Hildon Zoe, Smith Glenn, Netuveli Gopalakrishnan, Blane David
CORE Clinical Health Psychology, University College London, London.
Sociol Health Illn. 2008 Jul;30(5):726-40. doi: 10.1111/j.1467-9566.2008.01087.x. Epub 2008 Apr 28.
This mixed-methods study looks at the relationship between adversity and resilience. It examines the dynamics of protection in a sub-sample of the Boyd Orr cohort that are aged between 70 and 80 years of age (n = 139). We used a questionnaire and activity diaries to gather a range of quantitative data, and interviews using lifegrids to explore past and present experiences of adversity. Sampling of 32 individuals was based on resilient and vulnerable outcomes (16 cases respectively), measured quantitatively as good or poor quality of life (CASP-19) in the presence of one or more adversities such as ill health or stress. The analysis explored adversity and protection in relationships, retirement, and health. Participants with resilient outcomes drew upon social and individual resources in the face of adversity, in particular resources that stabilised life change by providing continuity. These included: constructing narratives that reinterpreted past adversity in light of recent ones; maintaining social roles and activities that had previously brought pleasure or a sense of mastery; relying on tried and tested coping strategies; support from close ongoing relationships. Participants with vulnerable outcomes, however, described more severe adversities, suggesting that resilience is also dependent on the degree and impact of this experience.
这项混合方法研究考察了逆境与复原力之间的关系。它在博伊德·奥尔队列中年龄在70至80岁之间的一个子样本(n = 139)中研究了保护的动态变化。我们使用问卷调查和活动日记来收集一系列定量数据,并通过使用生活网格进行访谈来探索过去和现在的逆境经历。对32个人的抽样基于复原力和脆弱性结果(分别为16个案例),在存在一种或多种逆境(如健康不佳或压力)的情况下,通过生活质量的好坏(CASP - 19)进行定量测量。分析探讨了人际关系、退休和健康方面的逆境与保护。具有复原力结果的参与者在面对逆境时利用社会和个人资源,特别是通过提供连续性来稳定生活变化的资源。这些资源包括:构建根据近期逆境重新诠释过去逆境的叙述;维持以前带来愉悦或掌控感的社会角色和活动;依靠经过检验的应对策略;来自持续亲密关系的支持。然而,具有脆弱性结果的参与者描述了更严重的逆境,这表明复原力也取决于这种经历的程度和影响。