Sec. Psychological Therapy and Psychosomatics
Volume 13 - 2022 | https://doi.org/10.3389/fpsyt.2022.846370
Editorial: Resilience in Chronic Disease
- School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China
Editorial on the Research Topic
Resilience in Chronic Disease
Resilience is usually defined as one's ability to “bounce back” from adversity and is a salient indicator of the quality of life and psychosocial functions of patients facing chronic diseases, for instance, cancer, hypertension, irritable bowel syndrome, and heart failure, etc. (1, 2). Thus, resilience is an important attribute for patients who face the challenge of chronic disease. How patients gain or lose resilience resources during the diagnosis, treatment, and ultimately the survival of chronic disease is attracting increased attention in bio-psycho-social medicine. Interestingly, there exist many different concepts of resilience including physiological, psychological, social, and spiritual resilience, that involve a variety of factors, from behavioral constructs like defense mechanisms, beliefs, and personalities to molecular levels of brain-derived neurotrophic factor, neuropeptide Y, and oxytocin in emotion- and cognition-related brain areas (3, 4). The factors underpinning psychological and social resilience are less established and therefore the primary focus in this collection. However, the construct of resilience has not been established and whether resilience should be defined as a state or trait continues to be debated (5). This collection aims to fill gaps in knowledge regarding the predicted ability of resilience to enhance long-term quality of life and other psychosomatic outcomes in patients with different chronic diseases, which need to be further explored and clarified.
The call for submissions on Resilience in Chronic Disease received a great response. The collection consists of 12 studies with a total of over 7,100 participants from different countries. A diversified array of populations including the general population in the COVID-19 pandemic (Büssing et al.), patients with chronic pain (Orakpo et al.), cancer (Tang et al.), irritable bowel disease (Funaba et al.; Luo et al.), cardiovascular disease (Qiu R. et al.), neurocognitive disorders (Wang et al.), renal transplant (Hu et al.), and rheumatoid arthritis (Shen et al.), as well as caregivers for children with chronic illness (Qiu, Xu et al.), patients with liver cancer (Mao et al.), and maintenance hemodialysis (Qiu, Huang et al.), were examined. Findings derived from the current collection echo the existing positive-psychology literature emphasizing the importance of psychological and social resilience in the move forward with chronic disease. Scientists from multi disciplines have contributed to this collection, providing contributions that raise awareness, educate, and reduce the impact of different chronic diseases on patients and their caregivers. However, several limitations should be emphasized here. First, most articles used observational designs (i.e., Büssing et al.; Tang et al.; Luo et al.; Qiu, Huang et al., etc.), describing resilience and its associations with other aspects of the psychological, social, and physical well-being of patients with chronic disease. Our specific aim was first, to recognize distinct resilience trajectories during diagnosis, treatment, and survivorship throughout the course of chronic disease, which was not achieved in the current collection (6, 7). Second, articles about resilience theory and instrument development are limited, and more future research should be undertaken to develop new resilience theories and instruments for the cultural and developmental levels of measuring the psychological and social aspects of resilience, which can help address debates about resilience construction (8–10). Third, the predicted ability of resilience to enhance the long-term quality of life and other psycho-somatic outcomes in patients with different chronic diseases is not fully explained (11). Prevention-oriented studies investigating how resilience mitigates the effect of chronic disease on patients' health in different phases (i.e., first diagnosis, remission, relapse) should be further explored. Fourth, in the move forward with resilience research in chronic disease, investigating the efficacy, sustainability and implementation challenges of resilience programs targeting patients with chronic disease and their caregivers should be the next step in furthering knowledge [Seiler et al.; (12–15)].
The author confirms being the sole contributor of this work and has approved it for publication.
This research was funded by grants from the National Natural Science Foundation of China (No. 71904033), the Humanity and Social Science Youth Foundation of the Ministry of Education of China (No. 19YJCZH227), the Humanity and Social Science Foundation of Department of Education of Guangdong Province (No. 2020WTSCX009), the Humanity and Social Science Foundation of Guangzhou (No. 2021GZGJ57), and the Humanity and Social Science Foundation of Guangzhou University of Chinese Medicine (Nos. 2020SKXK01 and 2021SKYB07).
Conflict of Interest
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Thanks are due to other guest editors of this collection, Dr. Lei Zhu, Dr. Anni Wang, Dr. Yuli Li, Prof. Melissa Thong, Prof. Tish Knobf, and other reviewers. This collection would not be realized without their input and dedication.
2. Ye ZJ, Qiu HZ, Li PF, Liang MZ, Zhu YF, Zeng Z, et al. Predicting changes in quality of life and emotional distress in Chinese patients with lung, gastric, and colon-rectal cancer diagnoses: the role of psychological resilience. Psycho-Oncol. (2017) 26:829–35. doi: 10.1002/pon.4237
4. Faye C, Mcgowan JC, Denny CA, David DJ. Neurobiological mechanisms of stress resilience and implications for the aged population. Curr Neuropharmacol. (2018) 16:234–70. doi: 10.2174/1570159X15666170818095105
5. Ye ZJ, Zhang Z, Zhang XY, Tang Y, Chen P, Liang MZ, et al. State or trait? Measuring resilience by generalisability theory in breast cancer. Eur J Oncol Nurs. (2020) 46:101727. doi: 10.1016/j.ejon.2020.101727
6. Lam WW, Bonanno GA, Mancini AD, Ho S, Chan M, Hung WK, et al. Trajectories of psychological distress among Chinese women diagnosed with breast cancer. Psychooncology. (2010) 19:1044–51. doi: 10.1002/pon.1658
7. Ye ZJ, Zhang Z, Tang Y, Liang J, Sun Z, Hu GY, et al. Resilience patterns and transitions in the be resilient to breast cancer trial: an exploratory latent profile transition analysis. Psycho-Oncol. (2021) 30:901–9. doi: 10.1002/pon.5668
9. Ye ZJ, Zhang Z, Tang Y, Liang J, Sun Z, Zhang XY, et al. Development and psychometric analysis of the 10-item resilience scale specific to cancer: a multidimensional item response theory analysis. Eur J Oncol Nurs. (2019) 41:64–71. doi: 10.1016/j.ejon.2019.06.005
10. Liang MZ, Tang Y, Chen P, Liang J, Sun Z, Hu GY, et al. New resilience instrument for family caregivers in cancer: a multidimensional item response theory analysis. Health Qual Life Outcomes. (2021) 19:258. doi: 10.1186/s12955-021-01893-8
13. Ye ZJ, Zhang Z, Zhang XY, Tang Y, Liang J, Sun Z, et al. Effectiveness of adjuvant supportive-expressive group therapy for breast cancer. Breast Cancer Res Tr. (2020) 180:121–34. doi: 10.1007/s10549-020-05526-4
14. Ye ZJ, Qiu HZ, Liang MZ, Liu ML, Li PF, Chen P, et al. Effect of a mentor-based, supportive-expressive program, Be Resilient to Breast Cancer, on survival in metastatic breast cancer—A randomized, controlled intervention trial. Br J Cancer. (2017) 117:1486–94. doi: 10.1038/bjc.2017.325
15. Ye ZJ, Liang MZ, Qiu HZ, Liu ML, Hu GY, Zhu YF, et al. Effect of a multidiscipline mentor-based program, be resilient to breast cancer (BRBC), on female breast cancer survivors in mainland China—A randomized, controlled, theoretically-derived intervention trial. Breast Cancer Res Tr. (2016) 158:509–22. doi: 10.1007/s10549-016-3881-1
Keywords: resilience, chronic disease, vulnerability, cognition, intervention, psychosomatic
Citation: Ye ZJ (2022) Editorial: Resilience in Chronic Disease. Front. Psychiatry 13:846370. doi: 10.3389/fpsyt.2022.846370
Received: 31 December 2021; Accepted: 14 January 2022;
Published: 14 February 2022.
Edited and reviewed by: Josef Jenewein, Medical University of Graz, Austria
Copyright © 2022 Ye. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Zeng Jie Ye, firstname.lastname@example.org