Psychological Resilience and Physical Function in Veterans With Chronic Kidney Disease: A Brief Report

IF 4.5 2区医学 Q1 GERIATRICS & GERONTOLOGY

Journal of the American Geriatrics Society Pub Date : 2025-03-13 DOI:10.1111/jgs.19422

Brett T. Burrows, Maren K. Olsen, Theodore S. Z. Berkowitz, Battista Smith, Heather E. Whitson, Nicole DePasquale, Virginia Wang, Matthew L. Maciejewski, Steven D. Crowley, C. Barrett Bowling

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引用次数: 0

Abstract

Background

Psychological resilience has been characterized as the ability to recover from stressful life events. Not well studied is whether self-reported measures of psychological resilience are associated with physical function recovery. Therefore, we examined the association of self-reported psychological resilience with longitudinal physical function before and after an acute care encounter.

Methods

This analysis includes a national cohort (n = 272) of Veterans (≥ 70 years) with advanced chronic kidney disease who had physical function measures before and after an acute care encounter (emergency department visit, hospitalization). At enrollment, self-reported psychological resilience was assessed via the Brief Resilience Scale (BRS) (range 1–5, higher scores indicate greater resilience). BRS scores were categorized as Low, Moderate, and High psychological resilience. Physical function was ascertained at enrollment, approximately every 8 weeks, and immediately following an acute care encounter using the Life-Space Assessment (LSA) (range 0–120, higher scores reflect greater mobility). Linear models for longitudinal data were used to estimate differences in physical function over time by psychological resilience group.

Results

Physical function levels differed by resilience group both before and after the acute care encounter. Although all resilience groups had the lowest LSA scores immediately following the acute care encounter, differences were seen by resilience group (Low: 38.5, Moderate: 44.9, High: 52.5). Differences remained during recovery at the first post-encounter follow-up (Low: 43.6, Moderate: 49.0, High: 57.5). At the second post-encounter follow-up, only the High resilience group displayed a continued increase in physical function (estimated mean difference of 11.6 (95% CI 1.5, 21.8, p = 0.02) vs. Moderate and 17.7 (95% CI 4.2, 31.3, p = 0.01) vs. Low).

Conclusion

Self-reported psychological resilience was associated with physical function levels before and after an acute care encounter. The BRS may be a useful tool to identify older adults who are less likely to recover after an acute health event.

查看原文本刊更多论文

退伍军人慢性肾脏疾病的心理弹性和身体功能：简要报告。

背景：心理弹性被描述为从压力生活事件中恢复的能力。自我报告的心理弹性测量是否与身体功能恢复有关，这一点尚未得到充分研究。因此，我们研究了自我报告的心理弹性与急性护理前后纵向身体功能的关系。方法：本分析纳入了一组国家队列（n = 272）患有晚期慢性肾病的退伍军人（≥70岁），他们在急症护理（急诊科就诊、住院）前后进行了身体功能测量。在入组时，通过简短心理弹性量表（BRS）评估自我报告的心理弹性（范围1-5，得分越高表明心理弹性越强）。BRS得分分为低、中、高心理弹性。在入组时确定身体功能，大约每8周，并在急症护理后立即使用生命空间评估（LSA）（范围0-120，得分越高反映活动能力越强）。采用纵向数据的线性模型来估计心理弹性组的身体功能随时间的差异。结果：心理弹性组在急症护理前后的身体功能水平存在差异。虽然所有的心理弹性组在急症护理后立即有最低的LSA得分，但心理弹性组有差异（低：38.5，中：44.9，高：52.5）。在第一次随访恢复期间，差异仍然存在（低：43.6，中：49.0，高：57.5）。在第二次随访中，只有高弹性组的身体功能持续增加（估计平均差异为11.6 （95% CI 1.5, 21.8, p = 0.02）与中度组相比，17.7 （95% CI 4.2, 31.3, p = 0.01）与低弹性组相比）。结论：自我报告的心理弹性与急症护理前后的身体功能水平有关。BRS可能是识别急性健康事件后不太可能恢复的老年人的有用工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Geriatrics Society 医学-老年医学

CiteScore

10.00

自引率

6.30%

发文量

504

审稿时长

3-6 weeks

期刊介绍： Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.