Beutel Manfred E, Tibubos Ana N, Klein Eva M, Schmutzer Gabriele, Reiner Iris, Kocalevent Rüya-Daniela, Brähler Elmar
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.
PLoS One. 2017 Mar 15;12(3):e0173826. doi: 10.1371/journal.pone.0173826. eCollection 2017.
While adverse childhood experiences have been shown to contribute to adverse health outcomes in adulthood, specifically distress and somatic symptoms, few studies have examined their joint effects with resilient coping style on adult adjustment. Hence, we aim to determine the association between resilient coping and distress in participants with and without reported childhood adversities. A representative German community sample (N = 2508) between 14-92 years (1334 women; 1174 men) was examined by the short form of the Childhood Trauma Questionnaire, the Brief Resilience Coping Scale, standardized scales of distress and somatoform symptoms. Childhood adversity was associated with reduced adjustment, social support and resilience. It was also strongly associated with increased distress and somatoform complaints. Resilient coping was not only associated with lower distress, it also buffered the effects of childhood adversity on distress. Our study corroborates the buffering effect of resilience in a representative German sample. High trait resilient subjects show less distress and somatoform symptoms despite reported childhood adversities in comparison to those with low resilient coping abilities.
虽然童年不良经历已被证明会导致成年期出现不良健康后果，特别是困扰和躯体症状，但很少有研究考察它们与韧性应对方式对成年期适应的联合影响。因此，我们旨在确定有和没有报告童年逆境的参与者中，韧性应对与困扰之间的关联。通过儿童创伤问卷简版、简短韧性应对量表、困扰和躯体形式症状的标准化量表，对一个年龄在14 - 92岁之间的具有代表性的德国社区样本（N = 2508，其中1334名女性；1174名男性）进行了调查。童年逆境与适应能力下降、社会支持和韧性降低有关。它还与困扰增加和躯体形式主诉密切相关。韧性应对不仅与较低的困扰有关，还缓冲了童年逆境对困扰的影响。我们的研究证实了在一个具有代表性的德国样本中韧性的缓冲作用。与韧性应对能力低的人相比，高特质韧性的受试者尽管报告有童年逆境，但表现出较少的困扰和躯体形式症状。
