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Disasters significantly challenge societal resilience, individual psychological health, and sustainable development. This study aimed to culturally adapt the Disaster Adaptation and Resilience Scale (DARS) into Turkish and evaluate its psychometric properties for use in Türkiye. Participants (N = 335) aged 18 and older who had experienced a disaster in the past 5 years completed the Turkish version of the DARS following rigorous translation and expert review procedures. Exploratory and confirmatory factor analyses revealed a 5-factor structure: Problem-Solving, Optimism, Stress Management, Social Resources, and Physical Resources, accounting for 61.3% of the total variance. Internal consistency was high (Cronbach’s Alpha = 0.910), with subscale values ranging from 0.785 to 0.901. Test-retest reliability and discriminant validity were also established. The Turkish DARS is a valid and reliable tool for evaluating disaster-related adaptation and resilience. Its implementation supports sustainable mental health responses and community preparedness in disaster-prone regions.
Substantial investments have been made in hospital emergency preparedness. The Hospital Medical Surge Preparedness Index (HMSPI) has been proposed as a metric to assess health system readiness. This index summarizes hospital system characteristics, space and facilities, staff availability, and supply planning.
Methods
The primary objective was to evaluate the relationship between the HMSPI and characteristics of the respective hospitals, including size, type, location, performance on the Hospital Resilience Index (HRI), and Social Determinants of Health (SDoH).
Results
Higher HMSPI scores were found in suburban compared to rural hospitals, a higher HMSPI in larger hospitals with greater patient volumes and capacity (43.2 [42,44]) versus medium (26 [25,27]) and small (18 [17,19]) hospitals, and teaching status (29 [28,30]) versus non-teaching status (25 [25,26]). Investor-related hospitals and those caring for more patients with Medicare/Medicaid coverage had a lower HMSPI.
Conclusions
In conclusion, hospital medical surge preparedness is unevenly distributed across the U.S. health care system, with larger, not-for-profit, and teaching institutions having higher preparedness scores on the HMSPI, while a greater percentage of patients covered by Medicare/Medicaid is linked to lower scores.
Drylands are still widely perceived as marginal areas, unsuitable for food production and long-term human settlement. This view, reinforced by mainstream global land use models, stands in sharp contrast with archaeological and ethnographic evidence showing that sustainable agriculture and pastoralism have long existed even in hyperarid regions. In this perspective article, we argue for the importance of applying archaeology to build a long-term narrative of land use management in drylands, highlighting the relevance of nonmechanized, resilient subsistence strategies as forms of biocultural heritage and sustainable alternatives rooted in indigenous priorities put in place over centuries. We contend that archaeology is key to shifting this narrative by documenting long-term socio-ecological adaptation in drylands. To this end, we present a range of archaeological methodologies that have helped trace techno-cultural developments in drylands, challenging persistent assumptions about the limits of human occupation and food production in arid environments.
Women entrepreneurs face distinct gender-specific challenges, including restricted access to venture capital, work–life conflicts driven by stereotypes, and competing demands from their roles as business owners, caregivers, and community leaders. These pressures often foster polychronicity – a temporal orientation favoring simultaneous task management. Grounded in role accumulation theory, we conduct a two-stage survey of 129 Chinese women entrepreneurs to investigate the relationship between polychronicity and resilience. We further examine three moderators – frequent interruptions, entrepreneurial experience, and emotional intelligence – that amplify polychronicity’ s resilience-building effects. This study highlights the positive association between polychronicity and women entrepreneurs’ resilience, offering new insights into temporal dynamics in entrepreneurship. It also provides women entrepreneurs with practical strategies to help them navigate multiple role challenges and thrive amid adversity by leveraging their preference for multitasking.
Once a creator has decided on a particular type of art to pursue, it typically takes about ten years of practice (or ten thousand hours) to become a true expert. But this isn’t necessarily a straight path. In this chapter, artists share their often circuitous paths to their creative lives.
In creative work, as all of life, failure is inevitable. In this chapter, artists talk about how they feel about failure, how they incorporate it into their future work, and how it affects their attitudes toward creativity. They discuss how it can open new areas of creativity that they might otherwise not have considered. The artists also share their definitions of failure, which vary widely. Some artists dwell on failure regularly while others try their best to avoid such thoughts. They also talk about how they cope with failure.
The COVID-19 pandemic has placed unprecedented strain on global health systems, significantly affecting both the physical and emotional well-being of populations. Nursing students represent a particularly vulnerable group due to the pandemic’s impact on their mental health and academic progression. This study aims to assess the level of resilience among Spanish university nursing students during the pandemic.
Method
A longitudinal study was conducted with 361 nursing students from March to October 2020. Self-report questionnaires measured emotional intelligence, resilience, anxiety, depression, optimism, and self-efficacy during the first and second COVID-19 waves. Analyses included descriptive statistics, Spearman’s correlations, and hierarchical multiple regression.
Results
Resilience slightly decreased from March to October 2020, while anxiety increased and depression remained stable. Resilience was positively correlated with optimism, self-efficacy, and emotional intelligence, particularly emotion regulation. Higher resilience was predicted by not living alone, greater optimism, and stronger emotion regulation skills.
Conclusions
Spanish nursing students showed variable resilience during COVID-19, positively associated with optimism, self-efficacy, emotional intelligence, and mental health factors like anxiety and depression. Findings highlight the psychological impact of the pandemic and support resilience-focused interventions in nursing education.
Disasters and emergencies, from natural hazards to complex crises, demand a fundamental shift in traditional management paradigms. At all levels of disaster and emergency management, from frontline responders to high-level policymakers, 2 integrated concepts—situational awareness and a disaster mindset—are critical for effective response and resilience. Situational awareness is not merely the collection of data; it’s the dynamic and continuous process of perceiving, comprehending, and projecting a holistic understanding of the operational environment, including evolving threats, available resources, and stakeholder dynamics. When fused with a disaster mindset—a psychological and strategic posture characterized by proactive anticipation, radical adaptability, and decisive action under pressure—it creates a powerful framework for navigating uncertainty. This paper, presented as the Frederick M. (“Skip”) Burkle lecture, proposes a new, integrated framework that systematically applies these concepts to enhance decision-making and operational effectiveness across all managerial tiers, enabling a transition from a reactive to a proactive and resilient posture in the face of escalating global complexities.
Research has robustly demonstrated that children exposed to early ecological adversity are at risk for developing antisocial, externalizing behavior problems (rule breaking, aggression, disregard for others). Yet, studies have also demonstrated multifinality in developmental pathways unfolding in adversity’s aftermath, with many children showing remarkable resilience. Understanding sources of such resilience is critical, especially across different populations (Luthar et al., 2006, 2015). In Family Study (FS, 102 low-risk mothers, fathers, and infants) and Play Study (PS, 186 high-risk mother-toddler dyads), we test a model of parent–child attachment security, observed at 15 months in FS and 2.5 years in PS, as a moderator of effects of early family ecological adversity, assessed as a cumulative score of sociodemographic risks (graded for severity) at 7 months in FS and 2.5 years in PS, on children’s antisocial, externalizing problems, observed and parent-reported at 5.5 years in FS and 7 years in PS. We supported moderation for mother–child relationships in both studies: Higher early family adversity was associated with more antisocial outcomes five years later, but only for children with less secure attachments. We highlight the key role of early security as a protective factor and a source of resilience for children in families experiencing adversity.
War in the former Yugoslavia still reverberates in the lives of the generations that lived through it. The aim of this study was to compare a cohort that had direct experience of the war (first generation, G1, n = 89) with those born after the war (second generation, G2, n = 30). All participants stay or live in the Czech Republic. We used an individualized approach, with a structured interview of 91 questions, supplemented by quantitative methods to measure traumatic stress (PCL-5), adverse childhood experiences (ACEs) and centrality of the event (CES). G1 had a higher mean ACE score compared to G2, and the two generations did not differ in centrality of the event and trauma symptom severity, in the rate of psychiatric outpatient care use, psychiatric hospitalizations, diagnosed PTSD, current psychiatric medication use and in illicit drug use. A number of signs were indicative of good resilience, including the ability to move internationally, which implies language proficiency, and the ability to earn a sufficient income. G1 and G2 respondents represent a group of educated individuals with their mental health mostly matching that of the general population, as well as people who have success in their professional and personal lives.
The innocence of childhood does not protect against exposure to stress. More than half of US children are exposed to adverse experiences, such as abuse, neglect, witnessing domestic violence, parental psychopathology, or divorce, and all children encounter normative stressors like school transitions and challenges with peers. This Element discusses research on stress psychobiology during childhood, from birth to age ten. The Element focuses on important contexts that shape children's responses to stress and their coping capacities, including the family system, peers, schools, neighborhoods, the broader culture, as well as clinical settings. Sources of stress and resilience in each context are described.
Chapter 4 explores the challenges posed by urbanisation on water quality, particularly during extreme rainfall events. The chapter traces the historical development of sewer systems designed to channel stormwater out of cities and into water bodies, emphasising the subsequent need for wastewater treatment to protect water sources. The proliferation of impervious surfaces in cities has led to increased flooding, prompting the construction of larger sewers, albeit quantity-focussed solutions. This approach, coupled with the misconception that stormwater is uncontaminated, exacerbates environmental pollution. The chapter advocates for comprehensive urban drainage management during floods to minimise water pollutants. Storm water tanks and SUDs are mentioned as means to reduce pollution loads to reach water bodies. It discusses the factors crucial for effective management, ranging from maintenance and short-term rain forecasting to the importance of pollutographs in long-term planning. Emphasising citizen involvement and a shift towards sustainable drainage techniques, the chapter provides insights for preserving urban environments amidst increasing extreme rainfall events and climate change threats.
Various key events characterise experiences in later life, such as retirement, bereavement, caregiving, developing long-term conditions and hospital admission. Given their potential to disrupt lives, such events may affect older people’s mental health, but research on the associations between such events and depression has produced inconsistent findings.
Aims
To investigate the impact of key events in later life on depression trajectories in a representative cohort of people aged 50–69 in England.
Method
Our sample draws on 6890 respondents aged 50–69 in Wave 1 (2002/2003) of the English Longitudinal Study of Ageing, following them through to Wave 9 (2018/2019). We measured depression using the eight-item Center for Epidemiological Studies Depression scale. Later life events included retirement, spouse/partner death, becoming an unpaid caregiver, developing a limiting long-term illness and hospital admissions because of a fall or non-fall causes. Piecewise mixed-effects logistic regression models tested for changes in the trajectories of depression before and after each event.
Results
Statistically significant improvements in the trajectory of depression were observed following spousal bereavement, one’s own retirement and hospital admission because of causes other than falls, with reductions in the odds of depression of 48% (odds ratio: 0.52 (95% CI: 0.44–0.61)), 15% (0.85 (0.78–0.92)) and 4% (0.96 (0.94–0.99)), respectively. No changes were associated with developing a limiting long-term illness, becoming an unpaid caregiver or following spousal retirement or a hospital admission because of a fall.
Conclusions
The findings highlight the relative resilience among older adults in England in terms of depression following key later life events. There is still a role to play in delivering mental health support for older people following such events, particularly by improving the identification of those at risk of certain events as part of a broader strategy of prevention. Findings also underscore the importance of partner/spousal circumstances on individual mental health.
The Cycladic islands have traditionally been considered as backwaters during the Roman and Late Antique periods. Through analysis of the material culture produced from the late first century BCE through to the seventh century CE, however, Rebecca Sweetman offers a fresh interpretation of Cycladic societies across this diachronic period. She demonstrates that the Cyclades remained vibrant, and that the islands embraced the potential of being part of wider political, economic and religious networks that were enabled as part of the Roman Empire. Sweetman also argues that the Cyclades were at the forefront of key social developments, notably, female social and physical mobility, as well as in the islands' early adoption of Christianity. Drawing on concepts related to Globalization, Christianization, and Resilience, Sweetman's analysis highlights the complex relationships between the islands and their Imperial contexts over time. The gazetteer of archaeological sites will be fundamental for all working on archaeology of the Roman and Late Antique periods as well as those interested in the Mediterranean.
This study aimed to develop a disaster triage training program designed to enhance knowledge, skills, and resilience for disasters among nurses.
Method
A randomized controlled trial was conducted at two government hospitals in Indonesia. One hundred and eight nurses were randomly assigned in equal numbers to the experimental and control groups. The experimental group received a 4-hour triage training focused on mass casualty incidents. Disaster triage knowledge, skills, and resilience were assessed at three time points: before, immediately after, and 1 month following the intervention. Generalized Estimating Equations were used to evaluate the effectiveness of the training program.
Results
The results of this study revealed that nurses in the experimental group showed significantly greater improvements in disaster triage knowledge, skills, and resilience compared to those in the control group at 2 post-test time points. In addition, feedback from trained nurses emphasized its relevance to local disaster scenarios, such as earthquakes and floods, and highlighted the value of hands-on practice and easily accessible learning materials.
Conclusions
The study demonstrates that disaster triage training can effectively enhance nurses’ preparedness for disasters. It is recommended that health care institutions integrate disaster-related content into regular on-the-job training programs for nurses and assess its effectiveness.
This article examines how the labor and community structures of female skin-divers, the Japanese ama and Korean haenyeo, believed to exemplify the primitive ability to adapt to extreme climates, became staple research subjects for global adaptation-resilience science. In the context of development studies, adaptation-resilience discourse has been seen as reflecting the emergence of neoliberal governmentality. In contrast, this article frames adaptation-resilience as a reactionary technological response that emerges in times of scarcity and crisis. This article demonstrates how the discourse can be traced back to interwar Japanese physiologists, who saw themselves as rescuing Japan from the ills of modernity through a socio-biological development program that drew on the diver’s adaptability as a means to create subjects not only capable of surviving extreme deprivation but willing to do so in the service of the community and the state. These scientists and their research were taken up uncritically in the postwar by international science and development organizations, who found in them a shared vision of a labor-intensive and low ecological impact model of community-rooted development that offered a sustainable and healthier alternative to capitalism, one that could help humanity overcome crises of modern excess such as climate change. However, sustainability meant the valorization of absolute austerity as a development goal, ruling out relief for suffering marginalized populations. This article therefore suggests that resiliency-based development entraps its subjects in a regime of self-exploitation that forces them into a constant state of emergency, paradoxically deepening their vulnerability in the process.
Teachers in conflict-affected regions face chronic stress and trauma exposure, compromising their mental health and professional identity. This study evaluates the effectiveness of the “Conmigo, Contigo, Con Todo” (3Cs) programme in improving resilience, compassion and prosocial behaviours among Afro-Colombian teachers in Tumaco, Colombia, through a mixed-methods cluster-randomised controlled trial. Thirty-two teachers from eight schools were randomised into intervention (n = 28) and control (n = 4) groups. Quantitative outcomes were assessed at baseline, post-intervention and follow-up using validated scales for resilience (CD-RISC), PTSD symptoms (PCL-C), anxiety, depression, compassion (ECOM) and prosocial behaviour (PPB). Qualitative data were collected through focus groups and analysed thematically. Resilience improved from baseline to follow-up (Hedges’ g = 0.23, small effect). PTSD symptoms declined substantially post-intervention (Hedges’ g = 0.98, large effect), with partial relapse at follow-up. Anxiety decreased initially but increased over time. Compassion and prosociality remained stable. Qualitative findings revealed perceived improvements in emotion regulation and compassion, although the 94% female sample may influence results. This exploratory study provides preliminary evidence that culturally adapted, school-based interventions may improve resilience and reduce trauma-related symptoms among teachers in high-adversity settings, although findings are limited by small sample size and group imbalance. Larger-scale replication with sustained reinforcement strategies is warranted.
Child maltreatment increases the risk of emotional and behavioral problems, yet many children demonstrate resilience, functioning better than expected given their level of maltreatment exposure. Although resilience is a dynamic process shaped by children’s social support, including friendships, how different patterns of resilience and friendship support unfold together across development remains unclear. To better understand this process, we examined how patterns of emotional resilience, behavioral resilience, and friendship support co-develop across childhood and adolescence. We used group-based multi-trajectory modeling with data from the Avon Longitudinal Study of Parents and Children (N = 6, 518, 51% female) to identify distinct patterns of emotional and behavioral resilience (doing better-than-expected given their level of maltreatment exposure) and friendship support, across five timepoints from ages 6 to 17 years. We identified five trajectory groups. Nearly half the sample maintained high emotional and behavioral resilience and friendship support across development. While resilience trajectories varied, friendship support was generally high across groups. Most children followed trajectories of high resilience and perceived friendship support. Even among children with lower emotional and/or behavioral resilience trajectories, friendship support remained high, an encouraging finding. Future research should examine how children’s other relationships (e.g., with parents and siblings) unfold alongside resilience.
As global crises like inequality, climate change and financial instability intensify, ‘resilience’ has emerged as a central concept in international governance and law. The appeal lies in what scholars call the ‘resilience dividend’ – the promise that systems can recover and adapt when facing external shocks. This article critically examines how resilience has been adopted in international and transnational law, with a particular focus on transnational financial regulation. The article analyses the Bank for International Settlements (BIS)’ work on the resilience of central counterparties, which represents the most extended elaboration on resilience in transnational financial regulation. Rather than accepting resilience as an unqualified good, a more cautious approach is suggested. Resilience risks perpetuating existing injustices and reinforcing neoliberal structures by emphasising survival and adaptation over addressing the root causes of crises. Accordingly, resilience needs to be seen as an ambivalent concept that only through its specification one can determine its possible impact.
Chapter 4 uses assemblage theory, which is an anti-colonialist theory of social and spatial construction that has traction in the Global South, to show how urban inequalities become assembled, disassembled, and reassembled over time and yet how grassroots activism for social and environmental justice and for community resilience can change the form and functions of cities. Buchanan arose at a time when the role of urban planning in the US cities was growing but largely conceived as the top–down imposition of order and dominant values on urban space. However, we are increasingly aware of just how contested and evolving the practice of urban planning and urban development are. Case studies of green gentrification from Los Angeles, California and Accra, Ghana illustrate the competing ideological perspectives on resilience in cities and the potential for and yet tentativeness of progress towards social justice in urban planning. The chapter explores the connections of racism in American land use with colonialism in the Global South, and the commonalities in the experiences of grassroots social-justice movements across cities worldwide.