Thompson Ellysia-Grace, Knowles Susan Frances, Greasley Pete
1 Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
2 Changing Minds UK, Warrington, UK.
Clin Child Psychol Psychiatry. 2019 Jul;24(3):405-416. doi: 10.1177/1359104518794789. Epub 2018 Aug 18.
Resilience is a term used to describe an individual's adaptive coping following an adverse experience; it is important for gaining insight into the development of mental health difficulties in young people and their ability to manage adversity, informing both preventive and reactive clinical practice.
The Delphi method was used whereby a panel of 15 clinical psychologists rated 67 statements, generated from focus groups with young people and interviews with multi-disciplinary staff, in terms of their importance relating to resilience for young people with complex mental health needs. A consensus level of 85% across the panel was set to include/exclude statements in terms of their importance for resilience.
Nineteen statements were included in the final list. These were grouped into the following four themes: (1) understanding the self, (2) agency in recovery, (3) interpersonal relationships and (4) therapeutic setting and relationships.
The results highlight specific resilience factors for young people with complex mental health needs, based upon ratings by clinical psychologists. Recommendations are made which focus upon how to promote resilience within this specific population. These include offering secure therapeutic relationships and a safe environment for young people to make decisions, develop a greater understanding of themselves, and build relationships and a sense of connection with others, both within the specialist mental health service and upon discharge.
复原力是一个用于描述个体在经历逆境后适应性应对的术语；它对于深入了解年轻人心理健康问题的发展以及他们应对逆境的能力至关重要，可为预防性和反应性临床实践提供参考。
采用德尔菲法，由15名临床心理学家组成的小组对67条陈述进行评分，这些陈述来自与年轻人的焦点小组讨论以及对多学科工作人员的访谈，涉及这些陈述对于有复杂心理健康需求的年轻人的复原力的重要性。设定小组中85%的共识水平来根据陈述对复原力的重要性纳入/排除陈述。
最终列表中包含19条陈述。这些陈述被分为以下四个主题：（1）了解自我，（2）康复中的能动性，（3）人际关系，以及（4）治疗环境与关系。
结果突出了有复杂心理健康需求的年轻人的特定复原力因素，这些因素基于临床心理学家的评分得出。提出了一些建议，重点关注如何在这一特定人群中促进复原力。这些建议包括为年轻人提供稳固的治疗关系和安全的环境，以便他们做出决策、更好地了解自己、建立人际关系以及在专业心理健康服务机构内部和出院后与他人建立联系感。
