title: Resilience and quality of life among Wenchuan earthquake survivors: the mediating role of social support.
abstract: OBJECTIVE
  To examine the extent social support mediates resilience and quality of life in Wenchuan earthquake survivors.
  
  
  METHODS
  Originals.
  
  
  METHODS
  Self-report psychological questionnaires, the standard Chinese 12-item Short Form (SF-12v2), the Resilience Scale for Adults (RSA), and the Social Support Rating Scale (SSRS) were used to interview a total of 2080 survivors from 19 counties in the 2008 Wenchuan Earthquake area. A regression analysis was conducted to evaluate the mediating effect of social support on quality of life.
  
  
  RESULTS
  Males and individuals with a higher level of education were found to have a better quality of life. The association between resilience and quality of life improved after social support was included, suggesting that at least a part of this association was mediated by the level of social support provided.
  
  
  CONCLUSIONS
  This analysis highlighted that the level of resilience and quality of life after an earthquake was associated with the level of social support. This result has clear policy implications, and indicates that more focus needs to be placed on policies that aim for the provision of early mental health intervention and social support to improve the quality of life of earthquake survivors.
authors.affiliation: Uncertainty Decision-making Laboratory, Sichuan University, Chengdu 610064, PR China. Electronic address: xujiuping@scu.edu.cn.
authors.forename: J
authors.initials: J
authors.lastname: Xu
authors.affiliation: Uncertainty Decision-making Laboratory, Sichuan University, Chengdu 610064, PR China.
authors.forename: L
authors.initials: L
authors.lastname: Ou
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002681:China; D003430:Cross-Sectional Studies; D055866:Earthquakes / Q000401:mortality; D004522:Educational Status; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D007407:Interviews as Topic; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012044:Regression Analysis; D055500:Resilience, Psychological; D017678:Sex Distribution; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology; D055815:Young Adult
keywords: Mediation analysis; Quality of life; Resilience; Social support; Wenchuan earthquake