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. 2025 Feb;47(3):709-718.
doi: 10.1080/09638288.2024.2358903. Epub 2024 Jun 6.

Resilience and coping: a qualitative analysis of cognitive and behavioral factors in adults with osteogenesis Imperfecta

Hannah E Cho  1 , Whitney S Shepherd  1 , Gianna M Colombo  1 , Andrew D Wiese  1 , W Conor Rork  2 , Kristin M Kostick  3 , Dianne Nguyen  1 ; Members of the BBDC; Chaya N Murali  4   5 , Marie-Eve Robinson  6 , Sophie C Schneider  1 , Justin H Qian  1 , Brendan Lee  4   5 , V Reid Sutton  4   5 , Eric A Storch  1
Affiliations

Resilience and coping: a qualitative analysis of cognitive and behavioral factors in adults with osteogenesis Imperfecta

Hannah E Cho et al. Disabil Rehabil. 2025 Feb.

Abstract

Purpose: The aim of this qualitative study was to investigate resilience among adults with Osteogenesis Imperfecta (OI).

Materials and methods: Semi-structured interviews were conducted with 15 adults with OI. Transcripts were coded and subsequently abstracted, yielding themes specific to resilience and coping. Interview guides covered broad topics including pain challenges specific to OI, mental health issues related to OI, and priorities for future interventions for individuals with OI.

Results: Participants described resilience in the context of OI as the ability to grow from adversity, adapt to challenges resulting from OI-related injuries, and find identities apart from their condition. Psychological coping strategies included acceptance, self-efficacy, cognitive reframing, perspective-taking, and positivity. Behavioral factors that helped participants develop resilience included developing new skills, pursuing meaningful goals, practicing spirituality, and seeking external resources such as psychotherapy, education, and connection with community.

Conclusion: Having identified how adults with OI define resilience and the strategies they use to cope, we can now develop interventions and guide healthcare providers in improving psychological wellbeing in this population.

Keywords: Osteogenesis imperfecta; adaptation; assessment; coping; resilience; treatment.

Plain language summary

Adults with Osteogenesis Imperfecta (OI) employ resilience factors to combat mobility and pain-related issues.Adults with OI report developing adaptive skills to cope with their disease, including forming one’s identity outside of OI, growing through adversity, overcoming challenges resulting from OI-related injury, employing psychological adaptations, and practicing behavioral coping strategies.Resiliency factors such as behavioral and psychological coping (e.g., exercise, breathing strategies, acceptance) may buffer against OI-related challenges, and treatment modalities that foster these activities may be beneficial for adults with OI.

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