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Measuring resilience prospectively as the speed of affect recovery in daily life: a complex systems perspective on mental health

a complex systems perspective on mental health
Authors: Kuranova, Anna; Booij, Sanne H.; Menne-Lothmann, Claudia; Decoster, Jeroen; van Winkel, Ruud; Delespaul, Philippe; De Hert, Marc; +7 Authors

Measuring resilience prospectively as the speed of affect recovery in daily life: a complex systems perspective on mental health

Abstract

Abstract Introduction There is growing evidence that mental disorders behave like complex dynamic systems. Complex dynamic systems theory states that a slower recovery from small perturbations indicates a loss of resilience of a system. This study is the first to test whether the speed of recovery of affect states from small daily life perturbations predicts changes in psychopathological symptoms over 1 year in a group of adolescents at increased risk for mental disorders. Methods We used data from 157 adolescents from the TWINSSCAN study. Course of psychopathology was operationalized as the 1-year change in the Symptom Checklist-90 sum score. Two groups were defined: one with stable and one with increasing symptom levels. Time-series data on momentary daily affect and daily unpleasant events were collected 10 times a day for 6 days at baseline. We modeled the time-lagged effect of daily unpleasant events on negative and positive affect after each unpleasant event experienced, to examine at which time point the impact of the events is no longer detectable. Results There was a significant difference between groups in the effect of unpleasant events on negative affect 90 min after the events were reported. Stratified by group, in the Increase group, the effect of unpleasant events on both negative (B = 0.05, p < 0.01) and positive affect (B = − 0. 08, p < 0.01) was still detectable 90 min after the events, whereas in the Stable group this was not the case. Conclusion Findings cautiously suggest that adolescents who develop more symptoms in the following year may display a slower affect recovery from daily perturbations at baseline. This supports the notion that mental health may behave according to the laws of a complex dynamic system. Future research needs to examine whether these dynamic indicators of system resilience may prove valuable for personalized risk assessment in this field.

Keywords

DYNAMICS, Adult, Male, Adolescent, CRITICAL SLOWING-DOWN, Activities of Daily Living/psychology, Young Adult, Medicine, General & Internal, LIST, General & Internal Medicine, THREATENING EXPERIENCES, Activities of Daily Living, Medicine and Health Sciences, Journal Article, Mental Health/standards, Humans, Prospective Studies, 11 Medical and Health Sciences, SCALE, Psychological resilience, Science & Technology, 42 Health sciences, Psychopathology, Research Support, Non-U.S. Gov't, PSYCHOPATHOLOGY, Complex systems theory, R, 32 Biomedical and clinical sciences, General Medicine, Affect dynamics, Resilience, Psychological, Resilience, Psychological/ethics, PREDICTS, Mental Health, ONSET, Medicine, Female, Human medicine, Speed of recovery, Life Sciences & Biomedicine, Research Article

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
38
Top 10%
Top 10%
Top 10%
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