Campbell-Sills Laura, Forde David R, Stein Murray B
Department of Psychiatry, University of California, San Diego, 8939 Villa La Jolla Drive, Suite 200, La Jolla, CA 92093-0603, USA.
J Psychiatr Res. 2009 Aug;43(12):1007-12. doi: 10.1016/j.jpsychires.2009.01.013. Epub 2009 Mar 4.
Scientific investigation of resilient responses to stress and trauma has the potential to inform models of the etiology, treatment, and prevention of stress-related psychiatric disorders (e.g. posttraumatic stress disorder). Despite building interest in and investigation of resilience, many basic questions regarding this construct remain unstudied. This study contributes to the empirical literature on resilience by providing novel information on the distribution and correlates of stress resilience in the general community. A well-validated self-report measure of resilience was completed by a large sample (N=764) of respondents to a telephone-based community survey that also included questions about demographics and history of childhood maltreatment. Multiple regression analyses showed that several demographic characteristics (sex, education level, and income level) uniquely predicted subjects' resilience to stress and that, taken together, these factors explained approximately 11% of the variance in resilience. Reported history of childhood maltreatment independently contributed to prediction of resilience and explained an additional 2% of the variance in this trait. While females, individuals with lower levels of education and income, and individuals with histories of childhood maltreatment reported diminished resilience overall, the majority of variance in the resilience measure was left unexplained leaving much room for other variables to influence a person's resilience to stress. Relationships of the present results to other research on resilient and pathological stress responses are discussed, as well as implications of these findings for future investigations of resilience.
对应激和创伤的弹性反应进行科学调查,有可能为与压力相关的精神障碍(如创伤后应激障碍)的病因、治疗和预防模型提供信息。尽管人们对弹性的兴趣和研究不断增加,但关于这一概念的许多基本问题仍未得到研究。本研究通过提供关于普通社区中压力弹性的分布及其相关因素的新信息,为有关弹性的实证文献做出了贡献。通过一项基于电话的社区调查中的大量样本(N = 764)完成了一项经过充分验证的弹性自我报告测量,该调查还包括有关人口统计学和童年期虐待史的问题。多元回归分析表明,几个人口统计学特征(性别、教育水平和收入水平)独特地预测了受试者对压力的弹性,并且这些因素共同解释了弹性差异的约11%。报告的童年期虐待史独立地有助于弹性的预测,并解释了该特征另外2%的差异。虽然女性、教育和收入水平较低的个体以及有童年期虐待史的个体总体上报告的弹性较低,但弹性测量中大部分差异仍无法解释,这为其他变量影响一个人对压力的弹性留下了很大空间。本文讨论了当前结果与其他关于弹性和病理性应激反应研究的关系,以及这些发现对未来弹性研究的启示。