The prevalence and correlates of low resilience in patients prior to discharge from acute psychiatric units in Alberta, Canada.

IF 3.4 2区 医学 Q2 PSYCHIATRY
Ernest Owusu, Wanying Mao, Reham Shalaby, Hossam Eldin Elgendy, Belinda Agyapong, Ejemai Eboreime, Mobolaji A Lawal, Nnamdi Nkire, Yifeng Wei, Peter H Silverstone, Pierre Chue, Xin-Min Li, Wesley Vuong, Arto Ohinmaa, Valerie Taylor, Carla T Hilario, Andrew J Greenshaw, Vincent I O Agyapong
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引用次数: 0

Abstract

Background: Many people experience at least one traumatic event in their lifetime. Although such traumatic events can precipitate psychiatric disorders, many individuals exhibit high resilience by adapting to such events with little disruption or may recover their baseline level of functioning after a transient symptomatic period. Low levels of resilience are under-explored, and this study investigates the prevalence and correlates of low resilience in patients before discharge from psychiatric acute care facilities.

Methods: Respondents for this study were recruited from nine psychiatric in-patient units across Alberta. Demographic and clinical information were collected via a REDCap online survey. The brief resilience scale (BRS) was used to measure levels of resilience where a score of less than 3.0 was indicative of low resilience. A chi-square analysis followed by a binary logistic regression model was employed to identify significant predictors of low resilience.

Results: A total of 1,004 individuals took part in this study. Of these 35.9% were less than 25 years old, 34.7% were above 40 years old, 54.8% were female, and 62.3% self-identified as Caucasian. The prevalence of low resilience in the study cohort was 55.3%. Respondents who identified as females were one and a half times more likely to show low resilience (OR = 1.564; 95% C.I. = 1.79-2.10), while individuals with 'other gender' identity were three and a half times more likely to evidence low resilience (OR = 3.646; 95% C.I. = 1.36-9.71) compared to males. Similarly, Caucasians were two and one-and-a-half times respectively more likely to present with low resilience compared with respondents who identified as Black (OR = 2.21; 95% C.I. = 1.45-3.70) or Asian (OR = 1.589; 95% C.I. = 1.45-2.44). Additionally, individuals with a diagnosis of depression were significantly more likely to have low resilience than those with a diagnosis of either bipolar disorder (OR = 2.567; 95% C.I. = 1.72-3.85) or schizophrenia (OR = 4.081;95% C.I. = 2.63-6.25).

Conclusion: Several demographic and clinical factors were identified as predictors of likely low resilience. The findings may facilitate the identification of vulnerable groups to enable their increased access to support programs that may enhance resilience.

Clinical trial registration: clinicaltrials.gov, NCT05133726. Registered on the 24th of November 2021.

加拿大阿尔伯塔省急性精神科出院前患者低恢复力的患病率及其相关因素
背景:许多人一生中至少经历过一次创伤性事件。尽管这样的创伤性事件会引发精神疾病,但许多个体表现出很高的恢复能力,能够适应这样的事件,几乎没有中断,或者在短暂的症状期后恢复其基本功能水平。低水平的心理弹性尚未得到充分的探讨,本研究调查了精神病急症护理机构出院前患者心理弹性低的患病率及其相关因素。方法:本研究的调查对象来自艾伯塔省的九个精神病住院单位。通过REDCap在线调查收集人口统计和临床信息。采用简短弹性量表(BRS)测量弹性水平,得分低于3.0为低弹性。采用卡方分析和二元logistic回归模型来确定低弹性的显著预测因素。结果:共有1004人参加了这项研究。其中25岁以下的占35.9%,40岁以上的占34.7%,女性占54.8%,自认为是白种人的占62.3%。在研究队列中,低恢复力的患病率为55.3%。自认为是女性的受访者表现出低弹性的可能性是女性的1.5倍(OR = 1.564;95% ci = 1.79-2.10),而具有“其他性别”身份的个体表现出低弹性的可能性是其他性别个体的3.5倍(OR = 3.646;95% ci = 1.36-9.71)。同样,与被认为是黑人的受访者相比,白种人表现出低弹性的可能性分别高出两倍和1.5倍(OR = 2.21;95% ci = 1.45-3.70)或亚洲人(or = 1.589;95% ci = 1.45-2.44)。此外,被诊断为抑郁症的个体比被诊断为双相情感障碍的个体更有可能具有低弹性(OR = 2.567;95% C.I. = 1.72 - -3.85)或精神分裂症(or = 4.081; 95% C.I. = 2.63 - -6.25)。结论:几个人口学和临床因素被确定为可能的低恢复力的预测因素。研究结果可能有助于识别弱势群体,使他们能够更多地获得可能增强复原力的支持计划。临床试验注册:clinicaltrials.gov, NCT05133726。于2021年11月24日注册。
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
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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