title: Psychological resilience and intolerance of uncertainty in coping with cystic fibrosis.
abstract: Anxiety and depression are lower than to be expected in a considerable portion of cystic fibrosis (CF) patients. This outcome might be a result of substantial resilience and/or tolerance of uncertainty in coping with adversity. Research into resilience in cystic fibrosis is in its infancy.
  
  
  
  57 adult CF patients participated in the study during their routine medical checkup. In addition to regular psychological assessment, the Intolerance of Uncertainty Scale (IUS) and the Resilience Scale (RS) were administered. The relative importance of IUS and RS in predicting quality of life in CF was explored. Bivariate correlations and predictive value of variables in multiple regressions on subscales of the Cystic Fibrosis Questionnaire-Revised (CFQ-R) were calculated.
  
  
  
  Remarkably, resilience (personal competence and acceptance) was clearly elevated, whereas intolerance of uncertainty was comparable to healthy reference groups. In multiple regressions, personal competence emerged as strongest resilience variable in the prediction of quality of life.
  
  
  
  CF patients in our study seem to be particularly resilient rather than cognitively avoidant. At this stage of research, fostering personal competence in CF patients is most promising in improving quality of life.
authors.affiliation: Medical University of Innsbruck, Department of Medical Psychology, Schöpfstraße 23a, 6020 Innsbruck, Austria. Electronic address: horst.mitmansgruber@i-med.ac.at.
authors.forename: Horst
authors.initials: H
authors.lastname: Mitmansgruber
authors.affiliation: Medical University of Innsbruck, Department of Medical Psychology, Schöpfstraße 23a, 6020 Innsbruck, Austria.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Smrekar
authors.affiliation: Medical University of Innsbruck, Department of Medical Psychology, Schöpfstraße 23a, 6020 Innsbruck, Austria.
authors.forename: Bianca
authors.initials: B
authors.lastname: Rabanser
authors.affiliation: Medical University of Innsbruck, Department of Medical Psychology, Schöpfstraße 23a, 6020 Innsbruck, Austria.
authors.forename: Thomas
authors.initials: T
authors.lastname: Beck
authors.affiliation: Medical University of Innsbruck, Department of Pediatrics III, Cystic Fibrosis Centre, Austria.
authors.forename: Johannes
authors.initials: J
authors.lastname: Eder
authors.affiliation: Medical University of Innsbruck, Department of Pediatrics III, Cystic Fibrosis Centre, Austria.
authors.forename: Helmut
authors.initials: H
authors.lastname: Ellemunter
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001317:Austria; D003550:Cystic Fibrosis / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales / Q000592:standards; D011580:Psychological Techniques; D011788:Quality of Life; D055500:Resilience, Psychological; D035501:Uncertainty
keywords: Cystic fibrosis; Intolerance of uncertainty; Psychological well-being; Quality of life; Resilience