Ten Hove Julia, Rosenbaum Peter
Honours Life Science, McMaster University, Hamilton, ON, Canada.
Child Care Health Dev. 2018 Sep;44(5):730-735. doi: 10.1111/cch.12590. Epub 2018 Jul 24.
The concept of resilience is popular in both the mainstream media and in health and human services research. Over the last 40 years, the term has been moulded and transformed from the idea of a trait that can be fostered within the individual towards a transactional concept with an emphasis on environmental factors. Although many current definitions are used to describe and talk about resilience, the dynamism of the concept is a common element across most current discussions and research applications. This paper provides an opportunity to place the concept of resilience within a framework for future application at the clinical frontlines.
An extensive scoping review on the existing literature was undertaken to explore recurring themes associated with resilience in families and children, particularly in the context of childhood disability. This literature was mapped and categorized in the context of World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to create recommendations for practical application by health professionals.
Three major themes emerged: (a) the idea of resilience as a state of an individual at a specific point in time rather than a built-in trait; (b) the idea of resilience as dynamic rather than static; and (c) the value of a framework into which to place the components of "resilience."
The relative ease with which resilience concepts is situated within the ICF is an indication that the ICF framework provides a useful way to incorporate concepts of resilience for clinical application.
复原力的概念在主流媒体以及健康与人类服务研究中都很流行。在过去40年里，这个术语已从一种可在个体内部培养的特质概念，演变成一个强调环境因素的交互概念。尽管目前有许多定义用于描述和谈论复原力，但该概念的动态性是当前大多数讨论和研究应用中的一个共同要素。本文提供了一个机会，将复原力概念置于一个供临床一线未来应用的框架内。
对现有文献进行了广泛的范围综述，以探索与家庭和儿童复原力相关的反复出现的主题，特别是在儿童残疾的背景下。这些文献在世界卫生组织的《国际功能、残疾和健康分类》（ICF）框架内进行了梳理和分类，以提出供卫生专业人员实际应用的建议。
出现了三个主要主题：（a）复原力是个体在特定时间点的一种状态而非一种内在特质的观点；（b）复原力是动态而非静态的观点；（c）一个用于放置“复原力”组成部分的框架的价值。
复原力概念在ICF中定位相对容易，这表明ICF框架为将复原力概念纳入临床应用提供了一种有用的方式。
