# PSYCHOMETRIC PROPERTIES OF THE DANISH VERSION OF THE RESILIENCE SCALE FOR ADULTS IN INDIVIDUALS WITH ACQUIRED BRAIN OR SPINAL CORD INJURY, AND THEIR FAMILY MEMBERS

## TL;DR

The Danish version of the Resilience Scale for Adults is mostly reliable for measuring resilience in people with brain or spinal cord injuries and their families, except for one subscale.

## Contribution

Validates the psychometric properties of the Danish Resilience Scale for Adults in a population with acquired brain or spinal cord injuries and their family members.

## Key findings

- Five out of six subscales showed good reliability and model fit.
- Higher resilience scores correlated with fewer symptoms of anxiety and depression.
- The Structured style subscale had poor reliability and model misfit.

## Abstract

To investigate validity and reliability of the Danish version of the Resilience Scale for Adults among individuals with acquired brain or spinal cord injury, and their family members.

Cross-sectional study.

Adults with acquired brain or spinal cord injury, and their family members.

Unidimensionality, floor/ceiling effects, and internal consistency of the 6 subscales were analysed using confirmatory factor analysis. A series of models were estimated to investigate structural validity, and construct validity was analysed using correlations.

Family cohesion, Planned future, and Perception of self showed good reliability (ω = 0.79–0.83) and good model fit (Comparative fit index: 0.986–1.000). Social resources and Social competence demonstrated adequate reliability (ω = 0.81 and 0.75) and good fit, accounting for local dependency. Structured style had poor reliability (ω = 0.53) and model misfit. The Resilience Scale for Adults was best represented by a 6-factor correlated model, compared with a single first- or second-order factor, but all models showed inadequate fit. All scale scores correlated negatively with scores of anxiety and depression.

All but 1 subscale demonstrated good psychometric properties. The Resilience Scale for Adults can be used to measure different aspects related to resilience for this mixed population.

Acquiring a brain or spinal cord injury can have considerable impact on the person with the injury and their family members. Resilience is defined as a person’s ability to adapt and recover after facing challenges, stress, or trauma. This study examined how well the Danish version of the Resilience Scale for Adults works for people with acquired brain injury, spinal cord injury, and their family members. The scale was tested for its reliability and accuracy in measuring resilience. The Resilience Scale for Adults showed good reliability overall, but one subscale, Structured style, did not perform well. People who scored higher on resilience reported fewer symptoms of anxiety and depression. The Danish version of the Resilience Scale for Adults is a reliable tool for understanding resilience in individuals affected by acquired brain injury or spinal cord injury and their family members, except for the subscale Structured style.