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Impact of Levels of Adversity on Resilience and Coping Processes During the COVID- 19 Pandemic 逆境水平对COVID- 19大流行期间恢复力和应对过程的影响
IF 2.9 Pub Date : 2025-04-09 DOI: 10.1007/s42844-025-00170-7
Thomas V. Merluzzi, Natalia Salamanca-Balen, Avery Wright

This project, conducted during the COVID-19 pandemic, examined the following assumptions of resilience theory: (a) resilience resources (i.e., types of personal resilience) and coping have specific functions in adaptating to adversity and (b) resilience processes (i.e., relationships between resilience resources and other variables) differ according to level of stress/adversity. From April–June 2020, 155 persons with cancer diagnoses and 150 without, matched on age, sex, and income, were recruited in the USA. A moderated-mediation model was used to test the theoretical assumptions: pandemic stress (independent variable), resilience resources (moderator variable), disengagement/denial coping (mediation variable), and quality of life (dependent variable), controlling for comorbid disease. Confirming theory, the Pandemic Stress X Resilience Resources moderator effect was significant for the no-cancer group [−.007 (−.013, −.001)], who reported less pandemic stress/adversity than the cancer group (M = 5.20 vs. M = 7.95; p <.05, respectively), but not for the cancer group. Also confirming theory, the Disengagement/Denial Coping X Resilience Resources moderator effect was significant for the cancer group [−.074 (−.132, −.015)], but not for the no-cancer group. Consistent with resilience theory, for the no-cancer group, the role of resilience resources was to decrease negative coping, thereby indirectly minimizing losses in quality of life. In contrast, in the cancer group, which reported higher levels of stress/adversity, the role of resilience resources was to reduce erosion of quality of life by reducing the impact of negative coping on quality-of-life. These results have clinical implications for both enhancing resilience resources and decreasing level of adversity in interventions for stress.

本项目在2019冠状病毒病大流行期间开展,检验了弹性理论的以下假设:(a)弹性资源(即个人弹性类型)和应对在适应逆境中具有特定功能;(b)弹性过程(即弹性资源与其他变量之间的关系)根据压力/逆境的水平而不同。从2020年4月到6月,在美国招募了155名患有癌症诊断的人和150名没有癌症诊断的人,他们的年龄、性别和收入相匹配。采用一个有调节的中介模型来检验理论假设:流行病压力(自变量)、恢复力资源(调节变量)、脱离接触/拒绝应对(中介变量)和生活质量(因变量),控制共病。证实理论,大流行压力X弹性资源的调节效应在无癌症组是显著的[- 0.007](−。013年,−。他们报告的流行病压力/逆境比癌症组少(M = 5.20 vs. M = 7.95; p < 0.05),但癌症组没有。同样证实理论的是,在癌症组中,脱离参与/否认应对X弹性资源的调节效应是显著的[- 0.074](−。132年,−。[15],但非癌症组则不然。与弹性理论一致,对于无癌症组,弹性资源的作用是减少消极应对,从而间接地减少生活质量的损失。相比之下,在报告压力/逆境水平较高的癌症组中,恢复力资源的作用是通过减少消极应对对生活质量的影响来减少对生活质量的侵蚀。这些结果对于在压力干预中增强弹性资源和降低逆境水平具有临床意义。
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引用次数: 0
Childhood Maltreatment and Suicide Risk Behaviors Among Adolescents and Young Adults Living with HIV in Zimbabwe 津巴布韦感染艾滋病毒的青少年和青年中的儿童虐待和自杀风险行为
IF 2.9 Pub Date : 2025-03-31 DOI: 10.1007/s42844-025-00168-1
Edson Chipalo, Ikenna Obasi Odii

Childhood maltreatment is a public health crisis that contributes to an increased risk of suicidal behaviors in adolescents and young adults in numerous settings. This study examines the association between childhood maltreatment and suicide risk behaviors among adolescents and young adults living with HIV in Zimbabwe. The study utilized data from the 2017 Zimbabwe Violence Against Children Survey (N = 249). Descriptive statistics and chi-square tests were both used to obtain the prevalence estimates. In addition, two sets of bivariate logistic regression were employed to assess the association between types of childhood maltreatment and higher levels of suicide risk behaviors. The results showed that approximately 47.4% of adolescents and young adults living with HIV were at risk of higher levels of suicide behaviors. Furthermore, adolescents and young adults living with HIV who experienced any form of childhood maltreatment were associated with lower likelihood of reporting higher levels of suicide risk behaviors (61.3%; aOR = 0.33, 95% CI = 0.18–0.63). However, adolescents and young adults living with HIV who experienced emotional abuse (72.7%; aOR = 4.29, 95% CI = 1.57–11.77) and sexual abuse (75%; aOR = 3.44, 95% CI = 1.14–10.39) were more likely to report higher levels of suicide risk behaviors. This study underscore the need for a wide range of interventions to prevent suicide risk behaviors, including trauma-informed care and mental health support support services, anti-stigma and violence prevention programs, and promoting efforts to cultivate community acceptance for adolescents and young adults living with HIV in Zimbabwe.

儿童虐待是一种公共卫生危机,在许多情况下会导致青少年和年轻人自杀行为的风险增加。本研究探讨了在津巴布韦感染艾滋病毒的青少年和年轻人中,儿童虐待与自杀风险行为之间的关系。该研究使用了2017年津巴布韦暴力侵害儿童调查(N = 249)的数据。使用描述性统计和卡方检验获得患病率估计值。此外,采用两组双变量逻辑回归来评估儿童虐待类型与高水平自杀风险行为之间的关系。结果显示,大约47.4%的感染艾滋病毒的青少年和年轻人有较高的自杀行为风险。此外,患有艾滋病毒的青少年和年轻人在童年时期遭受过任何形式的虐待,其报告较高自杀风险行为的可能性较低(61.3%;aOR = 0.33, 95% CI = 0.18-0.63)。然而,患有艾滋病毒的青少年和年轻人经历过情感虐待(72.7%;aOR = 4.29, 95% CI = 1.57-11.77)和性虐待(75%;aOR = 3.44, 95% CI = 1.14-10.39)更有可能报告更高水平的自杀风险行为。这项研究强调需要广泛的干预措施来预防自杀风险行为,包括创伤知情护理和心理健康支持支持服务,反污名和暴力预防项目,以及促进努力培养社区对津巴布韦感染艾滋病毒的青少年和年轻人的接受度。
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引用次数: 0
The Structure of Benevolent Childhood Experiences: A Latent Class Analysis and Association with Mental Health Outcomes and Psychological Factors in a Large Adult UK Sample 善意童年经历的结构:潜在阶层分析及其与心理健康结果和心理因素的关联在一个大的英国成人样本中
IF 2.9 Pub Date : 2025-03-28 DOI: 10.1007/s42844-025-00167-2
Andrea Zagaria, Thanos Karatzias, Philip Hyland, Mark Shevlin

The aims of this study were firstly to explore the relationship between Benevolent Childhood Experiences (BCEs) and demographic variables, secondly to investigate the taxonic structure of BCEs without considering the confounding effect of Adverse Childhood Experiences (ACEs), thirdly to explore associations between latent classes of BCEs and a range of mental health and psychological factors and fourthly to examine the linear vs. non-linear relationship between BCEs and mental health outcomes. The sample analyzed here consisted of n = 2058 UK general population participants. Our findings revealed weak effects of gender, age, and education across the BCEs. A Latent Class Analysis (LCA) revealed four classes: High BCEs (42%), Intermediate BCEs with opportunity (35%), Intermediate BCEs (17%), and Low BCEs (4%). These classes were associated with psychological factors and mental health outcomes, with higher BCE clusters exhibiting better psychosocial functioning overall. Analysis of quadratic terms yielded no significant results. Implications for further research in this area are discussed.

本研究旨在探讨善意童年经历(bce)与人口学变量之间的关系;其次,在不考虑不良童年经历(ace)混杂效应的情况下,研究bce的分类结构;第三,探讨bce的潜在类别与一系列心理健康和心理因素之间的关联;第四,检验bce与心理健康结果之间的线性与非线性关系。这里分析的样本包括n = 2058名英国普通人群参与者。我们的研究结果显示,性别、年龄和教育程度对bce的影响很小。潜在类别分析(LCA)显示了四个类别:高bce(42%),有机会的中级bce(35%),中级bce(17%)和低bce(4%)。这些类别与心理因素和心理健康结果有关,BCE越高,总体上表现出更好的社会心理功能。二次项分析无显著结果。讨论了该领域进一步研究的意义。
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引用次数: 0
Resilience Resources Accessed by Religious LGBTQ + Americans Across Ecological Levels of Analysis: A Scoping Review 宗教LGBTQ +美国人在生态分析水平上获得的弹性资源:范围审查
IF 2.9 Pub Date : 2025-03-22 DOI: 10.1007/s42844-025-00166-3
Sarah Grace Frary, Zion R. Crichlow, Guillermo M. Wippold

In general, religiosity is associated with positive health outcomes, though this association is not observed among LGBTQ + individuals. Yet, nearly half of LGBTQ + Americans consider themselves religious. Clarifying the resilience resources used by this population may help inform targeted health promotion interventions that leverage strengths to support health, including social and mental health. This review identifies resilience resources used by religious LGBTQ + people in the United States using Dunkel-Schetter and Dolbier’s Resilience Taxonomy. Studies were included if they (1) sampled exclusively LGBTQ + people, all or a disaggregated subsection of whom identified either being religious and/or voluntarily participating in religious practice, and (2) included discussion of resilience among these participants. Results from 22 studies found resources for supporting resilience among LGBTQ + religious Americans, including the process of identity integration, personal cognitive or dispositional skills, social supports from family and faith communities, and cultural and structural impacts. Future research is required to assess how these resources may be integrated into interventions for LGBTQ + health by organizations uniquely situated within communities to do so, and this research may benefit from taking a broad taxonomic approach to understanding resilience within socioecological context.

一般来说,宗教信仰与积极的健康结果有关,尽管这种联系在LGBTQ +个体中没有观察到。然而,近一半的LGBTQ +美国人认为自己是宗教信徒。澄清这一人群使用的复原力资源可能有助于为有针对性的健康促进干预措施提供信息,这些干预措施利用优势来支持健康,包括社会和心理健康。本综述使用Dunkel-Schetter和Dolbier的弹性分类法确定了美国宗教LGBTQ +人群使用的弹性资源。如果研究包括:(1)完全抽样LGBTQ +人群,其中所有或细分部分确定为宗教和/或自愿参加宗教活动,(2)包括这些参与者之间的弹性讨论。22项研究的结果发现了支持LGBTQ +宗教美国人恢复力的资源,包括身份整合过程、个人认知或处置技能、家庭和信仰社区的社会支持,以及文化和结构影响。未来的研究需要评估这些资源如何被社区内独特的组织整合到LGBTQ +健康干预措施中,而这项研究可能会受益于采用广泛的分类学方法来理解社会生态背景下的恢复力。
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引用次数: 0
Correction to: Young Adult Mental Health Problem Incidence Varies by Specific Combinations of Adverse Childhood Experiences 修正:青少年心理健康问题发生率因不良童年经历的具体组合而异
IF 2.9 Pub Date : 2025-03-12 DOI: 10.1007/s42844-025-00165-4
Juhee Agrawal, Yvonne Lei, Vivek Shah, Anthony L. Bui, Neal Halfon, Adam Schickedanz
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引用次数: 0
Building Resilience Through a Self-Help Psychoeducation Program Based on Positive Psychotherapy: A Pilot Study with Young Adults in Türkiye 通过基于积极心理治疗的自助心理教育项目建立弹性:一项针对日本年轻人的试点研究
IF 2.9 Pub Date : 2025-03-01 DOI: 10.1007/s42844-025-00164-5
Tuğba Sarı, Tuğba Demirbağ, Songül Çalışkan

This pilot study investigated the effects of a self-help psychoeducation program based on positive psychotherapy on the psychological resilience of young adults in Türkey. The 8-week program, conducted online, comprised weekly 90-min sessions. The intervention group consisted of 15 women between the ages of 18 and 35 living in various cities in Türkey. This study used a mixed-method design that combined quantitative and qualitative approaches. Quantitative data were collected using a single-group pre-test–post-test–follow-up design, analyzed with the Wilcoxon signed-rank test, and assessed using the Brief Psychological Resilience Scale. Qualitative data were gathered via Google Forms and analyzed phenomenologically to explore the participants’ experiences. The results showed that the psychoeducation program had positive effects on participants’ psychological resilience, and that this effect continued with the follow-up test results. Qualitative analysis identified two main themes: self-help and self-compassion and emotional management and balance. Participants reported enhanced self-help skills, increased self-compassion, and improved emotional regulation. Overall, these findings reveal that the proposed program is effective in enhancing young adults’ psychological resilience and in developing their self-help skills. Recommendations for further research include expanding the sample size and including diverse groups to generalize the findings.

本研究旨在探讨以积极心理治疗为基础的自助心理教育计划对泰国青少年心理弹性的影响。这个为期8周的在线课程包括每周90分钟的课程。干预组由15名年龄在18到35岁之间的妇女组成,她们生活在泰国的各个城市。本研究采用定量与定性相结合的混合方法设计。定量数据采用单组前-后-后-随访设计,采用Wilcoxon符号秩检验进行分析,并采用简易心理弹性量表进行评估。通过谷歌表格收集定性数据并进行现象学分析,探讨参与者的体验。结果表明,心理教育项目对参与者的心理弹性有积极的影响,并且这种影响在后续测试结果中持续存在。定性分析确定了两个主要主题:自助和自我同情以及情绪管理和平衡。参与者报告说,他们的自助技能、自我同情和情绪调节能力都有所提高。综上所述,本研究结果表明,本计划对提高青少年的心理弹性和发展他们的自助技能是有效的。进一步研究的建议包括扩大样本量和纳入不同的群体以概括研究结果。
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引用次数: 0
Resilience to Workplace Incivility: How Different Recovery Experiences Influence Resilience Dimensions 职场不文明的复原力:不同复原经验如何影响复原力的维度
IF 2.9 Pub Date : 2025-02-06 DOI: 10.1007/s42844-025-00163-6
Lies Notebaert, Monique Crane, Joseph A. Carpini, Andrew R. Timming, Judy Eastham

Workplace incivility is a common experience with detrimental individual and organizational outcomes. Personal resources such as recovery experiences can help individuals demonstrate resilience to such adversity. Yet, it remains unknown whether different approaches to daily work recovery contribute to different resilience outcome dimensions. The current study investigated whether psychological detachment, relaxation, mastery, and control recovery experiences were differentially associated with resilience. We assessed resilience across the burnout dimensions of emotional exhaustion, depersonalization, and personal accomplishment using a residual approach. Participants were 289 local government professionals who completed self-report measures of recovery experiences, workplace incivility, and burnout. Hierarchical regression analyses revealed distinct patterns of associations. For emotional exhaustion resilience, psychological detachment and relaxation recovery opportunities were significant predictors. In contrast, none of the recovery experiences were associated with depersonalization resilience. For personal accomplishment resilience, only the mastery recovery opportunities emerged as a significant predictor. For comparison, psychological detachment and mastery experiences predicted higher scores on a conventional unidimensional trait resilience measure. These findings underscore the value of conceptualizing resilience as a multidimensional construct, as different recovery experiences appear to contribute to resilience in specific outcome domains. The results suggest that tailoring resilience-building strategies to target the unique needs and challenges faced by employees exposed to workplace incivility may be more effective than a one-size-fits-all approach. Continued research is needed to further elucidate the complex interplay between personal resources, workplace demands, and multifaceted resilient functioning.

工作场所的不文明行为是一种常见的经历,对个人和组织都有有害的影响。恢复经历等个人资源可以帮助个人表现出对这种逆境的适应力。然而,不同的日常工作恢复方法是否会导致不同的弹性结果维度仍然未知。本研究调查了心理超然、放松、掌握和控制恢复体验是否与弹性有差异相关。我们使用残差法评估了情绪耗竭、人格解体和个人成就的倦怠维度的复原力。参与者是289名当地政府专业人员,他们完成了自我报告,包括恢复经历、工作场所不文明行为和倦怠。层次回归分析揭示了不同的关联模式。情绪衰竭恢复力、心理超然和放松恢复机会是显著的预测因子。相比之下,没有任何恢复经历与去人格化恢复力有关。对于个人成就弹性,只有精通恢复机会是显著的预测因子。相比之下,心理超然和精通经验在传统的一维特质弹性测量中预测更高的分数。这些发现强调了将恢复力概念化为一个多维结构的价值,因为不同的恢复经历似乎在特定的结果领域中有助于恢复力。研究结果表明,针对面临职场不文明行为的员工所面临的独特需求和挑战,量身定制韧性建设策略可能比一刀切的方法更有效。需要进一步的研究来进一步阐明个人资源、工作场所需求和多方面弹性功能之间复杂的相互作用。
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引用次数: 0
Perspectives of Black American Community Members on Well-being (Feeling Good) 美国黑人社区成员对幸福感的看法(感觉良好)
IF 2.9 Pub Date : 2024-12-22 DOI: 10.1007/s42844-024-00162-z
Meera Alagaraja, Lisa M. Hooper

Black Americans are underrepresented in research studies about well-being. This underrepresentation can perpetuate and exacerbate health inequities. We used focus groups to explore the perceptions of Black American community members regarding definitions of well-being and facilitators and barriers to well-being. Eight focus groups were audiotaped and transcribed verbatim. Four focus groups comprised of 26 participants produced valid and interpretable data. Transcripts were analyzed, and the findings were grouped into three themes: (a) describing and defining feeling good or well-being, (b) expanding on key dimensions of feeling good or well-being, and (c) capturing systemic and community-level barriers and resources that impact participant well-being. The study results revealed that Black American participants were actively engaged in defining, protecting, and promoting their well-being, as well as the well-being of their families and communities. Specifically, participants identified individual, family, and community as protective factors against negative physical and mental health experiences. Implications for researchers, practitioners, and policymakers are provided.

在关于幸福感的研究中,美国黑人的代表性不足。这种代表性不足会使卫生不平等现象长期存在并加剧。我们使用焦点小组来探讨美国黑人社区成员对幸福的定义以及促进和阻碍幸福的因素的看法。对八个焦点小组进行录音并逐字抄录。由26名参与者组成的四个焦点小组提供了有效和可解释的数据。对记录进行了分析,并将研究结果分为三个主题:(a)描述和定义感觉良好或幸福,(b)扩展感觉良好或幸福的关键维度,以及(c)捕捉影响参与者幸福的系统和社区层面的障碍和资源。研究结果显示,美国黑人参与者积极参与定义、保护和促进他们的幸福,以及他们的家庭和社区的幸福。具体来说,参与者认为个人、家庭和社区是防止负面身心健康经历的保护因素。为研究人员、从业人员和政策制定者提供了启示。
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引用次数: 0
Longitudinal Effects of Cumulative Adverse Childhood Experiences on Internalizing and Externalizing Problems in Adolescents in Out-of-Home Care: Emotion Dysregulation as a Mediator 童年累积不良经历对家庭外照顾青少年内化和外化问题的纵向影响:情绪失调作为中介
IF 2.9 Pub Date : 2024-12-07 DOI: 10.1007/s42844-024-00161-0
Quan Zhou, Pony Chew, Adam Oei, Chi Meng Chu, Magdalene Ong, Eric Hoo

Maltreated adolescents placed in the out-of-home care (OHC) system often experience multiple adversities, which are associated with many deleterious outcomes. The present study investigated the longitudinal effects of cumulative adverse childhood experiences (ACEs) on internalizing and externalizing problems among adolescents in OHC, as well as the extent to which emotion dysregulation can explain the links between exposure to multiple adversities and problematic behavioral outcomes over time. One hundred and sixty-two adolescents (Mage = 13.11 years, 90 females) who were placed in OHC in Singapore self-reported on their adversities experienced and symptoms of emotion dysregulation at baseline, as well as internalizing and externalizing problems in two consecutive waves. Path analyses indicated that cumulative ACEs were positively associated with both internalizing and externalizing problems at Wave 1, which in turn were positively related to internalizing and externalizing problems at Wave 2. Emotion dysregulation at Wave 1 partially explained the paths. These findings highlight the importance of addressing emotion dysregulation and the associated internalizing and externalizing problems in early interventions for adolescents in OHC to mitigate the risks of deteriorating mental health and promote positive outcomes.

被安置在家庭外照料系统的受虐待青少年往往经历多重逆境,这些逆境与许多有害的结果有关。本研究调查了累积童年不良经历(ace)对OHC青少年内化和外化问题的纵向影响,以及情绪失调在多大程度上可以解释长期暴露于多重逆境和问题行为结果之间的联系。162名被安置在新加坡OHC的青少年(年龄为13.11岁,90名女性)自我报告了他们的逆境经历和情绪失调的症状,以及连续两波的内化和外化问题。通径分析表明,累积不良经历与第一阶段的内化和外化问题呈正相关,而第二阶段的内化和外化问题又与累积不良经历呈正相关。波1的情绪失调部分解释了这些路径。这些发现强调了在OHC青少年早期干预中解决情绪失调以及相关的内化和外化问题的重要性,以减轻心理健康恶化的风险并促进积极的结果。
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引用次数: 0
Exploring the Psychometric Properties of the Connor-Davidson Resilience Scale (CD-RISC) 康诺-戴维森弹性量表(CD-RISC)的心理测量特性探讨
IF 2.9 Pub Date : 2024-12-02 DOI: 10.1007/s42844-024-00159-8
Katie Minnett, Zoe Stephenson

The aim of this paper was to critically evaluate the Connor-Davidson Resilience Scale (CD-RISC). The CD-RISC is a brief, self-report instrument consisting of 25 items on a 5-point Likert scale which ranges from zero to four with higher scores reflecting greater resilience. A five-factor scale is used to conceptualise resilience with eight items on personal competence, high standards, and tenacity; seven items on trust in one’s instinct, tolerance of negative effects, and strengthening effects of stress; five items on positive acceptance of change and secure relationships; three items on control; and two items on spiritual influences. The CD-RISC has been used across a range of contexts and populations and has been translated into many languages. The CD-RISC has been critically evaluated as a part of wider reviews and has been critiqued within individual studies which have utilised the measure; however, there has not yet been a specific, critical evaluation of the scale which provides a comprehensive picture of the measure by drawing such research together. Given how widely the measure is used across both clinical and non-clinical populations, it is felt necessary to provide clinicians and researchers with an evaluation of the measure in terms of its reliability and validity. Such information is essential when drawing conclusions from scores on the measure. As such, this article will present and discuss the strengths and limitations of the CD-RISC with reference to its psychometric properties. In addition, the implications of the findings of the review will be discussed with reference to its use in current practice and research.

本文的目的是批判性地评估康纳-戴维森弹性量表(CD-RISC)。CD-RISC是一个简短的自我报告工具,由25个项目组成,5分李克特量表,范围从0到4,得分越高,反映出更强的弹性。采用五因素量表对弹性进行概念化,其中包括个人能力、高标准和坚韧性的八个项目;信任直觉、容忍负面影响和强化压力的七个项目;关于积极接受变化和安全关系的五个项目;三项管制;还有两个关于精神影响的项目。CD-RISC已被广泛用于各种环境和人群,并已被翻译成多种语言。CD-RISC作为更广泛审查的一部分进行了严格评估,并在使用该措施的个别研究中受到了批评;然而,目前还没有对该量表进行具体的、批判性的评价,通过综合这些研究来提供该措施的全面情况。考虑到该措施在临床和非临床人群中使用的广泛程度,有必要向临床医生和研究人员提供该措施的可靠性和有效性评估。这些信息在从分数中得出结论时是必不可少的。因此,本文将介绍并讨论CD-RISC的优势和局限性,并参考其心理测量特性。此外,将讨论审查结果的影响,并参考其在当前实践和研究中的应用。
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