@article{103604,
  keywords = {Chronic illness, Resilience, sociodemographic factors, post-traumatic growth, psychological capital, perceived social support, leprosy},
  author = {Chusniyah T and Widasmara D and Yunus M and Noorrizki RD and Nochi H and Aditya RS},
  title = {Beyond demographics: disease duration and perceived social support as key determinants of psychosocial resilience in leprosy – a cross-sectional study},
  abstract = {<p>This study investigates the sociodemographic, psychological, and social determinants of psychosocial resilience among 135 individuals affected by leprosy in Indonesia. Employing a cross-sectional design, data were collected using validated scales for resilience (KUKUH), perceived social support (PSS), and psychological capital (PsyCap). Statistical analyses revealed that resilience was not significantly associated with most sociodemographic variables (e.g., gender, age, income;&nbsp;p&nbsp;&gt; 0.05). However, two factors emerged as critical associated factors: disease duration (p&nbsp;= 0.02), with longer duration (&gt;10 years) linked to higher resilience, suggesting post-traumatic growth; and perceived social support (p&nbsp;&lt; 0.001), though paradoxically, the “poor” PSS group reported higher resilience scores than the ``moderate” group, warranting further qualitative exploration. A strong, positive correlation was found between PsyCap and PSS (r&nbsp;= 0.708,&nbsp;p&nbsp;&lt; 0.001), indicating a synergistic relationship where internal psychological strengths and external social resources mutually reinforce one another. These findings underscore that resilience in leprosy is driven more by dynamic psychosocial resources than static demographics, advocating for integrated interventions that simultaneously build psychological capital and strengthen social support networks to enhance long-term well-being.&nbsp;</p>
},
  year = {2026},
  journal = {Leprosy Review},
  volume = {97},
  pages = {1 - 13},
  month = {06/2026},
  publisher = {Lepra},
  issn = {2162-8807},
  url = {https://leprosyreview.org/article/97/2/20-25115},
  doi = {10.47276/lr.97.2.2025115},
  language = {ENG},
}