Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Research

Psychometric evaluation of the traditional Chinese version of the resilience Scale-14 and assessment of resilience in Hong Kong adolescents

Authors: Joyce Oi Kwan Chung, Katherine Ka Wai Lam, Ka Yan Ho, Ankie Tan Cheung, Long Kwan Ho, Viveka Wei Xei, Faith Gibson, William Ho Cheung Li

Published in: Health and Quality of Life Outcomes | Issue 1/2020

Login to get access

Abstract

Background

A reliable and valid instrument that accurately measures resilience is crucial for the development of interventions to enhance the resilience of adolescents and promote their positive mental well-being. However, there is a lack of adolescent resilience assessment tools with good psychometric properties suitable for use with Hong Kong participants. This study aimed to evaluate the psychometric properties of the traditional Chinese version of the Resilience Scale-14.

Methods

Between October 2017 and January 2018, a stratified random sample of 1816 Grade 7 (aged 11–15 years) students from all 18 districts of Hong Kong were invited to participate in the study. Subjects were asked to respond to the traditional Chinese version of the Resilience Scale-14, the Center for Epidemiologic Studies Depression Scale for children, and Rosenberg’s Self-Esteem Scale. The psychometric properties, including the internal consistency, content validity, convergent and discriminant validity, exploratory and confirmatory factor analyses, and test–retest reliability of the Resilience Scale-14 were assessed.

Results

The translated scale demonstrated good internal consistency and test–retest reliability, excellent content validity, and appropriate convergent and discriminant validity. The results of the confirmatory factor analysis supported the two-factor structure of the traditional Chinese version of the Resilience Scale-14.

Conclusions

Results suggest that the translated scale is a reliable and valid tool to assess the resilience of young Hong Kong Chinese adolescents. Healthcare professionals could use the newly translated scale to assess resilience levels among Hong Kong adolescents and develop interventions that can help them combat mental health problems and lead healthier lives.

Trial registration

Clinicaltrials.​gov ID NCT03538145 (retrospectively registered on May 15, 2018).
Literature
1.
go back to reference Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515–25.CrossRefPubMed Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515–25.CrossRefPubMed
2.
go back to reference World Health Organization. World Psychiatric Association, International Association for Child, Adolescent Psychiatry, & Allied Professions. Atlas: child and adolescent mental health resources: global concerns, implications for the future. World Health Organization. 2005. World Health Organization. World Psychiatric Association, International Association for Child, Adolescent Psychiatry, & Allied Professions. Atlas: child and adolescent mental health resources: global concerns, implications for the future. World Health Organization. 2005.
3.
go back to reference Li HCW, Chan SLP, Chung OKJ, Chui MLM. Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study. J Health Psychol. 2010;15:96–1066.CrossRefPubMed Li HCW, Chan SLP, Chung OKJ, Chui MLM. Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study. J Health Psychol. 2010;15:96–1066.CrossRefPubMed
4.
go back to reference Li HCW, Chung OKJ, Ho KYE. Effectiveness of an adventure-based training programme in promoting the psychological well-being of primary schoolchildren. J Health Psychol. 2013;18:1478–92.CrossRefPubMed Li HCW, Chung OKJ, Ho KYE. Effectiveness of an adventure-based training programme in promoting the psychological well-being of primary schoolchildren. J Health Psychol. 2013;18:1478–92.CrossRefPubMed
5.
go back to reference Davydov DM, Stewart R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010;30:479–95.CrossRefPubMed Davydov DM, Stewart R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010;30:479–95.CrossRefPubMed
6.
go back to reference Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2007;71(3):543–62.CrossRef Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2007;71(3):543–62.CrossRef
7.
go back to reference Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience as a predictor of depressive symptoms: a correlational study with young adolescent. Clin Child Psychol Psychiatry. 2007;12(1):91–104.CrossRefPubMed Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience as a predictor of depressive symptoms: a correlational study with young adolescent. Clin Child Psychol Psychiatry. 2007;12(1):91–104.CrossRefPubMed
8.
go back to reference Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive–compulsive symptoms in adolescents. Clin Psychol Psychother. 2011;18(4):314–21.CrossRefPubMed Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive–compulsive symptoms in adolescents. Clin Psychol Psychother. 2011;18(4):314–21.CrossRefPubMed
9.
go back to reference Sun J, Stewart DE. Promoting student resilience and wellbeing: Asia-Pacific resilient children and communities project. In: international research handbook on values education and student wellbeing. Dordrecht: Springer; 2010. p. 409–26.CrossRef Sun J, Stewart DE. Promoting student resilience and wellbeing: Asia-Pacific resilient children and communities project. In: international research handbook on values education and student wellbeing. Dordrecht: Springer; 2010. p. 409–26.CrossRef
10.
go back to reference Smith-Osborne A, Whitehill BK. Assessing resilience: a review of measures across the life course. J Evid-Based Soc Work. 2013;10(2):111–26.CrossRefPubMed Smith-Osborne A, Whitehill BK. Assessing resilience: a review of measures across the life course. J Evid-Based Soc Work. 2013;10(2):111–26.CrossRefPubMed
11.
go back to reference Ahern NR, Kiehl EM, Lou Sole M, Byers J. (2006). A review of instruments measuring resilience. Issues Compr Pediatr Nurs. 2006;29(2):103–25.CrossRefPubMed Ahern NR, Kiehl EM, Lou Sole M, Byers J. (2006). A review of instruments measuring resilience. Issues Compr Pediatr Nurs. 2006;29(2):103–25.CrossRefPubMed
12.
go back to reference Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82.CrossRefPubMed Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82.CrossRefPubMed
13.
go back to reference Yu XN, Lau JT, Mak WW, Zhang J, Lui WW. Factor structure and psychometric properties of the Connor-Davidson resilience scale among Chinese adolescents. Compr Psychiatry. 2011;52(2):218–24.PubMedCrossRef Yu XN, Lau JT, Mak WW, Zhang J, Lui WW. Factor structure and psychometric properties of the Connor-Davidson resilience scale among Chinese adolescents. Compr Psychiatry. 2011;52(2):218–24.PubMedCrossRef
14.
go back to reference Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Meas. 1993;1:165–78.PubMed Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Meas. 1993;1:165–78.PubMed
15.
go back to reference Rew L, Taylor-Seehafer M, Thomas NY, Yockey RD. Correlates of resilience in homeless adolescents. J Nurs Sch. 2001;33(1):33–40.CrossRef Rew L, Taylor-Seehafer M, Thomas NY, Yockey RD. Correlates of resilience in homeless adolescents. J Nurs Sch. 2001;33(1):33–40.CrossRef
16.
go back to reference Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual of Life Out. 2011;9(1):8–25.CrossRef Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual of Life Out. 2011;9(1):8–25.CrossRef
17.
go back to reference Wagnild GM. The resilience scale User’s guide for the US English version of the resilience scale and the 14-item Reselience scale (RS-14). Montana: The Resilience Center Google Scholar; 2009. Wagnild GM. The resilience scale User’s guide for the US English version of the resilience scale and the 14-item Reselience scale (RS-14). Montana: The Resilience Center Google Scholar; 2009.
18.
go back to reference Damásio BF, Borsa JC, da Silva J. P. 14-item resilience scale (RS-14): psychometric properties of the Brazilian version. J Nurs Meas. 2011;19(3):131–455.PubMedCrossRef Damásio BF, Borsa JC, da Silva J. P. 14-item resilience scale (RS-14): psychometric properties of the Brazilian version. J Nurs Meas. 2011;19(3):131–455.PubMedCrossRef
19.
go back to reference Nishi D, Uehara R, Kondo,M, Matsuoka Y. Reliability and validity of the Japanese version of the resilience scale and its short version. BMC Res Notes 2010; 3(1): 310–315. Nishi D, Uehara R, Kondo,M, Matsuoka Y. Reliability and validity of the Japanese version of the resilience scale and its short version. BMC Res Notes 2010; 3(1): 310–315.
20.
go back to reference Tian J, Hong JS. Validation of the Chinese version of the resilience scale and its cutoff score for detecting low resilience in Chinese cancer patients. Support Care Cancer. 2013;21(5):1497–502.CrossRefPubMed Tian J, Hong JS. Validation of the Chinese version of the resilience scale and its cutoff score for detecting low resilience in Chinese cancer patients. Support Care Cancer. 2013;21(5):1497–502.CrossRefPubMed
21.
go back to reference Yang Y, Li M, Xia Y. Measurement invariance of the resilience scale. Int J Educ Psychol Assess. 2012;11(2):1–19. Yang Y, Li M, Xia Y. Measurement invariance of the resilience scale. Int J Educ Psychol Assess. 2012;11(2):1–19.
22.
go back to reference He AW. Toward an identity theory of the development of Chinese as a heritage language. Herit Lang J. 2006;4(1):1–28. He AW. Toward an identity theory of the development of Chinese as a heritage language. Herit Lang J. 2006;4(1):1–28.
23.
go back to reference Ferraz MB. Cross cultural adaptation of questionnaires: what is it and when should it be performed? J Rheumatol. 1997;24(11):2066–8.PubMed Ferraz MB. Cross cultural adaptation of questionnaires: what is it and when should it be performed? J Rheumatol. 1997;24(11):2066–8.PubMed
24.
go back to reference Flaherty JA, Gaviria FM, Pathak D, Mitchell T, Wintrob R, Richman JA, et al. Developing instruments for cross-cultural psychiatric research. J Nerv Ment Dis. 1988;176:257–63.PubMed Flaherty JA, Gaviria FM, Pathak D, Mitchell T, Wintrob R, Richman JA, et al. Developing instruments for cross-cultural psychiatric research. J Nerv Ment Dis. 1988;176:257–63.PubMed
25.
go back to reference Hu L, Bentler PM, Kano Y. Can test statistics in covariance structure analysis be trusted? Psychol Bull. 1992;122:351–62.CrossRef Hu L, Bentler PM, Kano Y. Can test statistics in covariance structure analysis be trusted? Psychol Bull. 1992;122:351–62.CrossRef
26.
go back to reference West SG, Finch JF, Curran PJ. Structural equation models with non-normal variables: problems and remedies. In: Hoyle RH, editor. Structural equation Modelling: concepts, issues and applications. Thousand Oaks, CA: Sage Publications; 1995. p. 56–75. West SG, Finch JF, Curran PJ. Structural equation models with non-normal variables: problems and remedies. In: Hoyle RH, editor. Structural equation Modelling: concepts, issues and applications. Thousand Oaks, CA: Sage Publications; 1995. p. 56–75.
27.
go back to reference Gorsuch RL. Factor analysis. 2nd ed. Hillsdale, NJ: Erlbaum; 1983. Gorsuch RL. Factor analysis. 2nd ed. Hillsdale, NJ: Erlbaum; 1983.
28.
go back to reference Li HCW, Chung OKJ, Ho KYE. Psychometric testing of the Chinese version of the Center for Epidemiologic Studies Depression Scale for children. J Adv Nurs. 2010;66:2582–91.CrossRefPubMed Li HCW, Chung OKJ, Ho KYE. Psychometric testing of the Chinese version of the Center for Epidemiologic Studies Depression Scale for children. J Adv Nurs. 2010;66:2582–91.CrossRefPubMed
29.
go back to reference Bracken BA, Barona A. State of the art procedures for translating, validating and using psychoeducational tests in cross-cultural assessment. School Psychol Int. 1991;12:119–32.CrossRef Bracken BA, Barona A. State of the art procedures for translating, validating and using psychoeducational tests in cross-cultural assessment. School Psychol Int. 1991;12:119–32.CrossRef
30.
go back to reference Polit DF, Beck CT. Nursing Research: Generating and assessing evidence for nursing practice.14th ed. Lippincott Williams & Wilkins, 2016. Polit DF, Beck CT. Nursing Research: Generating and assessing evidence for nursing practice.14th ed. Lippincott Williams & Wilkins, 2016.
31.
go back to reference Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7:286–99.CrossRef Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7:286–99.CrossRef
32.
go back to reference Cattell RB. The scree test for the number of factors. Multivar Behav Res. 1966;1(2):245–76.CrossRef Cattell RB. The scree test for the number of factors. Multivar Behav Res. 1966;1(2):245–76.CrossRef
33.
go back to reference Watson R, Thompson DR. Use of factor analysis in journal of advanced nursing: literature review. J Adv Nurs. 2006;55(3):330–41.CrossRefPubMed Watson R, Thompson DR. Use of factor analysis in journal of advanced nursing: literature review. J Adv Nurs. 2006;55(3):330–41.CrossRefPubMed
34.
go back to reference Byrne BM. Structural equation modeling with LISREL, PRELIS, and SIMPLIS: basic concepts, applications, and programming. Mahwah: Lawrence Eribaum Associates, Psychology Press; 2013. Byrne BM. Structural equation modeling with LISREL, PRELIS, and SIMPLIS: basic concepts, applications, and programming. Mahwah: Lawrence Eribaum Associates, Psychology Press; 2013.
35.
go back to reference Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long JS, eds. Testing Structural Equation Models. Newbury Park: Sage Publications; 1993. p. 136–62.CrossRef Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long JS, eds. Testing Structural Equation Models. Newbury Park: Sage Publications; 1993. p. 136–62.CrossRef
37.
go back to reference Thurstone LL. Multiple factor analysis. Chicago: University of Chicago Press; 1947. Thurstone LL. Multiple factor analysis. Chicago: University of Chicago Press; 1947.
38.
go back to reference Mackenzie E, McMaugh A, O'Sullivan K. Perceptions of primary to secondary school transitions: challenge or threat? Issues Educ Res. 2012;22(3):298–314. Mackenzie E, McMaugh A, O'Sullivan K. Perceptions of primary to secondary school transitions: challenge or threat? Issues Educ Res. 2012;22(3):298–314.
39.
go back to reference Erikson E. Childhood and society. 2nd ed. New York: W.W. Norton & Company; 1963. Erikson E. Childhood and society. 2nd ed. New York: W.W. Norton & Company; 1963.
40.
go back to reference Dumont M, Provost MA. Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. J Youth Adolescence. 1999;28(3):343.CrossRef Dumont M, Provost MA. Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. J Youth Adolescence. 1999;28(3):343.CrossRef
41.
go back to reference Li M, Wang L. The associations of psychological stress with depressive and anxiety symptoms among Chinese bladder and renal cancer patients: the mediating role of resilience. PLoS One. 2016;11(4):e0154729.PubMedPubMedCentralCrossRef Li M, Wang L. The associations of psychological stress with depressive and anxiety symptoms among Chinese bladder and renal cancer patients: the mediating role of resilience. PLoS One. 2016;11(4):e0154729.PubMedPubMedCentralCrossRef
42.
go back to reference Streiner DL. Figuring out factors: the use and misuse of factor analysis. Can J Psychiatr. 1994;39:135–40.CrossRef Streiner DL. Figuring out factors: the use and misuse of factor analysis. Can J Psychiatr. 1994;39:135–40.CrossRef
43.
go back to reference Li HCW, Wong MLE, Lopez V. Factorial structure of the Chinese version of the state anxiety scale for children (short form). J Clin Nurs. 2008;17(13):1762–70.CrossRefPubMed Li HCW, Wong MLE, Lopez V. Factorial structure of the Chinese version of the state anxiety scale for children (short form). J Clin Nurs. 2008;17(13):1762–70.CrossRefPubMed
44.
go back to reference MacCallum R. Model specification: procedures, strategies, and related issues. In: Hoyle RH, editor. Structural equation modeling: concepts, issues, and applications. Thousand Oaks: Sage Publications; 1995. p. 16–36. MacCallum R. Model specification: procedures, strategies, and related issues. In: Hoyle RH, editor. Structural equation modeling: concepts, issues, and applications. Thousand Oaks: Sage Publications; 1995. p. 16–36.
45.
go back to reference Jo reskog K G., So rbom, D. LISREL 8.50. Chicago: Scientific Software International. Computer software; 2006. Jo reskog K G., So rbom, D. LISREL 8.50. Chicago: Scientific Software International. Computer software; 2006.
46.
go back to reference Tucker LR, Lewis C. A reliability coefficient for maximum likelihood factor analysis. Psychometrika. 1973; 38(1):1–0.CrossRef Tucker LR, Lewis C. A reliability coefficient for maximum likelihood factor analysis. Psychometrika. 1973; 38(1):1–0.CrossRef
47.
go back to reference Hu L, Bentler PM. Cut-off criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Struct Equat Model. 1999;6(1):1–31.CrossRef Hu L, Bentler PM. Cut-off criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Struct Equat Model. 1999;6(1):1–31.CrossRef
Metadata
Title
Psychometric evaluation of the traditional Chinese version of the resilience Scale-14 and assessment of resilience in Hong Kong adolescents
Authors
Joyce Oi Kwan Chung
Katherine Ka Wai Lam
Ka Yan Ho
Ankie Tan Cheung
Long Kwan Ho
Viveka Wei Xei
Faith Gibson
William Ho Cheung Li
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01285-4

Other articles of this Issue 1/2020

Health and Quality of Life Outcomes 1/2020 Go to the issue