METHODS: Cross-sectional study. SPIN Cohort participants completed the 10-item Connor-Davidson-Resilience Scale (CD-RISC) and PROMIS v2.0 domains between August 2022 and January 2023. We used latent profile modeling to identify five classes as in the previous study and multiple linear regression to compare resilience levels across classes, controlling for sociodemographic and disease variables.
RESULTS: Mean CD-RISC score (N = 1054 participants) was 27.7 (standard deviation = 7.3). Resilience decreased progressively across \"low\" to \"normal\" to \"high\" to \"very high\" classes (mean 4.7 points per step). Based on multiple regression, the \"high/low\" class exhibited higher resilience scores than the \"high\" class (6.0 points, 95% confidence interval [CI] 4.9 to 7.1 points; standardized mean difference = 0.83, 95% CI 0.67 to 0.98).
CONCLUSIONS: People with worse disease severity and patient-reported outcomes reported substantially lower resilience, except a class of people with high disease severity, fatigue, pain, and sleep disturbance but positive mental health and high resilience.
方法:横断面研究。SPIN队列参与者在2022年8月至2023年1月之间完成了10个项目的Connor-Davidson-Resilence量表(CD-RISC)和PROMISv2.0域。我们使用潜在的轮廓建模来识别五个类别,如先前的研究和多元线性回归来比较不同类别的弹性水平,控制社会人口统计学和疾病变量。
结果:平均CD-RISC评分(N=1054名参与者)为27.7(标准差=7.3)。恢复力从“低”到“正常”到“高”到“非常高”等级逐渐下降(平均每步4.7分)。基于多元回归,“高/低”类表现出比“高”类更高的弹性分数(6.0分,95%置信区间[CI]4.9至7.1分;标准化平均差=0.83,95%CI0.67至0.98)。
结论:疾病严重程度和患者报告结果较差的人报告的复原力明显较低,除了一类疾病严重程度高的人,疲劳,疼痛,和睡眠障碍,但积极的心理健康和高弹性。