年度研究综述:受虐待儿童的弹性功能——过去、现在和未来的视角。
Annual Research Review: Resilient functioning in maltreated children--past, present, and future perspectives.
机构信息
Institute of Child Development, University of Minnesota, Minneapolis, MN 55455, USA.
出版信息
J Child Psychol Psychiatry. 2013 Apr;54(4):402-22. doi: 10.1111/j.1469-7610.2012.02608.x. Epub 2012 Aug 28.
BACKGROUND
Through a process of probabilistic epigenesis, child maltreatment progressively contributes to compromised adaptation on a variety of developmental domains central to successful adjustment. These developmental failures pose significant risk for the emergence of psychopathology across the life course. In addition to the psychological consequences of maltreatment, a growing body of research has documented the deleterious effects of abuse and neglect on biological processes. Nonetheless, not all maltreated children develop maladaptively. Indeed, some percentage of maltreated children develops in a resilient fashion despite the significant adversity and stress they experience.
METHODS
The literature on the determinants of resilience in maltreated children is selectively reviewed and criteria for the inclusion of the studies are delineated.
RESULTS
The majority of the research on the contributors to resilient functioning has focused on a single level of analysis and on psychosocial processes. Multilevel investigations have begun to appear, resulting in several studies on the processes to resilient functioning that integrate biological/genetic and psychological domains.
CONCLUSIONS
Much additional research on the determinants of resilient functioning must be completed before we possess adequate knowledge based on a multiple levels of analysis approach that is commensurate with the complexity inherent in this dynamic developmental process. Suggestions for future research on the development of resilient functioning in maltreated children are proffered and intervention implications are discussed.
背景
通过概率发生的表观遗传学过程,儿童虐待逐渐导致各种与成功适应相关的发育领域受损。这些发育失败对整个生命过程中精神病理学的出现构成了重大风险。除了虐待的心理后果外,越来越多的研究记录了虐待和忽视对生物过程的有害影响。尽管如此,并非所有受虐待的儿童都发育不良。事实上,尽管遭受了巨大的逆境和压力,一些受虐待的儿童仍能以有弹性的方式发展。
方法
选择性地回顾了关于受虐待儿童适应力决定因素的文献,并阐明了纳入研究的标准。
结果
大多数关于适应力功能贡献的研究都集中在单一的分析层面和心理社会过程上。多层次的研究已经开始出现,导致了几项关于适应力功能的研究,这些研究整合了生物/遗传和心理领域。
结论
在我们拥有基于与这种动态发育过程固有的复杂性相称的多层次分析方法的充分知识之前,必须完成更多关于适应力功能决定因素的研究。提出了关于受虐待儿童适应力功能发展的未来研究建议,并讨论了干预意义。
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