lecture 8 Flashcards

(43 cards)

1
Q

what is clinical trauma classed as?

A

DSM-5 classes a traumatic event as exposure to actual or threatened death, serious injury or sexual violence

impacts quality of life- stress response afterwards

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2
Q

what is common for definitions of resilience?

A

positive response/adaptation to negative circumstances

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3
Q

what is the outcome pattern for resilience?

A

stable trajectory of healthy functioning after adversity

bounce back, and flexibly adapt

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4
Q

how do resilience questionnaires work?

A

measured like a trait

questions about how you generally react to stressors

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5
Q

how do resilience trajectories work?

A

measure after the event- longitudnal

identifies people that show a resilient outcome pattern over time

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6
Q

who researched reactions to adversity?

A

Bonanno (2004)

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7
Q

what does Bonanno describe resilience as?

A

mild disruption to normal functioning after the event, declines over time

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8
Q

what does Bonanno describe recovery as?

A

moderate symptoms after the event, declines over time

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9
Q

what does Bonanno describe delayed functioning as?

A

mild-moderate symptoms after the event, these increase to be severe over time

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10
Q

what does Bonanno describe chronic disruption to normal functioning as?

A

severe symptoms, both at the time of the event and afterwards

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11
Q

what did Norris, Tracy and Galea (2009) find out about reactions to adversity?

A

disagreements in how resilience is defined across different definitions

graphs can differ even if they are supposed to show the same concept

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12
Q

what was resilience viewed as historically?

A

rare- not many people were thought to be resilient

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13
Q

historically, what did bereavement theorists view resilience as?

A

viewed absent grief as a rare, pathological reaction

suppressing an emotional response, or mustn’t have been very close to the person they lost

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14
Q

how did Bonanno, Wortman et al (2002) investigate resilience in bereavement?

A

prospective, longitudnal study

205 participants

depression was measured pre-loss, 6 months and 18 months after loss of a spouse

participants were categorised based on how much they changed

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15
Q

what three categories did Bonanno, Wortman et al (2002) place grieving participants into?

A

resilience
common grief
chronic grief

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16
Q

what was Bonanno, Wortman et al’s description of resilience?

A

low pre loss depression

no significant change at 6 and 18 months

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17
Q

what was Bonanno, Wortman et al’s description of common grief?

A

low pre loss depression

high at 6 months

no difference at 18 months from pre loss

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18
Q

what was Bonanno, Wortman et al’s description of chronic grief?

A

low pre loss depression

high depression at both 6 and 18 months

19
Q

how did Bonanno, Wortman et al (2002) classify people’s resilience prevalence in bereavement?

A

46%= resilient
11%= common grief
15%= chronic grief

20
Q

what did Bonanno, Wortman et al (2002) find out about resilience in bereveament?

A

most people were resilient

no evidence in differences due to attachment styles

resilient people are still affected by bereavement- not to the extent where it impacts their daily functioning

21
Q

how did Mancini, Bonanno and Clark (2011) measure resilience?

A

looked at how resilient people are after spousal loss or divorce
16,795 partipants from the German Socioeconomic Panel
used a statistical technique: Latent Growth Mixture Modelling

22
Q

what does Latent Growth Mixture modelling do?

A

identifies sub-populations in the data
investigates whether there are different outcome trajectories for each sub-group

23
Q

what did Mancini, Bonanno and Clark (2011) find out about resilience?

A

used the LGMM
subjective wellbeing was used as the outcome measure

majority= resilient

some acute recovery= declining wellbeing a bit before the loss, gradually improves with time

fewer= chronic low= lower levels of wellbeing, only a small decrease at the loss

few= wellbeing improves after the loss

24
Q

who researched resilience prevalence in divorce?

A

Mancini, Bonanno and Clark, 2011

25
how did Mancini, Bonanno and Clark (2011) investigate resilience in divorce?
used GSEOP data 629 people who had experienced divorce subjective wellbeing= outcome measure LGMM used
26
what did Mancini, Bonanno and Clark (2011) find about resilience in divorce?
majority of people showed resilience fewer people showed moderately decreasing subjective wellbeing few people showed moderately increasing subjective wellbeing
27
who investigated if resilience is the common trajectory?
Norris et al, 2009
28
how did Norris et al (2009) investigate if resilience is the common trajectory?
used longitudnal data in response to two disasters two communities severely affected by 1999 floors in Mexico, and residents of NYC after the 911 terrorist attacks measured PTSD symptoms post-disaster
29
how did Norris et al (2009) define resilience?
stability is better characterised as resistence, and adaptability is better characterised as resilience
30
what did Norris find the resistance and resilience to be after the 1999 flood disaster in Mexico?
resistance= 34.5% resilience= 32%
31
what did Norris find the resistance and resilience to be after the 9/11 terrorist attacks in the USA?
40.1% resistance 10.1% resilience
32
what did Norris et al suggest about prevelance rates of resistance and resilience?
how you measure resilience matters there are cross cultural differences cannot say if resilience or resistance is more common- depends on the definition of resilience used
33
who investigated how common resilience is?
Infurna and Luthar, 2016
34
how did Infurna and Luthar (2016) investigate resilience prevalence rates?
used life satisfaction as the outcome measure for each life event, 3 separate models: same model specification as usual, variance of outcome trajectories differered within subgroups, mean and variances differed between subgroups and within subgroups
35
what did Infurna and Luthar (2016) find out about resilience rates for spousal loss and divorce?
different models show different resilience rates when the parameters are changed
36
what sort of things can resilience be defined as?
absence of depression symptoms reduction in PTSD symptoms stable pattern of subjective wellbeing
37
how did Cosco et al (2017) perform a systematic review?
systematic review of the measurement of resilience in longitudnal studies 36 papers in the review- which included longitudnal data, were operationalised and measured resilience, had published peer-reviewed research
38
how did Cosco et al (2017) find that resilience was measured in longitudnal studies?
psychometric questionnaires definition driven methods (conducting a priori research) data driven methods to identify resilient subgroups
39
what did Cosco et al, 2017 find out about defining resilience?
most studies defined resilience as the absence of distress or impairment, not the maintenance of wellbeing
40
who investigated whether resilience is multidimensional?
Infurna and Luthar, 2017
41
how did Infurna and Luthar, 2017 investigate if resilience is multidimensional?
421 individuals who were widowed during the study selected multiple domains of adjustment: life satisfaction/positive emotions/negative emotions/general emotions/general health/physical functioning in daily activities wanted to see how much it impaired day to day life
42
what did Infurna and Luthar, 2017 find out about a multidimensional appriach to resilience?
5 years before and after bereavement resilience outcome trajectories were defined as stable for functioning over time resilience is only the most common outcome for life satisfaction only 8% of the sample showed a resilient trajectory across all 5 domains of functioning
43