Schmidt Stefanie J, Schultze-Lutter Frauke
Abteilung für Klinische Psychologie und Psychotherapie, Universität Bern.
Klinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Heinrich-Heine Universität / LVR, Düsseldorf, Deutschland.
Ther Umsch. 2020 Apr;77(3):117-123. doi: 10.1024/0040-5930/a001165.
Concepualization and promotion of resilience, well-being and mental health in children and adolescents Resilience, mental health and well-being are commonplace terms in Positive Psychology and Psychiatry. However, many aspects regarding their definition, assessment and promotion still remain unclear. Therefore, this review provides an overview of recent studies and suggests that resilience is best understood as allostasis, i. e. as an interactive process between individuals and environment to achieve or maintain stability in the context of present or anticipated stressors through behavioral and / or physiological changes. Consequently, the degree of resilience of an individual depends on the context, population, stressor(s), risk or protective factors and outcome. Thus, resilience is a multidimensional construct only visible when a person is experiencing adversity or traumatic events. Preliminary results suggest that interventions targeting personal (assets) and environmental (resources) protective factors in children and adolescents produce some positive effects on symptom levels when assessed directly after the intervention. Similar to the concept of resilience, no consensus on the definition or measurement of well-being has been reached so far. Given the overlap between both constructs, well-being is often regarded as an indicator or element of resilience. Future cross- and longitudinal studies are therefore needed to uncover the composition and underlying mechanisms of these constructs, to reveal how they relate to each other and to determine the potential role of developmental and cultural peculiarities.
儿童和青少年复原力、幸福感及心理健康的概念化与促进 复原力、心理健康和幸福感是积极心理学和精神病学中常见的术语。然而,关于它们的定义、评估和促进的许多方面仍不明确。因此,本综述概述了近期的研究,并表明复原力最好理解为异稳态,即个体与环境之间通过行为和/或生理变化在当前或预期应激源的背景下实现或维持稳定的互动过程。因此,个体的复原力程度取决于背景、人群、应激源、风险或保护因素以及结果。因此,复原力是一个多维结构,只有当一个人经历逆境或创伤性事件时才可见。初步结果表明,针对儿童和青少年个人(资产)和环境(资源)保护因素的干预措施在干预后直接评估时对症状水平产生了一些积极影响。与复原力概念类似,到目前为止,关于幸福感的定义或测量尚未达成共识。鉴于这两个结构之间的重叠,幸福感通常被视为复原力的一个指标或要素。因此,未来需要进行横向和纵向研究,以揭示这些结构的组成和潜在机制,揭示它们之间的关系,并确定发展和文化特殊性的潜在作用。