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An Examination of Resilience in the Longitudinal Assessment of Manic Symptoms Study

Chung, Winnie Wing Sum
http://rave.ohiolink.edu/etdc/view?acc_num=osu1441660715

Abstract Details

2015, Doctor of Philosophy, Ohio State University, Psychology.
The current study builds upon existing quality of life (QoL) research in children with psychopathology to begin examining resilience processes in this population of youth. Although available research suggests that psychiatric disorders and levels of psychopathological symptoms predict worse QoL, there is evidence that some who experience high levels of psychopathology also demonstrate high QoL. Using 2 years of data from the Longitudinal Assessment of Manic Symptoms (LAMS) study, the current work sought to identify specific demographic, parental/familial, and individual protective and resiliency factors that buffer the negative impact of psychopathological symptoms on parent- and youth-reported QoL. At baseline, data were available for 685 6- to 12-year-old children and one of their parents or guardian. Multilevel modeling was used to examine potential moderating effects of time-varying and time-invariant covariates on the time-linked relationship between symptom severity and QoL. Changes in the number of inpatient psychiatric hospitalizations, stressful life events, and total effect of life stress across time were found to moderate the severity-QoL relationship. Specifically, increasing number of inpatient psychiatric hospitalizations and total effect of life stress across time was found to reduce the negative effect of symptom severity on parent-reported QoL. Increasing number of youth-reported stressful life events and total effect of life stress also reduced the negative effect of symptom severity on youth-reported QoL. Additional factors such as social support, physical health concerns, parental psychopathology, parental and familial psychiatric histories, suicidality, and insurance status, while not found to moderate the severity-QoL relationship, uniquely predicted QoL. The current study also examined concordance rates between parent- and youth-reported QoL. While there was significant agreement in parents’ and youth’s ratings, levels of agreement differed across domains and over the course of the longitudinal study. Implications of current results for intervention approaches and treatment development work are discussed, and suggestions for future studies of resilience processes in youth with psychopathology are offered. Despite limitations of the current study due to its exploratory nature, this work offers reasons for optimism that youth experiencing increasing psychopathological symptoms over time are not necessarily “doomed” to synchronously worsening QoL, and provides important insights into the dynamic and interactive processes that give rise to better-than-expected outcomes among youth with psychopathology.
Mary Fristad, PhD (Advisor)
Steven Beck, PhD (Committee Member)
Theodore Beauchaine, PhD (Committee Member)
Young Lee, PhD (Committee Member)
337 p.
Psychology

Recommended Citations

Citations

  • Chung, W. W. S. (2015). An Examination of Resilience in the Longitudinal Assessment of Manic Symptoms Study [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1441660715

    APA Style (7th edition)

  • Chung, Winnie. An Examination of Resilience in the Longitudinal Assessment of Manic Symptoms Study. 2015. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1441660715.

    MLA Style (8th edition)

  • Chung, Winnie. "An Examination of Resilience in the Longitudinal Assessment of Manic Symptoms Study." Doctoral dissertation, Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1441660715

    Chicago Manual of Style (17th edition)

osu1441660715
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© 2015, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.