The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects

Abstract Background Resilience has been recognized as a potential outcome for preserving mental health and preventing postpartum depression. Social connection and emotional regulation have been identified as possible factors in resilience from social and cultural perspectives. Therefore, it is neces...

Full description

Saved in:
Bibliographic Details
Main Authors: Mariko Takeuchi, Michiko Matsunaga, Akimitsu Miyake, Ryuichiro Egashira, Sayaka Hotta, Mai Nakano, Misaki Moriguchi, Fumihiko Yasuno, Masako Myowa, Keisuke Hagihara
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-22765-6
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849314753543929856
author Mariko Takeuchi
Michiko Matsunaga
Akimitsu Miyake
Ryuichiro Egashira
Sayaka Hotta
Mai Nakano
Misaki Moriguchi
Fumihiko Yasuno
Masako Myowa
Keisuke Hagihara
author_facet Mariko Takeuchi
Michiko Matsunaga
Akimitsu Miyake
Ryuichiro Egashira
Sayaka Hotta
Mai Nakano
Misaki Moriguchi
Fumihiko Yasuno
Masako Myowa
Keisuke Hagihara
author_sort Mariko Takeuchi
collection DOAJ
description Abstract Background Resilience has been recognized as a potential outcome for preserving mental health and preventing postpartum depression. Social connection and emotional regulation have been identified as possible factors in resilience from social and cultural perspectives. Therefore, it is necessary to develop a scale that is adapted to the Japanese cultural milieu. Objective To establish the validity and reliability of the new resilience scale, questionnaires were administered to mothers raising children aged 0–5 years. Methods The Japan Resilience Scale (J-RS) is a newly created, 25-item, self-report scale designed to assess resilience. The J-RS includes six subscales (Joy, Anger, Apprehension, Grief, Fear, and Social connection) that are rated on a 5-point Likert scale (0–4). To validate the J-RS, data were collected from 238 mothers (mean age 35.3 ± 4.7 years), and its relationships with other measures, such as the Resilience Scale (RS) and the Center for Epidemiologic Studies Depression (CES-D) scale, were examined. Internal consistency (reliability) of the J-RS was assessed using Cronbach’s alpha coefficient, and the final model was determined via confirmatory factor analysis (CFA). Multiple logistic regression analysis was then used to identify depressive symptoms using the CES-D. Results A total of 238 mothers, with 18.5% exhibiting depressive symptoms, were analyzed. The mean J-RS score was 61.3 ± 14.2. J-RS was positively correlated with RS (r = 0.71, p < 0.01) and negatively with CES-D (r = -0.62, p < 0.01). These results demonstrate the construct validity of the J-RS. CFA confirmed the six-factor model’s good fit for emotion and social connection. The J-RS was effective in distinguishing individuals at risk of depression (AUC = 0.83, 95% CI: 0.75–0.91). At a cutoff of 59/60, sensitivity, specificity, positive predictive value, and negative predictive value were 84.1%, 63.9%, 34.6%, and 94.7% respectively. Conclusions The J-RS appears to be the optimal index for assessing resilience, and would allow screening for postpartum depression among Japanese mothers. This study also showed that emotional control and social connectedness are important components of resilience.
format Article
id doaj-art-2b34b9ed5b9e48a6b9d2af2d8a2c754b
institution Kabale University
issn 1471-2458
language English
publishDate 2025-04-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-2b34b9ed5b9e48a6b9d2af2d8a2c754b2025-08-20T03:52:20ZengBMCBMC Public Health1471-24582025-04-0125111210.1186/s12889-025-22765-6The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspectsMariko Takeuchi0Michiko Matsunaga1Akimitsu Miyake2Ryuichiro Egashira3Sayaka Hotta4Mai Nakano5Misaki Moriguchi6Fumihiko Yasuno7Masako Myowa8Keisuke Hagihara9Department of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineGraduate School of Education, Kyoto UniversityTohoku University School of MedicineDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineDepartment of Psychiatry, National Center for Geriatrics and GerontologyGraduate School of Education, Kyoto UniversityDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of MedicineAbstract Background Resilience has been recognized as a potential outcome for preserving mental health and preventing postpartum depression. Social connection and emotional regulation have been identified as possible factors in resilience from social and cultural perspectives. Therefore, it is necessary to develop a scale that is adapted to the Japanese cultural milieu. Objective To establish the validity and reliability of the new resilience scale, questionnaires were administered to mothers raising children aged 0–5 years. Methods The Japan Resilience Scale (J-RS) is a newly created, 25-item, self-report scale designed to assess resilience. The J-RS includes six subscales (Joy, Anger, Apprehension, Grief, Fear, and Social connection) that are rated on a 5-point Likert scale (0–4). To validate the J-RS, data were collected from 238 mothers (mean age 35.3 ± 4.7 years), and its relationships with other measures, such as the Resilience Scale (RS) and the Center for Epidemiologic Studies Depression (CES-D) scale, were examined. Internal consistency (reliability) of the J-RS was assessed using Cronbach’s alpha coefficient, and the final model was determined via confirmatory factor analysis (CFA). Multiple logistic regression analysis was then used to identify depressive symptoms using the CES-D. Results A total of 238 mothers, with 18.5% exhibiting depressive symptoms, were analyzed. The mean J-RS score was 61.3 ± 14.2. J-RS was positively correlated with RS (r = 0.71, p < 0.01) and negatively with CES-D (r = -0.62, p < 0.01). These results demonstrate the construct validity of the J-RS. CFA confirmed the six-factor model’s good fit for emotion and social connection. The J-RS was effective in distinguishing individuals at risk of depression (AUC = 0.83, 95% CI: 0.75–0.91). At a cutoff of 59/60, sensitivity, specificity, positive predictive value, and negative predictive value were 84.1%, 63.9%, 34.6%, and 94.7% respectively. Conclusions The J-RS appears to be the optimal index for assessing resilience, and would allow screening for postpartum depression among Japanese mothers. This study also showed that emotional control and social connectedness are important components of resilience.https://doi.org/10.1186/s12889-025-22765-6ResilienceJapan Resilience Scale (J-RS)Center for Epidemiologic Studies Depression (CES-D)Social connectionEmotional regulation
spellingShingle Mariko Takeuchi
Michiko Matsunaga
Akimitsu Miyake
Ryuichiro Egashira
Sayaka Hotta
Mai Nakano
Misaki Moriguchi
Fumihiko Yasuno
Masako Myowa
Keisuke Hagihara
The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
BMC Public Health
Resilience
Japan Resilience Scale (J-RS)
Center for Epidemiologic Studies Depression (CES-D)
Social connection
Emotional regulation
title The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
title_full The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
title_fullStr The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
title_full_unstemmed The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
title_short The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects
title_sort validity of a new resilience scale the japan resilience scale j rs for mothers with a focus on cultural aspects
topic Resilience
Japan Resilience Scale (J-RS)
Center for Epidemiologic Studies Depression (CES-D)
Social connection
Emotional regulation
url https://doi.org/10.1186/s12889-025-22765-6
work_keys_str_mv AT marikotakeuchi thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT michikomatsunaga thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT akimitsumiyake thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT ryuichiroegashira thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT sayakahotta thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT mainakano thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT misakimoriguchi thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT fumihikoyasuno thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT masakomyowa thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT keisukehagihara thevalidityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT marikotakeuchi validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT michikomatsunaga validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT akimitsumiyake validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT ryuichiroegashira validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT sayakahotta validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT mainakano validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT misakimoriguchi validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT fumihikoyasuno validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT masakomyowa validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects
AT keisukehagihara validityofanewresiliencescalethejapanresiliencescalejrsformotherswithafocusonculturalaspects