Factor structure and psychometric properties of the Connor-Davidson resilience scale among Brazilian adult patients
Open accessAbstract
ABSTRACT: CONTEXT AND OBJECTIVE: Personal resilience is associated with several mental health outcomes. The Connor-Davidson resilience scale (CD-RISC) is a widely used self-report measurement of resilience. This study aimed to investigate the reliability and validity of a Brazilian Portuguese version of the CD-RISC. DESIGN AND SETTING: Cross-sectional validation study carried out in the outpatient clinics of a public university hospital. METHODS: The cross-cultural adaptation followed established guidelines and involved interviews with 65 adults in psychiatric and non-psychiatric outpatient clinics at a teaching hospital. Validation was assessed through concurrent application of the Lipp Brazilian Stress Symptom Inventory (ISSL), Self-Report Questionnaire (SRQ), Sheehan Disability Scales (SDS) and Chronic Pain Grade (CPG) to 575 patients at the same setting. Temporal stability was verified through a second application to 123 participants. RESULTS: Factor analysis identified four factors, named tenacity, adaptability-tolerance, reliance on support from outside and intuition. The alpha coefficient of 0.93 and intraclass correlation coefficient of 0.84 indicated good internal consistency and temporal stability. Significant correlations between this version of the CD-RISC and the ISSL, SRQ, SDS and CPG were noted. The patients at the outpatient clinic for borderline personality had resilience scores that were significantly lower than those of the patients at the general anxiety or post-traumatic stress outpatient clinics. CONCLUSION: This Brazilian Portuguese version of the Connor-Davidson resilience scale exhibited adequate reliability and validity among a sample of Brazilian adult patients.
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- Authors
- Solano, J. P. C., Bracher, E. S. B., Faisal-Cury, A., Ashmawi, H. A., Carmona, M. J. C., Lotufo Neto, F., & Vieira, J. E.
- Affiliations
- Universidade de São Paulo (BR)
- Axis Clínica de Coluna, Brazil
- Universidade de São Paulo, Brazil
- Corresponding author
- Solano, João Paulo Consentino
- ORCID
- Venue
- Sao Paulo Medical Journal
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2016-05-13
- Volume
- 134
- Issue
- 5
- Pages
- 400-406
- ISSN
- 0035-0362 (ISSN-L)
- 1806-9460
- 1516-3180
- PMC
- PMC10871851
- OpenAlex
- W2381700913
- Cited by
- 66
- References
- 33
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 12 · 2023: 7 · 2022: 9 · 2021: 9 · 2020: 5 · 2019: 7 · 2018: 5 · 2017: 1 · 2016: 2
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Sao Paulo Medical Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Education › Health Education and Validation
- Keywords
- Connor-Davidson Resilience Scale, resilience, psychometric validation, cross-cultural adaptation, Brazilian version, factor structure, reliability statistics, validity, temporal stability, internal consistency, psychiatric outpatients, borderline personality disorder, anxiety, post-traumatic stress, chronic pain, stress symptoms
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