Tutut Chusniyah, Dhelya Widasmara, Moch Yunus, Rakhmaditya Dewi Noorrizki, Hananmuhibbatuddin Nochi, Ronal Surya Aditya
This study investigates the sociodemographic, psychological, and social determinants of psychosocial resilience among 135 individuals affected by leprosy in Indonesia. Employing a cross-sectional design, data were collected using validated scales for resilience (KUKUH), perceived social support (PSS), and psychological capital (PsyCap). Statistical analyses revealed that resilience was not significantly associated with most sociodemographic variables (e.g., gender, age, income; p > 0.05). However, two factors emerged as critical associated factors: Disease duration (p = 0.02), with longer duration (>10 years) linked to higher resilience, suggesting posttraumatic growth; and perceived social support (p < 0.001), though paradoxically, the “poor” PSS group reported higher resilience scores than the “moderate” group, warranting further qualitative exploration. A strong, positive correlation was found between PsyCap and PSS (r = 0.708, p < 0.001), indicating a synergistic relationship where internal psychological strengths and external social resources mutually reinforce one another. These findings underscore that resilience in leprosy is driven more by dynamic psychosocial resources than static demographics, advocating for integrated interventions that simultaneously build psychological capital and strengthen social support networks to enhance long-term well-being. © 2026, Lepra. All rights reserved.
Psychology Faculty, Universitas Negeri, Malang, 65145, Indonesia; Universitas Brawijaya, Malang, 65145, Indonesia; Prince of Songkla University, Patani Campus, 83120, Thailand; Nursing Department, Universitas Jember, Jember, 68121, Indonesia