Resilience in the face of adversity in adults with an intellectual disability: A literature review.
Femke Scheffers, Eveline van Vugt, Xavier Moonen
PMID 32153087WHAT IT FOUND
Adults with intellectual disability described resilience as feeling in control, accepting themselves, staying healthy, having supportive people, and doing regular activities.
The evidence came from six case reports, so it is not proof that any therapy works.
Key findings
01The review identified three internal resilience themes: autonomy, self-acceptance, and physical health.
02The review identified two external resilience themes: a supportive social network and daily activities.
03Autonomy was described through managing money, living in one's own apartment, and taking part in self-advocacy.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
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What it does not show
The review found only 6 case reports, so it describes what some adults said rather than showing what helps most adults. Participants were mainly adults with mild to moderate intellectual disability living in protected homes, so the themes may not apply to people with severe disability or to people living independently. Quality scores ranged from 67% to 75%, and no study reported reflexivity, so the authors' influence on the findings was not described. Adversity and resilience were not measured consistently, and no standardized instruments were used. Three studies included only women, and 4 studies did not report the level of intellectual disability. The review reports themes, not effects, so it cannot show that any activity, relationship, health behaviour, or therapy caused resilience.
The easy way to misread this
Do not read the resilience themes as proven treatments. The review included only 6 case reports and did not measure outcomes or test interventions, so it shows what participants reported, not what causes resilience.