Resilience in the face of neurodivergence: A scoping review of resilience and factors promoting positive outcomes

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2024-08-15 DOI:10.1016/j.cpr.2024.102487

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Abstract

Neurodivergent individuals, including a range of conditions impacting neurological function, are at an increased likelihood of poor life outcomes, such as in functional adaptation, mental health, and well-being. Yet, many live meaningful and fulfilling lives. Resilience may provide some explanation for the heterogeneity in outcomes observed in neurodivergent populations. We conducted a scoping review embedded in a neurodiversity-affirmative approach to provide an understanding of resilience in neurodivergent populations. A total of 176 articles were included in this review and were synthesized using a two-phased process. First, findings were synthesized narratively to examine how resilience has been conceptualized and explored in neurodivergent populations. Second, to identify the bio-psycho-social factors important for resilience in neurodivergent individuals, we converted concepts identified in articles to the nomenclature of the World Health Organizations' International Classification of Functioning, Disability and Health (ICF) using a standardized linking process. We find considerable variability in how resilience is conceptualized and measured in neurodivergent populations. We identified 83 unique ICF categories representing resilience factors, of which only 20 appeared in more than 5% of the articles. Identified ICF categories highlight the importance of support systems such as families and friends, community participation and acceptance, and individual capabilities for resilience.

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面对神经差异的复原力：关于复原力和促进积极成果的因素的范围审查

神经变异者（包括一系列影响神经功能的病症）在功能适应、心理健康和幸福感等方面出现不良生活结果的可能性增加。然而，许多人却过着有意义和充实的生活。复原力可以在一定程度上解释在神经变异人群中观察到的结果的异质性。我们采用神经多样性肯定法进行了一次范围界定综述，以了解神经变异人群的复原力。本综述共收录了 176 篇文章，并分两个阶段进行了综合。首先，对研究结果进行叙事性综合，以考察神经变异人群的复原力是如何被概念化和探索的。其次，为了确定对神经变异个体的复原力有重要影响的生物-心理-社会因素，我们使用标准化的链接过程将文章中确定的概念转换为世界卫生组织的《国际功能、残疾和健康分类》（ICF）术语。我们发现，在神经变异人群中，复原力的概念化和测量方法存在很大差异。我们确定了 83 个代表复原力因素的 ICF 类别，其中只有 20 个类别出现在 5%以上的文章中。已确定的 ICF 类别强调了支持系统（如家人和朋友）、社区参与和接纳以及个人抗逆能力的重要性。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.