Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York 10027, USA.
Annu Rev Clin Psychol. 2011;7:511-35. doi: 10.1146/annurev-clinpsy-032210-104526.
Initial research on loss and potentially traumatic events (PTEs) has been dominated by either a psychopathological approach emphasizing individual dysfunction or an event approach emphasizing average differences between exposed and nonexposed groups. We consider the limitations of these approaches and review more recent research that has focused on the heterogeneity of outcomes following aversive events. Using both traditional analytic tools and sophisticated latent trajectory modeling, this research has identified a set of prototypical outcome patterns. Typically, the most common outcome following PTEs is a stable trajectory of healthy functioning or resilience. We review research showing that resilience is not the result of a few dominant factors, but rather that there are multiple independent predictors of resilient outcomes. Finally, we critically evaluate the question of whether resilience-building interventions can actually make people more resilient, and we close with suggestions for future research on resilience.
最初对丧失和潜在创伤性事件(PTEs)的研究主要由强调个体功能障碍的心理病理学方法或强调暴露组和非暴露组之间平均差异的事件方法主导。我们考虑了这些方法的局限性,并回顾了最近更加关注不良事件后结果异质性的研究。使用传统分析工具和复杂的潜在轨迹建模,这项研究确定了一组典型的结果模式。通常,PTEs 后最常见的结果是健康功能或适应力的稳定轨迹。我们回顾了研究表明,适应力不是少数主导因素的结果,而是有多个独立的适应力结果预测因素。最后,我们批判性地评估了建立适应力的干预措施是否真的能让人更有适应力的问题,并对适应力研究的未来提出了建议。