ArticleDevelopment and psychopathology2023
Resilience in children with chronic illness: Tests of the shift-and-persist and skin-deep resilience theories.
Article in Development and psychopathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Unpacking the Antecedents and Consequences of Resilience to Socioeconomic Risks: Changes from Mid- to Late Adolescence.International journal of behavioral development · 2026Article
- The costs and benefits of striving: Subclinical cardiovascular disease, depression, and hostility as children navigate adversity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Asthma: Biomedical and Psychobiological Perspectives.Biopsychosocial science and medicine · 2025Review
- Effects of Adverse Childhood Experiences on Depression Among Chinese College Students: A Mediated Moderation Model of "Shift-and-Persist" Strategy and Perceived Everyday Discrimination.Behavioral sciences (Basel, Switzerland) · 2025Article
- Introduction to the Wellness Mini-series. Burnout, Disengagement, and Other Psychological Quagmires: It's Not All in Your Head.Plastic and reconstructive surgery. Global open · 2025Article
- The impact of entertainment screen time on sleep quality in Chinese and British adolescents: a moderated mediation model.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
This study investigated, and discusses the integration of, the shift-and-persist (SAP) and skin-deep resilience (SDR) theories. The SAP theory states that the combination of shifting (adjusting oneself to stressful situations through strategies like emotion regulation) and persisting (enduring adversity with strength by finding meaning and maintaining optimism) will be beneficial to physical health in children experiencing adversity. The SDR theory states that high striving/self-control will be beneficial to mental health but detrimental to physical health among those confronting adversity. This study investigated 308 children ages 8-17 experiencing the adversity of a chronic illness (asthma). SAP and SDR (striving/self-control) were assessed via questionnaires, and physical health (asthma symptoms, inflammatory profiles), mental health (anxiety/depression, emotional functioning), and behavioral (medication adherence, activity limitations, collaborative relationships with providers) outcomes were measured cross-sectionally. SAP was associated with better physical health, whereas SDR was associated with worse physical health. Both were associated with better mental health. Only SDR was associated with better behavioral outcomes. Implications of findings and discussion of how to integrate these theories are provided. We suggest that future interventions might seek to cultivate both SAP and SDR to promote overall better health and well-being across multiple domains in children experiencing adversity.
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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.