Life Paths Research Center & University of the South, United States of America.
Life Paths Research Center & University of the South, United States of America.
J Pediatr Nurs. 2020 Jan-Feb;50:46-53. doi: 10.1016/j.pedn.2019.11.001. Epub 2019 Nov 19.
Most children are exposed to violence (e.g., peer, family, or community violence), which makes children's exposure to violence one of our most urgent social problems. The objective of this project was to examine health-related quality of life (HRQOL) in a vulnerable community sample and identify promising psychological and social protective factors to promote HRQOL in youth.
The sample was 440 youth ages 10 to 21 (average age 16.38, SD = 3.04), recruited from youth-serving organizations. Participants completed a survey on HRQOL, victimization, other adversities, and a range of 16 psychological and social strengths.
Almost 9 in 10 (89.3%) youth reported at least one victimization during their lifetime, and impaired HRQOL was common, with more than half reporting some health impairment in the month prior to the survey. Although all psychological and social strengths were positively correlated with HRQOL at the bivariate level, hierarchical regression indicated that a sense of purpose and recovering positive affect uniquely contributed to better HRQOL, after controlling for victimization, other adversities, poverty, age, and gender (total R = 0.21). Strengths accounted for more variance in HRQOL than did adversities.
In this highly victimized sample of youth, many strengths were associated with improved HRQOL for youth, with sense of purpose and recovering positive affect showing the most promise for future prevention and intervention.
Programs aimed at reducing the negative impact of childhood exposure to violence may increase their impact by developing key strengths versus solely focusing on alleviating symptoms.
大多数儿童都曾遭受过暴力（例如，同伴、家庭或社区暴力），这使得儿童暴露于暴力之中成为我们最紧迫的社会问题之一。本项目的目的是检查一个弱势社区样本的与健康相关的生活质量（HRQOL），并确定有希望的心理和社会保护因素，以促进年轻人的 HRQOL。
该样本由 440 名 10 至 21 岁的青年（平均年龄 16.38，SD=3.04）组成，从青年服务组织中招募而来。参与者完成了一项关于 HRQOL、受害情况、其他逆境以及一系列 16 种心理和社会力量的调查。
近十分之九（89.3%）的青年报告称，在他们的一生中至少经历过一次受害，并且常见的 HRQOL 受损，超过一半的人在调查前一个月报告存在一些健康问题。尽管所有的心理和社会力量在双变量水平上都与 HRQOL 呈正相关，但分层回归表明，在控制了受害情况、其他逆境、贫困、年龄和性别后，目标感和恢复积极情绪对 HRQOL 的改善有独特的贡献（总 R²=0.21）。优势比逆境更能解释 HRQOL 的差异。
在这个高度受害的青年样本中，许多优势与改善青年的 HRQOL 相关，其中目标感和恢复积极情绪对未来的预防和干预最有希望。
旨在减少儿童期暴露于暴力的负面影响的项目，通过发展关键优势而非仅仅专注于缓解症状，可能会增加其影响。
