Lindert J, Schick A, Reif A, Kalisch R, Tüscher O
Fachbereich Soziale Arbeit und Gesundheit, Hochschule Emden/Leer, Constantiaplatz 4, 26723, Emden, Deutschland.
Deutsches Resilienz Zentrum (DRZ) Mainz, Mainz, Deutschland.
Nervenarzt. 2018 Jul;89(7):759-765. doi: 10.1007/s00115-018-0536-y.
According to current research concepts resilience can be defined as adaptation to past and ongoing exposure. Accordingly, adaptation to exposure is a dynamic process, which can be different in different population groups. Prospective longitudinal studies provide unique opportunities to investigate resilience processes.
The aim of this article is to define the concept of resilience, describe examples of longitudinal studies investigating resilience in children, adults and older individuals, exemplary describe four ongoing longitudinal resilience studies in which the authors of the article are participating and identify and analyze methodological challenges in empirical resilience research.
This study was based on a qualitative literature review of published prospective studies investigating resilience listed in PubMed and study protocols of the four longitudinal studies.
The exemplarily described studies have shown that resilience processes are changeable in all age groups and subject to a variety of influencing factors. The specific and potentially age-associated types of alterations have so far been difficult to determine and need further clarification.
In view of the dynamic course of resilience, prospective longitudinal studies are urgently needed. Prospective longitudinal studies have the potential to identify resilience mechanisms and predictors of the course of resilience in different population groups, such as children, adolescents, adults and older individuals. Furthermore, resilience research needs to develop an improved and precise assessment of exposure to stressors.
根据当前的研究概念,复原力可定义为对过去和持续暴露的适应。因此,对暴露的适应是一个动态过程,在不同人群中可能有所不同。前瞻性纵向研究为调查复原力过程提供了独特的机会。
本文旨在定义复原力的概念,描述在儿童、成人和老年人中调查复原力的纵向研究实例,示例性地描述本文作者正在参与的四项正在进行的纵向复原力研究,并识别和分析实证复原力研究中的方法学挑战。
本研究基于对发表在PubMed上的调查复原力的前瞻性研究以及四项纵向研究的研究方案进行的定性文献综述。
示例性描述的研究表明,复原力过程在所有年龄组中都是可变的,并受到多种影响因素的制约。迄今为止,具体的以及可能与年龄相关的变化类型难以确定,需要进一步阐明。
鉴于复原力的动态过程,迫切需要进行前瞻性纵向研究。前瞻性纵向研究有潜力识别不同人群(如儿童、青少年、成人和老年人)中的复原力机制和复原力过程的预测因素。此外,复原力研究需要改进并精确评估对应激源的暴露情况。