A path to post-trauma resilience: a mediation model of the flexibility sequence.

Martin Robinson, Emily McGlinchey, George A Bonanno, Eric Spikol, Chérie Armour
Author Information
  1. Martin Robinson: Research Centre for Stress Trauma and Related Conditions (STARC), School of Psychology, Queen's University Belfast, Belfast, UK. ORCID
  2. Emily McGlinchey: Research Centre for Stress Trauma and Related Conditions (STARC), School of Psychology, Queen's University Belfast, Belfast, UK. ORCID
  3. George A Bonanno: Teachers College, Columbia University, New York, USA. ORCID
  4. Eric Spikol: Research Centre for Stress Trauma and Related Conditions (STARC), School of Psychology, Queen's University Belfast, Belfast, UK. ORCID
  5. Chérie Armour: Research Centre for Stress Trauma and Related Conditions (STARC), School of Psychology, Queen's University Belfast, Belfast, UK. ORCID

Abstract

Psychological resilience has grown in popularity as a topic of study in psychotraumatology research; however, this concept remains poorly understood and there are several competing theories of resilience. This study sought to assess the support for one proposed theory of resilience: the flexibility sequence. This study use secondary data analysis of panel survey data (= 563). Participants were aged 18 years or over and based in the UK. A series of sequential mediation models was used to test the flexibility sequence theory as a proposed pathway of resilience on mental health outcomes (post-traumatic stress disorder, anxiety, and depression) among a trauma-exposed sample from the UK. The 'feedback' component of the proposed flexibility sequence components was associated with reduced symptom severity with all outcomes, whereas 'context sensitivity' and 'repertoire' were significantly associated only with depression as an outcome. When indirect mediation pathways were modelled via the flexibility sequence, statistically significant effects were observed for all outcomes under investigation. These findings support the theorized flexibility sequence pathway of resilience, suggesting that the combination of these skills/processes performs more favourably as a framework of resilience than any in isolation. Further research into more elaborate associations and feedback loops associated with this pathway is warranted.

Keywords

References

  1. Multivariate Behav Res. 2020 Mar-Apr;55(2):188-210 [PMID: 31179751]
  2. J Couns Psychol. 2012 Apr;59(2):262-73 [PMID: 22506909]
  3. Health Psychol Rev. 2017 Jun;11(2):130-134 [PMID: 28287341]
  4. Am J Clin Nutr. 2017 Jun;105(6):1259-1271 [PMID: 28446497]
  5. Clin Psychol Rev. 2018 Jul;63:41-55 [PMID: 29902711]
  6. J Pers Soc Psychol. 1986 Dec;51(6):1173-82 [PMID: 3806354]
  7. Eur J Psychotraumatol. 2017 Oct 27;8(sup5):1353383 [PMID: 29075426]
  8. Eur J Psychotraumatol. 2021 Jun 30;12(1):1942642 [PMID: 34262670]
  9. Perspect Psychol Sci. 2013 Nov;8(6):591-612 [PMID: 26173226]
  10. Psychol Bull. 2014 Nov;140(6):1582-607 [PMID: 25222637]
  11. J Gen Intern Med. 2001 Sep;16(9):606-13 [PMID: 11556941]
  12. Psychol Assess. 2016 Nov;28(11):1379-1391 [PMID: 26653052]
  13. Science. 2021 Sep 17;373(6561):1315 [PMID: 34529470]
  14. Arch Intern Med. 2006 May 22;166(10):1092-7 [PMID: 16717171]
  15. Assessment. 2004 Dec;11(4):330-41 [PMID: 15486169]
  16. Psychol Assess. 2016 Aug;28(8):929-41 [PMID: 26502200]
  17. Annu Rev Clin Psychol. 2011;7:511-35 [PMID: 21091190]
  18. PLoS One. 2017 Oct 5;12(10):e0186057 [PMID: 28982138]
  19. Lancet. 2019 Jul 20;394(10194):240-248 [PMID: 31200992]
  20. Eur J Psychotraumatol. 2014 Oct 01;5: [PMID: 25317257]
  21. Assessment. 2020 Mar;27(2):261-273 [PMID: 30577707]
  22. Behav Res Methods. 2009 May;41(2):486-98 [PMID: 19363189]
  23. PLoS One. 2015 May 26;10(5):e0128307 [PMID: 26011626]
  24. Eur J Psychotraumatol. 2021 Jan 26;12(1):1863578 [PMID: 34992744]
  25. Annu Rev Clin Psychol. 2008;4:1-32 [PMID: 18509902]
  26. Compr Psychiatry. 2014 May;55(4):866-9 [PMID: 24467941]

MeSH Term

Anxiety
Humans
Resilience, Psychological
Stress Disorders, Post-Traumatic
Surveys and Questionnaires

Word Cloud

Created with Highcharts 10.0.0flexibilitysequenceresiliencemediationstudyproposedpathwayoutcomesdepressionassociatedresearchsupporttheoryresilience:dataUKanxietyPsychologicalgrownpopularitytopicpsychotraumatologyhoweverconceptremainspoorlyunderstoodseveralcompetingtheoriessoughtassessoneusesecondaryanalysispanelsurvey= 563Participantsaged18yearsbasedseriessequentialmodelsusedtestmentalhealthpost-traumaticstressdisorderamongtrauma-exposedsample'feedback'componentcomponentsreducedsymptomseveritywhereas'contextsensitivity''repertoire'significantlyoutcomeindirectpathwaysmodelledviastatisticallysignificanteffectsobservedinvestigationfindingstheorizedsuggestingcombinationskills/processesperformsfavourablyframeworkisolationelaborateassociationsfeedbackloopswarrantedpathpost-traumamodelPTSDResiliencetrauma

Similar Articles

Cited By