- School of Nursing, Sun Yat-Sen University, Guangzhou, Guangdong 510080, P. R. China;
In recent years, with the development of positive psychology, resilience has gradually become a research hotspot and has been applied to the study of mental illness. This paper introduced the concepts, theoretical models and measurement tools of resilience, reviewed the level of resilience of patients with bipolar disorder and its related influencing factors, and further research were suggested based on existing problems. It is expected to provide scientific basis for formulating systematic, efficient and personalized interventions for patients with bipolar disorder.
Citation: LUO Xia, LIN Xiaoling. Research status and prospect of resilience in patients with bipolar disorder. West China Medical Journal, 2021, 36(11): 1628-1633. doi: 10.7507/1002-0179.201911307 Copy
1. | Merikangas KR, Jin R, He JP, et al. Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Arch Gen Psychiatry, 2011, 68(3): 241-251. |
2. | Huang Y, Wang Y, Wang H, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiatry, 2019, 6(3): 211-224. |
3. | Perlis RH, Ostacher MJ, Patel JK, et al. Predictors of recurrence in bipolar disorder: primary outcomes from the systematic treatment enhancement program for bipolar disorder (STEP-BD). Am J Psychiatry, 2006, 163(2): 217-224. |
4. | Plans L, Barrot C, Nieto E, et al. Association between completed suicide and bipolar disorder: a systematic review of the literature. J Affect Disord, 2019, 242: 111-122. |
5. | Keller MB. Prevalence and impact of comorbid anxiety and bipolar disorder. J Clin Psychiatry, 2006, 67(Suppl 1): 5-7. |
6. | Lee D, Cha B, Park CS, et al. Effects of resilience on quality of life in patients with bipolar disorder. J Affect Disord, 2017, 207: 434-441. |
7. | Wathen CN, MacGregor JC, Hammerton J, et al. Priorities for research in child maltreatment, intimate partner violence and resilience to violence exposures: results of an international Delphi consensus development process. BMC Public Health, 2012, 12: 684. |
8. | Masten AS. Ordinary magic. Resilience processes in development. Am Psychol, 2001, 56(3): 227-238. |
9. | Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev, 2000, 71(3): 543-562. |
10. | Rutter M. Resilience: some conceptual considerations. J Adolesc Health, 1993, 14(8): 626-631. |
11. | Lazarus RS. From psychological stress to the emotions: a history of changing outlooks. Annu Rev Psychol, 1993, 44: 1-21. |
12. | Garmezy N, Masten AS, Tellegen A. The study of stress and competence in children: a building block for developmental psychopathology. Child Dev, 1984, 55(1): 97-111. |
13. | Rutter M. Psychosocial resilience and protective mechanisms. Am J Orthopsychiatry, 1987, 57(3): 316-331. |
14. | Richardson GE, Neiger BL, Jenson S, et al. The resiliency model. Healthy Educ, 1990, 21(6): 33-39. |
15. | Kumpfer KL. Factors and processes contributing to resilience: the resilience framework//Glantz MD, Johnson JL. Resiliency and development: positive life adaptations. New York: Kluwer Academic, 1999: 179-224. |
16. | Block J, Kremen AM. IQ and ego-resiliency: conceptual and empirical connections and separateness. J Pers Soc Psychol, 1996, 70(2): 349-361. |
17. | Ahern NR, Kiehl EM, Sole ML, et al. A review of instruments measuring resilience. Issues Compr Pediatr Nurs, 2009, 29(2): 103-125. |
18. | Friborg O, Hjemdal O, Rosenvinge JH, et al. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment?. Int J Methods Psychiatr Res, 2003, 12(2): 65-76. |
19. | Connor KM, Davidson JR. Development of a new resilience scale: the connor-davidson resilience scale(CD-RISC). Depress Anxiety, 2003, 18(2): 76-82. |
20. | Echezarraga A, Las Hayas C, González-Pinto AM, et al. The resilience questionnaire for bipolar disorder: development and validation. Arch Psychiatr Nurs, 2017, 31(4): 376-385. |
21. | Echezarraga A, Calvete E, González-Pinto AM, et al. Resilience dimensions and mental health outcomes in bipolar disorder in a follow-up study. Stress Health, 2018, 34(1): 115-126. |
22. | Deng M, Pan Y, Zhou L, et al. Resilience and cognitive function in patients with schizophrenia and bipolar disorder, and healthy controls. Front Psychiatry, 2018, 9: 279. |
23. | Kesebir S, Gündoğar D, Küçüksubaşı Y, et al. The relation between affective temperament and resilience in depression: a controlled study. J Affect Disord, 2013, 148(2/3): 352-356. |
24. | Bozikas VP, Parlapani E, Ntouros E, et al. Resilience predicts social functioning in clinically stable patients with bipolar disorder. J Nerv Ment Dis, 2018, 206(7): 567-574. |
25. | Choi JW, Cha B, Jang J, et al. Resilience and impulsivity in euthymic patients with bipolar disorder. J Affect Disord, 2015, 170: 172-177. |
26. | Hofer A, Mizuno Y, Wartelsteiner F, et al. Quality of life in schizophrenia and bipolar disorder: the impact of symptomatic remission and resilience. Eur Psychiatry, 2017, 46: 42-47. |
27. | Mizuno Y, Hofer A, Suzuki T, et al. Clinical and biological correlates of resilience in patients with schizophrenia and bipolar disorder: a cross-sectional study. Schizophr Res, 2016, 175(1/2/3): 148-153. |
28. | Mizuno Y, Hofer A, Frajo-Apor B, et al. Religiosity and psychological resilience in patients with schizophrenia and bipolar disorder: an international cross-sectional study. Acta Psychiatr Scand, 2018, 137(4): 316-327. |
29. | 费龙才, 王克永, 吴庆, 等. 双相障碍缓解期心理弹性与应对方式. 中国健康心理学杂志, 2018, 26(8): 1133-1135. |
30. | Gooding PA, Littlewood D, Owen R, et al. Psychological resilience in people experiencing schizophrenia and suicidal thoughts and behaviours. J Ment Health, 2019, 28(6): 597-603. |
31. | 苏皓园, 化振, 王宝安, 等. 抑郁症患者心理弹性及相关因素的研究. 国际精神病学杂志, 2019, 46(1): 75-77, 87. |
32. | 孔田甜. 心理弹性及影响因素与创伤后应激障碍关系的研究. 乌鲁木齐: 新疆医科大学, 2013. |
33. | Akiskal HS. Toward a temperament-based approach to depression: implications for neurobiologic research. Adv Biochem Psychopharmacol, 1995, 49: 99-112. |
34. | Akiskal HS, Akiskal KK, Haykal RF, et al. TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire. J Affect Disord, 2005, 85(1/2): 3-16. |
35. | Franklin TB, Saab BJ, Mansuy IM. Neural mechanisms of stress resilience and vulnerability. Neuron, 2012, 75(5): 747-761. |
36. | Crosta ML, De Simone C, Di Pietro S, et al. Childhood trauma and resilience in psoriatic patients: a preliminary report. J Psychosom Res, 2018, 106: 25-28. |
37. | Sexton MB, Hamilton L, McGinnis EW, et al. The roles of resilience and childhood trauma history: main and moderating effects on postpartum maternal mental health and functioning. J Affect Disord, 2015, 174: 562-568. |
38. | Schulz A, Becker M, Van der Auwera S, et al. The impact of childhood trauma on depression: does resilience matter? Population-based results from the study of health in pomerania. J Psychosom Res, 2014, 77(2): 97-103. |
39. | Youssef NA, Green KT, Dedert EA, et al. Exploration of the influence of childhood trauma, combat exposure, and the resilience construct on depression and suicidal ideation among U. S. Iraq/Afghanistan era military personnel and veterans. Arch Suicide Res, 2013, 17(2): 106-122. |
40. | Roy A, Carli V, Sarchiapone M. Resilience mitigates the suicide risk associated with childhood trauma. J Affect Disord, 2011, 133(3): 591-594. |
41. | Simeon D, Yehuda R, Cunill R, et al. Factors associated with resilience in healthy adults. Psychoneuroendocrinology, 2007, 32(8/9/10): 1149-1152. |
42. | Kesebir S, Ünübol B, Tatlıdil Yaylacı E, et al. Impact of childhood trauma and affective temperament on resilience in bipolar disorder. Int J Bipolar Disord, 2015, 3: 3. |
43. | Marx M, Young SY, Harvey J, et al. An examination of differences in psychological resilience between social anxiety disorder and posttraumatic stress disorder in the context of early childhood trauma. Front Psychol, 2017, 8: 2058. |
44. | Campbell-Sills L, Forde DR, Stein MB. Demographic and childhood environmental predictors of resilience in a community sample. J Psychiatr Res, 2009, 43(12): 1007-1012. |
45. | 徐乐乐, 张建英, 陈俊, 等. 高中生童年创伤经历与心理韧性的关系研究. 贵州师范学院学报, 2018, 34(9): 49-52. |
46. | 向云. 精神分裂症与认知功能障碍. 中国行为医学科学, 2005, 14(7): 620-622. |
47. | Southwick SM, Vythilingam M, Charney DS. The psychobiology of depression and resilience to stress: implications for prevention and treatment. Annu Rev Clin Psychol, 2005, 1: 255-291. |
48. | Cicchetti D, Rogosch FA. Adaptive coping under conditions of extreme stress: multilevel influences on the determinants of resilience in maltreated children. New Dir Child Adolesc Dev, 2009, 2009(124): 47-59. |
49. | Kalisch R, Müller MB, Tüscher O. A conceptual framework for the neurobiological study of resilience. Behav Brain Sci, 2015, 38: e92. |
50. | Chelune GJ, Baer RA. Developmental norms for the Wisconsin card sorting test. J Clin Exp Neuropsychol, 1986, 8(3): 219-228. |
51. | Pinkham AE, Penn DL, Green MF, et al. The social cognition psychometric evaluation study: results of the expert survey and RAND panel. Schizophr Bull, 2014, 40(4): 813-823. |
52. | Wingo AP, Briscione M, Norrholm SD, et al. Psychological resilience is associated with more intact social functioning in veterans with post-traumatic stress disorder and depression. Psychiatry Res, 2017, 249: 206-211. |
53. | Post F, Pardeller S, Frajo-Apor B, et al. Quality of life in stabilized outpatients with bipolarⅠdisorder: associations with resilience, internalized stigma, and residual symptoms. J Affect Disord, 2018, 238: 399-404. |
54. | Wartelsteiner F, Mizuno Y, Frajo-Apor B, et al. Quality of life in stabilized patients with schizophrenia is mainly associated with resilience and self-esteem. Acta Psychiatr Scand, 2016, 134(4): 360-367. |
55. | Konradt CE, Cardoso TA, Mondin TC, et al. Impact of resilience on the improvement of depressive symptoms after cognitive therapies for depression in a sample of young adults. Trends Psychiatry Psychother, 2018, 40(3): 226-231. |
56. | Min JA, Yu JJ, Lee CU, et al. Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Compr Psychiatry, 2013, 54(8): 1190-1197. |
57. | Schellekens MPJ, Tamagawa R, Labelle LE, et al. Mindfulness-based cancer recovery (MBCR) versus supportive expressive group therapy (SET) for distressed breast cancer survivors: evaluating mindfulness and social support as mediators. J Behav Med, 2017, 40(3): 414-422. |
58. | Ikai S, Suzuki T, Uchida H, et al. Effects of weekly one-hour hatha yoga therapy on resilience and stress levels in patients with schizophrenia-spectrum disorders: an eight-week randomized controlled trial. J Altern Complement Med, 2014, 20(11): 823-830. |
59. | Ferguson RJ, Sigmon ST, Pritchard AJ, et al. A randomized trial of videoconference-delivered cognitive behavioral therapy for survivors of breast cancer with self-reported cognitive dysfunction. Cancer, 2016, 122(11): 1782-1791. |
60. | Rosenberg AR, Bradford MC, McCauley E, et al. Promoting resilience in adolescents and young adults with cancer: results from the PRISM randomized controlled trial. Cancer, 2018, 124(19): 3909-3917. |
- 1. Merikangas KR, Jin R, He JP, et al. Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Arch Gen Psychiatry, 2011, 68(3): 241-251.
- 2. Huang Y, Wang Y, Wang H, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiatry, 2019, 6(3): 211-224.
- 3. Perlis RH, Ostacher MJ, Patel JK, et al. Predictors of recurrence in bipolar disorder: primary outcomes from the systematic treatment enhancement program for bipolar disorder (STEP-BD). Am J Psychiatry, 2006, 163(2): 217-224.
- 4. Plans L, Barrot C, Nieto E, et al. Association between completed suicide and bipolar disorder: a systematic review of the literature. J Affect Disord, 2019, 242: 111-122.
- 5. Keller MB. Prevalence and impact of comorbid anxiety and bipolar disorder. J Clin Psychiatry, 2006, 67(Suppl 1): 5-7.
- 6. Lee D, Cha B, Park CS, et al. Effects of resilience on quality of life in patients with bipolar disorder. J Affect Disord, 2017, 207: 434-441.
- 7. Wathen CN, MacGregor JC, Hammerton J, et al. Priorities for research in child maltreatment, intimate partner violence and resilience to violence exposures: results of an international Delphi consensus development process. BMC Public Health, 2012, 12: 684.
- 8. Masten AS. Ordinary magic. Resilience processes in development. Am Psychol, 2001, 56(3): 227-238.
- 9. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev, 2000, 71(3): 543-562.
- 10. Rutter M. Resilience: some conceptual considerations. J Adolesc Health, 1993, 14(8): 626-631.
- 11. Lazarus RS. From psychological stress to the emotions: a history of changing outlooks. Annu Rev Psychol, 1993, 44: 1-21.
- 12. Garmezy N, Masten AS, Tellegen A. The study of stress and competence in children: a building block for developmental psychopathology. Child Dev, 1984, 55(1): 97-111.
- 13. Rutter M. Psychosocial resilience and protective mechanisms. Am J Orthopsychiatry, 1987, 57(3): 316-331.
- 14. Richardson GE, Neiger BL, Jenson S, et al. The resiliency model. Healthy Educ, 1990, 21(6): 33-39.
- 15. Kumpfer KL. Factors and processes contributing to resilience: the resilience framework//Glantz MD, Johnson JL. Resiliency and development: positive life adaptations. New York: Kluwer Academic, 1999: 179-224.
- 16. Block J, Kremen AM. IQ and ego-resiliency: conceptual and empirical connections and separateness. J Pers Soc Psychol, 1996, 70(2): 349-361.
- 17. Ahern NR, Kiehl EM, Sole ML, et al. A review of instruments measuring resilience. Issues Compr Pediatr Nurs, 2009, 29(2): 103-125.
- 18. Friborg O, Hjemdal O, Rosenvinge JH, et al. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment?. Int J Methods Psychiatr Res, 2003, 12(2): 65-76.
- 19. Connor KM, Davidson JR. Development of a new resilience scale: the connor-davidson resilience scale(CD-RISC). Depress Anxiety, 2003, 18(2): 76-82.
- 20. Echezarraga A, Las Hayas C, González-Pinto AM, et al. The resilience questionnaire for bipolar disorder: development and validation. Arch Psychiatr Nurs, 2017, 31(4): 376-385.
- 21. Echezarraga A, Calvete E, González-Pinto AM, et al. Resilience dimensions and mental health outcomes in bipolar disorder in a follow-up study. Stress Health, 2018, 34(1): 115-126.
- 22. Deng M, Pan Y, Zhou L, et al. Resilience and cognitive function in patients with schizophrenia and bipolar disorder, and healthy controls. Front Psychiatry, 2018, 9: 279.
- 23. Kesebir S, Gündoğar D, Küçüksubaşı Y, et al. The relation between affective temperament and resilience in depression: a controlled study. J Affect Disord, 2013, 148(2/3): 352-356.
- 24. Bozikas VP, Parlapani E, Ntouros E, et al. Resilience predicts social functioning in clinically stable patients with bipolar disorder. J Nerv Ment Dis, 2018, 206(7): 567-574.
- 25. Choi JW, Cha B, Jang J, et al. Resilience and impulsivity in euthymic patients with bipolar disorder. J Affect Disord, 2015, 170: 172-177.
- 26. Hofer A, Mizuno Y, Wartelsteiner F, et al. Quality of life in schizophrenia and bipolar disorder: the impact of symptomatic remission and resilience. Eur Psychiatry, 2017, 46: 42-47.
- 27. Mizuno Y, Hofer A, Suzuki T, et al. Clinical and biological correlates of resilience in patients with schizophrenia and bipolar disorder: a cross-sectional study. Schizophr Res, 2016, 175(1/2/3): 148-153.
- 28. Mizuno Y, Hofer A, Frajo-Apor B, et al. Religiosity and psychological resilience in patients with schizophrenia and bipolar disorder: an international cross-sectional study. Acta Psychiatr Scand, 2018, 137(4): 316-327.
- 29. 费龙才, 王克永, 吴庆, 等. 双相障碍缓解期心理弹性与应对方式. 中国健康心理学杂志, 2018, 26(8): 1133-1135.
- 30. Gooding PA, Littlewood D, Owen R, et al. Psychological resilience in people experiencing schizophrenia and suicidal thoughts and behaviours. J Ment Health, 2019, 28(6): 597-603.
- 31. 苏皓园, 化振, 王宝安, 等. 抑郁症患者心理弹性及相关因素的研究. 国际精神病学杂志, 2019, 46(1): 75-77, 87.
- 32. 孔田甜. 心理弹性及影响因素与创伤后应激障碍关系的研究. 乌鲁木齐: 新疆医科大学, 2013.
- 33. Akiskal HS. Toward a temperament-based approach to depression: implications for neurobiologic research. Adv Biochem Psychopharmacol, 1995, 49: 99-112.
- 34. Akiskal HS, Akiskal KK, Haykal RF, et al. TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire. J Affect Disord, 2005, 85(1/2): 3-16.
- 35. Franklin TB, Saab BJ, Mansuy IM. Neural mechanisms of stress resilience and vulnerability. Neuron, 2012, 75(5): 747-761.
- 36. Crosta ML, De Simone C, Di Pietro S, et al. Childhood trauma and resilience in psoriatic patients: a preliminary report. J Psychosom Res, 2018, 106: 25-28.
- 37. Sexton MB, Hamilton L, McGinnis EW, et al. The roles of resilience and childhood trauma history: main and moderating effects on postpartum maternal mental health and functioning. J Affect Disord, 2015, 174: 562-568.
- 38. Schulz A, Becker M, Van der Auwera S, et al. The impact of childhood trauma on depression: does resilience matter? Population-based results from the study of health in pomerania. J Psychosom Res, 2014, 77(2): 97-103.
- 39. Youssef NA, Green KT, Dedert EA, et al. Exploration of the influence of childhood trauma, combat exposure, and the resilience construct on depression and suicidal ideation among U. S. Iraq/Afghanistan era military personnel and veterans. Arch Suicide Res, 2013, 17(2): 106-122.
- 40. Roy A, Carli V, Sarchiapone M. Resilience mitigates the suicide risk associated with childhood trauma. J Affect Disord, 2011, 133(3): 591-594.
- 41. Simeon D, Yehuda R, Cunill R, et al. Factors associated with resilience in healthy adults. Psychoneuroendocrinology, 2007, 32(8/9/10): 1149-1152.
- 42. Kesebir S, Ünübol B, Tatlıdil Yaylacı E, et al. Impact of childhood trauma and affective temperament on resilience in bipolar disorder. Int J Bipolar Disord, 2015, 3: 3.
- 43. Marx M, Young SY, Harvey J, et al. An examination of differences in psychological resilience between social anxiety disorder and posttraumatic stress disorder in the context of early childhood trauma. Front Psychol, 2017, 8: 2058.
- 44. Campbell-Sills L, Forde DR, Stein MB. Demographic and childhood environmental predictors of resilience in a community sample. J Psychiatr Res, 2009, 43(12): 1007-1012.
- 45. 徐乐乐, 张建英, 陈俊, 等. 高中生童年创伤经历与心理韧性的关系研究. 贵州师范学院学报, 2018, 34(9): 49-52.
- 46. 向云. 精神分裂症与认知功能障碍. 中国行为医学科学, 2005, 14(7): 620-622.
- 47. Southwick SM, Vythilingam M, Charney DS. The psychobiology of depression and resilience to stress: implications for prevention and treatment. Annu Rev Clin Psychol, 2005, 1: 255-291.
- 48. Cicchetti D, Rogosch FA. Adaptive coping under conditions of extreme stress: multilevel influences on the determinants of resilience in maltreated children. New Dir Child Adolesc Dev, 2009, 2009(124): 47-59.
- 49. Kalisch R, Müller MB, Tüscher O. A conceptual framework for the neurobiological study of resilience. Behav Brain Sci, 2015, 38: e92.
- 50. Chelune GJ, Baer RA. Developmental norms for the Wisconsin card sorting test. J Clin Exp Neuropsychol, 1986, 8(3): 219-228.
- 51. Pinkham AE, Penn DL, Green MF, et al. The social cognition psychometric evaluation study: results of the expert survey and RAND panel. Schizophr Bull, 2014, 40(4): 813-823.
- 52. Wingo AP, Briscione M, Norrholm SD, et al. Psychological resilience is associated with more intact social functioning in veterans with post-traumatic stress disorder and depression. Psychiatry Res, 2017, 249: 206-211.
- 53. Post F, Pardeller S, Frajo-Apor B, et al. Quality of life in stabilized outpatients with bipolarⅠdisorder: associations with resilience, internalized stigma, and residual symptoms. J Affect Disord, 2018, 238: 399-404.
- 54. Wartelsteiner F, Mizuno Y, Frajo-Apor B, et al. Quality of life in stabilized patients with schizophrenia is mainly associated with resilience and self-esteem. Acta Psychiatr Scand, 2016, 134(4): 360-367.
- 55. Konradt CE, Cardoso TA, Mondin TC, et al. Impact of resilience on the improvement of depressive symptoms after cognitive therapies for depression in a sample of young adults. Trends Psychiatry Psychother, 2018, 40(3): 226-231.
- 56. Min JA, Yu JJ, Lee CU, et al. Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Compr Psychiatry, 2013, 54(8): 1190-1197.
- 57. Schellekens MPJ, Tamagawa R, Labelle LE, et al. Mindfulness-based cancer recovery (MBCR) versus supportive expressive group therapy (SET) for distressed breast cancer survivors: evaluating mindfulness and social support as mediators. J Behav Med, 2017, 40(3): 414-422.
- 58. Ikai S, Suzuki T, Uchida H, et al. Effects of weekly one-hour hatha yoga therapy on resilience and stress levels in patients with schizophrenia-spectrum disorders: an eight-week randomized controlled trial. J Altern Complement Med, 2014, 20(11): 823-830.
- 59. Ferguson RJ, Sigmon ST, Pritchard AJ, et al. A randomized trial of videoconference-delivered cognitive behavioral therapy for survivors of breast cancer with self-reported cognitive dysfunction. Cancer, 2016, 122(11): 1782-1791.
- 60. Rosenberg AR, Bradford MC, McCauley E, et al. Promoting resilience in adolescents and young adults with cancer: results from the PRISM randomized controlled trial. Cancer, 2018, 124(19): 3909-3917.