患有慢性疾病的年轻人的复原力和痛苦:一项纵向研究。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-04-26 DOI:10.1111/bjhp.12667
Erika Wright, Timothy R. Elliott, Oi-Man Kwok, Qiyue Zhang, Mikaela Spooner
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引用次数: 0

摘要

目的:在8年的时间里,在患有慢性健康状况(CHC)的新兴成年人中,测试坚韧人格原型的有益关联。设计:纵向、前瞻性观察研究。方法:对从具有CHC的Add Health项目中的新兴成年人获得的数据以及在两个时间点(286名男性,459名女性)完成的研究测量进行检查。聚类分析用于在第一个时间点识别弹性人格原型,如人格块模型中所定义的。研究了具有弹性原型和非弹性原型之间的差异。一个结构方程模型(SEM)测试了弹性原型与积极情感、感知控制和家庭关系在预测一段时间内的痛苦时的关联。结果:发现了一个有弹性的人格特征(n = 256)。这些人在两次测量中都比没有这种情况的人表现出更高的积极影响、更大的控制感和更少的痛苦(n = 489)。女性比男性更痛苦。SEM显示,弹性原型与痛苦的关系是通过其与第一次评估时的积极影响和感知控制的有益关联来解释的,以及通过其与感知控制的有利关联8 几年后。性别独立预测痛苦。结论:有弹性的人格原型似乎通过其与感知控制的有益联系来前瞻性预测新出现的CHC成年人报告的痛苦。理论上与弹性人格原型相关的自我调节特性可能通过控制感发挥作用,而控制感反过来又可以防止长期的痛苦经历。考虑了临床影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Resilience and distress among young adults with chronic health conditions: A longitudinal study

Objectives

To test the beneficial associations of a resilient personality prototype among emerging adults with chronic health conditions (CHC) over an 8-year period.

Design

Longitudinal, prospective observation study.

Methods

Data obtained from emerging adults in the Add Health project with a CHC and completed study measures at two time points (286 men, 459 women) were examined. Cluster analysis was used to identify a resilient personality prototype at the first time point, as defined in the Block model of personality. Differences between those with a resilient and non-resilient prototype were examined. A structural equation model (SEM) tested the association of a resilience prototype with positive affect, perceived control and family relationships in predicting distress over time.

Results

A resilient personality profile was identified (n = 256). These individuals reported higher positive affect, greater perceived control and less distress at both measurement occasions than those without this profile (n = 489). Women reported more distress than men. SEM revealed the relationship of a resilient prototype to distress was explained by its beneficial association with positive affect and perceived control at the first assessment, and through its beneficial association with perceived control 8 years later. Gender independently predicted distress.

Conclusions

A resilient personality prototype appears to operate through its beneficial association with perceived control to prospectively predict distress reported by emerging adults with CHC. The self-regulatory properties theoretically associated with a resilient personality prototype may function through perceptions of control which, in turn, prevent prolonged experiences of distress. Clinical implications are considered.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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