TY - JOUR
T1 - REMAP—a Resilience Resources Measure for Prediction and Management of Somatic Symptoms
AU - Malarkey, William B.
AU - David, Prabu
AU - Gouin, Jean Philippe
AU - Edwards, Michael
AU - Klatt, Maryanna
AU - Zautra, Alex J.
N1 - Funding Information:
The project described was supported by Award Number R21AT003670 from the National Center for Complementary and Integrative Health and by the National Center for Research Resources, Grant UL1RR025755 which is now at the National Center for Advancing Translational Sciences, Grant UL1TR001070.
Funding Information:
This study was funded by the National Center for Complementary and Integrative Health (R21AT003670) and by the National Center for Research Resources (UL1RR025755), which is now at the National Center for Advancing Translational Sciences (UL1TR001070).
Publisher Copyright:
© 2016, International Society of Behavioral Medicine.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Purpose: Patients with symptoms but without an identified disease are a challenge to primary care providers. A 22-item measure is introduced and evaluated to offer medical care providers with an instrument to assess and discuss possible deficiencies in resilience resources that may contribute to symptoms without identifiable pathology. This instrument highlights psychosocial and lifestyle resources that serve as buffers to life’s stressors rather than focusing on stress and its related symptoms. Methods: The measure included items from five resilience domains—relational engagement, emotional sensibility, meaningful action, awareness of self and others, and physical health behaviors (REMAP). Its structure and function were evaluated using two different samples. Results: Results suggest that scores from the REMAP have reasonable psychometric properties. Higher REMAP scores were predictive of fewer health symptoms in a sample representative of the US population. In a second sample, REMAP was positively associated with perceived resilience, ego strength and mindfulness attention and negatively related to perceived stress, depression, sleep disturbances, and loneliness, providing evidence of convergent and divergent validity. Furthermore, the REMAP scale was sensitive to change following a life style intervention. Conclusion: This suggests that REMAP can be a useful tool in practice settings for counseling patients with unexplained symptoms. With insight into the biopsychosocial aspect of their symptoms, patients may become more receptive to cognitive behavioral options to improve their resilience resources and lifestyle choices.
AB - Purpose: Patients with symptoms but without an identified disease are a challenge to primary care providers. A 22-item measure is introduced and evaluated to offer medical care providers with an instrument to assess and discuss possible deficiencies in resilience resources that may contribute to symptoms without identifiable pathology. This instrument highlights psychosocial and lifestyle resources that serve as buffers to life’s stressors rather than focusing on stress and its related symptoms. Methods: The measure included items from five resilience domains—relational engagement, emotional sensibility, meaningful action, awareness of self and others, and physical health behaviors (REMAP). Its structure and function were evaluated using two different samples. Results: Results suggest that scores from the REMAP have reasonable psychometric properties. Higher REMAP scores were predictive of fewer health symptoms in a sample representative of the US population. In a second sample, REMAP was positively associated with perceived resilience, ego strength and mindfulness attention and negatively related to perceived stress, depression, sleep disturbances, and loneliness, providing evidence of convergent and divergent validity. Furthermore, the REMAP scale was sensitive to change following a life style intervention. Conclusion: This suggests that REMAP can be a useful tool in practice settings for counseling patients with unexplained symptoms. With insight into the biopsychosocial aspect of their symptoms, patients may become more receptive to cognitive behavioral options to improve their resilience resources and lifestyle choices.
KW - Biopsychosocial medicine
KW - Resilience
KW - Somatic symptoms
KW - Symptom management
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U2 - 10.1007/s12529-016-9559-6
DO - 10.1007/s12529-016-9559-6
M3 - Article
C2 - 27067083
AN - SCOPUS:84962833203
SN - 1070-5503
VL - 23
SP - 738
EP - 745
JO - International Journal of Behavioral Medicine
JF - International Journal of Behavioral Medicine
IS - 6
ER -