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Recent health system shocks such as the Ebola outbreak of 2014-2016 and the global financial crisis of 2008 have generated global health interest in the concept of resilience. The concept is however not new, and has been applied to other sectors for a longer period of time. We conducted a review of empirical literature from both the health and other sectors to synthesize evidence on organizational resilience. We systematically searched for literature in PubMed, Econlit, EBSCOHOST databases, google, and Google Scholar and manually searched the reference lists of selected papers. We identified 34 papers that met our inclusion criteria. We analysed data from the selected papers by thematic review. Resilience was generally taken to mean a system's ability to continue to meet its objectives in the face of challenges. The concepts of resilience that were used in the selected papers emphasized not just a system's capacity to withstand shocks, but also to adapt and transform. The resilience of organizations was influenced by the following factors: Material resources, preparedness and planning, information management, collateral pathways and redundancy, governance processes, leadership practices, organizational culture, human capital, social networks and collaboration. A common theme across the selected papers is the recognition of resilience as an emergent property of complex adaptive systems. Resilience is both a function of planning for and preparing for future crisis (planned resilience), and adapting to chronic stresses and acute shocks (adaptive resilience). Beyond resilience to acute shocks, the resilience of health systems to routine and chronic stress (everyday resilience) is also key. Health system software is as, if not more important, as its hardware in nurturing health system resilience.

Recent health system shocks such as the Ebola disease outbreak have focused global health attention on the notion of resilient health systems. In this commentary, we reflect on the current framing of the concept of resilience in health systems discourse and propose a reframing. Specifically, we propose that: (1) in addition to sudden shocks, health systems face the ongoing strain of multiple factors. Health systems need the capacity to continue to deliver services of good quality and respond effectively to wider health challenges. We call this capacity everyday resilience; (2) health system resilience entails more than bouncing back from shock. In complex adaptive systems (CAS), resilience emerges from a combination of absorptive, adaptive and transformative strategies; (3) nurturing the resilience of health systems requires understanding health systems as comprising not only hardware elements (such as finances and infrastructure), but also software elements (such as leadership capacity, power relations, values and appropriate organizational culture). We also reflect on current criticisms of the concept of resilient health systems, such as that it assumes that systems are apolitical, ignoring actor agency, promoting inaction, and requiring that we accept and embrace vulnerability, rather than strive for stronger and more responsive systems. We observe that these criticisms are warranted to the extent that they refer to notions of resilience that are mismatched with the reality of health systems as CAS. We argue that the observed weaknesses of resilience thinking can be addressed by reframing and applying a resilience lens that is better suited to the attributes of health systems as CAS.

Background: Play has long been credited with fostering self-regulation in young children, though few studies have examined how children draw upon early childhood experiences with play to navigate adversity later in childhood. The purpose of this study is to describe the facets of the children’s everyday resiliency that were attributed to their play-based experiences by parents and teachers as they reflected on the children’s kindergarten experiences during the COVID-19 pandemic. Methods: We used a cross-case study design to examine the positive coping strategies parents and teachers observed in three five-year-old girls and one six-year-old boy entering kindergarten during the 2020–2021 pandemic-affected school year. We recruited parent participants based on their child’s enrollment at a Reggio Emilia-inspired, play-based early childhood center in Northern Colorado for three or more years prior to entering kindergarten. Once parents enrolled in the study, we extended an invitation to their child’s kindergarten teacher to participate. Data included three one-hour interviews with each participant, field visits during remote learning, and artifact collection over the course of the school year. Results: Cross-case analysis revealed four themes: “Willing to Adjust”, “Understands the Situation”, “Uses Advanced Language”, and “Embraces Challenge”. Participants describe these children as willing to adjust to public health orders, having a deep understanding of the pandemic’s societal repercussions, using sophisticated language to process adversity, and embracing the challenge of becoming kindergarteners. Conclusions: Participants believed these children’s experiences with play-based learning promoted the interdisciplinary development of their social language, persistence, altruism, and cognitive flexibility; these traits fostered the children’s positive coping strategies throughout the pandemic-affected kindergarten year.

The COVID-19 outbreak could be considered as an uncontrollable stressful life event. Lockdown measures have provoked a disruption of daily life with a great impact over older adults’ health and well-being. Nevertheless, eudaimonic well‐being plays a protective role in confronting adverse circumstances, such as the COVID-19 situation. This study aims to assess the association between age and psychological well-being (personal growth and purpose in life). Young–old (60–70 years) and old–old (71–80 years) community-dwelling Spaniards (N = 878) completed a survey and reported on their sociodemographic characteristics and their levels of health, COVID-19 stress-related, appraisal, and personal resources. Old–old did not evidence poorer psychological well-being than young–old. Age has only a negative impact on personal growth. The results also suggest that the nature of the COVID-19 impact (except for the loss of a loved one) may not be as relevant for the older adults’ well-being as their appraisals and personal resources for managing COVID-related problems. In addition, these results suggest that some sociodemographic and health-related variables have an impact on older adults’ well-being. Thus, perceived-health, family functioning, resilience, gratitude, and acceptance had significant associations with both personal growth and purpose in life. Efforts to address older adults’ psychological well-being focusing on older adults’ personal resources should be considered.

Over decades now, urban scholars have highlighted the limitations of floods control measures in facilitating resilience especially in the cities of the global South. In response, studies have researched about how urbanites draw civic engagement, social power, cooperations, collective savings to minimize vulnerability to hazards in cities of the global South. Moreover, the place of mundane practices of marginalized urbanites in the resilience building processes remains understudied. Motivated by the potentials of ordinary practices, we contribute to debates on urban resilience, urban marginality and bottom-up initiatives of urbanites by introducing the everyday practice lens into disaster and risk studies as an alternative way of theorizing urban disaster. Together, we explore the day-to-day acts of marginalized residents in building resilience to flood hazards, by unpacking how residents develop adaptive capacity to flood hazards; recover; and build redundancy of the community sub-systems in the events of floods. We show how the act of building social cohesion and relations in the event of flood works to improve the adaptive capacity of marginalized residents, enable some level of recovery and redundancy of the community sub-systems. The findings suggest that while ordinary social relations and networks may exist loosely among marginalized urban residents in the absence of hazards or disasters, they become constricted bonds that exert influence to foster preliminary recovery from flood hazards. We argue that analyzing ordinary social networks including the (in)visible acts of marginalized urbanites can further understanding about how resilient is built in everyday life in the informal settlements. This paper recommends further studies to pay attention to social differentiations among marginalized groups in fostering resilience to flood hazards and disasters.

Evidence has accumulated that implicates childhood trauma in the aetiology of psychosis, but our understanding of the putative psychological processes and mechanisms through which childhood trauma impacts on individuals and contributes to the development of psychosis remains limited. We aimed to investigate whether stress sensitivity and threat anticipation underlie the association between childhood abuse and psychosis. We used the Experience Sampling Method to measure stress, threat anticipation, negative affect, and psychotic experiences in 50 first-episode psychosis (FEP) patients, 44 At-Risk Mental State (ARMS) participants, and 52 controls. Childhood abuse was assessed using the Childhood Trauma Questionnaire. Associations of minor socio-environmental stress in daily life with negative affect and psychotic experiences were modified by sexual abuse and group (all p FWE < 0.05). While there was strong evidence that these associations were greater in FEP exposed to high levels of sexual abuse, and some evidence of greater associations in ARMS exposed to high levels of sexual abuse, controls exposed to high levels of sexual abuse were more resilient and reported less intense negative emotional reactions to socio-environmental stress. A similar pattern was evident for threat anticipation. Elevated sensitivity and lack of resilience to socio-environmental stress and enhanced threat anticipation in daily life may be important psychological processes underlying the association between childhood sexual abuse and psychosis.

In this study we explore gender-differentiated drivers of disadoption and nonadoption of climate-smart agriculture (CSA) technologies among smallholder farmers for everyday adaptation and resilience building in the face of the increasing threat of climate risk. We apply theoretical perspectives from mainstream technology adoption and gendered vulnerability to identify underlying vulnerabilities and inequalities that drive disadoption (the decision to discontinue any CSA technology previously practiced) and nonadoption (the decision not to use any form of CSA technology). We used an exploratory-sequential mixed methods design at the local level in Chikwawa, Malawi, and Gwembe, Zambia, to understand gender-differentiated drivers of CSA disadoption and nonadoption. Key interviews were conducted with identified critical informants at the district level, followed by focus group discussions with men and women at the village level to obtain qualitative data. We collected quantitative data through a cross-sectional household survey. Findings show that gender-differentiated drivers of CSA disadoption and nonadoption fall within social, economic, institutional, and environmental categories and underlying gendered vulnerability and inequality shape these drivers. CSA is introduced within preexisting gendered vulnerability and inequality, shaping adoption decisions by diverse groups of female and male smallholder farmers. Consequently, CSA outcomes of improved agricultural productivity, adaptation, and resilience building may not be equally achieved because of gender inequalities and vulnerabilities that demotivate diverse households from adopting CSA. This work contributes to a contemporary gender-transformative paradigm in climate change adaptation and disaster risk reduction by focusing on CSA adoption in climate-sensitive regions.

'Academic resilience' refers to a student's capacity to overcome acute or chronic adversities that are seen as major assaults on educational processes. Although intersecting with highly vulnerable and important populations, academic resilience does not map onto the many students who are faced with setbacks, challenges and pressures that are part of more regular academic life. This, it is argued, reflects 'academic buoyancy' that maps onto the many students who must negotiate the ups and downs of everyday academic life as distinct from acute and chronic adversities relevant to more traditional constructions of academic resilience. Inherent in this argument, then, is a proposed hierarchical framework in which academic buoyancy is a necessary but not sufficient condition for academic resilience. Such a hierarchical framework, therefore, has the potential to speak to all students and so represents an encompassing framework that can more fully explain the nature and extent of adversities and challenges that are part of academic life. We further contend that academic resilience and academic buoyancy require multidimensional approaches to their conceptualising and measurement in order to most effectively differentiate the factors that are (and are not) components, causes, correlates and cognate to them. We conclude by proposing a number of conceptual and empirical approaches to a next generation of research into academic resilience and academic buoyancy, develop the notion of 'leading' and 'lagging' indicators of buoyancy and resilience, and identify the implications of our framework for intervention and policy in the academic domain and beyond.

Divorce is a highly stressful event, and much remains to be learned about the factors that promote psychological resilience when marriages come to an end. In this study, divorcing adults (N = 109) completed a 4-min stream-of-consciousness recording about their marital separation at an initial laboratory visit. Four judges rated the degree to which participants exhibited self-compassion (defined by self-kindness, an awareness of one's place in shared humanity, and emotional equanimity) in their recordings. Judges evidenced considerable agreement in their ratings of participants' self-compassion, and these ratings demonstrated strong predictive utility: Higher levels of self-compassion at the initial visit were associated with less divorcerelated emotional intrusion into daily life at the start of the study, and this effect persisted up to 9 months later. These effects held when we accounted for a number of competing predictors. Self-compassion is a modifiable variable, and if our findings can be replicated, they may have implications for improving the lives of divorcing adults.

Bullying victimization confers the risk for developing various mental disorders, but studies investigating candidate mechanisms remain scarce, especially in the realm of youth mental health. Elevated stress sensitivity may constitute a mechanism linking bullying victimization and mental health problems. In the current study, we aimed to investigate whether exposure to bullying victimization amplifies stress sensitivity in youth’s daily life. The Experience Sampling Method (ESM) was used to measure stress sensitivity [i.e. the association of momentary stress with (i) negative affect and (ii) psychotic experiences] in 42 help-seeking youths (service users), 17 siblings, and 40 comparison subjects (mean age 15 years). Before ESM assessments, bullying victimization at school as well as various psychopathological domains (i.e. depression, anxiety, psychosis) were assessed. Service users exposed to high levels of overall (primary hypotheses) as well as specific types (secondary hypotheses; physical and indirect, but not verbal) of bullying victimization experienced more intense negative affect and psychotic experiences in response to stress compared to those with low exposure levels (all p < 0.05), whereas, in contrast, controls showed either less intense negative affect or no marked differences in stress sensitivity by exposure levels. In siblings, a less consistent pattern of findings was observed. Findings suggest that stress sensitivity may constitute a potential risk and resilience mechanism linking bullying victimization and youth mental health. Interventions that directly target individuals’ reactivity to stress by providing treatment components in real-life using mHealth tools may be a promising novel therapeutic approach.