Abstract：
BACKGROUND:Resilience, the ability to adapt positively to adversity, may be an important factor in successful aging. However, the assessment and correlates of resilience in elderly individuals have not received adequate attention. METHOD:A total of 1395 community-dwelling women over age 60 who were participants at the San Diego Clinical Center of the Women's Health Initiative completed the Connor-Davidson Resilience Scale (CD-RISC), along with other scales pertinent to successful cognitive aging. Internal consistency and predictors of the CD-RISC were examined, as well as the consistency of its factor structure with published reports. RESULTS:The mean age of the cohort was 73 (7.2) years and 14% were Hispanic, 76% were non-Hispanic white, and nearly all had completed a high school education (98%). The mean total score on the CD-RISC was 75.7 (sd=13.0). This scale showed high internal consistency (Cronbach's alpha=0.92). Exploratory factor analysis yielded four factors (somewhat different from those previously reported among younger adults) that reflected items involving: (1) personal control and goal orientation, (2) adaptation and tolerance for negative affect, (3) leadership and trust in instincts, and (4) spiritual coping. The strongest predictors of CD-RISC scores in this study were higher emotional well-being, optimism, self-rated successful aging, social engagement, and fewer cognitive complaints. CONCLUSIONS:Our study suggests that the CD-RISC is an internally consistent scale for assessing resilience among older women, and that greater resilience as assessed by the CD-RISC related positively to key components of successful aging.
journal_name
J Psychiatr Resjournal_title
Journal of psychiatric researchauthors
Lamond AJ,Depp CA,Allison M,Langer R,Reichstadt J,Moore DJ,Golshan S,Ganiats TG,Jeste DVdoi
10.1016/j.jpsychires.2008.03.007subject
Has Abstractpub_date
2008-12-01 00:00:00pages
148-54issue
2eissn
0022-3956issn
1879-1379pii
S0022-3956(08)00071-Xjournal_volume
43pub_type
杂志文章abstract：:This study examines the correlates of a major depressive disorder and its treatment in the general population. The sample was composed of 6694 individuals aged between 18 and 96 years, representative of the general population of the states of California and New York (48 million inhabitants aged 18 years or older). The...
journal_title：Journal of psychiatric research
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abstract：OBJECTIVE:Frontolimbic dysfunction is observed in borderline personality disorder (BPD), with responses to emotional stimuli that are exaggerated in the amygdala and impaired in the anterior cingulate cortex (ACC). This pattern of altered function is consistent with animal models of stress responses and depression, whe...
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journal_title：Journal of psychiatric research
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pub_type： 临床试验,杂志文章
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