Resilience level, its determinants and its effect on psychological well-being: A cross-sectional evaluation among school-going adolescents of Patna, Bihar, India.

ABSTRACT

BACKGROUND: Adolescents with higher resilience levels are reported to be less vulnerable to psychological illnesses. The study examined resilience level, its determinants and its effect on psychological well-being among school-going adolescents of Patna, Bihar, India. METHODS: Adopting cross-sectional design we examined resilience levels among the study participants reading in the sixth, seventh and eighth standards of selected schools of Patna district using the Child Youth Resilience Measure-Revised questionnaire during March 2021. Psychological well-being was assessed using Patient Health Questionnaire-4. Data of in total 468 enrolled participants were analysed using SPSS 22.0. RESULTS: The mean resilience score was observed to be 62.4 ± 8.8. In multiple linear regression analysis using backward method; increasing age (unstandardised beta [ß] 0.564, standard error [SE] 0.271, P 0.038), male gender (ß 2.753, SE 0.775, P < 0.001), high per capita monthly family income (≥18 USD [median]) (ß 1.829, SE 0.743, P 0.014), academic satisfaction (ß 2.003, SE 0.962, P 0.038), no history of abuse (physical or mental) in the past 30 days (ß 2.752, SE 1.220, P 0.025) and increasing self-esteem score (measured by Rosenberg Self-Esteem Scale) (ß 0.808, SE 0.098, P < 0.001) were found to be positive determinants of the total resilience level. Resilience was found to be positively correlated with psychological well-being (spearman rho correlation co-efficient [ρ] 0.363, P < 0.001). CONCLUSIONS: Abuse, academic satisfaction and self-esteem were the modifiable determinates of resilience that could be elucidated in this investigation. Resilience level positively influenced psychological well-being.