Personal beliefs, learned resourcefulness, and adaptive functioning in depressed adults

Authors

  • C. Y. Lai PhD RN,

    Assistant Professor, Corresponding author
    1. School of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan
    • Correspondence:

      P. Y. Lai

      Department of Hospice & Palliative Care

      E-Da Hospital

      1 Yida Rd.

      Yanchao Dist.

      Kaohsiung City 82445

      Taiwan

      E-mail: 802347lai@gmail.com

    Search for more papers by this author
  • J. A. Zauszniewski PhD RN-BC FAAN,

    Kate Hanna Harvey Professor in Community Health Nursing, Associate Dean for Doctoral Education, and PhD Program Director
    1. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
    Search for more papers by this author
  • T-C. Tang PhD MD,

    Psychiatrist
    1. Department of Psychiatry, Kaohsiung Medical University Hospital & Kaohsiung Medical, Kaohsiung City, Taiwan
    Search for more papers by this author
  • S-Y. Hou MS RN,

    Supervisor
    1. Department of Nursing, Kaohsiung Medical University Hospital & Kaohsiung Medical University, Kaohsiung City, Taiwan
    Search for more papers by this author
  • S-F. Su MSN RN,

    Director
    1. Department of Nursing, Kai-Suan Psychiatric Hospital, Kaohsiung City, Taiwan
    Search for more papers by this author
  • P. Y. Lai MD

    Director
    1. Department of Hospice & Palliative Care, E-Da Hospital, Kaohsiung City, Taiwan
    Search for more papers by this author

Accessible summary

  • Learned resourcefulness and personal beliefs are significant predictors of adaptive functioning.
  • The mediating effect of personal beliefs on the relationship between learned resourcefulness and adaptive functioning was validated in adults with depression.
  • The findings from this study may provide the basis for developing a useful nursing intervention constituting resourcefulness skills with positive personal beliefs to help patients with depression improve their ability to function well in their daily activities.

Abstract

Research has shown that patients with depression have difficulty with performing daily tasks and meeting their own personal care needs. According to Beck's cognitive theory of depression, such deficits in adaptive functioning are affected by disturbances in specific personal beliefs that reflect the process of regulating cognitions. Rosenbaum's learned resourcefulness theory proposed that adaptive functioning is influenced by learned resourcefulness, while learned resourcefulness is associated with the process regulating cognitions. This study aims to test the mediating effect of personal beliefs on the relationship between resourcefulness and adaptive functioning. The study involved a cross-sectional design. Participants consisted of 187 adults with depression in southern Taiwan. The data were collected through four instruments: Cognitive Triad Inventory, Self-Control Schedule, modified Community Living Skills Scale, and a demographic questionnaire. Both resourcefulness and personal beliefs were significant predictors of adaptive functioning, and personal beliefs mediated the effect of learned resourcefulness on the adaptive functioning of the adults with depression. The results validate the role played by personal beliefs in effecting learned resourcefulness and adaptive functioning among adults with depression and provide direction for designing nursing interventions that consider personal beliefs when teaching resourcefulness skills to adults with depression.

Ancillary