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压力下青少年和青年的心理韧性、心理健康与抑制控制

Psychological Resilience, Mental Health, and Inhibitory Control Among Youth and Young Adults Under Stress.

作者信息

Afek Anat, Ben-Avraham Rina, Davidov Alexander, Berezin Cohen Noa, Ben Yehuda Ariel, Gilboa Yafit, Nahum Mor

机构信息

School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel.

Medical Branch, Ground Forces, Israel Defense Forces, Haifa, Israel.

出版信息

Front Psychiatry. 2021 Jan 20;11:608588. doi: 10.3389/fpsyt.2020.608588. eCollection 2020.

DOI:10.3389/fpsyt.2020.608588
PMID:33584372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7874000/
Abstract

Psychological resilience allows one to cope successfully with adversities occurring during stressful periods, which may otherwise trigger mental illness. Recent models suggest that inhibitory control (IC), the executive control function which supports our goal-directed behavior and regulates our emotional response, may underlie resilience. However, the ways in which this is manifested during stressful situations in real life is still unclear. Here, we examined the relationship between IC, psychological resilience, psychological distress, and anxiety among 138 female and male participants in a stressful situation: during their initial combat training in the military. Using a mobile app, we assessed IC using emotional and non-emotional variations of the Go/No-Go task. Psychological resilience, psychological distress, and anxiety were assessed using mobile versions of self-report questionnaires. We found that psychological resilience is significantly correlated with non-emotional IC ( = 0.24, < 0.005), but not with emotional IC; whereas, psychological distress and anxiety are correlated with emotional IC ( = -0.253, < 0.005 and = -0.224, < 0.01, for psychological distress and anxiety, respectively), but not with non-emotional IC. A regression model predicting emotional IC confirmed non-emotional IC and distress as unique contributors to the variance, but not psychological distress. In addition, associations between psychological distress and emotional IC were found only for female participants. Collectively, the results clarify the link between IC, resilience, and mental health in real-life stressful situations, showing separate mechanisms of IC involved in resilience on the one hand, and mental health on the other hand. These results have implications for building mobile resilience interventions for youth and young adults facing stressful situations.

摘要

心理韧性使人能够成功应对压力时期出现的逆境,否则这些逆境可能引发精神疾病。最近的模型表明,抑制控制(IC),即支持我们目标导向行为并调节我们情绪反应的执行控制功能,可能是韧性的基础。然而,在现实生活中的压力情境下,这种情况是如何表现的仍不清楚。在这里,我们研究了138名男女参与者在压力情境下(即军事初始战斗训练期间)抑制控制、心理韧性、心理困扰和焦虑之间的关系。我们使用一款移动应用程序,通过“是/否”任务的情绪和非情绪变体来评估抑制控制。心理韧性、心理困扰和焦虑则使用自我报告问卷的移动版本进行评估。我们发现,心理韧性与非情绪抑制控制显著相关(r = 0.24,p < 0.005),但与情绪抑制控制无关;而心理困扰和焦虑与情绪抑制控制相关(心理困扰和焦虑的r分别为 -0.253,p < 0.005和 -0.224,p < 0.01),但与非情绪抑制控制无关。一个预测情绪抑制控制的回归模型证实,非情绪抑制控制和心理困扰是方差的独特贡献因素,但不是心理韧性。此外,仅在女性参与者中发现了心理困扰与情绪抑制控制之间的关联。总体而言,这些结果阐明了在现实生活压力情境下抑制控制、韧性和心理健康之间的联系,表明抑制控制一方面参与韧性,另一方面参与心理健康的不同机制。这些结果对于为面临压力情境的青少年和年轻人构建移动韧性干预措施具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/99f8e1be0f64/fpsyt-11-608588-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/50aa30a849aa/fpsyt-11-608588-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/686bc83373e3/fpsyt-11-608588-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/2d45449b5fd7/fpsyt-11-608588-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/99f8e1be0f64/fpsyt-11-608588-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/50aa30a849aa/fpsyt-11-608588-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/686bc83373e3/fpsyt-11-608588-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/2d45449b5fd7/fpsyt-11-608588-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4728/7874000/99f8e1be0f64/fpsyt-11-608588-g0004.jpg

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