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What is resilience? A review and concept analysis

Published online by Cambridge University Press:  21 December 2010

Gill Windle*
Dementia Services Development Centre, Institute of Medical Social Care Research, Bangor University, UK
Address for correspondence: Dr Gill Windle, Dementia Services Development Centre, Institute of Medical Social Care Research, Bangor University, Ardudwy, Holyhead Road, Bangor, Gwynedd LL57 2PX, UK. Email:


The complexities of defining what appears to be the relatively simple concept of resilience are widely recognized. This paper analyses the concept of resilience from a range of disciplinary perspectives and clarifies a definition in order to inform research, policy and practice. The work takes a life course approach to resilience, examining evidence derived from research across the lifespan. It incorporates the methods of systematic review, concept analysis and consultation through face-to-face meetings. The synthesis of methodological approaches enables a clear identification of the antecedents, defining attributes and consequences of resilience, validated with stakeholder partners. Through this process, resilience is defined as the process of effectively negotiating, adapting to, or managing significant sources of stress or trauma. Assets and resources within the individual, their life and environment facilitate this capacity for adaptation and ‘bouncing back’ in the face of adversity. Across the life course, the experience of resilience will vary. A large proportion of resilience research is routed within the discipline of developmental psychology, and has mainly been developed with children and adolescents. A major contribution to resilience research could be made through more multi-disciplinary studies that examine the dynamics of resilience across the lifespan, its role in healthy ageing and in managing loss, such as changes in cognitive functioning.

Neuropsychiatry of old age
Copyright © Cambridge University Press 2010

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1Haskett, ME, Nears, K, Ward, CS, McPherson, AV. Diversity in adjustment of maltreated children: Factors associated with resilient functioning. Clin Psychol Rev 2006; 26: 796812.CrossRefGoogle ScholarPubMed
2Fergus, S, Zimmerman, MA. Adolescent resilience: a framework for understanding healthy development in the face of risk. Ann Rev Public Health 2005; 26: 399419.CrossRefGoogle Scholar
3Luthar, S, Cicchetti, D, Becker, B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 2000; 71: 543–62.CrossRefGoogle ScholarPubMed
4Kaplan, HB. Toward an understanding of resilience: A critical review of definitions and models. In Glantz, MD, Johnson, JR (eds). Resilience and Development: Positive Life Adaptations. New York: Plenum, 1999; pp. 1783.Google Scholar
5Masten, A. Resilience in developing systems: Progress and promise as the fourth wave rises. Dev Psychopathol 2007; 19: 921–30.CrossRefGoogle ScholarPubMed
6Vanderbilt-Adriance, E, Shaw, DS. Conceptualizing and re-evaluating resilience across levels of risk, time, and domains of competence. Clin Child Family Psychol Rev 2008; 11: 3058.CrossRefGoogle ScholarPubMed
7Bonnano, GA. Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol 2004; 59: 2028.CrossRefGoogle Scholar
8Curtis, WJ, Cicchetti, D. Moving research on resilience into the 21st century: Theoretical and methodological considerations in examining the biological contributors to resilience. Dev Psychopathol 2003; 15: 773810.CrossRefGoogle ScholarPubMed
9Luthar, SS, Brown, PJ. Maximizing resilience through diverse levels of inquiry: Prevailing paradigms, possibilities, and priorities for the future. Dev Psychopathol 2007; 19: 931–55.CrossRefGoogle ScholarPubMed
10Luthar, SS, Cicchetti, D. The construct of resilience: Implications for interventions and social policies. Dev Psychopathol 2000; 12: 857–85.CrossRefGoogle Scholar
11Dyer, JG, McGuinness, TM. Resilience: Analysis of the concept. Arch Psychiat Nursing 1996; 10: 276–82.CrossRefGoogle Scholar
12Gillespie, BM, Chaboyer, W, Wallis, M, Grimbeek, P. Resilience in the operating room: Developing and testing of a resilience model. J Adv Nursing 2007; 59: 427–38.CrossRefGoogle ScholarPubMed
13Walker, LO, Avant, KC. Strategies for Theory Construction in Nursing. New Jersey: Pearson Prentice Hall; 2005.Google Scholar
14Beckwith, S, Dickinson, A, Kendall, S. The ‘con’ of concept analysis: A discussion paper which explores and critiques the ontological focus, reliability and antecedents of concept analysis frameworks. Int J Nursing Studies 2008; 45: 1831–41.CrossRefGoogle ScholarPubMed
15Paley, J.How not to clarify concepts in nursing. J Adv Nursing 1996; 24: 572–78.CrossRefGoogle ScholarPubMed
16The Oxford Dictionary of English, revised edition [Internet] Oxford: Oxford University; 2005 (accessed 14 October 2009). Available at: http://www.oxfordreference.comGoogle Scholar
17The Collins English Dictionary, 10th edn [Internet]. London: Collins; 2010 (accessed 22 June 2010). Available at: http://www.collinsenglishlanguage.comGoogle Scholar
18A Dictionary of Environment and Conservation [Internet]. Oxford: Oxford University Press; 2007. Oxford Reference Online. Oxford University Press (accessed 14 October 2009). Available at: http:www.oxfordreference.comGoogle Scholar
19The Oxford Dictionary of Law Enforcement [Internet]. Oxford: Oxford University Press; 2007 (accessed 14 October 2009). Available at: http://www.oxfordreference.comGoogle Scholar
20The Oxford Dictionary of Sports Science & Medicine [Internet]. Oxford: Oxford University Press; 2007 (accessed 14 October 2009). Available at: http://www.oxfordreference.comGoogle Scholar
21Garmezy, N. Stress resistant children: The search for protective factors. In Stevenson, JE (ed). Recent Research in Developmental Psychology. J Child Psychol Psychiat 1985 (book supplement no. 4).Google Scholar
22Masten, AS, Best, KM, Garmezy, N. Resilience and development: Contributions from the study of children who overcome adversity. Dev Psychopathol 1990; 2: 425–44.CrossRefGoogle Scholar
23Werner, E, Smith, R. Overcoming the odds: High-risk children from birth to adulthood. New York: Cornell University Press; 1992.Google Scholar
24Masten, AS. Ordinary magic: Resilience processes in development. Am Psychol 2001; 56: 227–38.CrossRefGoogle ScholarPubMed
25Staudinger, UM, Marsiske, M, Baltes, PB (eds). Resilience and reserve capacity in later adulthood: Potentials and limits of development across the lifespan, vol 2. New York: Wiley; 1995.Google Scholar
26Greve, W, Staudiner, U. Resilience in later adulthood and old age: resources and potentials for successful ageing. In Cohen, DJ, Cicchetti, D (eds). Development and Psychopathology, vol 3, Risk, disorder and adaptation; pp. 796840. USA: Wiley & Sons; 2006.Google Scholar
27Bonanno, GA. Clarifying and extending the construct of adult resilience. Am Psychol 2005; 60: 265–67.CrossRefGoogle Scholar
28Netuveli, G, Wiggins, RD, Montgomery, SM, Hildon, Z, Blane, D. Mental health and resilience at older ages: bouncing back after adversity in the British Household Panel Survey. J Epidemiol Community Health 2008; 62: 987–91.CrossRefGoogle ScholarPubMed
29Luthar, SS. Resilience in development: A synthesis of research across five decades. In Cohen, DJ, Cicchetti, D (eds). Development and Psychopathology, vol 3, Risk, disorder and adaptation (pp. 739795). USA: Wiley & Sons; 2006.Google Scholar
30Rutter, M. Resilience concepts and findings: Implications for family therapy. J Family Therapy 1999; 21: 119144.CrossRefGoogle Scholar
31Adger, WN. Social and ecological resilience: Are they related? Prog Human Geog 2000; 24: 347–64.CrossRefGoogle Scholar
32Goldstein, BE. Skunkworks in the embers of the cedar fire: Enhancing resilience in the aftermath of disaster. Human Ecology 2008; 36: 1528.CrossRefGoogle Scholar
33Kitano, MK, Lewis, RB. Resilience and coping: Implications for gifted children and youth at risk. Roeper Review 2005; 27: 200–5.CrossRefGoogle Scholar
34Sutherland, D. Resiliency and collateral learning in science in some students of Cree ancestry. Science Education 2005; 89: 595613.CrossRefGoogle Scholar
35Nigg, J, Nikolas, M, Friderici, K, Park, L, Zucker, RA. Genotype and neuropsychological response inhibition as resilience promoters for attention deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder under conditions of psychosocial adversity. Dev Psychopathol 2007; 19: 767–86.CrossRefGoogle ScholarPubMed
36Connor, KM, Davidson, JRT. Development of a new resilience scale: The connor-davidson resilience scale (CD-RISC). Depression Anxiety 2003; 18: 7682.CrossRefGoogle Scholar
37Kirkwood, T, Bond, J, May, C, McKeith, I, The, M. Foresight mental capital and wellbeing project. Mental capital through life: Future challenges [Internet]. London: The Government Office for Science; 2010 (accessed 2010). Available at: Scholar
38Ong, AD, Bergeman, CS, Bisconti, TL, Wallace, KA. Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Personality Social Psychol 2006; 91: 730–49.CrossRefGoogle ScholarPubMed
39Roth, M, von Collani, G. A head-to-head comparison of big-five types and traits in the prediction of social attitudes: Further evidence for a five-cluster typology. J Individ Diff 2007; 28: 138–49.CrossRefGoogle Scholar
40The Scottish Government. Equally Well. Report of the Ministerial Task Force on Health Inequalities, vol 2. Edinburgh: The Scottish Government; 2008.Google Scholar
41Silk, JS, Vanderbilt-Adriance, E, Shaw, DS, Forbes, EE, Whalen, DJ, Ryan, ND, Dahl, RE. Resilience among children and adolescents at risk for depression: Mediation and moderation across social and neurobiological context. Dev Psychopathol 2007; 19: 841–65.CrossRefGoogle Scholar
42Rutter, M. Resilience, competence and coping. Child Abuse Neglect 2007; 31: 205–9.CrossRefGoogle ScholarPubMed
43Masten, AS, Burt, KB, Coatsworth, D. Competence and psychopathology in development. In Cohen, DJ, Cicchetti, D (eds). Development and Psychopathology, vol 3, Risk, disorder and adaptation (pp. 697738). USA: Wiley & Sons; 2006.Google Scholar
44Hjemdal, O, Friborg, O, Stiles, TC, Rosenvinge, JH, Martinussen, M. Resilience predicting psychiatric symptoms: A prospective study of protective factors and their role in adjustment to stressful life events. Clinical Psychol Psychother 2006; 13: 194201.CrossRefGoogle Scholar
45Friedli, L. Mental health, resilience and inequalities. Denmark: World Health Organisation; 2009.Google Scholar
46American Psychological Association. The road to resilience [Internet], 2009. Available at: Scholar
47Bartley, M, Schoon, I, Mitchell, R, Blane, D. Resilience as an asset for healthy development. In Ziglio, E, Morgan, A (eds). Health Assets and the Social Determinants of Health. Venice: WHO European Office for Investment for Health and Development; 2009.Google Scholar
48Braudy-Harris, PB. Another wrinkle in the debate about successful aging: The undervalued concept of resilience and the lived experience of dementia. Int J Aging Human Dev 2008; 67: 4361.CrossRefGoogle Scholar
49Donoghue, EM, Sturtevant, VE. Social science constructs in ecosystem assessments: Revisiting community capacity and community resiliency. Society Nat Res 2007; 20: 899912.CrossRefGoogle Scholar
50Mowbray, CT, Woolley, ME, Grogan-Kaylor, A, Gant, LM, Gilster, ME, Shanks, TRW. Neighborhood research from a spatially oriented strengths perspective. J Community Psychol 2007; 35: 667–80.CrossRefGoogle Scholar
51Richardson, GE. The metatheory of resilience and resiliency. J Clin Psychol 2002; 58: 307–21.CrossRefGoogle ScholarPubMed
52Punamäki, RL, Qouta, S, El Sarraj, E, Montgomery, E. Psychological distress and resources among siblings and parents exposed to traumatic events. Int J Behav Dev 2006; 30: 385–97.CrossRefGoogle Scholar
53Ryan, LG, Miller-Loessi, K, Nieri, T. Relationships with adults as predictors of substance use, gang involvement, and threats to safety among disadvantaged urban high-school adolescents. Journal of Community Psychology 2007; 35: 1053–71.CrossRefGoogle Scholar
54Olsson, CA, Bond, L, Burns, JM, Vella-Brodrick, DA, Sawyer, SM. Adolescent resilience: A concept analysis. J Adolescence 2003; 26: 111.CrossRefGoogle ScholarPubMed
55Garmezy, N. Resiliency and vulnerability to adverse developmental outcomes associated with poverty. Am Behav Scientist 1985; 34: 416–30.CrossRefGoogle Scholar
56Werner, EE. Resilience in development. Curr Directions Psychol Sci 1995; 4: 8185.CrossRefGoogle Scholar
57Sacker, A, Schoon, I. Educational resilience in later life: resources and assets in adolescence and return to education after leaving school at age 16. Social Sci Res 2007; 36: 873–96.CrossRefGoogle Scholar
58Charney, D. Psychobiological mechanisms of resilience and vulnerability: implications for successful adaption to extreme stress. Am J Psychiat 2004; 161: 195216.CrossRefGoogle Scholar
59Freeman, T, Kimbrell, T, Booe, L, Myers, M, Cardwell, D, Lindquist, DM, Hart, J, Komoroski, RA. Evidence of resilience: Neuroimaging in former prisoners of war. Psychiat Res: Neuroimaging 2006; 146: 5964.CrossRefGoogle ScholarPubMed
60Buckner, JC, Mezzacappa, E, Beardslee, WR. Characteristics of resilient youths living in poverty: The role of self-regulatory processes. Dev Psychopathol 2003; 15: 139–62.CrossRefGoogle ScholarPubMed
61Daud, A, af Klinteberg, B, Rydelius, P. Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child Adolescent Psychiat Mental Health 2008; 2: 7.CrossRefGoogle ScholarPubMed
62Flynn, RJ, Ghazal, H, Legault, L, Vandermeulen, G, Petrick, S. Use of population measures and norms to identify resilient outcomes in young people in care: An exploratory study. Child Family Social Work 2004; 9: 6579.CrossRefGoogle Scholar
63Horton, TV, Wallander, JL. Hope and social support as resilience factors against psychological distress of mothers who care for children with chronic physical conditions. Rehabil Psychol 2001; 46: 382–99.CrossRefGoogle Scholar
64Windle, G, Woods, B, Markland, DA. Living with ill-health in older age: the role of a resilient personality. J Happiness Studies 2009 (epublished 21 October 2009).Google Scholar
65Mancini, AD, Bonanno, GA. Resilience in the face of potential trauma: Clinical practices and llustrations. J Clin Psychol 2006; 62: 971–85.CrossRefGoogle Scholar
66Curtis, WJ, Cicchetti, D. Emotion and resilience: A multilevel investigation of hemispheric electroencephalogram asymmetry and emotion regulation in maltreated and nonmaltreated children. Dev Psychopathol 2007; 19: 811840.CrossRefGoogle ScholarPubMed
67Hoge, EA, Austin, ED, Pollack, MH. Resilience: Research evidence and conceptual considerations for posttraumatic stress disorder. Depression Anxiety 2007; 24: 139–52.CrossRefGoogle ScholarPubMed
68Roisman, GI. Conceptual clarifications in the study of resilience. Am Psychol 2005; 60: 264–65.CrossRefGoogle Scholar
69Masten, AS, Hubbard, JJ, Gest, SD, Tellegen, A, Garmezy, N, Ramirez, M. Competence in the context of adversity: Pathways to resilience and maladaptation from childhood to late adolescence. Dev Psychopathol 1999; 11: 143–69.CrossRefGoogle ScholarPubMed
70Yehuda, R, Flory, JD. Differentiating biological correlates of risk, PTSD, and resilience following trauma exposure. J Traumatic Stress 2007; 20: 435–47.CrossRefGoogle ScholarPubMed
71Hildon, Z, Smith, G, Netuveli, G, Blane, D. Understanding adversity and resilience at older ages. Sociology Health Illness 2008; 30: 726–40.CrossRefGoogle ScholarPubMed
72Waller, MA, Okamoto, SK, Hankerson, AA, Hibbeler, T, Hibbeler, P, McIntyre, P et al. The hoop of learning: A holistic, multisystemic model for facilitating educational resilience among indigenous students. J Sociol Social Welfare 2002; 29: 97116.Google Scholar
73Luthar, SS. Methodological and conceptual issues in the study of resilience. J Child Psychol Psychiat 1993; 34: 441–53.CrossRefGoogle Scholar
74Windle, G, Markland, DA, Woods, B. Examination of a theoretical model of psychological resilience in older age. Aging Mental Health 2008; 12: 285–92.CrossRefGoogle ScholarPubMed
75Schoon, I.Risk and Resilience: Adaptation in Changing Times. Cambridge: Cambridge University Press; 2006.CrossRefGoogle Scholar
76Ahern, NR, Kiehl, EM, Sole, ML, Byers, J. A review of instruments measuring resilience. Issues Comp Pediatric Nursing 2006; 29: 103–25.CrossRefGoogle ScholarPubMed
77Windle, G, Bennett, K, Noyes, J. A methodological review of resilience measurement scales. Health and Quality of Life Outcomes (in press).Google Scholar
78Lin, KK, Sandler, IN, Ayers, TS, Wolchik, SA, Luecken, LJ. Resilience in parentally bereaved children and adolescents seeking preventive services. J Clin Child Adolescent Psychol 2004; 33: 673–83.CrossRefGoogle ScholarPubMed
79Schoon, I, Parsons, S, Sacker, A. Socio-economic adversity, educational resilience, and subsequent levels of adult adaptation. J Adolescent Res 2004; 19: 383404.CrossRefGoogle Scholar
80Antonovsky, A.Health, Stress and Coping. San Francisco: Jossey-Bass Publishers; 1979.Google Scholar
81Almedom, AM. Resilience, hardiness, sense of coherence, and posttraumatic growth: All paths leading to ‘light at the end of the tunnel’? J Loss Trauma 2005; 10: 253–65.CrossRefGoogle Scholar
82Kobasa, SC. Stressful life events, personality and health: An inquiry into hardiness. J Personality Social Psychol 1979; 37: 111.CrossRefGoogle ScholarPubMed
83Maddi, SR, Khoshaba, DM. Hardiness and mental health. J Personality Assessment 1994; 63: 265–74.CrossRefGoogle ScholarPubMed
84Block, J, Kremen, AM. IQ and ego-resiliency: Conceptual and empirical connections and separateness. J Personality Social Psychol 1996; 70: 349–61.CrossRefGoogle ScholarPubMed
85Rowe, JW, Kahn, RL. Successful Aging. The Geronotologist 1997; 37: 433–40.Google Scholar
86Haas, BK. A multidisciplinary concept analysis of quality of life. Western J Nursing Res 1999; 21: 728–43.CrossRefGoogle ScholarPubMed
87Xyrichis, A, Ream, E. Teamwork: a concept analysis. J Advanced Nursing 2008; 61: 232–41.CrossRefGoogle ScholarPubMed
88Masten, AS, Curtis, WJ. Integrating competence and psychopathology: Pathways towards a comprehensive science of adaptation in development. Dev Psychopathol 2000; 12: 529–50.CrossRefGoogle Scholar
89Rutter, M. Resilience reconsidered: Conceptual considerations, empirical findings, and policy implications. In Shonkoff, JP, Meisels, SJ (eds), Handbook of Early Childhood Intervention, 2nd edn. New York: Cambridge University Press; 2000, pp. 651–82.CrossRefGoogle Scholar
90Rogers, A, Pilgrim, D. Inequalities and Mental Health. London: Palgrave Macmillan; 2003.Google Scholar
91Bronfenbrenner, U. Ecological models of human development. In Husen, T, Postlethwaite, TN (eds), International Encyclopedia of Education, 2nd edn, vol 3. New York: Elsevier Science; 1994.Google Scholar
92Campbell-Sills, L, Cohan, SL, Stein, MB. Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Therapy 2006; 44: 585–99.CrossRefGoogle ScholarPubMed
93Sandler, I. Quality and ecology of adversity as common mechanisms of risk and resilience. Am J Community Psychol 2001; 29: 1961.CrossRefGoogle ScholarPubMed
94Waller, MA, Okamoto, SK, Miles, BW, Hurdle, DE. Resiliency factors related to substance use/resistance: Perceptions of native adolescents of the southwest. J Sociology Social Welfare 2003; 30: 7994.Google Scholar
95Glymour, MM, Weuve, J, Fay, ME, Glass, T, Berkman, LF. (2008). Social ties and cognitive recovery after stroke: Does social integration promote cognitive resilience? Neuroepidemiology 2008; 31: 1020.CrossRefGoogle ScholarPubMed