The Wither or Thrive Model of Resilience: an Integrative Framework of Dynamic Vulnerability and Resilience in the Face of Repeated Stressors During the COVID-19 Pandemic

Malvika Godara, Sarita Silveira, Hannah Matthäus, Tania Singer
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引用次数: 5

Abstract

During the first 2 years of the COVID-19 pandemic, empirical efforts in the psychological sciences have been unequivocally focused on understanding the psychosocial impact on resilience and vulnerability. While current empirical work is guided by different existing theoretical models of resilience and vulnerability, the emerging datasets have also pointed to a necessity for an update of these models. Due to the unique features and developments specific to the current pandemic such as the occurrence of repeated collective stressors of varying durations, in the current position paper, we introduce the Wither or Thrive model of Resilience (With:Resilience). It integrates key aspects of prevailing psychological resilience frameworks within the context of the COVID-19 pandemic, and extends them by (1) moving away from single scale approaches towards a higher-order latent expression of resilience and vulnerability incorporating also non-clinical mental health markers, (2) proposing different trajectories of resilience-vulnerability emerging across repeated stressors over long periods of time, and (3) by incorporating multiple influencing factors including aspects of the socio-economic concept of social cohesion as well as separate mediating processing mechanisms. We propose that With:Resilience will enable a more nuanced approach and appropriate analytical investigation of the vast incoming data on mental health and resilience during the COVID-19 pandemic, and we suggest some concrete methodological approaches. This framework will assist in the development of actionable public health guidelines for society in the present and future pandemic contexts as well as aid policy making and the interventional sciences aimed at protecting the most vulnerable amongst us.

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韧性的衰退或繁荣模型:新冠肺炎大流行期间面对反复压力的动态脆弱性和韧性的综合框架
在新冠肺炎大流行的头两年里,心理科学的实证工作明确侧重于理解心理社会对复原力和脆弱性的影响。虽然目前的实证工作以不同的现有复原力和脆弱性理论模型为指导,但新兴的数据集也表明有必要更新这些模型。由于当前疫情特有的独特特征和发展,例如不同持续时间的重复集体压力源的发生,在当前的立场文件中,我们引入了韧性的抑制或繁荣模型(With:Resilience)。它整合了新冠肺炎大流行背景下流行的心理恢复力框架的关键方面,并通过以下方式扩展了这些框架:(1)从单尺度方法转向更高层次的潜在恢复力和脆弱性表达,同时结合非临床心理健康标志物,(2)提出长期重复压力源中出现的恢复力-脆弱性的不同轨迹,以及(3)通过纳入多种影响因素,包括社会凝聚力的社会经济概念以及单独的中介处理机制。我们建议,With:Resilience将有助于对新冠肺炎大流行期间心理健康和复原力的大量传入数据进行更细致的方法和适当的分析调查,并提出一些具体的方法论方法。该框架将有助于在当前和未来的疫情背景下为社会制定可操作的公共卫生指南,并有助于制定政策和干预科学,以保护我们当中最脆弱的群体。
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