A Descriptive Analysis of Resiliency Trait and its Role in Adaptation Process of Diabetic Clients Who Referred to Diabetes Association in Shiraz

Derakhshanrad, Seyed Alireza; Zeynalzadeh Ghoochani, Bahare; Taghizadeh, Zahra; Zahedi, Anise; Ghasem Sharifi, Amir Hossein

Document Type : Original Article

Authors

Abstract

Background and Objectives: Resiliency is an important concept in understanding adaptation process and learning coping strategies in diabetic patients. It is imperative to examine the resiliency trait at appropriate time while providing occupational therapy interventions for diabetics. Therefore, this study aimed to descriptively examine this trait and its role in adaptation process of diabetics.
Methods: This cross-sectional study was conducted on diabetic patients selected from those who had referred to Shiraz Diabetes Association in January 2014 using convenience sampling. The data were collected by Connor Davidson Resilience Scale. Then, Analysis of Variance (ANOVA) was used to compare three diabetic groups with low, moderate, and high resiliency traits regarding adaptive features, including achievement motivation, tenacity, self-confidence, and adaptability.
Results: This study was performed on 70 qualified diabetic patients, including 24 males and 46 females, with the mean age of 51±10.7 years. The mean score of resiliency was 61.5±17.7 in the study population. The results showed a significant difference among the three study groups concerning achievement motivation (F=69.9, P>0.001), self-confidence (F=81.3, P>0.001), tenacity (F=46.9, P>0.001), and adaptability (F=75.6, P>0.001).
Conclusion: The results showed that the individuals with low, moderate, and high levels of resilience had different adaptive features. Thus, level of resiliency in diabetics could determine how they adapt themselves to consequences of diabetes.

Keywords

References

1. WHO. Noncommunicable Diseases (NCD) 2015 [cited 2015 12.01]. Available from: http://www.who.int/countries/irn/en/.

2. Kralik D, Van Loon A, Visentin K. Resilience in the chronic illness experience. Educational Action Research 2006;14(2):187-201.

3. Luthar SS, Cicchetti D, Becker B. The construct of resilience: A critical evaluation and guidelines for future work. Child development 2000;71(3):543-62.

4. Bradshaw BG, Richardson GE, Kumpfer K, Carlson J, Stanchfield J, Overall J, et al. Determining the efficacy of a resiliency training approach in adults with type 2 diabetes. Diabetes Educator 2007;33(4):650-9.

5. Hand C, Law M, McColl MA. Occupational therapy interventions for chronic diseases: a scoping review. American Journal of Occupational Therapy 2011;65(4):428-36.

6. Haltiwanger EP. Effect of a group adherence intervention for Mexican-American older adults with type 2 diabetes. American Journal of Occupational Therapy 2012;66(4):447-54.

7. Yi JP, Vitaliano PP, Smith RE, Yi JC, Weinger K. The role of resilience on psychological adjustment and physical health in patients with diabetes. British Journal of Health Psychology 2008; 13(2): 311-25.

8. Gilgun JF. Evidence-Based Practice, Descriptive Research and the Resilience–Schema–Gender–Brain Functioning (RSGB) Assessment. British Journal of Social Work 2005; 35(6): 843-62.

9. Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety 2003; 18(2): 76-82.

10. Lopez A. Posttraumatic stress disorder and occupational performance: Building resilience and fostering occupational adaptation. Work 2011; 38(1): 33-8.

11. Haltiwanger EP, Galindo D. Reduction of Depressive Symptoms in an Elderly Mexican‐American Female with Type 2 Diabetes Mellitus: A Single‐Subject Study. Occupational Therapy International 2013; 20(1): 35-44.

12. Khoshouei MS. Psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) using Iranian students. International Journal of Testing 2009; 9(1): 60-6.

13. Mazlom Bafroe N, Shams Esfand Abadi H, Jalali M, Afkhami Ardakani M, Dadgari A. The Relationship between Resilience and Hardiness in Patients with Type 2 Diabetes in Yazd. Journal of Shahid Sadoughi University of Medical Sciences 2015; 23(2): 1858-65. (Persian)

14. Steinhardt MA, Mamerow MM, Brown SA, Jolly CA. A Resilience Intervention in African American Adults With Type 2 Diabetes A Pilot Study of Efficacy. Diabetes Educator 2009; 35(2): 274-84.

15. Delavar A. Applied statistics and probability in psychology and education. Tehran: Roshd Publication; 1386.

16. Falk-Kessler J, Kalina JT, Miller P. Influence of Occupational Therapy on Resilience in Individuals with Multiple Sclerosis. International Journal of MS Care 2012; 14(3): 160-8.

17. Fine SB. Resilience and human adaptability: Who rises above adversity? American Journal of Occupational Therapy 1991; 45(6): 493-503.

18. Rahimian Boogar E. Risk factors for cardiovascular complications in patients with type II diabetes: Predictive role of psychological factors, social factors and disease characteristics. Journal of Fundamentals of Mental Health 2011; 13(51): 278-93. (Persian)

19. Sarre S, Redlich C, Tinker A, Sadler E, Bhalla A, McKevitt C. A systematic review of qualitative studies on adjusting after stroke: lessons for the study of resilience. Disability & Rehabilitation 2013; 36(9): 716-26.

20. Price P, Kinghorn J, Patrick R, Cardell B. “Still there is beauty”: one man's resilient adaptation to stroke. Scandinavian Journal of Occuptional Therapy 2012; 19(2): 111-7.

21. Richardson GE, Neiger BL, Jensen S, Kumpfer KL. The resiliency model. Health Education 1990; 21(6): 33-9.

22. Pincus D, Metten A. Nonlinear dynamics in biopsychosocial resilience. Nonlinear dynamics, psychology, and life sciences 2010; 14(4): 353-80.

Sadra Medical Journal

A Descriptive Analysis of Resiliency Trait and its Role in Adaptation Process of Diabetic Clients Who Referred to Diabetes Association in Shiraz

References

References

Volume 4, Issue 4
October 2016
Pages 245-254

A Descriptive Analysis of Resiliency Trait and its Role in Adaptation Process of Diabetic Clients Who Referred to Diabetes Association in Shiraz

References

References

Volume 4, Issue 4October 2016Pages 245-254

Volume 4, Issue 4
October 2016
Pages 245-254