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Introduction: Mindfulness-based interventions show unique promise in treating substance use disorders among marginalized populations who face heightened stigma. The Mindful Resiliency in Recovery Model is introduced as a novel theoretical framework articulating how mindfulness training can mitigate the adverse effects of stigma, enhance psychological resilience, and facilitate sustained recovery from addiction. Methods: The current manuscript synthesizes various models of mindfulness processes, stigma, and substance use disorder recovery to propose an integrated theoretical framework on the promise of mindfulness-based interventions in supporting recovery. Further, the current manuscript draws upon empirical literature to establish preliminary support for the premises and hypotheses of the Mindful Resiliency in Recovery Model concerning the mechanisms influencing the efficacy of mindfulness-based interventions among marginalized individuals. Results: Preliminary evidence supports the premises of the proposed model. There is evidence to suggest that specific processes like increased present-moment awareness, acceptance, decentering, reappraisal, and savoring may be especially salient in mitigating internalized stigma and fostering resiliency in recovery. There is a need for additional research on these processes, and contextual factors that may moderate their efficacy. Discussion: The Mindful Resiliency in Recovery Model has significant implications for optimizing mindfulness-based interventions to empower marginalized individuals to transcend stigma and actualize their capacity for wellbeing in substance use disorder recovery. It provides a roadmap for future research on the mechanisms and contextual factors affecting the efficacy of mindfulness-based interventions for marginalized and stigmatized communities. It further offers guidance to clinicians utilizing mindfulness-based interventions to support individuals experiencing stigma. [ABSTRACT FROM AUTHOR]

Background: A growing body of literature focuses on the role of benevolent childhood experiences (BCEs) in predicting adulthood well-being, in addition to adverse childhood experiences (ACEs). However, cross-cultural differences are generally ignored in this endeavor. Hence, this study aimed to explore the role of BCEs in predicting life satisfaction, resilience, and hopelessness. We also examined the potential of resilience and the role of hopelessness in mediating the relationship between BCE and life satisfaction. Methods: A total of 850 university students from Turkey (n = 371), Portugal (n = 248), and India (n = 231), aged 17 to 58 years (M = 22.12, SD = 4.41), participated in the study. Participants completed an online protocol consisting of measures to assess BCEs, life satisfaction, resilience, and hopelessness. Results: BCEs, hopelessness, and life satisfaction have significantly differed among the samples based on the country of residence. BCEs were positively correlated to resilience and life satisfaction and negatively to hopelessness. In the sequential mediation model, after controlling for country and sex, resilience and hopelessness sequentially mediated the relationship between BCEs and life satisfaction. BCEs were associated with life satisfaction, resilience, and hopelessness across countries and sexes. The model explains 42.8% of the variability. Conclusion: Despite differences between countries, BCEs are important predictors of adult well-being in all three countries and should be monitored along with ACE. Further, resilience seems to have an important role in lowering the negative consequences of lower BCEs and feelings of hopelessness, pointing to the need to strengthen psychological resilience among adults. [ABSTRACT FROM AUTHOR]

Objective: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a chronic and debilitating illness with symptoms such as post-exertional malaise and cognitive dysfunction that can be challenging for patients to manage independently. Randomized controlled trials (RCTs) have examined mind-body and psychological approaches that teach patients coping skills for mitigating ME/CFS symptoms, including emerging literature on Qigong or Tai Chi instruction programs. This systematic review aims to summarize the characteristics of these trials and highlight potential areas for future optimization and refinement. Methods: Ovid MEDLINE, Embase.com, Web of Science Core Collection, Cochrane CENTRAL, PsycINFO via Ovid, and ClinicalTrials.gov were searched in April 2023 using controlled vocabulary and keywords for the following eligibility criteria: Sample (ME/CFS), Design (RCT), Behavioral Intervention (mind-body or psychological interventions). Data extraction and reporting followed Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: "Qigong" and "Tai Chi" yielded 142 and 80 abstracts, respectively. Of the 222 abstracts, full texts were available for 5 RCTs of Qigong (k = 5; N = 481). Notably, no trials of Tai Chi utilized a randomized control design. Among the 5 Qigong RCTs, the publication range was from 2012 to 2023. Details regarding intervention components and effects were summarized. Qigong intervention sessions (median = 12, mode = 10, 12) tended to last between 1-2 hours and occur across 5-12 weeks (median = 7, mode = 5). The Qigong interventions were all delivered in groups and incorporated at-home practice. Daily practice was a requirement (k = 4) or an advisement (k = 1). Patient-reported outcomes suggest an emerging evidence base for diffuse benefits on physical and emotional health outcomes. Conclusions: Qigong interventions are promising, yet relatively understudied, in improving ME/CFS symptom severity and frequency. Future trials must implement standardized eligibility criteria for ME/CFS history, integrate Qigong or Tai Chi with other empirically supported mind-body and psychological practices, and assess long-term resiliency outcomes relevant to ME/CFS survivorship. [ABSTRACT FROM AUTHOR]

Objective: In severe cases of systemic sclerosis (SSc), autologous hematopoietic stem cell transplantation (aHSCT) is superior compared to cyclophosphamide. But treatment related morbidity and mortality have to be considered. To date, data on major physical and psychological impacts of aHSCT are scarce. Therefore, subjectively experienced physical and psychological impact of aHSCT and exploration of internal and external factors helping to cope with aHSCT was assessed. Methods: Retrospective assessment of physical and psychological variables in an SSc cohort after aHSCT to describe: Health-related quality of life (HRQL), SSc-associated impairment, coping strategies, body image, and resilience. Additionally, semi-structured interviews were conducted and analyzed via mixed methods qualitative content analysis. Results: Thirty-two patients were included. HRQL correlated with impairment due to SSc and with depressive coping. An unfavorable body image correlated with reduced HRQL and increased impairment but improves after aHSCT. Patients with good resilience had a better HRQL, less depressive coping, and less SSc-associated impairment. The semi-structured interviews revealed that resilience is important for a successful disease management as patients with higher resilience were more satisfied with aHSCT, patients with lower resilience would have wished for more psychological support. Thirty-one patients would recommend aHSCT to other patients. Conclusion: A transient negative impact of aHSCT on mental well-being is present but can be relieved by a team specialized to aHSCT. Psychological support seems to be an unmet need, particularly in patients with low resilience. Patients with higher resilience described a lower negative impact caused by aHSCT and higher satisfaction after therapy. [ABSTRACT FROM AUTHOR]

Background: Human evolution has granted upon an individual's cognitive mechanisms necessary for remembering experiences, vital for both survival and reproduction. These experiences manifest into cultural traits, influencing human culture, particularly in healthcare and maintenance. Studies regarding medicinal plants and treatments are integral to the study of the medical botanical system. Pharmacopeias highlight the prevalence of specific species widely used, aligning with the "consensus within diversity theory" in evolutionary ethnobiology. Within the framework of this theory, we reflect on the results we've achieved in a priority area recognized by UNESCO for its biocultural significance, both locally and regionally. Methods: This study integrated network analysis and qualitative methods to examine the botanical medical system of "Parque Regional Quebradas del Norte" in Rivera, Uruguay. Results: Study results demonstrate a core-periphery structure, with a strongly interconnected core resistant to fragmentation, ensuring structural stability. Additionally, the presence of peripheral nodes throughout the system was identified, enhancing the resilience of the botanical medicinal system against potential disturbances. Conclusion: The core species renowned for their versatility and multiple medicinal uses, treating less severe ailments effectively. Additionally, core plants serve as prototypes for innovations. Their extinction poses a threat to the system's resilience. Conversely, peripheral plants, though vulnerable, offer possibilities for therapeutic innovations. In the face of environmental change, conservation efforts should prioritize species that are vulnerable to extinction, particularly within the core. Simultaneously, preserving knowledge associated with peripheral plants presents a bicultural conservation strategy, ensuring the botanical system's robustness among evolving ecological conditions. [ABSTRACT FROM AUTHOR]

Aim: To translate the Rushton Moral Resilience Scale (RMRS) into Japanese and validate its applicability among Japanese healthcare professionals. Background: To overcome daily challenges in the field of healthcare, in which moral difficulties are routinely encountered, the development of intervention methods to address moral suffering and moral distress is crucial. Methods: We conducted a cross‐sectional survey using a web‐based questionnaire. The RMRS‐16 was translated into Japanese and confirmed through back‐translation. Reliability analyses (Cronbach's alpha and intraclass correlation coefficient [ICC]), confirmatory factor analyses (CFAs), correlation analyses, t‐tests, and analysis of variance (ANOVA) were used to assess the validity of the scale. Results: Participants comprised 1295 healthcare professionals, including 498 nurses. All subscales and the total scale had acceptable reliability values (α ≥ 0.70). CFA supported the original four‐factor structure (response to moral adversity, personal integrity, relational integrity, and moral efficacy), with acceptable fit indices. The ANOVA results suggested that, among Japanese healthcare professionals, nurses and individuals from other professions showed lower average moral resilience scores compared to physicians, consistent with previous research on mental health and moral distress. In addition, women scored lower for moral resilience than men. However, the ICC values for the subscales of the RMRS were below acceptable levels, and the results of the standardized residual covariances also suggested a model misfit. Conclusion and Implications: The reliability, validity, and utility of the Japanese version of the RMRS were generally supported. However, there were areas at the item level that required structural examination. The current findings suggest that there are cultural differences in the concept of moral resilience. Therefore, for future cultural comparisons, the original four‐factor structure was maintained in the Japanese version without modifications. Further conceptual development of moral resilience is needed in Japanese healthcare. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Material and Method Results Conclusion Implications for the Patient Care Reporting Method The aim of this study is to establish the correlation between the degree of psychological resilience and readiness for discharge in patients undergoing orthopaedic surgery.This study is of a descriptive correlational type.This study comprised a cohort of 190 patients who were admitted to the orthopaedics and traumatology department and had surgical procedures performed between November 2023 and April 2024. The study data were gathered via completion of the Introductory Information Form, the Psychological Resilience Scale and the Hospital Discharge Readiness Scale. IBM SPSS 25 package program was used to analyse the research data.In this study, 34.2% of the participants stated that they did not feel ready for discharge. Predictors of Readiness for Hospital Discharge were identified as being male (β = 0.118, p = 0.003), living alone (β = 0.222, p < 0.001), having undergone prosthesis, fracture or amputation surgery (β = 0.161, p < 0.001), not having received discharge training (β = 0.122, p = 0.001), not feeling ready for discharge (β = 0.442, p < 0.001) and resilience (β = 0.246, p < 0.001). These variables were found to explain 88.7% of Readiness for Hospital Discharge (adjusted R2 = 0.773).The findings of this study emphasise that including patients in their healthcare and creating comprehensive discharge plans tailored to their specific care requirements have a beneficial impact on their readiness for discharge. Additionally, the study demonstrates that enhancing psychological resilience plays a mediating role in facilitating discharge readiness.Patients who feel ready for discharge are less likely to be hospitalised and their recovery may be faster. Including the patient in the discharge plan, taking individual needs into consideration and disseminating programmes to increase resilience should be an integral part of holistic care.The STROBE checklist was applied in the reporting of the finding. [ABSTRACT FROM AUTHOR]

Objective To study the value of specific nursing based on character color in improving psychological resilience and coping styles of patients undergoing vaginal reconstruction. Methods Sixty patients who had undergone vaginal reconstruction in the Five Departments of Extrahepatic Diseases, Third Affiliated Hospital of Naval Medical University between January 2017 and April 2023 were selected as the research subjects. They were divided into the control group and the observation group according to the nursing method, 30 cases in each group. The control group was given routine nursing intervention, and the observation group was given specific nursing based on character color on the basis of routine nursing intervention. The psychological toughness scores, self-stigma of mental illness scale (SSMIS) scores, Simplified Coping Style Questionnaire (SCSQ) scores and quality of life scores of the two groups were compared before and after intervention. Results There were no significant differences in scores of emotional control, future plan, family cohesion, positive cognition and interpersonal assistance between the two groups before intervention (P>0.05). After intervention, the above scores increased, and the scores of observation group were significantly higher than those of the control group (P<0.05). There were no significant differences in scores of negative coping styles and positive coping styles between the two groups before intervention (P>0.05). After intervention, positive coping style scores of the observation group were higher than those of the control group, and the negative coping style scores were lower than those of the control group (P<0.05). There were no significant differences in SSMIS scores in terms of alienation, stereotype recognition, social avoidance, discrimination experience and anti-stigma between the two groups before intervention (P>0.05). After intervention, scores of alienation, stereotype recognition, social avoidance and discrimination experience of the observation group were significantly lower than those of the control group, and the anti-stigma score was higher than the control group (P<0.05). Quality of life scores in terms of mental health, emotional role, physical function, social function, health status, vitality, muscular pain and physical role of the observation group were significantly higher than those of the control group (P<0.05). Conclusion Carrying out specific nursing based on character color for patients undergoing vaginal reconstruction can improve their psychological resilience and reduce their self-stigma. Patients can respond more actively and have higher quality of life. [ABSTRACT FROM AUTHOR]

• Study of psychological resilience and cognitive emotional regulation on driving anger and its expression. • The positive and negative cognitive emotion regulation mediate the effect of resilience to driving anger expression(DAX). • High-resilience drivers tend to employ positive emotion regulation and exhibit higher adaptive DAX. • Lower-resilience drivers tend to use negative emotion regulation, leading to increased DAS and nonadaptive DAX. • Proper emotional interventions could reduce driving anger and its negative consequences. Emotions that occur while driving, especially anger, can significantly impact driving-related safety. Due to the potential risks of aggressive driving behaviour, which include hazardous driving and traffic accidents, it is important to explore strategies to effectively manage anger, thereby enhancing driving-related safety. This study aimed to investigate the relationships among psychological resilience, cognitive emotional regulation, driving anger, and the expression of driving anger. A total of 350 drivers (aged 21–50 years) completed online questionnaires, including the Connor–Davidson Psychological Resilience Scale (CD-RISC), the Cognitive Emotion Regulation Questionnaire (CERQ), the Driving Anger Scale (DAS), and the Driver Anger Expression Inventory (DAX). The results indicated that a higher level of psychological resilience is associated with a greater tendency to employ positive cognitive emotion regulation strategies and a greater tendency to exhibit more adaptive expressions of driving anger. In contrast, a lower level of psychological resilience is associated with negative cognitive emotion regulation strategies, resulting in elevated levels of driving anger and a higher frequency of nonadaptive expressions. Additionally, cognitive emotion regulation mediated the relationship between psychological resilience and driving anger. These findings suggest that drivers with high levels of psychological resilience and those who engage in effective cognitive emotion regulation strategies are more likely to remain calm in irritating driving situations, thereby enhancing overall driving-related safety. [ABSTRACT FROM AUTHOR]

The article highlights the strategies on how nursing leaders can implement key competencies to strengthen the well-being of nursing teams to enhance work environment in the health care industry. Topics mentioned include the creation of collaborative committees or workgroups, the incorporation of integrative health practices and the importance of work-life balance behaviors, career development and personal and professional accountability.

The article focuses on the concept of moral resilience and its importance for nurse practitioners (NPs) in addressing moral distress. Topics include the definition and impact of moral distress, the emergence of moral resilience as a response to these challenges, and key characteristics of moral resilience such as personal integrity, buoyancy, and self-regulation.

High-functioning palliative care teams are essential to high-quality care for individuals with serious illness and their families. Such teams are flexible and adapt to change. However, recent high turnover and understaffing, compounded by a pandemic, challenge even the most resilient and adaptable teams. An effective leader guides a team through change, capitalizing on opportunities to build an even stronger team. However, most palliative care team leaders lack formal leadership training and are inadequately prepared to lead through such circumstances. Leaders may find caring for seriously ill patients professionally satisfying, even as aspects of their leadership role cause them significant distress. For this reason, we share some lessons learned in leading evolving palliative care teams of varying composition, practice settings, and degrees of maturation. We hope these strategies equip palliative care leaders to build stronger, even more cohesive teams in times of change and uncertainty. [ABSTRACT FROM AUTHOR]

Mental health professionals are at a heightened risk of secondary traumatic stress (STS) due to the higher prevalence of trauma-exposed individuals seeking clinical help compared to the general population. The aims of this study were as follows: (1) to explore the association between exposure to workplace violence (WPV) and secondary traumatic stress, and the potential mitigating effects of organizational support and (2) to examine how the workplace setting (inpatient vs outpatient) affects the experience of STS. The study was cross-sectional. Over 58 days, survey data was collected from mental health professionals working in both inpatient and outpatient settings. A total of 2,549 professionals responded. The overall prevalence of STS across settings was 87%. The highest reported secondary traumatic stress levels were among nurse practitioners/APRNs (49.29%), followed by nurses (47.94%) and psychiatrists (46.85%). Levels of STS occurred at slightly higher levels among professionals in outpatient settings (48.39%) than those in inpatient settings (45.11%). Increased exposure to WPV correlated with higher levels of STS, while higher levels of perceived organizational support (POS) had a moderating effect on STS levels. This study suggests that STS is a significant phenomenon and that mental health professionals are at risk for developing the condition. Organizational support can play a role in mitigating the effects of WPV and STS. Interventions aimed at improving organizational support and building psychological resilience may help reduce the prevalence of STS among this population. [ABSTRACT FROM AUTHOR]

Autistic children and adolescents experience a range of co-morbidities, including diagnoses of mental illness. Animal-assisted therapies have advanced rapidly over recent years as an effective and accessible intervention for autistic children and adolescents with various health issues. Horses offer a unique opportunity for interaction as the young person can physically ride the animal, thus creating a therapy with different physical interactions from other animals. This qualitative study had two main aims: first, to understand parents' experiences of their autistic child's involvement with horse-based therapies; and second, to understand the experiences of the staff of organisations offering horse-based therapies to those on the autism spectrum. Twelve interviews were conducted with six parents across four interviews (four mothers and two fathers), and eight staff of equine therapy services in eight individual interviews, to understand their perceptions of the child's experience with horse riding and the perceived mental health impacts. Three emergent themes were prominent among parents and service providers alike: physical and social benefits, including health, self-management skills and social skills; protecting mental health; and recommendations for improvements and accessibility of horse-based therapies. Specifically, service providers with long-standing associations with horse-based therapies saw the actual and potential benefits of horse-based therapies for autistic children, particularly in promoting happiness, calm, resilience, and good mental health. [ABSTRACT FROM AUTHOR]

This conceptual paper discusses how the interaction between risk and protective processes yields the outcome of resilience among Hispanic K-12 students. It applies a cultural-ecological-transactional model to support the use of strengths-based school counseling interventions that can authentically build upon the resilience of Hispanic students. [ABSTRACT FROM AUTHOR]

Psychological resilience plays an important role in overcoming emotional distress among people receiving maintenance hemodialysis (MHD). This study aimed to investigate how social support and family resilience interact to influence psychological resilience among Chinese people receiving MHD. This was a prospective longitudinal study with three time points: baseline (T1), 3 months (T2), and 6 months (T3) later. A convenience sample of 252 participants (67.1% male; 57.6 ± 13.8 years of age) from Zhejiang Province, China, who completed baseline measures of social support, family resilience, and psychological resilience, were further assessed for psychological resilience at T2 and T3. Polynomial regression (PR) and response surface analysis (RSA) were used to analyze the data. At all time points, and in the case of agreement between social support and family resilience, the combined effect of both variables manifested as a positive linear association with psychological resilience. Instead, at baseline, and in case of disagreement, the same combined effect manifested as a negative linear relationship related to psychological resilience. The findings highlighted the importance of considering the conjoint influence of social support and family resilience when developing interventions to improve the psychological resilience of people receiving MHD. [ABSTRACT FROM AUTHOR]

The increased frequency and severity of extreme weather events (EWEs) have underscored the need to strengthen climate-resilient health systems and capacity. Community health workers (CHWs) are integral health systems actors with the potential to protect and improve population health in a changing climate. The aim of this review was to synthesize the literature on the roles of CHWs amid EWEs in low- and middle-income countries, the barriers and facilitators to implement these roles, and program supports to strengthen CHW capacity and health system functions. Scoping review. Four academic databases and gray literature published between January 2000 and June 2023 were searched. Data were thematically analyzed using a deductive-inductive approach guided by the World Health Organization's (WHO's) Operational framework for building climate-resilient health systems. Thirty sources were included. Amid EWEs, CHW roles included: 1) delivery of diagnostic, treatment, and other clinical services; 2) support with access, utilization, or navigation of health services and/or referrals; 3) community education and health promotion; 4) data collection and health surveillance; 5) psychosocial supports; and 6) weather-related health emergency response. Facilitators and barriers to the provision of CHW supports amid EWEs were categorized within WHO's building blocks of health systems. Considerations for strengthening CHW programs to enhance climate-resilient health systems are also discussed. CHWs are uniquely positioned to provide health-related supports amid EWEs that extend to emergency preparedness and response to climate-health challenges. These efforts can contribute to the community and health systems resilience to climate change. [ABSTRACT FROM AUTHOR]

Objective: Dialectical behavior therapy (DBT) is an evidence‐based treatment for disorders characterized by recurrent binge eating. Yet, access to specialized treatment like DBT remains limited. To increase the accessibility of DBT, we developed a DBT skills training app (Resilience: eDBT) for the management of eating disorder (ED) symptoms. This paper delineates the developmental process of Resilience and tests its usability. Methods: Descriptive information on the development and features of Resilience is provided, including its framework, content structure and delivery formats, functionality, data storage procedure, and privacy protocols. Usability was assessed via a mixed methods approach in 10 symptomatic individuals. Qualitative data were organized based on an existing framework, which included six themes: usability, visual design, user engagement, content, therapeutic persuasiveness, and therapeutic alliance. Results: Resilience demonstrated good usability via a Systems Usability Scale score of 85.5, which exceeded the recommended cutoff of 68. Positive aspects of the app, according to interview data, were the ease of use and the visual design, while the addition of peer support was suggested as an opportunity for improvement. Discussion: A novel DBT‐based app may serve as an acceptable, low‐intensity option or adjunct to traditional treatment for targeting ED symptoms that emerge in daily life. However, notable limitations include the small sample size and the single time point at which the usability assessment was conducted. [ABSTRACT FROM AUTHOR]

Objective: To assess the influence of specific COVID-19 impacts on college student depression, loneliness, and alcohol and cannabis use, and to investigate if resilience moderates these relationships. Participants: Data were collected from students (N = 1849, 80.9% white, 66.6% female) at a midwestern university during the 2021 winter/spring semester. Methods: Data were gathered cross-sectionally through an online survey platform. COVID-19 impacts and resilience's relationships with mental health variables were analyzed with multiple regression analysis. Moderation analyses were conducted using PROCESS. Results: The COVID-19 impacts measured in this study were significantly related to student depression and cannabis use. Resilience moderated the association between COVID-19 impacts and (a) depression and (b) cannabis use. Conclusion: Resilience may mitigate the effect of pandemic-related impacts on depression and cannabis use in college students, but not loneliness and alcohol use. These findings hold important implications for further research and practice. [ABSTRACT FROM AUTHOR]

As the world evolves, human-AI teams (HAT) have become increasingly more capable in their ability to complete task objectives. Due to this rising importance, it has become essential to understand the interpersonal dynamism between humans and AI to further optimise their performance potential. Given the demonstrated utility of emotional communication within human-human team structures, this research investigates the nature of AI-sourced positive emotions on human teammates. Through 47 interviews, our findings show that for these AI teammates to be accepted, human teammates have preferences on understanding the emotional utility prior to its presentation, as well as which emotions are situationally acceptable. Also, findings show that integrating emotions within AI teammates has a positive influence on human perceptions and behaviour in a task. In further detail, emotions act as status updates that allow human teammates to not only better understand their teammates' mental states but also understand how their AI teammates perceive the situation around them. Together, this gives insight into how AI emotional expressions influence the perception of social support on the wider Human-AI team. Mainly how emotions can be used to increase acceptance of AI teammates and improve the overall experience human teammates have within the task. [ABSTRACT FROM AUTHOR]

An increase in exposure to successive disaster events is causing widespread adverse impacts on social workers worldwide, resulting in escalated levels of stress and exhaustion. This article examines the concept of disaster fatigue and its impact on social workers engaging in disaster practice. A SAFE framework for addressing disaster fatigue is outlined involving: (S) sustaining self-care; (A) adopting a trauma-informed approach; (F) fostering professional capability; and (E) enhancing disaster preparedness. Implications for social work involve the need to move beyond individualised notions of burnout, compassion fatigue and secondary traumatic stress towards a collective and multidimensional approach to enhancing disaster resilience. [ABSTRACT FROM AUTHOR]

The 2016 Alberta wildfires resulted in widespread destruction of property and displacement of residents. Research aimed to identify the roles and responsibilities of social work practitioners and human service professionals in long-term disaster recovery. This article presents the findings from interviews, focus groups, and a survey with a total of 140 participants in Alberta, Canada. Implications for disaster social work planning, and response and recovery efforts in Canada and internationally, will inform the development of programs and policies to support and make visible the contribution of social workers and human service professionals in long-term disaster recovery. [ABSTRACT FROM AUTHOR]

This paper addresses the problem of distributed constrained optimization in a multi-agent system where some agents may deviate from the prescribed update rules due to failures or malicious adversarial attacks. The objective is to minimize the collective cost of the unattacked agents while respecting the constraint limitations. To tackle this, we propose a resilient distributed projected gradient descent algorithm for online optimization that achieves sublinear individual regret, defined as the difference between the online and offline solutions. Additionally, we extend the cost function from convex combinations to more general distributed optimization scenarios. The proposed algorithm demonstrates resilience under adversarial conditions, allowing it to handle an unknown number of adversarial nodes while maintaining performance. Compared to existing methods, this approach offers a robust solution to adversarial attacks in constrained distributed optimization problems. [ABSTRACT FROM AUTHOR]

This narrative review examines the relationship between dopamine-related genetic polymorphisms, personality traits, and athletic success. Advances in sports genetics have identified specific single nucleotide polymorphisms (SNPs) in dopamine-related genes linked to personality traits crucial for athletic performance, such as motivation, cognitive function, and emotional resilience. This review clarifies how genetic variations can influence athletic predisposition through dopaminergic pathways and environmental interactions. Key findings reveal associations between specific SNPs and enhanced performance in various sports. For example, polymorphisms such as COMT Val158Met rs4680 and BDNF Val66Met rs6265 are associated with traits that could benefit performance, such as increased focus, stress resilience and conscientiousness, especially in martial arts. DRD3 rs167771 is associated with higher agreeableness, benefiting teamwork in sports like football. This synthesis underscores the multidimensional role of genetics in shaping athletic ability and advocates for integrating genetic profiling into personalized training to optimize performance and well-being. However, research gaps remain, including the need for standardized training protocols and exploring gene–environment interactions in diverse populations. Future studies should focus on how genetic and epigenetic factors can inform tailored interventions to enhance both physical and psychological aspects of athletic performance. By bridging genetics, personality psychology, and exercise science, this review paves the way for innovative training and performance optimization strategies. [ABSTRACT FROM AUTHOR]

Although current approaches to the study of resilience acknowledge the role of context, rarely do those conceptualizations attend to societal systems and structures that include hierarchies of power and privilege—namely systems of racism, colonialism, patriarchy, and capitalism—nor do they articulate how these structural realities are embedded within individual experiences. We offer critiques of the current literature from this structural lens, using the concept of master narratives to articulate the incomplete and, at times, damaging story that the discipline of psychology has told about resilience. We then provide three models that center history, systems, and structures of society that can be employed in the study of resilience. We close with lessons learned from listening to those voices who have been marginalized by mainstream society, lessons that require us to redefine, broaden, and deepen our conceptualization of resilience. Public Significance Statement: American narratives of growth after adversity are prominent in our larger culture as well as in the discipline of psychology. Such narratives rely on an overly narrow and simplistic focus on individuals who are responsible for their growth. This allows us to ignore larger forces, such as systemic oppression, which can create barriers to such growth. We argue for redefining such narratives of what it means to be healthy in the face of adversity by attending to people who have often been left out of the research on growth and resilience—such as those who are Black, Indigenous, lesbian, gay, bisexual, transgender, queer, and those who hold other marginalized identities. [ABSTRACT FROM AUTHOR]

Research on resilience and posttraumatic growth (PTG) has significantly advanced our understanding of human adaptability to adversity, reflecting a widespread belief in the United States that such adaptability is commonplace. However, recent studies have highlighted conceptual and methodological limitations in these fields. These limitations call into question the credibility of existing research and underscore the need for multidisciplinary perspectives in understanding adaptive responses to adversity. This special issue aims to provide a foundation for a new generation of resilience and PTG research. It brings together innovative theoretical and empirical work that focuses on several key areas: the multifaceted nature and impacts of adversity, the importance of clarifying resilience and PTG in marginalized communities, methodological advancements in the field, and challenges to core theoretical and methodological assumptions underlying our scientific practice. Public Significance Statement: This introduction provides an overview of key themes that emerged across the included articles in the special issue. We envision this special issue to be a foundation for the next generation of research on resilience and posttraumatic growth, one that is simultaneously more inclusive and more rigorous. [ABSTRACT FROM AUTHOR]

LGBTQ+ people and communities continue to survive and thrive within the context of complex and unrelenting personal, structural, and collective trauma. Psychological research has examined this adaptive capacity through frameworks of resilience and posttraumatic growth. Through multidisciplinary engagement, we have identified limitations of these frameworks when they are applied to LGBTQ+ communities. In the first half of this article, we reconceptualize resilience and posttraumatic growth as queer thriving and offer the Möbius strip as a metaphor to challenge and expand normative ideas around direction, trajectory, timeline, and outcomes of positive change through adversity. In the second half of this article, we explore pathways to queer thriving within an LGBTQ+ intergenerational community project—an ethnographic experiment—that we have cofacilitated since 2019. We view generational divisions in LGBTQ+ communities as both a reflection and a form of trauma. In our ethnographic experiment, LGBTQ+ younger and older adults have the rare opportunity to heal this division by coming together for storytelling, dialogue, and artmaking around themes and issues important to their lives. In this article, we present three ethnographic vignettes that powerfully illustrate the potential for queer thriving through intergenerational social connection. We conclude by emphasizing the importance of mixed-disciplinary, community-engaged, and descriptive approaches to examining resilience and posttraumatic growth within marginalized communities. Public Significance Statement: Generations of LGBTQ+ people have been kept apart for too long. In this article, we explore pathways to queer thriving through sustained LGBTQ+ intergenerational engagement. We present findings from an LGBTQ+ intergenerational community project that utilizes storytelling, dialogue, and artmaking to heal divisions in LGBTQ+ communities and promote queer thriving. [ABSTRACT FROM AUTHOR]

What predicts cross-country differences in the recovery of socioeconomic activity from the COVID-19 pandemic? To answer this question, we examined how quickly countries' socioeconomic activity bounced back to normalcy from disruptions caused by the COVID-19 pandemic based on residents' attitudes, values, and beliefs as measured in the World Values Survey. We trained nine preregistered machine learning models to predict the rate at which various socioeconomic metrics (e.g., public transportation occupancy, cinema attendance) recovered from their COVID-19 lows based on the World Values Survey. All models had high predictive accuracy when presented with out-of-sample data (rs ≥.83). Feature importance analyses identified five psychological predictors that most strongly predicted socioeconomic recovery from COVID-19: religiosity, liberal social attitudes, the value of independence, obedience to authority, and the Protestant work ethic. Although past research has established the role of religiosity, liberalism, and independence in predicting resilience, it has not yet considered obedience to authority or the Protestant work ethic. Thus, the current research suggests new directions for future work on resilience that may not be apparent from either a deductive or an inductive approach. Public Significance Statement: This research found that countries in which people are more religious, have greater respect for authority, and have more liberal social attitudes bounced back more quickly from the massive disruptions caused by the COVID-19 pandemic. In contrast, societies that emphasized independence and the Protestant work ethic struggled to recover from the pandemic. Cultivating values associated with resilience could help societies recover quickly from future pandemics and other disasters. [ABSTRACT FROM AUTHOR]

Though youth living in disadvantaged neighborhoods experience greater risk for poor behavioral and mental health outcomes, many go on to show resilience in the face of adversity. A few recent studies have identified neural markers of resilience in cognitive and affective brain networks, yet the broader network organization supporting resilience in youth remains unknown, particularly in relation to neighborhood disadvantage. Moreover, most studies have defined resilience as the absence of psychopathology, which does not consider growing evidence that resilience also includes positive outcomes across multiple domains (e.g., social, academic). We examined associations between brain network organization and multiple resilience domains in a sample of 708 twins (7–19 years old) recruited from neighborhoods with above-average poverty levels. Graph analysis on functional connectivity data from resting-state and task-based functional magnetic resonance imaging was used to characterize features of intrinsic whole-brain and network-level organization, from which we explored associations with resilience in three domains: psychological, social, and academic. Fewer connections between a brain network involved in self-referential processing (i.e., default mode network) and the subcortical system were associated with greater social resilience. Further, greater whole-brain functional integration (i.e., efficiency) was associated with better psychological resilience among youth with relatively lower levels of cumulative adversity exposure. Alternatively, lower whole-brain efficiency and higher whole-brain robustness to disruption (i.e., assortativity) were associated with greater psychological and social resilience among youth with relatively higher levels of cumulative adversity. These findings advance support for multidimensional resilience models and reveal distinct neural mechanisms supporting resilience to neighborhood disadvantage across specific domains in youth. Public Significance Statement: The present study used brain imaging to examine how the organization of information flow throughout the brain relates to resilience to neighborhood disadvantage in youth. Results identified three domains of resilience (i.e., psychological, social, and academic), which showed unique associations with patterns of information flow across brain networks and the entire brain. This work bridges advancements in resilience theory with neuroscience to identify brain markers of resilience among youth marginalized by the socioeconomic status of their neighborhood. [ABSTRACT FROM AUTHOR]

Members of stigmatized groups face severe, chronic adversities that produce qualitatively unique and often challenging experiences. Further, access to resources relevant to overcoming adversity (e.g., time, money, energy, support) is depleted and blocked by stigmatization. However, current approaches to resilience and posttraumatic growth do not account for stigma, hindering our understanding of both constructs. Thus, drawing from the conservation of resources theory (Hobfoll, 1989), we develop a stigma-conscious framework on resilience and posttraumatic change (PTC) that extends existing work by enhancing realism and generalizability for stigmatized groups. We present a multilevel framework that explains how and why stigmatization directly (as an input) and indirectly (as an influencer of resource-related mechanisms) shapes resilience and PTC processes and outcomes. This framework advances interpretations of past work on resilience and posttraumatic growth, their respective conceptualizations and operationalizations, future model development, and interventions. We encourage and guide scholars to integrate stigma into resilience and PTC research and applications. Public Significance Statement: Stigma depletes and limits access to needed resources, and experiencing stigmatization alters which postadversity outcomes entail healthy adaptation to trauma (resilience) and/or growth (posttraumatic growth [PTG]). Existing resilience and PTG approaches often overlook stigma effects. Thus, this article presents a stigma-conscious framework that explains how and why researchers and practitioners can and should acknowledge and integrate the important role of stigma in resilience and PTG. [ABSTRACT FROM AUTHOR]

Resilience has been defined as the maintenance or quick recovery of mental health during and after stressor exposure. One popular operationalization of this concept is to model prototypical trajectories of mental health in response to an adverse event, where trajectories of undisturbed low or rapidly recovering symptoms both comply with the resilience definition. However, mental health responses are likely also influenced by other stressors occurring before or during the observation time window. These "background" stressors may affect a person's assignment to a trajectory class. When using these classes as dependent variables to identify resilience-predictive factors, this may lead to false estimates. A new method to build exposure-controlled trajectories based on time courses of stressor reactivity (SR), rather than pure mental health scores, is demonstrated on a data set of 707 initially healthy participants living in Germany (67.33% female; Mage = 29.20, SD = 8.27). SR scores express individual deviations from the sample's normative mental health reaction to observed real-life stressors during the observation time window, thus accounting for individual differences in exposure to background stressors. The resulting trajectory models are plausible. In analyses additionally controlling for background stressors occurring before the observation time window (past life events), low SR trajectories are predicted by the well-documented resilience factor sense of coherence, suggesting construct validity. Further, they are associated with lower odds of developing categorical mental health conditions, suggesting predictive validity. Our study provides the first proof of principle for a refined method to identify predictors of resilience to major stressor events. Public Significance Statement: Identifying factors that predict resilience is a major goal of mental health science. These factors might be targets for interventions aiming at preventing the development of stress-related mental health problems. To quantify a person's resilience, we must be sure that the individual does not simply show good mental health because they are less exposed to adversity. Our approach to the quantification of resilience tries to exclude this potential confound. [ABSTRACT FROM AUTHOR]

Ethnically and racially underrepresented adolescents are experiencing pubertal development earlier in life than prior cohorts and their White American peers. This early onset of puberty is partly attributable to ethnic–racial discrimination. To contribute to adolescents' resilience and posttraumatic growth in the face of ethnic–racial discrimination, parents' ethnic–racial identities may spill over into their parenting beliefs and practices. Parents who have a sense of belonging with and commitment to their ethnic–racial identities may be aware of discrimination and actively and consistently engage in practices that build supportive home environments to support their children's development in the context of ethnic–racial discrimination. To assess whether parents' ethnic–racial identity commitment predicted adolescents' resilience against ethnic–racial discrimination, we used multiple waves of survey data from adolescent siblings and their parents participating in the Adolescent Brain Cognitive Development study (N-adolescents = 1,651; N-families = 805; 35% Black, 37% Latinx, 3% Asian, 25% other ethnically and racially underrepresented youth; 49% boys, 50% girls, 1% gender nonconforming youth; Mage = 11.49, SD = 0.51). Results indicated that adolescents who experienced more frequent ethnic–racial discrimination than their siblings showed more advanced pubertal development. Parental ethnic–racial identity commitment reduced the relation between discrimination and pubertal development within a family. Results suggest that ethnic–racial identity commitment in parents can protect children when they experience ethnic–racial discrimination. Building on extant propositions related to resilience (Infurna & Luthar, 2018), the present study amplifies the depiction of resilience, yields recommendations for analysis of future research, and provides implications regarding the role of ethnicity–race in familial practices. Public Significance Statement: With a within-family design, the present study found adolescents who reported more ethnic–racial discrimination than their siblings showed more advanced pubertal development (i.e., a proxy of accelerated biological aging). Within the household, a parent's sense of belonging and commitment to their ethnic–racial group weakened this within-sibling effect and conferred the more discriminated sibling with protection and resilience. [ABSTRACT FROM AUTHOR]

Black boys and young men are disproportionately burdened with navigating contexts of community violence resulting from race-based structural inequities and concentrated disadvantage. Despite this chronic adversity, many Black boys and young men thrive; however, resilience research has traditionally focused on identifying individual- and family-level factors that support resilience. Research has yet to fully examine community-level resources that facilitate processes of resilience for Black boys and young men in the contexts of trauma, violence, and poverty. Guided by ecological frameworks and using the community-based participatory method of action-oriented community diagnosis, our qualitative study examines the perspectives of diverse community stakeholders (N = 29) whose roles and influence span systems levels and shape contexts of violence and healing for Black boys and young men in Greensboro, North Carolina. Findings point toward relationship (mentoring), community (safe spaces to heal), and societal (interventions to dismantle racism) level opportunities and barriers ("terroristic territorialism") to promote resilience in Black boys and young men. Implications for research and praxis that broadens the scope of resilience research from successful adaptation to conditions of community violence to community-level intervention to promote resilience and transformation are discussed. Public Significance Statement: Community violence is a public health epidemic that disproportionately affects the psychological, emotional, physical, social, and behavioral well-being of Black boys and young men. As communities and cities search for ways to reduce and prevent violence, identifying ways to promote resilience is necessary for mitigating the negative outcomes associated with community violence exposure for Black boys and young men. [ABSTRACT FROM AUTHOR]

A Dynamic Adaptational Process Theory of Resilience (ADAPTOR) incorporates a synchronistic interplay of reserve capacity, adaptation, and consequences in the context of the larger exposome. This conceptualization of resilience centers on the argument that individuals can "build" resilience by drawing upon their various reserve capacities to effectively adapt to challenging contextual factors, and that this process has long-term consequences for health and wellness trajectories. These theoretical arguments were tested using the Notre Dame Study of Health & Well-Being–COVID Study, which is a multitimescale, longitudinal study of data collected from September 2020 through February 2022. We included 444 participants (age range = 26–90, M = 62.23, SD = 14.26), and used hierarchical linear modeling to assess the effects of global perceptions of stress reactivity (reserve capacity), daily affective reactivity (adaptation), as well as negative pandemic exposure (exposome) on trajectories of depression and anxiety (consequences) across the COVID-19 pandemic. Most pertinent to ADAPTOR, an interactive effect indicated that reserve capacity and adaptation may serve compensatory roles for one another in the context of a more stressful exposome, whereas the synchrony between reserve capacity and adaptation may be important in the context of a less stressful exposome. These findings support the ADAPTOR framework, such that reserve capacity, adaptation, the exposome, and their confluence differentially impact various consequences. This ultimately highlights the importance of taking a dynamic, process-oriented, and multifaceted approach to studying resilience. Public Significance Statement: This article details "A Dynamic Adaptational Processes Theory of Resilience (ADAPTOR)," a novel metatheory that incorporates several resilience conceptualizations into a developmental framework. The key argument of ADAPTOR is that individuals can "build" resilience by utilizing their reserve capacities to adapt to challenging contextual factors, and that this process has long-term health consequences. An empirical example supported ADAPTOR, indicating that reserve capacity, adaptation, and contextual factors, together, predict mental health. [ABSTRACT FROM AUTHOR]

The psychological study of resilience has increasingly underscored the need for children and families to access material and psychological resources to positively adapt to significant stress. Redistributive policies—policies that downwardly reallocate society's social and economic resources—can offer economically disadvantaged families sustained access to these resources and mitigate the harmful impacts of adversity. This conceptual article builds upon and integrates insights from psychological and policy research to develop a unifying multilevel resilience framework, which we call the Social Determinants of Resilience. We examine four U.S. redistributive policies that have been extensively studied for their effects on child and family outcomes as case studies: (1) Medicaid expansion; (2) the Earned Income Tax Credit; (3) childcare subsidies; and (4) Temporary Assistance for Needy Families. Informed by a scoping review of each policy, we propose that redistributive policies promote children's resilience through three mechanisms by (1) increasing families' resource and service access; (2) reducing family stress; and (3) enhancing adaptive cognitions, emotions, behaviors, and interpersonal processes that protect against the development of psychopathology and promote positive mental health outcomes. Highlighting current evidence for these resilience mechanisms as well as gaps in knowledge, we conclude by setting a multidisciplinary research agenda that can leverage this conceptual framework to advance the science on how redistributive policies enable children and families to thrive. Public Significance Statement: Policies that support economically disadvantaged families such as Medicaid expansion, the Earned Income Tax Credit, childcare subsidies, and the Temporary Assistance for Needy Families program mitigate adversity and promote children's resilience. This article proposes a conceptual framework for how psychological and policy research on resilience can be integrated to identify the mechanisms through which these policies promote the human capacity to thrive. [ABSTRACT FROM AUTHOR]

The concept and social media hashtag, #BlackGirlMagic, is used to demonstrate the ability of Black women and girls to create paths and to succeed despite intersectional racism, sexism, and classism. Conversely, the concept of Black Girl Magic and Strong Black Woman schemas have been used to glorify struggle, undermine support, and victim-blame. Therefore, resiliency for Black women and girls requires clarification on how and why it is used and understood by researchers and practitioners. This article examines the experiences of Black women and girls by (a) evaluating the use of resiliency research and theoretical frameworks (Luthar et al., 2000; Spencer, 2005); (b) exploring unrecognized strengths and vulnerabilities across the lifespan; and (c) providing recommendations for researchers, interventionists, and practitioners to rethink resilience for Black women and girls. Black feminist thought and womanism frameworks are integrated to promote sustained healthy development for Black women and girls. Resiliency can only be promoted in Black women and girls if (a) immediate psychosocial and physical needs are addressed while (b) concurrently eliminating systemic barriers and social norms that allow Black women and girls to experience outsized adversity. Public Significance Statement: Using research and theoretical frameworks, this article clarifies and redefines how resiliency is understood for Black women and girls. Rather than pressuring Black women and girls to be resilient, radical shifts in societal norms and the elimination of systemic barriers are necessary for enduring health. The article explores unrecognized vulnerabilities and strengths across the lifespan as opportunities to create avenues for healthy functioning for Black women and girls. [ABSTRACT FROM AUTHOR]

As the United States contends with racism and a social justice reckoning, the need to advance our understanding of how to build structural resilience continues to be pressing. This article proposes a culturally and structurally informed model of resilience for individuals with minoritized identities that integrates social–ecological and minority stress models. First, common stressors and traumas experienced by minoritized individuals at multiple levels of proximal/distal influence are reviewed: microsystem (e.g., family rejection), mesosystem (e.g., community-based discrimination), exosystem (e.g., barriers to health care), macrosystem (e.g., harmful legal policies), and chronosystem (e.g., historical legacy). Next, how these exposures have cascading effects on minority stress processes (e.g., discriminatory policies in the macrosystem affect how a child is socialized in the microsystem) are considered. Then, modifiable factors (e.g., community cohesion) that promote resiliency in the face of ongoing exposures are discussed. To conclude, guidelines are offered for advancing the psychological science of resilience in minoritized groups including mixed methods to reflect participants' experiences, ecological approaches to assess resilience, and multilevel modeling to understand the interplay between the social–ecological context and individual factors. Public Significance Statement: Minority stress has been historically excluded from seminal theories of resilience. This article proposes a social–ecological model of structural resilience to minority stress for guiding conceptual and methodological approaches to studying multiple systems of proximal and distal influence. [ABSTRACT FROM AUTHOR]

Women of color are at least twice as likely as non-Hispanic White women to die during the perinatal period or deliver infants who are low birthweight, preterm, or die within the first year of life. Maternal stress before and during pregnancy is associated with adverse obstetric outcomes. A growing body of literature has explored maternal resilience as protective factors contributing to healthy maternal and child health (MCH) outcomes. However, several gaps exist in how this construct has been conceptualized and operationalized. First, extant research has primarily conceptualized maternal resilience as individual attributes that enable women to "bounce back" after facing adversity during pregnancy, thereby failing to incorporate the broader systemic and environmental factors that contribute to chronic stress, particularly among vulnerable groups. Second, the literature has largely neglected to examine resilience in relation to maternal stress, therefore not acknowledging that women who experience greater stress will likely require more resources. Third, though resilience has been investigated at discrete life stages, longitudinal research has not been conducted to explore how it develops over the lifecourse. This article critically evaluates the resilience literature, expands upon the gaps described, and proposes a conceptual framework that reimagines material resilience using three population health theories, including Bronfenbrenner's socioecological framework, Elder's lifecourse theory, and Geronimus' weathering hypothesis. The proposed framework will inform future research that examines the development of multilevel resilience resources over the lifecourse as well as interventions to increase resilience and ultimately yield healthier MCH outcomes among vulnerable communities. Public Significance Statement: A growing body of literature has explored maternal resilience as protective factors that counter maternal stress and contribute to healthy maternal and child health outcomes. However, several gaps exist in how it has been conceptualized and operationalized. This article contributes to the literature by proposing a conceptual framework that addresses these gaps and reimagines material resilience using three population health theories, including Bronfenbrenner's socioecological framework, Elder's lifecourse theory, and Geronimus' weathering hypothesis. [ABSTRACT FROM AUTHOR]

Is democracy a realistic political ideal? This article historically recovers and normatively assesses Machiavelli's intuition that democratic institutions are realistically desirable in virtue of their resilience. The article takes inspiration from Machiavelli's work in two ways. Methodologically, it argues that there is a distinctive realist normativity based on political virtues, that is, those skills that are instrumentally required to thrive in politics. Substantively, it probes Machiavelli's idea that the most important political virtue, for both individuals and institutions, is resilience: the ability to continuously adapt to new circumstances. Machiavelli observes that democratic regimes are very resilient because, while individuals cannot change their character to adapt to new circumstances, democracies can just change the individual in charge. The article then refines Machiavelli's intuition by building on the contemporary distinction between stability and resilience. It claims that authoritarian regimes are more stable, and yet less resilient. Democracies are instead characterised by a continuous flux of political outputs, which makes them seemingly wavering, and yet better equipped to experiment with unconventional adaptations. The two different literatures thus complement each other. The debate on resilience usefully clarifies and systematises Machiavelli's intuition. Conversely, Machiavelli's work reveals the salience of resilience in politics, and shows why it counts as a realist political value. [ABSTRACT FROM AUTHOR]

The article presents the text of a speech by Dr. Bernard P. Dreyer in receiving the Joseph W. St. Geme, Jr Leadership Award, presented by the Federation of Pediatric Organizations at the Pediatric Academic Societies Meeting in Toronto, Ontario on May 3, 2024. He discussed why he felt honored in receiving the award, his privilege to be a pediatrician, and their major advocacy for reducing child poverty.

Background: There has been substantial progress made across multiple disciplines to emphasize the importance of perinatal mental health both for parents and offspring. This focuses on what has been termed the 'First 1000 Days' from conception to the child's second birthday. We argue that our understanding of this issue can go further to create an intergenerational approach to mental health. Despite the existence of theoretical frameworks and practical approaches to implementation, there are gaps in the understanding of perinatal and intergenerational mental health including which psychological mechanisms are implicated in the transmission of risk and resilience within the perinatal period; and how to leverage these into treatment approaches. Aims and Methods: In this paper, we explore the potential for mentalization as a candidate psychological approach to intergenerational mental health. Results: We contextualize this issue in terms of the points of contact between mentalization and broader theoretical models such as the social determinants of health and the Developmental Origins of Health and Disease (DoHaD) model. Further, we provide an overview of the existing evidence base for the relevance of mentalization to perinatal mental health. Discussion: Finally, we sketch out an outline model for integrating mentalization into perinatal and intergenerational mental health, highlighting several areas of opportunity to develop research and practice from diverse geographies and demographics. Here, we suggest that integration of mentalization with other conceptual frameworks such as DoHaD can mutually enrich the understanding of each model, pointing the way towards more effective early and preventative interventions. [ABSTRACT FROM AUTHOR]

The article focuses on promoting health equity to address gender-based violence (GBV) through innovative research, practice, and advocacy. Topics include violence training and education for healthcare professionals, the barriers and facilitators of help-seeking behaviors among GBV survivors, and the intergenerational and long-term effects of violence on health outcomes.

Introducing automated vehicles into road traffic and robots into urban public environments puts artificial agents in space-sharing conflicts with humans. Humans anticipate, avoid, and smoothly resolve space-sharing conflicts by implicit and explicit communication enabled by uniquely human shared intentionality. Smooth coordination among artificial, partly automated, teleoperated, and human agents needs to be supported by coactive design optimizing observability, predictability, and directability to foster robustness of operation. Available humans should be employed by 'wizard interfaces' to support automation, for example, in recognizing intentions, in anticipating difficulties, and in predicting for foresighted coordination. Human capabilities are not just helpful for efficiency and robustness but necessary to cope with exceptional events and failures. For quickly removing blocks and resuming operation, available humans should be employed and authorized by measures of 'shepherd raising'. Because non-human agents are at a disadvantage in public environments and potentially block operation for extended intervals if they are bullied or denied help, benevolence and cooperation are essential in hybrid societies. Cooperation in public environments is higher in functional societies and can be fostered towards artificial agents in particular by coactive design increasing trust, by influencing mindless and mindful anthropomorphism, and further determinants of reciprocal altruism. RELEVANCE STATEMENT: Embodied technologies moving as artificial agents in public environments entail challenges of coordination with human agents. Artificial agents in public environments are partially or temporarily operated by humans and should ideally function smoothly as partners in joint activities. From the perspective of Ergonomics and Human Factors, the necessity and benefits of employing humans for robustness of operation and handling exceptional events are highlighted. A range of measures for gaining and supporting human contributions are suggested. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic highlighted the negative impact of moral injury on nurses' well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave. Objective: This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession. Methods: This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online survey. Participants were categorized into 4 generational groups based on their age in 2021: Baby Boomers (57-75 years old), Generation X (42-56 years old), Generation Y (27-41 years old), and Generation Z (12-26 years old). Descriptive and inferential statistics, including logistic regression and analysis of variance, were employed for analysis. Results: Significant generational differences were found in years of clinical experience, moral injury, resilience, and well-being. Baby Boomers reported higher well-being and resilience and lower moral injury. Notably, the intention to leave the profession was more strongly associated with well-being and moral injury levels than with the years of experience or generational group. Conclusions: The findings suggest that interventions to improve nurse retention should prioritize enhancing well-being and addressing the root causes of moral injury. Tailored strategies addressing the needs of different generations are necessary for mitigating the adverse effects of current healthcare challenges on nurse attrition. [ABSTRACT FROM AUTHOR]

Background: Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed. Objective: To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL. Methods: From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL. Results: There were significant positive correlations between QoL and both family resilience (r = 0.43, P <.01) and individual resilience (r = 0.59, P <.01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815). Conclusion: Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience. China Clinical Trials Registry number: ChiCTR2300067612 [ABSTRACT FROM AUTHOR]

Background: This study investigated psychosocial factors related to preparedness for well‐dying among middle‐aged and older adults and verified a model that can predict it along with psychosocial factors and demographic profiles to provide useful information for intervention. Methods: The participants were 340 middle‐aged and older Korean adults aged 40–79 years. The predictive models were verified using stepwise regression and decision tree analyses. Results: The results revealed that personality, meaning of life, hardiness, intrinsic religiosity, death anxiety, family support, subjective well‐being, and expectations for future life were significantly correlated with preparedness for well‐dying among middle‐aged and older adults. A stepwise regression analysis revealed that meaning of life accounted for the greatest variance in preparedness for well‐dying. A decision tree model predicting preparedness for well‐dying included search for meaning, the presence of a spouse, family support, having a job, tenacity, conscientiousness, and positive emotions. Conclusion: These findings suggest that search for meaning and tenacity in middle‐aged and older adults as well as the presence of a spouse or occupation and family support may play important roles in preparing for well‐dying. [ABSTRACT FROM AUTHOR]

The current medical model has transitioned from the original biomedical treatment model to a bio-psycho-social model, where patients now have higher demands for service awareness. Consequently, doctor–patient relationships have become a crucial aspect of the contemporary medical process. Currently, psychological resilience among medical students in China tends to be at a moderately lower level. Medical students often exhibit poor psychological qualities in handling contradictions in doctor–patient relationships. Moreover, there is a lack of emphasis on the education of corresponding psychological qualities for medical students during the teaching process. This deficiency is highly disadvantageous for medical students in their future management of doctor–patient relationships. The article explores how to cultivate psychological resilience in medical students and enhance their ability to handle conflicts in doctor–patient relationships from the perspective of doctor–patient relationships. The author suggests that schools should place greater emphasis on the psychological resilience of medical students, change teaching methods, incorporate online education to enhance the mentalization level of medical students, and propose an eight-week mindfulness cognitive therapy program to improve psychological resilience. The intervention process should consider establishing positive coping mechanisms, promoting good interpersonal relationships among medical students, and regulating individual negative emotions. Through simulating doctor–patient scenarios, teachers should consciously train the psychological resilience of medical students, improve their cognition and thinking abilities, and accelerate their psychological health recovery. [ABSTRACT FROM AUTHOR]

Building resilience is a key concern for adult educators today as we face unprecedented global challenges such as the coronavirus disease-19 (COVID-19). Nowhere is this more apparent than in educational initiatives with health professionals who experience many stressors in their work, now amplified by the pandemic. This paper reports the results of focus groups with three interprofessional primary healthcare teams in rural Nova Scotia, Canada, in the fall of 2021. The aim was to learn about their lived experience during the first year of the pandemic, as a basis for considering how resilience could be nurtured and supported in rural team-based collaborative practices settings. Findings reveal that, while each collaborative team experienced recognized COVID-19 workplace stressors, they leveraged a store of collective resilience to navigate the pandemic. The trust, sense of purpose, and shared problem-solving skills they derived from working in collaborative structures over time enabled them to regain equilibrium and to adapt to new norms, and to transform thier practices. The study highlights the power of collaborative learning to strengthen overall ability for resilient performance, and the adaptive capacity that is required to deliver and sustain quality healthcare. The study highlights the need for continuing professional education that values naturally occurring practice-based learning. Adult educators are well positioned to support health professionals and health systems to nurture and support resilient action. They bring an understanding of effective collaborative tools and processes that foster dialogue and collective awareness that leads to a shared identity and understanding. As this study reveals, it is this shared identity and capacity arising within a group that enables them to draw on their collective sources of support to deal with adversity. [ABSTRACT FROM AUTHOR]

Introduction: Nurses are now more likely to leave their current role in direct patient care than they were before the COVID-19 pandemic. Country culture and the organization of health care systems drive nurses' decisions to leave or stay in the profession. Methods: In a fall 2020 survey of nurse professional quality of life, a content analysis of responses to the open-ended question, " What has been challenging or rewarding during this pandemic experience?" was performed. Results were organized within Hofstede's Cultural Dimensions Theory. Results: Six hundred and fifty-six nurses across five countries responded to the question; 526 comments were analyzed. Most (53.6%) respondents were staff bedside nurses. Themes, such as Distress and Fatigue and Building and Experiencing Social Capital were found and understood to reflect cultural values and dimensions such as Uncertainty Avoidance and Power Distance. Discussion: Recommendations include strengthening culturally tailored leadership knowledge to inform and facilitate countries' nurse retention. [ABSTRACT FROM AUTHOR]

Indigenous communities, linguists, teachers, and language activists have been developing methods to revitalise endangered languages over several decades. Not only are these methods diverse, they are usually implemented in various ways according to local needs and aspirations. Language revitalisation methods focus on proficiency, but there is also interest in strengthening identity, resilience, and wellbeing. Aside from a handful of successes, programs may not be achieving desired outcomes. One could try to evaluate specific programs. However, we believe that a necessary first step is to examine published literature of revitalisation efforts to develop initial understandings of how they work. In particular, we seek to understand how revitalisation efforts tap into the speech community, how local participation affects outcomes, and how this involvement is supported and sustained by external programs, with a focus on language revitalisation efforts in Australia. We conduct a realist synthesis, and through analysis of 125 pieces of literature, we identify 13 initial theories. In analysing these theories, we identify two major gaps in our understanding of language revitalisation: how revitalisation programs work to strengthen communities and promote commitment. We propose these as significant, under-theorised elements of successful revitalisation which can guide exploration at the level of individual programs. [ABSTRACT FROM AUTHOR]