Evidence map›Paper›PMID 40296053›Full record

ArticleBMC public health2025

The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects.

Mariko Takeuchi, Michiko Matsunaga, Akimitsu Miyake, Ryuichiro Egashira, Sayaka Hotta, Mai Nakano, Misaki Moriguchi, Fumihiko Yasuno, Masako Myowa, Keisuke Hagihara

Abstract readValidation Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mariko TakeuchiDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Michiko MatsunagaGraduate School of Education, Kyoto University, Kyoto, Japan.
Akimitsu MiyakeTohoku University School of Medicine, Sendai, Miyagi, Japan.
Ryuichiro EgashiraDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Sayaka HottaDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Mai NakanoDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Misaki MoriguchiDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Fumihiko YasunoDepartment of Psychiatry, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Masako MyowaGraduate School of Education, Kyoto University, Kyoto, Japan.
Keisuke HagiharaDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. k.hagihara@kanpou.med.osaka-u.ac.jp.

Funding

Grant-in-Aid for Scientific Research from Japan Society for the Promotion of Science 19K21813Japan Science and Technology Agency grants JPMJCE1307 and JPMJMS2296
6 · The paper itself

Abstract

backgroundResilience has been recognized as a potential outcome for preserving mental health and preventing postpartum depression. Social connection and emotional regulation have been identified as possible factors in resilience from social and cultural perspectives. Therefore, it is necessary to develop a scale that is adapted to the Japanese cultural milieu.

objectiveTo establish the validity and reliability of the new resilience scale, questionnaires were administered to mothers raising children aged 0-5 years.

methodsThe Japan Resilience Scale (J-RS) is a newly created, 25-item, self-report scale designed to assess resilience. The J-RS includes six subscales (Joy, Anger, Apprehension, Grief, Fear, and Social connection) that are rated on a 5-point Likert scale (0-4). To validate the J-RS, data were collected from 238 mothers (mean age 35.3 ± 4.7 years), and its relationships with other measures, such as the Resilience Scale (RS) and the Center for Epidemiologic Studies Depression (CES-D) scale, were examined. Internal consistency (reliability) of the J-RS was assessed using Cronbach's alpha coefficient, and the final model was determined via confirmatory factor analysis (CFA). Multiple logistic regression analysis was then used to identify depressive symptoms using the CES-D.

resultsA total of 238 mothers, with 18.5% exhibiting depressive symptoms, were analyzed. The mean J-RS score was 61.3 ± 14.2. J-RS was positively correlated with RS (r = 0.71, p < 0.01) and negatively with CES-D (r = -0.62, p < 0.01). These results demonstrate the construct validity of the J-RS. CFA confirmed the six-factor model's good fit for emotion and social connection. The J-RS was effective in distinguishing individuals at risk of depression (AUC = 0.83, 95% CI: 0.75-0.91). At a cutoff of 59/60, sensitivity, specificity, positive predictive value, and negative predictive value were 84.1%, 63.9%, 34.6%, and 94.7% respectively.

conclusionsThe J-RS appears to be the optimal index for assessing resilience, and would allow screening for postpartum depression among Japanese mothers. This study also showed that emotional control and social connectedness are important components of resilience.

Indexed as

MothersResilience, PsychologicalAdultChild, PreschoolDepression, PostpartumFemaleHumansInfantJapanPsychometricsReproducibility of ResultsSurveys and QuestionnairesCenter for Epidemiologic Studies Depression (CES-D)Emotional regulationJapan Resilience Scale (J-RS)ResilienceSocial connection

Identifiers

PMID40296053
PMCPMC12036222

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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.