Clinical Correlates of Resilience Factors in Geriatric Depression

Overview

Journal Int Psychogeriatr

Publisher Elsevier

Specialties Geriatrics
Psychiatry

Date 2018 Jan 17

PMID 29335041

Citations 28

Authors

Kelsey T Laird

Helen Lavretsky

Pattharee Paholpak

Roza M Vlasova

Michael Roman

Natalie St Cyr

Prabha Siddarth

Affiliations

Soon will be listed here.

Abstract

Methods: Three hundred thirty-seven adults ≥60 years with major depressive disorder completed the Connor-Davidson Resilience Scale (CD-RISC) and measures of mental health, quality of life (QOL), and medical comorbidity. Exploratory factor analysis was used to explore the factor structure of the CD-RISC. Correlations and general linear models were used to examine associations between resilience and other variables.

Results: The rotated component matrix indicated a four-factor model. Sorting of items by highest factor loading revealed constructs associated with (1) grit, (2) active coping self-efficacy, (3) accommodative coping self-efficacy, and (4) spirituality. Resilience was significantly correlated with increased age, lower cognitive functioning, greater cerebrovascular risk, and greater medical comorbidity. Resilience was negatively associated with mental health symptoms (depression, apathy, and anxiety) and positively associated with QOL. The final optimal model identified less depression, less apathy, greater medical comorbidity, higher QOL, and minority (non-White) race as factors that significantly explained variability in resilience.

Conclusions: Resilience was significantly associated with a range of mental health constructs in a sample of older adults with depression. Future clinical trials and dismantling studies may help determine whether interventions targeting grit, active coping, accommodative coping, and spirituality can increase resilience and help prevent and treat depression in older adults.

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