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Evaluating the Prevalence and Correlates of Low Resilience in Patients Before Discharge from Acute Mental Health Units in Alberta, Canada

Published online by Cambridge University Press:  26 August 2025

E. Owusu*
Affiliation:
Psychiatry, University of Alberta, Edmonton
W. Mao
Affiliation:
Psychiatry, University of Alberta, Edmonton
R. Shalaby
Affiliation:
Psychiatry, University of Alberta, Edmonton
H. Elgendy
Affiliation:
Psychiatry, University of Alberta, Edmonton
B. Agyapong
Affiliation:
Psychiatry, University of Alberta, Edmonton
E. Eboreime
Affiliation:
Psychiatry, Dalhousie University, Halifax
M. A. Lawal
Affiliation:
Psychiatry, University of Alberta, Edmonton
N. Nkire
Affiliation:
Psychiatry, University of Alberta, Edmonton
C. T. Hilario
Affiliation:
Nursing, University of British Columbia, Okanagan
P. Silverstone
Affiliation:
Psychiatry, University of Alberta, Edmonton
P. Chue
Affiliation:
Psychiatry, University of Alberta, Edmonton
X.-M. Lin
Affiliation:
Psychiatry, University of Alberta, Edmonton
Y. Wei
Affiliation:
Psychiatry, University of Alberta, Edmonton
W. Vuong
Affiliation:
Addiction and Mental Health, Alberta Health Services
A. Ohinmaa
Affiliation:
School of Public Health, University of Alberta, Edmonton
V. Taylor
Affiliation:
Psychiatry, University of Calgary, Calgary, Canada
A. J. Greenshaw
Affiliation:
Psychiatry, University of Alberta, Edmonton
V. I. Agyapong
Affiliation:
Psychiatry, University of Alberta, Edmonton Psychiatry, Dalhousie University, Halifax
*
*Corresponding author.

Abstract

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Introduction

Many people experience at least one traumatic event in their lifetime. Although such traumatic events can precipitate psychiatric disorders, many individuals exhibit high resilience by adapting to such events with little disruption or may recover their baseline level of functioning after a transient symptomatic period.

Objectives

To investigate the prevalence and correlates of low resilience in patients before discharge from psychiatric acute care facilities.

Methods

Respondents for this study were recruited from nine psychiatric in-patient units across Alberta. Demographic and clinical information were collected via a REDCap online survey. The brief resilience scale (BRS) was used to measure low resilience. A chi-square analysis followed by a binary logistic regression model was employed to identify significant predictors of low resilience.

Results

Overall, 1004 participants took part in this study; 360 (35.9%) were less than 25 years old, 269 (34.7%) were above 40 years old, and most participants were females 550 (54.8%) and Caucasians 625 (62.3%). The prevalence of low resilience in this cohort was (555/1004, 55.3%). Respondents who identified as female were one and a half times more likely to show low resilience (OR=1.564; 95% C.I.=1.79-2.10), while individuals with ‘other gender’ identity were three and a half times more likely to evidence low resilience (OR=3.646; 95% C.I.=1.36-9.71) compared to male gender persons. Similarly, Caucasians were two and one-and-a-half times respectively more likely to present with low resilience compared with respondents who identified as Black people (OR=2.21; 95% C.I.=1.45-3.70) and Asians (OR=1.589; 95% C.I.=1.45-2.44). Additionally, persons with a diagnosis of depression were more than two times and four times, respectively, more likely to present with low resilience than those with bipolar disorder (OR=2.567; 95% C.I.=1.72-3.85) and those with schizophrenia (OR=4.081;95% C.I.= 2.63-6.25)

Conclusions

Several demographic and clinical factors were identified as predictors of likely low resilience. The findings may facilitate the identification of vulnerable groups to enable their increased access to support programs that may enhance resilience.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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