ArticleInnovation in aging2025
Resilience and physical functioning trajectories in people aging with disability: concordance and determinants over seven years.
Article in Innovation in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
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Abstract
Background and Objectives: This study sought to estimate trajectories of psychological resilience and physical functioning in adults aging with disability, to examine the alignment of those trajectories, and to explore determinants of trajectory membership over a 7-year span. Research Design and Methods: Data were drawn from a longitudinal survey of 772 adults diagnosed with multiple sclerosis, muscular dystrophy, post-polio syndrome, or spinal cord injury, diagnosed before age 55 and with at least 10 years since diagnosis. Resilience and physical functioning were measured using the Connor-Davidson Resilience Scale and the PROMIS Physical Function Scale. Growth mixture modeling, contingency analysis, and multinomial logistic regression were performed. Results: Participants averaged 55.9 years of age ( Discussion and Implications: Resilience and physical functioning trajectories exhibited significant concordance, suggesting a complex interdependence rather than isolated change processes. The interdependence of these trajectories supports tailored rehabilitation interventions that simultaneously target psychological factors (resilience and self-efficacy) as well as physical function in order to promote successful aging among individuals with compounded age- and disability-related vulnerabilities.
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