Resilience in Caregivers: A Systematic Review

Carolina Palacio G*, Alicia Krikorian, María José Gómez-Romero, Joaquín T. Limonero

*Corresponding author for this work

Research output: Contribution to journalReview articleResearchpeer-review

35 Citations (Scopus)


Background: Resilience is a multidimensional construct that explains why people facing the consequences of adversity and stress can have a positive outcome, emphasizing adjustment to experiences that are perceived as threatening. Objective: The aim of this study is to review the construct of resilience and associated variables in caregivers of patients with chronic, advanced illness and at the end of life. Methods: The review included studies published between January 2009 and January 2019, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guide reporting. The Medline, ScienceDirect, HINARI, PsychINFO, and SciELO databases were used for bibliographic exploration to identify research studies that examined the impact of resilience on adaptation and overall well-being in caregivers of patients with chronic and advanced illness. Results: A total of 23 quantitative and qualitative studies were identified whose aim was to describe the role of resilience in adaptation and coping in caregivers. In these studies, resilience was associated with a positive impact on the quality of life and emotional distress. Communication and social support increase resilient coping strategies. In most selected articles, the sampling strategy used was convenience sampling. Data collection used evaluation scales related to resilience and associated variables for quantitative studies, and semistructured interviews were used for qualitative studies. Conclusion: Promoting a resilient coping style in caregivers reduces the distress that normally results from illness-related changes in the biopsychosocial and spiritual dimensions. A resilient coping style can diminish the risk of stress and burden, and promote adaptation in the caregiver.

Original languageAmerican English
Article number1049909119893977
Pages (from-to)648-658
Number of pages11
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number8
Publication statusPublished - 13 Dec 2019


  • advanced illness
  • chronic illness
  • palliative care
  • resiliency
  • systematic review


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