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Intervention studies to foster resilience—A systematic review and proposal for a resilience framework in future intervention studies
Open accessAbstract
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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“Recent literature reviews on resilience have emphasized the need for more methodologically rigorous research on the effects of resilience-training interventions [29, 30].”
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Metadata
- 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.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 59
- Pages
- 78-100
- ISSN
- 0272-7358 (ISSN-L)
- 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
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Update notices
- erratum (2018-03-01)
- Open access
- hybrid
- doi.org
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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