ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017
Resilience to health challenges is related to different ways of thinking: mediators of physical and emotional quality of life in a heterogeneous rare-disease cohort.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 39 citations in OpenAlex.
- Is higher resilience predictive of lower stress and better mental health among corporate executives?PloS one · 2019Trial
- Toward characterizing brain fog in long COVID: correlates and impact on measurement metrics.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Associations of cognitive appraisal and patient activation on disability and mental health outcomes: a prospective cohort study of patients undergoing spine surgery.BMC musculoskeletal disorders · 2024Article
- Toward patient-centered treatment goals for duchenne muscular dystrophy: insights from the "Your Voice" study.Orphanet journal of rare diseases · 2023Article
- The mediating role of appraisal on health-related quality of life in adolescent and young adult cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Cognitive Processes during Recovery: Moving toward Personalized Spine Surgery Outcomes.Journal of personalized medicine · 2022Article
- Correction to: Resilience to health challenges is related to different ways of thinking: mediators of physical and emotional quality of life in a heterogeneous rare-disease cohort.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- The effect of exercise on resilience, its mediators and moderators, in a general population during the UK COVID-19 pandemic in 2020: a cross-sectional online study.BMC public health · 2022Article
- Drivers of caregiver impact in Duchenne muscular dystrophy: a cohort study.Journal of patient-reported outcomes · 2022Article
- Characterizing the quality-of-life impact of Duchenne muscular dystrophy on caregivers: a case-control investigation.Journal of patient-reported outcomes · 2021Article
- Creating idiometric short-form measures of cognitive appraisal: balancing theory and pragmatics.Journal of patient-reported outcomes · 2021Article
- Response-shift effects in neuromyelitis optica spectrum disorder: a secondary analysis of clinical trial data.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Capturing patient experience: does quality-of-life appraisal entail a new class of measurement?Journal of patient-reported outcomes · 2020Article
- Mind Over Matter: Mindfulness, Income, Resilience, and Life Quality of Vocational High School Students in China.International journal of environmental research and public health · 2020Article
- Resilience and Function in Adults With Chronic Physical Disabilities: A Cross-Lagged Panel Design.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020Article
- Does response shift impact interpretation of change even among scales developed using item response theory?Journal of patient-reported outcomes · 2020Article
- Article
- Advancing quality-of-life research by deepening our understanding of response shift: a unifying theory of appraisal.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Observational
- The relationship between comorbidity medication adherence and health related quality of life among patients with cancer.Journal of patient-reported outcomes · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe sought to understand what distinguishes people who confront health challenges but still manage to thrive. This study investigated whether resilience helps to explain the impact of health challenges on quality of life (QOL) outcomes, and how resilience relates to appraisal.
methodsA web-based survey of rare-disease panel participants included the Centers for Disease Control Healthy Days Core Module, the PROMIS-10, and comorbidities. The QOL Appraisal Profile-v2 assessed cognitive processes underlying QOL. Resilience was operationalized statistically using residual modeling, and hierarchical regressions tested the mediation hypothesis that resilience accounts for a significant amount of the relationship of appraisal to QOL.
resultsThe study sample (n = 3,324; mean age 50; 86% female; 90% White) represented a range of diagnostic codes, with cancer and diseases of the nervous system being the most prevalent health conditions. After adjusting for comorbidities (catalysts), resilience was associated with better physical and emotional functioning, and different appraisal processes were associated with better or worse physical or emotional functioning. After controlling for catalysts, 62% of the association of Physical Functioning and 23% of the association between Emotional Functioning and appraisal were mediated by resilience. Physical and emotional resilience comprised some of the same appraisal processes, but physically resilient people were characterized by more appraisal processes than their emotionally resilient counterparts.
conclusionsResilient people employ different appraisal processes than non-resilient people, and these processes differ for physical and emotional outcomes. Resilience was a stronger mediator of the relationship between physical rather than emotional functioning and appraisal.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.