Early-life predictors of resilience and related outcomes up to 66 years later in the 6-day sample of the 1947 Scottish mental survey

Soc Psychiatry Psychiatr Epidemiol. 2016 May;51(5):659-68. doi: 10.1007/s00127-016-1189-4. Epub 2016 Feb 15.

Abstract

Purpose: Psychological resilience, the ability to manage and quickly recover from stress and trauma, is associated with a range of health and wellbeing outcomes. Resilience is known to relate to personality, self-esteem and positive affect, and may also depend upon childhood experience and stress. In this study, we investigated the role of early-life contributors to resilience and related factors in later life.

Methods: We used data from the 6-day sample of the Scottish mental survey 1947, an initially representative sample of Scottish children born in 1936. They were assessed on a range of factors between the ages of 11 and 27 years, and resilience and other outcomes at 77 years.

Results: Higher adolescent dependability unexpectedly predicted lower resilience in older-age, as did childhood illnesses, while a count of specific stressors experienced throughout early life significantly predicted higher later-life resilience. We also observed significant cross-sectional correlations between resilience and measures of physical health, mental health, wellbeing and loneliness. Some of the associations between early-life predictors and later-life outcomes were significantly mediated by resilience.

Conclusions: Our results support the hypothesis that stress throughout early life may help to build resilience in later-life, and demonstrate the importance of resilience as a mediator of other influences on health and wellbeing in older age. We suggest that the mechanisms determining how early-life stress leads to higher resilience are worthy of further investigation, and that psychological resilience should be a focus of research and a target for therapeutic interventions aiming to improve older-age health and wellbeing.

Keywords: 6-day sample; Early-life stress; Health and wellbeing; Personality; Resilience.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Character
  • Child
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Life Change Events
  • Longitudinal Studies
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Middle Aged
  • Resilience, Psychological*
  • Risk Assessment / statistics & numerical data*
  • Scotland
  • Self Concept
  • Young Adult