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Cited by 663Resilience and Mental HealthPsychological Well-being and Life SatisfactionPosttraumatic Stress Disorder Research

Intervention studies to foster resilience—A systematic review and proposal for a resilience framework in future intervention studies

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Chmitorz, A., Kunzler, A., Helmreich, I., Tüscher, O., Kalisch, R., Kubiak, T., Wessa, M., Lieb, K.·2018·Clinical Psychology Review
DOI 10.1016/j.cpr.2017.11.002
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Abstract

Psychological resilience refers to the phenomenon that many people are able to adapt to the challenges of life and maintain mental health despite exposure to adversity. This has stimulated research on training programs to foster psychological resilience. We evaluated concepts, methods and designs of 43 randomized controlled trials published between 1979 and 2014 which assessed the efficacy of such training programs and propose standards for future intervention research based on recent developments in the field. We found that concepts, methods and designs in current resilience intervention studies are of limited use to properly assess efficacy of interventions to foster resilience. Major problems are the use of definitions of resilience as trait or a composite of resilience factors, the use of unsuited assessment instruments, and inappropriate study designs. To overcome these challenges, we propose 1) an outcome-oriented definition of resilience, 2) an outcome-oriented assessment of resilience as change in mental health in relation to stressor load, and 3) methodological standards for suitable study designs of future intervention studies. Our proposals may contribute to an improved quality of resilience intervention studies and may stimulate further progress in this growing research field.

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Authors
Chmitorz, A., Kunzler, A., Helmreich, I., Tüscher, O., Kalisch, R., Kubiak, T., Wessa, M., & Lieb, K.
Affiliations
  • University Medical Center of the Johannes Gutenberg University Mainz (DE)
  • Johannes Gutenberg University Mainz (DE)
Corresponding author
  • Chmitorz, A.
  • Lieb, K.
ORCID
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2018-02
Volume
59
Pages
78-100
ISSN
0272-7358 (ISSN-L)
DOI
10.1016/j.cpr.2017.11.002
OpenAlex
W2767816539
Cited by
663
References
105
Citations by year
2026: 78 · 2025: 92 · 2024: 87 · 2023: 96 · 2022: 103 · 2021: 92 · 2020: 61 · 2019: 38 · 2018: 15 · 2017: 1
FWCI
4.83
Type
journal article
Language
en
Update notices
erratum (2018-03-01)
Open access
Licence
Locations
  • Clinical Psychology Review (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
psychological resilience, resilience training, resilience interventions, intervention efficacy, resilience definitions, research design, mental health, resilience framework
MeSH terms
Adaptation, Psychological, Humans, Mental Health, Stress, Psychological, Randomized Controlled Trials as Topic, Resilience, Psychological

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