02294nas a2200289   4500000000100000008004100001260001900042653002000061653001500081653002900096653002600125653002600151653002900177653001200206100001600218700001600234700001200250700001700262700001200279700001400291245015700305856005200462300001100514490000700525520145800532022001401990       2026                            d  c06/2026bLepra10aChronic illness10aResilience10asociodemographic factors10apost-traumatic growth10apsychological capital10aperceived social support10aleprosy1 aChusniyah T1 aWidasmara D1 aYunus M1 aNoorrizki RD1 aNochi H1 aAditya RS00aBeyond demographics: disease duration and perceived social support as key determinants of psychosocial resilience in leprosy – a cross-sectional study  uhttps://leprosyreview.org/article/97/2/20-25115  a1 - 130 v973 a<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>
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