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    Co-creation and regional adaptation of a resilience-based universal whole-school program in five European regions
    (SAGE Publishing, 2020-09-03)
    The co-creation of educational services that promote youth resilience and mental health is still scarce. UPRIGHT (Universal Preventive Resilience Intervention Globally implemented in schools to improve and promote mental Health for Teenagers) is a research and intervention program in the Basque Country (Spain), Trentino (Italy), Low Silesia (Poland), Denmark and Reykjavik (Iceland). UPRIGHT implemented a co-creation research process whose results, outcomes and policy implications are presented here. The co-creation had a mixed-methods participatory research design with nine specific objectives linked to paired strategies of inquiry for adolescents, families, teachers and school staff. The overarching objective was to generate a valid and feasible regional adaptation strategy for UPRIGHT intervention model. Participants answered surveys ( n = 794) or attended 16 group sessions ( n = 217). The results integrate quantitative and qualitative information to propose a regional adaptation strategy that prioritizes resilience skills, adolescents’ concerns, and preferred methods for implementation across countries and in each school community. In conclusion, a whole-school resilience program must innovate, include and connect different actors, services and communities, and must incorporate new technologies and activities outside the classroom. A participatory co-creation process is an indispensable step to co-design locally relevant resilience interventions with the involvement of the whole-school community.
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    Development and validation of the theory-driven School Resilience Scale for Adults: Preliminary results
    (Elsevier, 2020-12-01)
    Resilience is the ability of an individual or community to adapt to life challenges or adversities while maintaining mental health and well-being. In the multi-systemic resilience paradigm, human development and resilience is embedded in adaptive systems and in their interactions. Although the relationship between school systems and adolescents' mental wellbeing is established, there is no agreement on how to recognize and evaluate the most relevant aspects of the school community, acting at collective level, to boost positive socio-emotional and educational outcomes in children and adolescents. This study presents the development and preliminary validation of a new and theory-driven construct and instrument, the School Resilience Scale for Adults (SRS). School Resilience comprises five interrelated constructs (i.e. Positive relationships, Belonging, Inclusion, Participation, and Mental health awareness) connected theoretically to wellbeing and resilience in children and adolescents. The scale development was theory-driven, and the instrument was tested in four European counties in the frame of the UPRIGHT project (Universal Preventive Resilience Intervention Globally implemented in schools to improve and promote mental Health for Teenagers). Overall, 340 adults participated, 129 teachers and school staff, and 211 relatives of teenagers. The sample was randomly split for two studies: (1) an Exploratory Factor analysis (ESEM), and (2) Confirmatory Factor (CFA) analysis. In the exploratory analysis, Chi-Square difference test and model fit indices point towards the five-factor solution over a three-factor solution. The confirmatory study indicated that a five-factor model (RMSEA = 0.038, CFI = 0.96, TLI = 0.95, SRMR = 0.045) was slightly better than a second-order model (RMSEA = 0.046, CFI = 0.94, TLI = 0.93, SRMR = 0.05). Convergent and discriminant validities were partially demonstrated. Alpha and omega reliability coefficients verified the measurement model of the scale. The results confirmed that a multidimensional construct of School Resilience, defined as a collective resilience factor, embedded in the school staff, family members, and adolescents’ interrelated systems can be characterized and measured. Further studies must determine its role in the promotion of adolescents' resilience, mental wellbeing, educational outcomes, and in their positive adaptation in challenging contexts.
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    Relevance of well-being, resilience, and health-related quality of life to mental health profiles of European adolescents: results from a cross-sectional analysis of the school-based multinational UPRIGHT project
    (Springer Science+Business Media, 2021-08-21)
    The existing evidence suggests that a complete evaluation of mental health should incorporate both psychopathology and mental well-being indicators. However, few studies categorize European adolescents into subgroups based on such complete mental health data. This study used the data on mental well-being and symptoms of mental and behavioral disorders to explore the mental health profiles of adolescents in Europe. METHODS: Data collected from adolescents (N = 3767; mean age 12.4 [SD = 0.9]) from five European countries supplied the information on their mental well-being (personal resilience, school resilience, quality of life, and mental well-being) and mental and behavioral disorder symptoms (anxiety, depression, stress, bullying, cyber-bullying, and use of tobacco, alcohol, or cannabis). Multiple correspondence analysis and cluster analysis were combined to classify the youths into mental health profiles. RESULTS: Adolescents were categorized into three mental health profiles. The "poor mental health" profile (6%) was characterized by low levels of well-being and moderate symptoms of mental disorders. The "good mental health" profile group (26%) showed high well-being and few symptoms of mental disorders, and the "intermediate mental health" profile (68%) was characterized by average well-being and mild-to-moderate symptoms of mental disorders. Groups with higher levels of well-being and fewer symptoms of mental disorders showed lower rates of behavioral problems. Mental well-being indicators strongly contributed to this classification. CONCLUSION: Adolescents with the "intermediate" or "poor" mental health profiles may benefit from interventions to improve mental health. Implications for school-based interventions are discussed. TRIAL REGISTRATION NUMBER (TRN) AND DATE OF REGISTRATION: ClinicalTrials.gov Identifier: NCT03951376. Registered 15 May 2019.
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    Resilience profiles across context: A latent profile analysis in a German, Greek, and Swiss sample of adolescents
    (Public Library of Science, 2022-01-01)
    The present study investigated resilience profiles (based on levels of symptoms of anxiety and depression and five dimensions of protective factors) of 1,160 students from Germany (n = 346, 46.0% females, Mage = 12.77, SDage = 0.78), Greece (n = 439, 54.5% females, Mage = 12.68, SDage = 0.69), and Switzerland (n = 375, 44.5% females, Mage = 12.29, SDage = 0.88) using latent profile analyses. We also checked for measurement invariance and investigated the influence of gender and migration on class membership. A three-profile-solution was found for Switzerland (nonresilient 22.1%, moderately resilient 42.9%, untroubled 34.9%), and a four-profile-solution was the best fitting model for Germany (nonresilient 15.7%, moderately resilient 44.2%, untroubled 27.3%, resilient 12.7%) and Greece (nonresilient 21.0%, moderately resilient 30.8%, untroubled 24.9%, resilient 23.3%). Measurement invariance did not hold across the three countries. Profile differences regarding class membership predictions were detected for Germany and Greece, but none for Switzerland. Results implicate that resilience profiles are highly contextually sensitive, and resilience research findings should not be generalized considering the particularity of contexts, people, and outcomes.
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    Resilience patterns of Swiss adolescents before and during the COVID-19 pandemic: a latent transition analysis
    (Routledge, 2022-01-01)
    This study investigated resilience patterns and predictors of these patterns (i.e. gender and migration background) among Swiss early adolescents in times of COVID-19. A total of 317 pupils participated at two time points. We conducted two separate latent class analyses and a latent transition analysis using mental health issues and protective factors as indicators. The results revealed three groups: resilient (high mental health issues, high protective factors), nonresilient (high mental health issues, low protective factors), and untroubled (low mental health issues, high protective factors). The resilient group was the most stable (91% stability), whereas the untroubled was the least stable (69% stability). Boys were more likely to be part of the untroubled group than the other groups at the second time point. Gender at the first time point and migration background at both time points were nonsignificant as predictors. Findings highlight the importance of group-specific research, health promotion, and interventions.
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    Psychometric properties of the Resilience Scale for Adults (RSA): a cross-cultural validation in a Chinese and a German-speaking Swiss sample
    (Springer Science+Business Media, 2026-04-01)
    Resilience refers to the ability to adapt and recover from adversity, influenced by intrapersonal and social factors. Given the prevalence of mental health problems, understanding and accurately measuring resilience in diverse populations has become a pressing priority in health and clinical psychology. The Resilience Scale for Adults (RSA) is widely used to assess protective factors. Although several cross-cultural studies have supported the RSA's construct validity, evidence from Mainland China using confirmatory approaches and from the revised German version in Switzerland remains limited. This study therefore examined the RSA's psychometric properties in these two culturally distinct samples/contexts (China and Switzerland) by focusing on factor structure and construct validity. An online survey collected data from 798 Chinese workers and 1,114 Swiss university students. The psychometric properties of the RSA were evaluated through confirmatory factor analysis (CFA), measurement invariance testing, and validity analyses. Convergent and incremental validity were examined using correlations, regressions, and structural equation modeling (SEM). CFA supported a six-factor solution in both samples. Convergent validity was confirmed through significant correlations with self-esteem, self-efficacy, satisfaction with life, depressive symptoms, stress, and burnout. After controlling for life satisfaction, RSA scores predicted additional variance in depressive symptoms (21% in China, 4% in Switzerland). In the Swiss sample, social competence, family cohesion, and social resources did not significantly predict depressive symptoms. The RSA is a valuable measure of protective resilience factors. However, generalizability is limited due to sample differences, which should be considered when interpreting the findings.
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