The Association Between Intrapersonal Resilience Resources and Quality of Life Among Older Persons Living With HIV: A Systematic Review.
Shakaye R Haase, Rebecca Billings, David E Vance and 1 others
PMID 37815846WHAT IT FOUND
Across 19 observational studies, higher intrapersonal resilience, spirituality, self-efficacy, and coping were consistently associated with better quality of life in older adults living with HIV.
These are naturalistic associations, not proof that resilience interventions improve outcomes.
Key findings
01Most included studies found a positive association between intrapersonal resilience resources and quality of life outcomes in people living with HIV.
02Resilience resources often mediated the relationship between stressors like stigma and quality of life, suggesting a buffering role.
03The review excluded intervention studies to establish naturalistic associations first, so it cannot determine the effect of resilience interventions on quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
All included studies were cross-sectional, so they cannot prove that resilience causes better quality of life or vice versa. The review excluded intervention studies, so it provides no evidence on whether building resilience improves outcomes. Sample sizes varied widely, and some studies were underpowered. The focus was on older adults (40+), so findings may not generalize to younger people living with HIV. Interpersonal resources like social support were excluded, limiting the view of total resilience capacity.
Declared interests
No specific funding or conflict of interest declarations are provided in the text.
The easy way to misread this
Do not interpret these associations as evidence that resilience interventions work. The review excluded intervention studies and found only naturalistic links, so it cannot tell you if trying to increase a patient's resilience will actually improve their quality of life.