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Operationalising resilience in longitudinal studies: a systematic review of methodological approaches
  1. T D Cosco,
  2. A Kaushal,
  3. R Hardy,
  4. M Richards,
  5. D Kuh,
  6. M Stafford
  1. MRC Unit for Lifelong Health and Ageing, London, UK
  1. Correspondence to Dr T D Cosco, MRC Unit for Lifelong Health and Ageing at UCL, 33 Bedford Place, London WC1B 5JU, UK; t.cosco{at}ucl.ac.uk

Abstract

Over the life course, we are invariably faced with some form of adversity. The process of positively adapting to adverse events is known as ‘resilience’. Despite the acknowledgement of 2 common components of resilience, that is, adversity and positive adaptation, no consensus operational definition has been agreed. Resilience operationalisations have been reviewed in a cross-sectional context; however, a review of longitudinal methods of operationalising resilience has not been conducted. The present study conducts a systematic review across Scopus and Web of Science capturing studies of ageing that posited operational definitions of resilience in longitudinal studies of ageing. Thirty-six studies met inclusion criteria. Non-acute events, for example, cancer, were the most common form of adversity identified and psychological components, for example, the absence of depression, the most common forms of positive adaptation. Of the included studies, 4 used psychometrically driven methods, that is, repeated administration of established resilience metrics, 9 used definition-driven methods, that is, a priori establishment of resilience components and criteria, and 23 used data-driven methods, that is, techniques that identify resilient individuals using latent variable models. Acknowledging the strengths and limitations of each operationalisation is integral to the appropriate application of these methods to life course and longitudinal resilience research.

  • AGEING
  • Epidemiological methods
  • Research Design in Epidemiology

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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Footnotes

  • Twitter Follow Theodore Cosco at @tdcosco

  • Contributors The review was conceived by TDC, MR, RH, DK and MS. Title and abstract screening was carried out by TDC, AK and MS. TDC wrote the first draft which was edited and approved by all authors.

  • Funding This study was funded by Medical Research Council (grant number MC_UU_12019/1).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.