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面对人际暴力:识别多受创伤的弹性青少年的应对特征。

Facing Interpersonal Violence: Identifying the Coping Profile of Poly-Victimized Resilient Adolescents.

机构信息

University of Barcelona, Spain.

Institute of Research in Brain, Cognition and Behavior (IR3C), Barcelona, Spain.

出版信息

J Interpers Violence. 2020 May;35(9-10):1934-1957. doi: 10.1177/0886260517700617. Epub 2017 Mar 28.

DOI:10.1177/0886260517700617
PMID:29294692
Abstract

Coping strategies are factors that mediate the relationship between interpersonal victimizations and psychological maladjustment. The objectives are as follows: (a) to establish the coping profile of adolescents according to the number of reported interpersonal victimizations; (b) to identify the most victimized adolescents (poly-victims), detecting those with psychological symptoms (nonresilient poly-victims) and those without psychological symptoms (resilient poly-victims), and then to examine any differences in coping strategies between the two groups; (c) to determine the accumulative effect of victimizations on mental health; and (d) to test the mediating role of both approach and avoidance coping between lifetime interpersonal victimizations and symptoms. Participants were 918 community Spanish adolescents (62.7% girls) aged between 14 and 18 years. Measures used were Youth Self-Report, Juvenile Victimization Questionnaire, and Adolescent Coping Orientation for Problem Experiences. The following results were reported: (a) The most victimized adolescents used to a greater degree avoidance coping strategies than nonvictimized adolescents. (b) Resilient poly-victimized adolescents were more likely to seek family support and tended to use more positive reappraisal than nonresilient poly-victimized adolescents. (c) A clear cumulative effect of victimizations on mental health was observed: 45% of the most victimized adolescents (poly-victims) reached clinical range on Youth Self-Report in front of 2% of nonvictimized adolescents. (d) Avoidance coping and more specifically Escaping and Venting feelings strategies played a mediating role between interpersonal victimizations and psychological symptoms. Approach coping had no mediating role, except for Positive reappraisal in girls. In conclusion, the possibility of identifying the coping profile of victimized adolescents may have clinical implications in terms of both prevention and intervention.

摘要

应对策略是调节人际伤害与心理失调之间关系的因素。目的如下:(a) 根据报告的人际伤害数量,确定青少年的应对模式;(b) 确定最易受伤害的青少年(多受害者),识别那些有心理症状的青少年(非弹性多受害者)和没有心理症状的青少年(弹性多受害者),然后检查两组之间应对策略的任何差异;(c) 确定伤害对心理健康的累积效应;(d) 检验生活中人际伤害与症状之间的两种应对策略(趋近应对和回避应对)的中介作用。参与者为 918 名西班牙社区青少年(62.7%为女孩),年龄在 14 至 18 岁之间。使用的测量工具有《青少年自评量表》、《青少年受害问卷》和《青少年应对问题体验取向》。结果报告如下:(a) 最易受伤害的青少年比未受伤害的青少年更倾向于使用回避应对策略。(b) 弹性多受害者青少年更有可能寻求家庭支持,并且比非弹性多受害者青少年更倾向于使用积极的重新评价。(c) 伤害对心理健康的累积效应明显:在最易受伤害的青少年(多受害者)中,45%的青少年在《青少年自评量表》上达到临床范围,而在未受伤害的青少年中,这一比例为 2%。(d) 回避应对策略,特别是逃避和发泄情绪策略,在人际伤害与心理症状之间发挥了中介作用。趋近应对策略除了对女孩的积极重新评价外,没有中介作用。总之,确定受害青少年的应对模式可能具有预防和干预的临床意义。

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