Bleil Maria E, Appelhans Bradley M, Thomas Alexis S, Gregorich Steven E, Marquez Neal, Roisman Glenn I, Booth-LaForce Cathryn, Crowder Kyle
Department of Child, Family, and Population Health Nursing, University of Washington, Box 357262, Seattle, WA, 98195, USA.
Department of Preventive Medicine, Rush University Medical Center, Chicago, IL, USA.
BMC Psychol. 2021 May 18;9(1):83. doi: 10.1186/s40359-021-00586-7.
The COVID-19 pandemic is a crisis unprecedented in its size and scope. Yet studies of resilience suggest most individuals will successfully negotiate this challenge and some may even experience growth and positive change. Some evidence suggests that the capacity to enact positive change in the face of adversity may be shaped by early life experiences.
In a subset of 374 participants (57% female, mean age = 29 years) in the Study of Early Child Care and Youth Development (SECCYD), a longitudinal, birth cohort, prospective models were tested to determine whether early life adversities in family and neighborhood contexts predict positive change events in response to the COVID-19 pandemic. Childhood family and neighborhood contexts were assessed using a combination of self-report questionnaires and US Census data. Adulthood positive change events (e.g., becoming more appreciative of things usually taken for granted) were assessed using the Epidemic-Pandemic Impacts Inventory (EPII).
In regression analyses, neighborhood disadvantage in childhood, measured both by objective and subjective assessments, predicted a higher number of positive change events in response to the COVID-19 pandemic (β = .18, p = .004 and β = .15, p = .006, respectively). Examination of the positive change event subscales showed neighborhood disadvantage in childhood predicted increases in events related to 'perspective taking and charitable giving' (β = .20, p = .022 and β = .17, p = .002, respectively) and improved 'social relationships' (β = .18, p = .004 and β = .13, p = .020, respectively), but not to positive 'health behaviors' (ps > .05). All associations were independent of sociodemographic factors and childhood family dysfunction.
Findings suggest that neighborhood disadvantage in childhood may shape prosocial responses to stress in adulthood, potentially through early life adaptions to stress that are protective when facing adversity. There are several notable implications of the study findings. Although adversity in early life has clear negative impacts, it is possible that adversity experiences may also provide opportunities to develop adaptive strategies that foster resilience and growth when facing stress. Intervention efforts should consider leveraging such stress-adapted strengths to reduce the many negative impacts of early life adversity.
新冠疫情是一场规模和范围前所未有的危机。然而,关于复原力的研究表明,大多数人将成功应对这一挑战,有些人甚至可能经历成长和积极变化。一些证据表明,面对逆境时实现积极改变的能力可能受到早年经历的影响。
在儿童早期保育与青年发展研究(SECCYD)的374名参与者(57%为女性,平均年龄29岁)子集中,测试了纵向出生队列前瞻性模型,以确定家庭和邻里环境中的早年逆境是否能预测应对新冠疫情的积极变化事件。童年时期的家庭和邻里环境通过自我报告问卷和美国人口普查数据相结合的方式进行评估。成年期的积极变化事件(例如,对通常被视为理所当然的事情更加感恩)使用疫情影响量表(EPII)进行评估。
在回归分析中,童年时期邻里环境的不利因素,无论是通过客观还是主观评估来衡量,都预测了应对新冠疫情时更多的积极变化事件(β分别为0.18,p = 0.004和β为0.15,p = 0.006)。对积极变化事件子量表的检查表明,童年时期邻里环境的不利因素预测了与“换位思考和慈善捐赠”相关事件的增加(β分别为0.20,p = 0.022和β为0.17,p = 0.002)以及“社会关系”的改善(β分别为0.18,p = 0.004和β为0.13,p = 0.020),但对积极的“健康行为”没有影响(p > 0.05)。所有关联均独立于社会人口学因素和童年家庭功能障碍。
研究结果表明,童年时期邻里环境的不利因素可能会塑造成年期对应激的亲社会反应,这可能是通过早年对应激的适应,而这种适应在面对逆境时具有保护作用。该研究结果有几个显著的意义。虽然早年的逆境有明显的负面影响,但逆境经历也有可能提供发展适应性策略的机会,这些策略在面对压力时能培养复原力和促进成长。干预措施应考虑利用这种适应压力的优势,以减少早年逆境的诸多负面影响。