The Influence of Resilience on Flourishing in the Health Context: A Meta-Analysis

Cyprus Turkish Journal of Psychiatry & Psychology Vol.8 Issue.1

Doi:10.35365/ctjpp.26.1.12

REVIEW ARTICLE /  DERLEME YAZISI

The Influence of Resilience on Flourishing in the Health Context: A Meta-Analysis

Dayanıklılığın Sağlık Bağlamında Gelişmeye Etkisi: Bir Meta Analiz

Amherstia Pasca Rina^1,2 , Triana Kesuma Dewi¹  , Endang R. Surjaningrum¹ 

Abstract:

Adapting to the routine of hemodialysis following kidney failure is often accompanied by stress, which can worsen both the physical condition and mental health of patients. The Gestalt method facilitates self-recognition and self-acceptance, prompting healthier emotional adjustment. Illness acceptance, as a component of self-acceptance, contributes to stress reduction. Furthermore, group therapy provides patients with social support, which can enhance the process of illness acceptance. Therefore, this study aimed to examine the effectiveness of Gestalt group therapy in improving illness acceptance and reducing stress among patients with chronic kidney disease receiving hemodialysis. The method adopted was a pre-test post-test control group design. A total of 15 patients were screened voluntarily and completed the Chronic Illness Acceptance Questionnaire (CIAQ; Cronbach alpha = 0.861) and the Perceived Stress Scale (PSS-10; Cronbach alpha = 0.814). Only eight reported low illness acceptance and high stress levels. These patients were recruited and randomly assigned to the experimental and control groups. The experimental groups received treatment during and after the experiment, respectively. The results of the Wilcoxon test showed that Gestalt group therapy significantly improved illness acceptance (p = 0.046) and reduced stress levels (p = 0.046). Through this process, patients became more aware of their condition, leading to greater engagement in daily activities and reduced perceived stress.

Keywords: Flourishing, Health, Meta-analysis, Resilience.

¹Universitas Airlangga, Faculty of Psychology, Department of Psychology, Surabaya, Indonesia.

²Universitas 17 Agustus 1945 Surabaya, Faculty of Psychology, Department of Psychology, Surabaya, Indonesia.

Address of Correspondence/Yazışma Adresi: Endang R. Surjaningrum, Jalan Airlangga No.4-6, Airlangga, Surabaya, Jawa Timur 60115, Indonesia, E-mail: [email protected]

Date of Received/Geliş Tarihi: 14.03.2025, Date of Revision/Düzeltme Tarihi: 22.12.2025, Date of Acceptance/Kabul Tarihi: 26.12.2025, Date of Online Publication/Çevirimiçi Yayın Tarihi: 25.03.2026

Citing/Referans Gösterimi: Rina, A. P., Dewi, T. K. & Surjaningrum, E. R. (2026). The Influence of Resilience on Flourishing in the Health Context: A Meta-Analysis. Cyprus Turkish Journal of Psychiatry & Psychology, 8(1), 91-99, Doi: 10.35365/ctjpp.26.1.12.

© 2026 The Author(s). Published by Cyprus Mental Health Institute / Cyprus Turkish Journal of Psychiatry and Psychology (www.ktppdergisi.com). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 license which permits use, sharing, adaptation, distribution and reproduction in any medium or format, provided the original work is properly cited and is not used for commercial purposes. https://creativecommons.org/licenses/by-nc-sa/4.0/