autistic children can enhance family dynamics.

Living in areas with high crime rates leads adolescents to experience mental health issues and potentially become involved in criminal activities. Mental health literacy (MHL) involves knowledge about identifying, managing, and seeking help for maintaining mental well-being. Resilience is the ability to adapt and withstand pressures, influenced partly by the environment. This study examines the relationship between mental health literacy and resilience among adolescents  (10-19 years old) residing in crime-prone areas in Indonesia.  This research employs a quantitative approach with a cross-sectional design involving a sample of 365 respondents selected through proportionate stratified random sampling. Research instruments, including the MHKQ  for mental health literacy and CD-RISC for resilience, are distributed using paper-based questionnaires. The analysis is conducted using Spearman's rho.  The results showed that respondents' average MHL and resilience scores were 10.66±2.23 and 84.60±16.12, respectively. The results showed that adolescents exhibit low mental health literacy but high resilience. There was a significant positive correlation between mental health literacy and resilience (P < 0.001, r = 0.492) with a moderate correlation.  This study highlights the importance of mental health literacy in raising awareness and helping adolescents build resilience to withstand negative peer influences. This study can serve as a benchmark and inform efforts to enhance mental health literacy and resilience among adolescents in schools and communities in crime-prone areas.

Psychological well-being is a protective factor against mental disorders. This study aimed to clarify the contribution of resilience and social capital as predictors of psychological well-being as a first step toward developing evidence-based interventions to improve psychological wellbeing in healthcare workers.

This cross-sectional study was conducted on Iranian healthcare workers. Systematic random sampling was used to recruit 140 employees working in healthcare centers in Shiraz, Iran, in 2021. Data were collected using a survey that included Ryff’s Scale of Psychological Well-Being, the Social Capital at Work Scale, and the Resilience at Work Scale. Data analysis involved correlations and path analysis to clarify the relationship between predictor variables for psychological well-being in healthcare workers.

Significant relationships were found between psychological well-being and resilience (r=0.29, P<0.01), psychological wellbeing and social capital (r=0.31, P<0.01), and resilience and social capital (r=0.42, P<0.01). Path analysis revealed a significant and direct relationship between social capital and resilience (β=0.56, P=0.001) as well as resilience and psychological well-being (β=0.59, P=0.001). The direct path from social capital to psychological wellbeing was insignificant (β=0.00, P=0.93). The model explained 36% of the variance in psychological well-being.

Resilience was the most influential predictor of psychological well-being. It was associated with psychological well-being both directly and indirectly through the contribution of social capital. Promoting individual empowerment and developing resilience skills should be considered an essential approach in designing and implementing intervention programs to improve the psychological well-being of healthcare workers.

Aggressive behavior is a common emotional manifestation among students of all grades. The present study aimed to establish the correlation between resilience, self-control, self-regulation, and decision-making style with aggressive behavior in adolescents.

In this cross-sectional study conducted in 2022 in Marvdasht, Iran, 469 students with a mean age of 15.48±1.74 years were recruited. Standard questionnaires were used to collect data on aggression, resilience, self-control, self-regulation, and decision-making style. The data were analyzed using SPSS version 22 and Amos version 24, with a significance level of P<0.05. Statistical methods including Pearson’s correlation coefficient, linear regression, and structural equation modeling (SEM) were employed for analysis.

The findings revealed significant negative correlations between self-regulation (r=-0.577, P<0.001), self-control (r=- 0.962, P<0.001), resilience (r=-0.984, P<0.001), and deliberative decision-making style (r=-0.571, P<0.001) with aggressive behavior in adolescents. Additionally, all variables except intuitive decision-making were found to have a significant association with aggressive behavior. Notably, resilience emerged as the most related variable to aggressive behavior. SEM analysis showed that standardized total effects of self-regulation, self-control, resilience, and deliberative decision-making on aggressive behavior were -0.500, -0.912, -0.632, and -0.565, respectively. The model fit indicators showed that the final model fit was acceptable (ᵡ2 / df=2.431, P=0.063, GFI=0.994, AGFI=0.969, CFI=0.999, NFI=0.989, RMSEA=0.055).

The study suggested all these variables, particularly resilience and self-control should be considered when planning interventions to reduce and control aggressive behavior.

Marital burnout significantly affects many women, leading to emotional distress and decreased quality of life. The present study aimed to investigate the effectiveness of resilient dialectical behavior therapy (RDBT) and dialectical behavior therapy (DBT) on improving coping strategies and resilience in women experiencing marital burnout. This quasi-experimental study employed a pre-test, post-test, and two-month follow-up design to evaluate the efficacy of Dialectical Behavior Therapy (DBT) and Relational Dialectical Behavior Therapy (RDBT) in addressing marital burnout among women aged 25-50. The study participants were recruited from counseling centers in Isfahan, Iran, during the Spring of 2023. A convenience sample of 45 women was randomly allocated to three groups: DBT (n=15), RDBT (n=15), and a control group (n=15). The experimental groups received nine weekly, 60-minute therapy sessions, while the control group received no intervention. The Coping Inventory for Stressful Situations (CISS) and Connor-Davidson Resilience Scale (CD-RISC) were administered at pre-test, post-test, and follow-up. Repeated measures ANOVA and Bonferroni post-hoc tests were used to analyze the data, which was processed using SPSS version 27. Both interventions had a significant positive effect on improving coping strategies and resilience in women experiencing marital burnout (P<0.001). At post-test, the RDBT group demonstrated significantly higher levels of problem-focused coping than the DBT group, with mean scores of 16.80 (95% CI: 14.43, 19.17) and 7.20 (95% CI: 4.83, 9.57), respectively. Both groups exhibited decreases in emotion-focused coping, with the RDBT group showing a more pronounced decline (-10.47, 95% CI: -12.83, -8.11) compared with the DBT group (-6.54, 95% CI: -8.91, -4.17). Similarly, the RDBT group demonstrated a greater reduction in avoidant coping (-11.13, 95% CI: -13.59, -8.67) compared with the DBT group (-7.93, 95% CI: -10.3, -5.56). Finally, both groups exhibited significant increases in resilience, with the RDBT group showing slightly higher levels at post-test (33.13, 95% CI: 30.77, 35.49) compared with the DBT group (31.14, 95% CI: 28.77, 33.51). The findings of this study demonstrate the efficacy of both DBT and RDBT in enhancing coping strategies and resilience among women experiencing marital burnout. These results underscore the potential of DBT and RDBT in addressing the psychological challenges associated with marital distress.

Post-traumatic growth (PTG) is a significant factor influencing health outcomes. This research aims to determine the status of PTG and its correlation with resilience, self-compassion (SC) and personal and clinical characteristics in adolescents with life-threatening diseases. In this cross-sectional correlational study, 200 adolescents with life-threatening disease who were referred to clinics or hospitalized at Shohada Tajrish and children’s Medical Center hospitals from June to October 2023 in Tehran, Iran, were selected through convenience sampling. Data was collected using personal and clinical characteristics form, PTG Inventory, resilience scale, and SC scale. Analysis was conducted using SPSS software version 20, employing descriptive statistics, Pearson’s correlation coefficient, ANOVA, t-tests, and multiple linear regression analysis with a P value≤0.05. The study found that the mean total PTG score was 63.35±18.19, the resilience score was 82.39±13.62, and the SC score was 76.36±6.65. There was a significant difference between various treatment stages in the total PTG score (P=0.05), and PTG score was correlated with resilience (r=0.63, P<0.001) and SC score (r=0.20, P=0.04). The total resilience score was the sole predictor of the total PTG score. Higher resilience total scores during chemotherapy and radiotherapy (B=0.74, P<0.001), surgery (B=1.08, P<0.001), and drug treatment phases (B=0.89, P<0.001), were associated with higher PTG scores. While SC was positively correlated with PTG, it did not predict it (P>0.05). The study suggests that enhancing resilience in adolescents with life-threatening diseases can improve PTG. Future studies are recommended to explore the impact of resilience strategies training on PTG in this population.

Paying attention to the psychological well-being of emergency medical technicians (EMTs) is necessary, since they are prone to physical and mental problems caused by emergency work. Resilience plays an important role in reducing stress. The present study aimed to find the relationship between psychological well-being and resilience of EMTs in Yazd, Iran.

This descriptive-correlational study was conducted in 2023 on 137 EMTs working in the emergency departments and accident management centers in Yazd province, who were selected by a simple random sampling method. Ryff’s psychological well-being scale (PWBS) and the Connor-Davidson resilience scale (CD-RISC) were used to measure psychological well-being and resilience. Data were analyzed in SPSS software, version 16 using descriptive statistics, the Wilcoxon test, and the Pearson correlation test.

A positive and significant correlation was found between the variable of resilience and psychological well-being. A significant difference was found in the mean score of PWBS based on gender (P<0.05). The mean total scores of CD-RISC and PWBS were 94.43±13.9 and 74±9.77, respectively. Among the domains of CD-RISC, the highest score was related to personal competence (30.71±5.29). Among the domains of PWBS, the highest score was related to positive relationships with others (13.62±2.71). 

There is a positive relationship between the psychological well-being and resilience of EMTs in Iran. It is necessary for planners and policymakers in Iran to develop stress reduction programs to promote the psychological well-being and resilience of EMTs by considering the importance of communication with others, personal competence, and spirituality.

Research indicates that certain demographic groups, including girls, often experience lower-than-average levels of mental well-being. Therefore, it appears that one approach to enhancing mental health is by teaching resilience skills.

This study aimed to investigate the effects of resilience training on the mental health dimensions of sixth-grade female students in Qaynat city during the academic year 2021 - 2022.

The study employed an experimental design with a control group, conducting pre- and post-tests. The statistical population comprised female sixth-grade students from an elementary school in Qaynat City. Thirty female students exhibiting high scores on measures of depression, anxiety, and stress were selected and randomly divided into two experimental groups, with 15 participants in each group. The experimental group underwent resilience training consisting of 8 sessions. The desired variables were measured using Lovibond and Lovibond's Depression, Anxiety, and Stress Scale (DASS). The data were analyzed using SPSS 25 software through independent samples t-tests and paired t-tests.

The findings revealed that the resilience training intervention significantly reduced symptoms of depression (F = 11.542), anxiety (F = 13.67), and stress (F = 6.01) in the experimental group (P = 0.001).

The results suggest that participation in a resilience training program can improve students' mental health. Therefore, implementing such intervention programs in the form of workshops and establishing counseling and support groups may be beneficial for enhancing students' mental well-being.

The diagnosis of childhood cancer can be considered a multidimensional crisis for parents, particularly mothers.

This study aimed to determine the predictive role of defense styles and resilience in the caregiver burden experienced by mothers of children with cancer.

This descriptive-analytical study focuses on mothers of children with cancer who were hospitalized in the pediatric wards of Seyed al-Shohada Hospital in Isfahan, Iran. A total of 136 participants were selected using convenience sampling. The study utilized the Defense Styles Questionnaire (DSQ-40), the Zarit Burden Scale (ZBS), and the Connor-Davidson Resilience Scale (CD-RISC) to collect data. The data were analyzed using STATA16.

On average, mothers had a caregiver burden score of 38.65 and a resilience score of 93.51. The majority of mothers (62.5%) exhibited neurotic defensive styles. The regression test results indicated a significant inverse relationship between caregiver burden and resilience (P = 0.002), as well as a significant relationship between the child’s sex and caregiver burden (P < 0.05).

Based on the study's findings, it is recommended that counseling and psycho-cognitive programs be designed, developed, implemented, and evaluated to enhance the resilience of mothers of children with cancer and thereby reduce their caregiver burden.

Parental divorce is one of the most stressful events that teenagers face, and it leaves short-term and long-term economic, social, and emotional effects on teenagers. The purpose of this research is to predict the posttraumatic growth based on sensitivity to rejection and resilience in adolescents who have experienced parental divorce.

The research implementation method was correlation type. The sample studied were teenagers aged 13 to 17 in Kerman who had experienced the divorce of their parents and had referred to counseling centers (Jomhuri Blvd, EmamJomeh, and HezaroyekShab Street) in Kerman. After the screening and using the available method after visiting the counseling centers in Kerman, the researcher selected 100 people who met the inclusion and exclusion criteria. Data collection was based on Sarmad et al.'s sensitivity to rejection questionnaire, Connor and Davidson's resilience questionnaire, and Tedeschi and Kalon's post-traumatic growth questionnaire. The analysis and information obtained from the implementation of the questionnaire were checked through SPSS software version 26 and the data was analyzed using a simple regression inferential test.

The value of the standardized regression coefficient (BETA)for sensitivity to rejection is equal to0.165 and for resilience is equal to0.911. According to the value of the t statistic obtained, which is significant at the alpha level of0.01, the research hypothesis is confirmed.

The research results showed that sensitivity to rejection negatively and significantly predicts post-traumatic growth in teenagers with divorced parents, and resilience positively and significantly predicts post-traumatic growth in teenagers with divorced parents.

Parental academic support plays a significant role in fostering academic resilience in students. By providing encouragement, guidance, and emotional support, parents can help their children develop the coping skills and self-confidence necessary to overcome obstacles and persist in their academic endeavors.

This study examines the relationship between parental academic support and students’ academic well-being, with a particular focus on the mediating role of academic resilience.

This study employed a descriptive-correlational design. The population included all high school students in Ahvaz city during the 2022 - 2023 academic year. A sample of 384 students was selected using a multistage cluster sampling method. The research instruments included the School-Related Well-Being Scale (SWBS), Academic Support Scale, and Academic Resilience Scale. Structural equation modeling (SEM) in SPSS 25 and AMOS 25 was used to analyze the model relationships, followed by bootstrapping to test indirect effects.

The findings indicated significant positive relationships between academic resilience and academic well-being, and between parental academic support and academic resilience (P < 0.001). However, the direct relationship between parental academic support and academic well-being was not significant. The indirect relationship between parental academic support and academic well-being through academic resilience was found to be significant (P = 0.006). The final model demonstrated a good fit to the data, as evidenced by fit indices, including RMSEA (0.001), TLI (0.99), and CFI (0.99).

The findings support the hypothesized mediating role of academic resilience. These results suggest that parental involvement, which fosters students' ability to recover from setbacks and persist in their studies, ultimately contributes to positive academic experiences and well-being.