{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:22:26Z","timestamp":1783477346633,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:00:00Z","timestamp":1686096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Some individuals with systemic sclerosis (SSc) report positive mental health, despite severe disease manifestations, which may be associated with resilience, but no resilience measure has been validated in SSc. This study was undertaken to assess the validity, reliability, and differential item functioning (DIF) between English\u2010 and French\u2010language versions of the 10\u2010item Connor\u2010Davidson Resilience Scale (CD\u2010RISC\u201010) in SSc.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eligible participants were enrolled in the Scleroderma Patient\u2010centered Intervention Network Cohort and completed the CD\u2010RISC\u201010 between August 2022 and January 2023. We used confirmatory factor analysis (CFA) to evaluate the CD\u2010RISC\u201010 factor structure and conducted DIF analysis across languages with Multiple Indicators Multiple Causes models. We tested convergent validity with another measure of resilience and measures of self\u2010esteem and depression and anxiety symptoms. We assessed internal consistency and test\u2013retest reliability using Cronbach's alpha and intraclass correlation coefficient (ICC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 962 participants were included in this analysis. CFA supported a single\u2010factor structure (Tucker\u2013Lewis index\u00a0=\u00a00.99, comparative fit index\u00a0=\u00a00.99, root mean square error of approximation\u00a0=\u00a00.08 [90% confidence interval (90% CI) 0.07, 0.09]). We found no meaningful DIF. Internal consistency was high (\u03b1 = 0.93 [95% CI 0.92, 0.94]), and we found that correlations with other measures of psychological functioning were moderate to large (|r| =\u20090.57\u20130.78) and confirmed study hypotheses. The scale showed good 1\u20132\u2010week test\u2013retest reliability (ICC 0.80 [95% CI 0.75, 0.85]) in a subsample of 230 participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CD\u2010RISC\u201010 is a valid and reliable measure of resilience in SSc, with score comparability across English and French versions.<\/jats:p><jats:p><jats:boxed-text content-type=\"graphic\" position=\"anchor\"><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/acr25139-toc-0001-m.png\"><jats:alt-text>image<\/jats:alt-text><\/jats:graphic><\/jats:boxed-text><\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25139","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T04:01:35Z","timestamp":1683000095000},"page":"2369-2378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Validity, Reliability, and Differential Item Functioning of English and French Versions of the <scp>10\u2010Item Connor\u2010Davidson<\/scp> Resilience Scale in Systemic Sclerosis: A Scleroderma <scp>Patient\u2010Centered<\/scp> Intervention Network Cohort Study"],"prefix":"10.1002","volume":"75","author":[{"given":"Marieke A.","family":"Neyer","sequence":"first","affiliation":[{"name":"Lady Davis Institute of the Jewish General Hospital and McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard 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