TY - JOUR
T1 - Supporting Resilience of Older Adults with Cognitive Decline Requires a Multi-Level System Approach
AU - Peeters, Geeske
AU - Kok, Almar
AU - de Bruin, Simone R.
AU - van Campen, Crétien
AU - Graff, Maud
AU - Nieuwboer, Minke
AU - Huisman, Martijn
AU - van Munster, Barbara
AU - van der Zee, Eddy A.
AU - Kas, Martien J.
AU - Perry, Marieke
AU - Gerritsen, Debby L.
AU - Vreede-Chabot, Elisabeth
AU - The, Anne-Mei
AU - van Hout, Hein
AU - Bakker, Franka C.
AU - Achterberg, Wilco P.
AU - van der Steen, Jenny T.
AU - Smits, Carolien
AU - Melis, René
AU - Olde Rikkert, Marcel
N1 - Funding Information: This work was supported by the Dutch Research Council (NWO, Grant No. Compl21COV.001, 645.003.002) and Netherlands Organisation for Health Research and Development (ZonMw, Grant No. 09120012010063) to MOR. Publisher Copyright: © 2023 S. Karger AG, Basel.
PY - 2023/7/1
Y1 - 2023/7/1
N2 - The concept of resilience, i.e., the capacity of a system to bounce back after a stressor, is gaining interest across many fields of science, policy, and practice. To date, resilience research in people with cognitive decline has predominantly addressed the early stages of decline. We propose that: (1) resilience is a relevant concept in all stages of cognitive decline; and (2) a socio-ecological, multisystem perspective on resilience is required to advance understanding of, and care and support for people with cognitive decline and their support networks. We substantiate our position with literature and examples. Resilience helps understand differences in response to risk factors of (further) cognitive decline and informs personalised prevention. In a curative context, interventions to strengthen resilience aim to boost recovery from cognitive decline. In care for people with dementia, resilience-focused interventions can strengthen coping mechanisms to maintain functioning and well-being of the individual and their support network. A good example of improving resilience in the social and policy context is the introduction of age-friendly cities and dementia-friendly communities. Good care for people with cognitive decline requires a health and social care system that can adapt to changes in demand. Given the interdependency of resilience at micro-, meso- and macro-levels, an integrative socio-ecological perspective is required. Applying the concept of resilience in the field of cognitive decline opens new horizons for research to improve understanding, predicting, intervening on health and social care needs for the increasing population with cognitive decline.
AB - The concept of resilience, i.e., the capacity of a system to bounce back after a stressor, is gaining interest across many fields of science, policy, and practice. To date, resilience research in people with cognitive decline has predominantly addressed the early stages of decline. We propose that: (1) resilience is a relevant concept in all stages of cognitive decline; and (2) a socio-ecological, multisystem perspective on resilience is required to advance understanding of, and care and support for people with cognitive decline and their support networks. We substantiate our position with literature and examples. Resilience helps understand differences in response to risk factors of (further) cognitive decline and informs personalised prevention. In a curative context, interventions to strengthen resilience aim to boost recovery from cognitive decline. In care for people with dementia, resilience-focused interventions can strengthen coping mechanisms to maintain functioning and well-being of the individual and their support network. A good example of improving resilience in the social and policy context is the introduction of age-friendly cities and dementia-friendly communities. Good care for people with cognitive decline requires a health and social care system that can adapt to changes in demand. Given the interdependency of resilience at micro-, meso- and macro-levels, an integrative socio-ecological perspective is required. Applying the concept of resilience in the field of cognitive decline opens new horizons for research to improve understanding, predicting, intervening on health and social care needs for the increasing population with cognitive decline.
KW - Cognition
KW - Dementia
KW - Old age
KW - Resilience
KW - Socioecological system
UR - http://www.scopus.com/inward/record.url?scp=85164238687&partnerID=8YFLogxK
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85164238687&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/36754032
U2 - https://doi.org/10.1159/000529337
DO - https://doi.org/10.1159/000529337
M3 - Review article
C2 - 36754032
SN - 0304-324X
VL - 69
SP - 866
EP - 874
JO - Gerontology
JF - Gerontology
IS - 7
ER -