FH Personal Resilience Scale (updated August 2012) While organizations have focused on the livelihoods elements of resilience in food security and relief projects, there is increasing evidence there are personal attributes and ways of thinking (mindset / worldview) that influence the degree to which people take advantage of opportunities made available to them. For example, in the IFPRI study, Ethiopia: The Path to Self-Resiliency, researchers found that respondents in Ethiopia who believed success was a matter of destiny/luck borrowed less when given option to choose the amount that they could borrow, and were less likely to make long-term investments. A meta-analysis of 17 studies1 looking at stunting and underweight and depression in Africa (4), South America/Caribbean (6), Asia (7) found that depression in women may be a risk factor for poor growth in young children. Children of depressed mothers are 41% more likely to have a stunted child and the authors concluded that if infants were entirely unexposed to maternal depressive symptoms, 23% to 29% fewer children would be underweight or stunted. In order to measure changes in personal resilience fostered by changes in mindset/worldview, depression, and social support seeking, FH will use a Personal Resilience Scale (PRC) at baseline and follow-up. This scale will combine questions on attitudes and beliefs used in other previously tested metrics, such as a shortened version of the Generalized Self-efficacy Scale2, a shortened version of the Hopkins Symptom Checklist Depression Scale (HSCLD)3 which has been used in developing countries, and the (Social) Support Seeking subscale of the Berlin Social-Support Scales.4 Four of the six items in the depression scale are also found in the Center for Epidemiologic Studies-Revised (CESD10) Depression Scale. The CESD10, HSCL-D, GSE, and Social Support Seeking scales have been validated in multiple contexts. FH Personal Resilience Scale, Part I: Generalized Self-Efficacy Say: Now I am going to read to you several statements. I want you to tell me if you agree or disagree with each one. Then I will ask you the degree to which you agree or disagree. For each statement below, read the statement and then ask the person if the AGREE or DISAGREE with it. If they Agree, ask, “Do you agree a little or agree a lot?” If they Disagree, ask, “Do you disagree a little or disagree a lot?” Circle only one response for each statement. Belief Strongly Strongly Disagree Agree Disagree Agree Generalized Self-Efficacy a. b. c. d. e. I can always manage to solve difficult problems if I try hard enough. If someone opposes me, I can find the means and ways to get what I want. When I am confronted with a problem, I can find several solutions. I can solve most problems if I invest the necessary effort. I can remain calm when facing difficulties. 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Generalized Self-Efficacy Score (Add all circled numbers.) 1 2 3 4 Total Score: _____ points Surkan et al. Bull WHO 287:607-615D, 2011. See http://www.who.int/bulletin/volumes/89/8/11-088187.pdf See http://userpage.fu-berlin.de/health/selfscal.htm See http://www.biomedcentral.com/1471-244X/8/59/ See https://docs.google.com/a/fh.org/viewer?url=http://userpage.fuberlin.de/~health/support/schwarzer_knoll_rieckmann2004.pdf and http://userpage.fu-berlin.de/~health/soc_e.htm FH Personal Resilience Scale, Part II: Depression The following statements describe how people sometimes feel about themselves. For each question, please indicate how often you have felt this way during the past week. (Circle number of best answer for each statement.) Circle the appropriate cell after reading the question below a. Over the past week, on how many days did you feel very sad or depressed? b. Over the past week, on how many days did you feel fearful? c. Over the past week, on how many days did you feel guilty [like a bad person]? d. Over the past week, on how many days did you feel tired all the time? e. Over the past week, on how many days did you feel worthless? f. Over the past week, on how many nights did you have trouble falling asleep or staying asleep? Rarely or none of the time (0 days a week) Some or a little of the time (1-2 days a week) Occasionally or a moderate amount of time (3-4 days a week) Most or all of the time (5-7 days a week) 4 3 2 1 4 3 2 1 4 3 2 1 4 3 2 1 4 3 2 1 4 3 2 1 Score (Put numbered circled here) Depression Score, inverted (Add all circled numbers.) FH Personal Resilience Scale, Part III: Social Support Seeking For each statement below, read the statement and then ask the person if the AGREE or DISAGREE with it. If they Agree, ask, “Do you agree a little or agree a lot?” If they Disagree, ask, “Do you disagree a little or disagree a lot?” Circle only one response for each statement. Belief a. In critical situations, I prefer to ask others for their advice. b. Whenever I am down, I look for someone to cheer me up again. c. When I am worried, I reach out to someone to talk to. d. If I do not know how to handle a situation, I ask others what they would do. e. Whenever I need help, I ask for it. Support Seeking Score (Add all circled numbers.) Strongly Disagree Disagree Agree Strongly Agree 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Total Score: _____ points Personal Resilience Score: The PRS is calculated by adding together the shortened Generalized Self-efficacy Score, the shortened CESD-R Depression Score, and shortened Social Support Seeking Score and dividing by 64, expressing as a percentage. (Higher is better.) (For each question for which data is missing, the denominator is reduced by four points.)