Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions

ObjectivesTo synthesise the available evidence on interventions designed to improve individual resilience.DesignA systematic review and meta-analysisMethodsThe following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order t...

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Published in:	BMJ open Vol. 8; no. 6; p. e017858
Main Authors:	Joyce, Sadhbh, Shand, Fiona, Tighe, Joseph, Laurent, Steven J, Bryant, Richard A, Harvey, Samuel B
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group LTD 01.06.2018 BMJ Publishing Group
Subjects:	Cognitive behavioral therapy Evidence-based medicine Intervention Mental depression Mental Health Meta-analysis Psychiatry Public health Researchers Resilience (Psychology) Stress Systematic review resilience training resilience mental health mindfulness public health
ISSN:	2044-6055, 2044-6055
Online Access:	Get full text
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Abstract	ObjectivesTo synthesise the available evidence on interventions designed to improve individual resilience.DesignA systematic review and meta-analysisMethodsThe following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order to identify any controlled trials or randomised controlled trials (RCTs) examining the efficacy of interventions aimed at improving psychological resilience. Pooled effects sizes were calculated using the random-effects model of meta-analysis.Outcome measuresValid and reliable measures of psychological resilience.ResultsOverall, 437 citations were retrieved and 111 peer-reviewed articles were examined in full. Seventeen studies met the inclusion criteria and were subject to a quality assessment, with 11 RCTs being included in the final meta-analysis. Programmes were stratified into one of three categories (1) cognitive behavioural therapy (CBT)-based interventions, (2) mindfulness-based interventions or (3) mixed Interventions, those combining CBT and Mindfulness training. A meta-analysis found a moderate positive effect of resilience interventions (0.44 (95% CI 0.23 to 0.64) with subgroup analysis suggesting CBT-based, mindfulness and mixed interventions were effective.ConclusionsResilience interventions based on a combination of CBT and mindfulness techniques appear to have a positive impact on individual resilience.
AbstractList	To synthesise the available evidence on interventions designed to improve individual resilience. A systematic review and meta-analysis METHODS: The following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order to identify any controlled trials or randomised controlled trials (RCTs) examining the efficacy of interventions aimed at improving psychological resilience. Pooled effects sizes were calculated using the random-effects model of meta-analysis. Valid and reliable measures of psychological resilience. Overall, 437 citations were retrieved and 111 peer-reviewed articles were examined in full. Seventeen studies met the inclusion criteria and were subject to a quality assessment, with 11 RCTs being included in the final meta-analysis. Programmes were stratified into one of three categories (1) cognitive behavioural therapy (CBT)-based interventions, (2) mindfulness-based interventions or (3) mixed Interventions, those combining CBT and Mindfulness training. A meta-analysis found a moderate positive effect of resilience interventions (0.44 (95% CI 0.23 to 0.64) with subgroup analysis suggesting CBT-based, mindfulness and mixed interventions were effective. Resilience interventions based on a combination of CBT and mindfulness techniques appear to have a positive impact on individual resilience. To synthesise the available evidence on interventions designed to improve individual resilience.OBJECTIVESTo synthesise the available evidence on interventions designed to improve individual resilience.A systematic review and meta-analysis METHODS: The following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order to identify any controlled trials or randomised controlled trials (RCTs) examining the efficacy of interventions aimed at improving psychological resilience. Pooled effects sizes were calculated using the random-effects model of meta-analysis.DESIGNA systematic review and meta-analysis METHODS: The following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order to identify any controlled trials or randomised controlled trials (RCTs) examining the efficacy of interventions aimed at improving psychological resilience. Pooled effects sizes were calculated using the random-effects model of meta-analysis.Valid and reliable measures of psychological resilience.OUTCOME MEASURESValid and reliable measures of psychological resilience.Overall, 437 citations were retrieved and 111 peer-reviewed articles were examined in full. Seventeen studies met the inclusion criteria and were subject to a quality assessment, with 11 RCTs being included in the final meta-analysis. Programmes were stratified into one of three categories (1) cognitive behavioural therapy (CBT)-based interventions, (2) mindfulness-based interventions or (3) mixed Interventions, those combining CBT and Mindfulness training. A meta-analysis found a moderate positive effect of resilience interventions (0.44 (95% CI 0.23 to 0.64) with subgroup analysis suggesting CBT-based, mindfulness and mixed interventions were effective.RESULTSOverall, 437 citations were retrieved and 111 peer-reviewed articles were examined in full. Seventeen studies met the inclusion criteria and were subject to a quality assessment, with 11 RCTs being included in the final meta-analysis. Programmes were stratified into one of three categories (1) cognitive behavioural therapy (CBT)-based interventions, (2) mindfulness-based interventions or (3) mixed Interventions, those combining CBT and Mindfulness training. A meta-analysis found a moderate positive effect of resilience interventions (0.44 (95% CI 0.23 to 0.64) with subgroup analysis suggesting CBT-based, mindfulness and mixed interventions were effective.Resilience interventions based on a combination of CBT and mindfulness techniques appear to have a positive impact on individual resilience.CONCLUSIONSResilience interventions based on a combination of CBT and mindfulness techniques appear to have a positive impact on individual resilience. ObjectivesTo synthesise the available evidence on interventions designed to improve individual resilience.DesignA systematic review and meta-analysisMethodsThe following electronic databases were searched: Ovid Medline, Ovid EMBASE, PsycINFO, Ovid Cochrane and WHO Clinical Trials Registry in order to identify any controlled trials or randomised controlled trials (RCTs) examining the efficacy of interventions aimed at improving psychological resilience. Pooled effects sizes were calculated using the random-effects model of meta-analysis.Outcome measuresValid and reliable measures of psychological resilience.ResultsOverall, 437 citations were retrieved and 111 peer-reviewed articles were examined in full. Seventeen studies met the inclusion criteria and were subject to a quality assessment, with 11 RCTs being included in the final meta-analysis. Programmes were stratified into one of three categories (1) cognitive behavioural therapy (CBT)-based interventions, (2) mindfulness-based interventions or (3) mixed Interventions, those combining CBT and Mindfulness training. A meta-analysis found a moderate positive effect of resilience interventions (0.44 (95% CI 0.23 to 0.64) with subgroup analysis suggesting CBT-based, mindfulness and mixed interventions were effective.ConclusionsResilience interventions based on a combination of CBT and mindfulness techniques appear to have a positive impact on individual resilience.
Author	Harvey, Samuel B Shand, Fiona Joyce, Sadhbh Tighe, Joseph Laurent, Steven J Bryant, Richard A
AuthorAffiliation	2 The Black Dog Institute, University of New South Wales , Sydney , New South Wales , Australia 3 School of Psychology , University of Sydney , Sydney , New South Wales , Australia 4 School of Psychology, Faculty of Science , University of New South Wales , Sydney , New South Wales , Australia 1 Workplace Mental Health Research Team, School of Psychiatry, Faculty of Medicine , University of New South Wales , Sydney , New South Wales , Australia
AuthorAffiliation_xml	– name: 1 Workplace Mental Health Research Team, School of Psychiatry, Faculty of Medicine , University of New South Wales , Sydney , New South Wales , Australia – name: 2 The Black Dog Institute, University of New South Wales , Sydney , New South Wales , Australia – name: 4 School of Psychology, Faculty of Science , University of New South Wales , Sydney , New South Wales , Australia – name: 3 School of Psychology , University of Sydney , Sydney , New South Wales , Australia
Author_xml	– sequence: 1 givenname: Sadhbh surname: Joyce fullname: Joyce, Sadhbh email: sadhbh.joyce@unsw.edu.au organization: Workplace Mental Health Research Team, School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia – sequence: 2 givenname: Fiona surname: Shand fullname: Shand, Fiona email: sadhbh.joyce@unsw.edu.au organization: The Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia – sequence: 3 givenname: Joseph orcidid: 0000-0003-3553-6721 surname: Tighe fullname: Tighe, Joseph email: sadhbh.joyce@unsw.edu.au organization: The Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia – sequence: 4 givenname: Steven J surname: Laurent fullname: Laurent, Steven J email: sadhbh.joyce@unsw.edu.au organization: School of Psychology, University of Sydney, Sydney, New South Wales, Australia – sequence: 5 givenname: Richard A surname: Bryant fullname: Bryant, Richard A email: sadhbh.joyce@unsw.edu.au organization: School of Psychology, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia – sequence: 6 givenname: Samuel B surname: Harvey fullname: Harvey, Samuel B email: sadhbh.joyce@unsw.edu.au organization: The Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/29903782$$D View this record in MEDLINE/PubMed
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Snippet	ObjectivesTo synthesise the available evidence on interventions designed to improve individual resilience.DesignA systematic review and meta-analysisMethodsThe... To synthesise the available evidence on interventions designed to improve individual resilience. A systematic review and meta-analysis METHODS: The following... To synthesise the available evidence on interventions designed to improve individual resilience.OBJECTIVESTo synthesise the available evidence on interventions...
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SourceType	Open Access Repository Aggregation Database Index Database Enrichment Source Publisher
StartPage	e017858
SubjectTerms	Cognitive behavioral therapy Evidence-based medicine Intervention Mental depression Mental Health Meta-analysis Psychiatry Public health Researchers Resilience (Psychology) Stress Systematic review
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Title	Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions
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Volume	8
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