What is Resilience?
Open accessAbstract
Objective: While everyone—including front-line clinicians—should strive to prevent the maltreatment and other severe stresses experienced by many children and adults in everyday life, psychiatrists and other health professionals also need to consider how best to support, throughout the lifespan, those people affected by severe adversity. The first step in achieving this is a clear understanding of the definitions and concepts in the rapidly growing study of resilience. Our paper reviews the definitions of resilience and the range of factors understood as contributing to it, and considers some of the implications for clinical care and public health. Method: This narrative review took a major Canadian report published in 2006 as its starting point. The databases, MEDLINE and PsycINFO, were searched for new relevant citations from 2006 up to July 2010 to identify key papers considering the definitions of resilience and related concepts. Results: Definitions have evolved over time but fundamentally resilience is understood as referring to positive adaptation, or the ability to maintain or regain mental health, despite experiencing adversity. The personal, biological, and environmental or systemic sources of resilience and their interaction are considered. An interactive model of resilience illustrates the factors that enhance or reduce homeostasis or resilience. Conclusions: The 2 key concepts for clinical and public health work are: the dynamic nature of resilience throughout the lifespan; and the interaction of resilience in different ways with major domains of life function, including intimate relationships and attachments.
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In most cases, depression is preceded by childhood symptoms or disorders, including oppositional-defiant disorder, ADHD, and anxiety disorders.
“In most cases, depression is preceded by childhood symptoms or disorders, including oppositional-defiant disorder, ADHD, and anxiety disorders. 256”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [256]
Cites
Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)
Connor, K. M., & Davidson, J. R. T. (2003) · Depression and Anxiety · doi:10.1002/da.10113 · Cited by 11,793 · see citing works
Ordinary magic: Resilience processes in development.
Masten, A. S. (2001) · American Psychologist · doi:10.1037/0003-066x.56.3.227 · Cited by 8,497 · see citing works
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851 · see citing works
Meaney, M. J. (2001) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.24.1.1161 · Cited by 2,708 · see citing works
The construct of resilience: implications for interventions and social policies
LUTHAR, S. S., & CICCHETTI, D. (2000) · Development and Psychopathology · doi:10.1017/s0954579400004156 · Cited by 2,374 · see citing works
Beddington, J., Cooper, C. L., Field, J., Goswami, U., Huppert, F. A., Jenkins, R., Jones, H. S., Kirkwood, T. B. L., Sahakian, B. J., & Thomas, S. M. (2008) · Nature · doi:10.1038/4551057a · Cited by 554 · see citing works
Risk and resilience: genetic and environmental influences on development of the stress response
Gillespie, C. F., Phifer, J., Bradley, B., & Ressler, K. J. (2009) · Depression and Anxiety · doi:10.1002/da.20605 · Cited by 351 · see citing works
Cicchetti, D., & Rogosch, F. A. (2007) · Development and Psychopathology · doi:10.1017/s0954579407000399 · Cited by 168 · see citing works
Walsh, W. A., Dawson, J., & Mattingly, M. J. (2010) · Trauma, Violence, & Abuse · doi:10.1177/1524838009358892 · Cited by 152 · see citing works
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Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-020-00329-3 · Cited by 1,807 · see citing works
Time for united action on depression: a Lancet–World Psychiatric Association Commission
Herrman, H., Patel, V., Kieling, C., Berk, M., Buchweitz, C., Cuijpers, P., Furukawa, T. A., Kessler, R. C., Kohrt, B. A., Maj, M., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(21)02141-3 · Cited by 1,104 · see citing works
Self-citationResilience following child maltreatment: a review of protective factors
Afifi, T. O., & MacMillan, H. L. (2011) · The Canadian Journal of Psychiatry · doi:10.1177/070674371105600505 · Cited by 604 · see citing works
Negative consequences of positive feedbacks in US wildfire management
Calkin, D. E., Thompson, M. P., & Finney, M. A. (2015) · Forest Ecosystems · doi:10.1186/s40663-015-0033-8 · Cited by 323 · see citing works
Resilience as a multimodal dynamic process
Stainton, A., Chisholm, K., Kaiser, N., Rosen, M., Upthegrove, R., Ruhrmann, S., & Wood, S. J. (2019) · Early Intervention in Psychiatry · doi:10.1111/eip.12726 · Cited by 289 · see citing works
Resilience in Survivors of Child Sexual Abuse: A Systematic Review of the Literature
Domhardt, M., Münzer, A., Fegert, J. M., & Goldbeck, L. (2015) · Trauma, Violence, & Abuse · doi:10.1177/1524838014557288 · Cited by 275 · see citing works
Eley, D. S., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013) · PeerJ · doi:10.7717/peerj.216 · Cited by 230 · see citing works
Resilience and the brain: a key role for regulatory circuits linked to social stress and support
Holz, N. E., Tost, H., & Meyer-Lindenberg, A. (2020) · Molecular Psychiatry · doi:10.1038/s41380-019-0551-9 · Cited by 162 · see citing works
Resilience: A psychobiological construct for psychiatric disorders
Shrivastava, A., & Desousa, A. (2016) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.174365 · Cited by 127 · see citing works
Neuroendocrine profile in a rat model of psychosocial stress: Relation to oxidative stress
Colaianna, M., Schiavone, S., Zotti, M., Tucci, P., Morgese, M. G., Bäckdahl, L., Holmdahl, R., Krause, K.-H., Cuomo, V., & Trabace, L. (2013) · Antioxidants & Redox Signaling · doi:10.1089/ars.2012.4569 · Cited by 107 · see citing works
Barriers to primary and emergency healthcare for trans adults.
Vermeir, E., Jackson, L. A., & Marshall, E. G. (2018) · Culture, Health & Sexuality · doi:10.1080/13691058.2017.1338757 · Cited by 103 · see citing works
Clinical correlates of resilience factors in geriatric depression
Laird, K. T., Lavretsky, H., Paholpak, P., Vlasova, R. M., Roman, M., St. Cyr, N., & Siddarth, P. (2019) · International Psychogeriatrics · doi:10.1017/s1041610217002873 · Cited by 93 · see citing works
Wolf, E. J., Miller, M. W., Sullivan, D. R., Amstadter, A. B., Mitchell, K. S., Goldberg, J., & Magruder, K. M. (2018) · Depression and Anxiety · doi:10.1002/da.22712 · Cited by 94 · see citing works
Climate Change Related Depression, Anxiety and Stress Symptoms Perceived by Medical Students
Schwaab, L., Gebhardt, N., Friederich, H.-C., & Nikendei, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159142 · Cited by 59 · see citing works
Afifi, T. O., MacMillan, H. L., Taillieu, T., Turner, S., Cheung, K., Sareen, J., & Boyle, M. H. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716651832 · Cited by 59 · see citing works
Nearchou, F. (2018) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.10.012 · Cited by 47 · see citing works
Jo, D., Pyo, S., Hwang, Y., Seung, Y., & Yang, E. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100798 · Cited by 34 · see citing works
McFarlane, J., Symes, L., Maddoux, J., Gilroy, H., & Koci, A. (2014) · Journal of Interpersonal Violence · doi:10.1177/0886260514526060 · Cited by 32 · see citing works
Resilience and White Matter Integrity in Geriatric Depression
Vlasova, R. M., Siddarth, P., Krause, B., Leaver, A. M., Laird, K. T., St Cyr, N., Narr, K. L., & Lavretsky, H. (2018) · The American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2018.04.004 · Cited by 25 · see citing works
Health effects of COVID-19 for vulnerable adolescents in a randomized controlled trial.
Miller, R. L., Moran, M., Shomaker, L. B., Seiter, N., Sanchez, N., Verros, M., Rayburn, S., Johnson, S., & Lucas-Thompson, R. (2021) · School Psychology · doi:10.1037/spq0000458 · Cited by 19 · see citing works
Toper, F., Yanardağ, R., Koca, M., & Baydar, V. (2025) · Behavioral Sciences · doi:10.3390/bs15091178 · Cited by 5 · see citing works
Cooperative resilience in artificial intelligence multiagent systems
Chacon-Chamorro, M., Felipe Giraldo, L., Quijano, N., Vargas-Panesso, V., González, C., Pinzón, J. S., Manrique, R., Ríos, M., Fonseca, Y., Gómez-Barrera, D., et al. (2025) · IEEE Transactions on Artificial Intelligence · doi:10.1109/tai.2025.3567371 · Cited by 5 · see citing works
Negri, O., Horesh, D., Gordon, I., & Hasson-Ohayon, I. (2022) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000001518 · Cited by 3 · see citing works
Gartland, D., Riggs, E., Muyeen, S., Giallo, R., Afifi, T. O., MacMillan, H., Herrman, H., Bulford, E., & Brown, S. J. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024870 · Cited by 248 · see citing works
Self-citation
- Authors
- Herrman, H., Stewart, D. E., Diaz-Granados, N., Berger, E. L., Jackson, B., & Yuen, T.
- Affiliations
- The University of Melbourne (AU)
- University Health Network (CA)
- McMaster University (CA)
- World Federation for Mental Health (US)
- Public Health Agency of Canada (CA)
- Corresponding author
- Herrman, Helen
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2011-05
- Volume
- 56
- Issue
- 5
- Pages
- 258-265
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W103404623
- Cited by
- 1,338
- References
- 9
- Citations by year
- 2026: 115 · 2025: 159 · 2024: 152 · 2023: 157 · 2022: 176 · 2021: 101 · 2020: 98 · 2019: 50 · 2018: 60 · 2017: 45 · 2016: 50 · 2015: 55 · 2014: 49 · 2013: 35 · 2012: 25
- FWCI
- 5.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Institute of Gender and Health
- Institute of Neurosciences, Mental Health and Addiction
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- resilience, resilience definitions, positive adaptation, adversity, mental health, lifespan development, homeostasis, biological factors, environmental factors, intimate relationships, attachment, maltreatment, clinical care
- MeSH terms
- Adaptation, Psychological, Adult, Mental Disorders, Child, Child Abuse, Humans, Interpersonal Relations, Life Change Events, Terminology as Topic, Personality, Physician's Role, Psychopathology, Social Problems, Social Support, Stress, Psychological, Behavioral Research, Biomedical Research, Resilience, Psychological
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