<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Edwards, Karlyn A</style></author><author><style face="normal" font="default" size="100%">Alschuler, Kevin A</style></author><author><style face="normal" font="default" size="100%">Ehde, Dawn M</style></author><author><style face="normal" font="default" size="100%">Battalio, Samuel L</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Changes in Resilience Predict Function in Adults With Physical Disabilities: A Longitudinal Study.</style></title><secondary-title><style face="normal" font="default" size="100%">Arch Phys Med Rehabil</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2017</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2017 Feb</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">98</style></volume><pages><style face="normal" font="default" size="100%">329-336</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;OBJECTIVES: &lt;/b&gt;(1) To determine if resilience exhibits similar stability across time as depression, fatigue, and sleep quality; and (2) to determine if changes in resilience over a period of 1 year are associated with changes in depression, fatigue, sleep quality, and physical function over the same time period.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;DESIGN: &lt;/b&gt;Observational longitudinal survey study with measures administered 2 times, 1 year apart.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;SETTING: &lt;/b&gt;Community-based population sample.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;PARTICIPANTS: &lt;/b&gt;Adults with physical disabilities (N=893).&lt;/p&gt;
&lt;p&gt;&lt;b&gt;INTERVENTIONS: &lt;/b&gt;Not applicable.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;MAIN OUTCOME MEASURES: &lt;/b&gt;Primary outcomes were measures of resilience (Connor-Davidson Resilience Scale), depression (Patient Health Questionnaire-9), fatigue (Patient-Reported Outcomes Measurement Information System [PROMIS] Fatigue Short Form), sleep quality (PROMIS Sleep Disturbance), and physical function (8-item PROMIS Physical Functioning).&lt;/p&gt;
&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;Resilience (r=.71, P&amp;lt;.001) exhibited similar stability over 1 year to depression (r=.71, P&amp;lt;.001), fatigue (r=.79, P&amp;lt;.001), and sleep quality (r=.68, P&amp;lt;.001). A decrease in resilience was associated with an increase in depression (F1,885=70.23; P&amp;lt;.001; R(2)=.54) and fatigue (F1,885=25.66; P&amp;lt;.001; R(2)=.64), and an increase in resilience was associated with improved sleep quality (F1,885=30.76; P&amp;lt;.001; R(2)=.48) and physical function (F1,885=16.90; P&amp;lt;.001; R(2)=.86) over a period of 1 year, while controlling for age, sex, and diagnosis.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;CONCLUSIONS: &lt;/b&gt;Resilience exhibits similar test-retest stability as other important domains that are often treatment targets. Changes in resilience were associated with changes in depression, fatigue, sleep quality, and physical functioning over the course of 1 year. Further longitudinal and experimental research is warranted to investigate the potential causal effect of changes in resilience on quality of life in individuals with physical disabilities.&lt;/p&gt;
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