Resilience as a protective factor against anxiety and depression in vulnerable contexts: a systematic review

Authors

Keywords:

Resilience, anxiety, depression, mental health, vulnerability

Abstract

Anxiety and depression are among the most prevalent mental health problems worldwide, particularly among populations exposed to conditions of social, economic, family, or health-related vulnerability. In this context, resilience has emerged as a fundamental protective factor that promotes positive adaptation to adverse situations and contributes to the preservation of psychological well-being. The aim of this systematic review was to analyze the available scientific evidence regarding resilience as a protective factor against anxiety and depression in vulnerable contexts. A qualitative documentary research approach was employed through the review of studies published between 2020 and 2026 in academic databases including Scopus, Web of Science, PubMed, SciELO, Redalyc, and Google Scholar. The findings revealed a consistent inverse relationship between resilience and symptoms of anxiety and depression. Furthermore, factors such as optimism, family functioning, social support, self-efficacy, emotional regulation, and positive affect were identified as key elements that strengthen resilience processes and promote mental health. The analyzed evidence indicates that resilience exerts protective effects among children, adolescents, university students, older adults, informal caregivers, and healthcare workers. In the Ecuadorian context, the findings highlight the importance of strengthening psychological and family resources to address the multiple vulnerability situations affecting the population. It is concluded that resilience constitutes a key tool for the prevention of anxiety and depression, as well as for the promotion of psychological well-being and positive adaptation in the face of adversity.

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References

Asociación Americana de Psiquiatría. (2013). Manual diagnóstico y estadístico de los trastornos mentales: DSM-5™ (5ta ed.). Ameri-can Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596

Bautista-Aguilar, N., Díaz-Castro, L., Suárez-Herrera, J. C., et al. (2026). From vulnerability to resilience: Community-based insights on adolescent and youth depression in underserved communities in Mexico. Health Services Insights, 19. https://doi.org/10.1177/11786329261419279

Bonnano, G.A. (2008). Loss, trauma, and human resilience. Have we underestimated the human capacity to thrive after extremely aversive events? Psychological Trauma: Theory, Re-search, Practice and Policy, 59(1), 101-113. https://doi.org/10.1037/0003-066x.59.1.20

Campos-Gómez, A. A. del C., Peralta-Jiménez, Y., & Romero-Aguirre, G. de los Á. (Coord.). (2025). Salud mental: capacidad para transitar en la vida. Sophia Editions.

Chávez Acurio, A. I., & Lima Rojas, D. (2023). Depresión, ansiedad, estrés y funcionalidad familiar en adolescentes de una unidad educativa de Guayaquil. Revista Eugenio Espejo, 17(2), 33–45. https://doi.org/10.37135/ee.04.17.05

Díaz-Guerra, D. D., & Hernández Lugo, M. de la C. (2023). Optimismo y resiliencia como factores protectores ante vivencias negativas en estudiantes universitarios. PSIDIAL: Psicología y Diálogo de Saberes, 2(1). https://doi.org/10.33936/psidial.v2i1.5471

Egan, L. A., Park, H. R. P., Lam, J., & Gatt, J. M. (2024). Resilience to stress and adversity: A narrative review of the role of positive affect. Psychology Research and Behavior Management, 17, 2011–2038. https://doi.org/10.2147/PRBM.S391403

Fan, S., Xu, Q., Li, X., Liu, W., Lu, K., Zhao, X., Cui, L., Qi, L., Li, Q., He, K., Bai, T., Zhu, C., Wang, K., & Ye, R. (2026). Distinct resilience phenotypes in depression and anxiety: Validation and network analysis of the Chinese Mount Sinai Resilience Scale. Journal of Affective Disorders, 403, Article 121425. https://doi.org/10.1016/j.jad.2026.121425

Gaibor-González, I., & Moreta-Herrera, R. (2020). Optimismo disposicional, ansiedad, depresión y estrés en una muestra del Ecuador: Análisis inter-género y de predicción. Actualidades en Psicología, 34(129), 17–31. https://doi.org/10.15517/ap.v34i129.35148

García Pérez, L., Cepero-González, M., & Padial-Ruz, R. (2025). La resiliencia como clave para el bienestar mental en la educación superior: una revisión sistemática de evidencias y estrategias. Universitas Psychologica, 24, 1-15. https://doi.org/10.11144/Javeriana.upsy24.rkmw

García-Castillo, F. Y., Ccama-Condori, C. S., Bedia-Zaña, J. G., & Ramírez-Romero, P. M. (2024). Resiliencia en la ansiedad y el estrés de los adolescentes. Revista Peruana de Ciencias de la Salud, 6(4), 278–286. https://doi.org/10.37711/rpcs.2024.6.4.626

Leys, C., Kotsou, I., Shankland, R., Firmin, M., Péneau, S., & Fossion, P. (2021). Resilience Predicts Lower Anxiety and Depression and Greater Recovery after a Vicarious Trauma. International journal of environmental research and public health, 18(23), 12608. https://doi.org/10.3390/ijerph182312608

Leys, C., Kotsou, I., Shankland, R., Firmin, M., Péneau, S., & Fossion, P. (2021). Resilience Predicts Lower Anxiety and Depression and Greater Recovery after a Vicarious Trauma. International journal of environmental research and public health, 18(23), 12608. https://doi.org/10.3390/ijerph182312608

Macas Ordoñez, B. D., Castelo-Rivas, W. P., González-Arellano, N., Castro Vásquez, M. J., & Castro Vásquez, T. N. (2023). Estrés, ansiedad y depresión en el adulto mayor en relación a la funcionalidad familiar. Revista Peruana de Ciencias de la Salud, 5(3), 203–211. https://doi.org/10.37711/rpcs.2023.5.3.426

Merino Flores, I. (2025). Revisión sistemática sobre los determinantes de la resiliencia infantil en contextos de vulnerabilidad. Universidad, Ciencia y Tecnología, 29(129), 70–77. https://doi.org/10.47460/uct.v29i129.1009

Morales-Jordán, S., Rodríguez-Gómez, J., & Padilla-Cotto, L. (2021). Síntomas de Depresión y Factores Internos de Resiliencia en Adultos Puertorriqueños. Revista Caribeña De Psicología, 5(1), e5249. https://doi.org/10.37226/rcp.v5i1.5249

Valenzuela Argoti, S. I., & Garzón Tobar, J. S. (2025). Factores relacionados con ansiedad, depresión y resiliencia en trabajadores administrativos del sector salud en Ipiales en el año 2024. Revista Científica de Salud y Desarrollo Humano, 6(2), 1572–1606. https://doi.org/10.61368/r.s.d.h.v6i2.697

Vázquez, F. L., Blanco, V., Andrade, E., Otero, P., Bueno, A. M., Simón, M. A., & Torres, Á. J. (2024). Resilience as a protective factor against depression in informal caregivers. Frontiers in psychology, 15, 1370863. https://doi.org/10.3389/fpsyg.2024.1370863

Wang, H., Wang, M., Wang, X., Feng, T., Liu, X., & Xiao, W. (2025). Complex associations between anxiety, depression, and resilience in a college student sample: a network analysis. Frontiers in psychiatry, 16, 1502252. https://doi.org/10.3389/fpsyt.2025.1502252

Zhang, X., Shuai, Y., Wang, Y., Wang, J., & Luo, F. (2026). The relationship between emotional resilience and anxiety and depression in children who migrate with their families: The moderating role of mindfulness. BMC Psychology, 14, Article 261. https://doi.org/10.1186/s40359-026-04051-1

Published

2026-06-30