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新冠疫情时期的复原力:拉丁裔青少年的家庭过程、应对方式与心理健康

Resilience in the Time of COVID-19: Familial Processes, Coping, and Mental Health in Latinx Adolescents.

作者信息

Stein Gabriela Livas, Salcido Valerie, Gomez Alvarado Casandra

机构信息

Department of Psychology, The University of North Carolina at Greensboro.

出版信息

J Clin Child Adolesc Psychol. 2024 Jan-Feb;53(1):83-97. doi: 10.1080/15374416.2022.2158838. Epub 2023 Jan 26.

Abstract

OBJECTIVE

This study investigated COVID-19 stressors and silver linings, familism values, familial resilience, and coping, and their relation to internalizing symptoms among Latinx youth.

METHOD

A community sample of 135 Latinx adolescents completed online surveys 6-months apart ( age = 16, 59.3% female; majority U.S-born).

RESULTS

COVID-19 stress was associated with more depressive (β = .18,  = .027) and anxiety (β = .21,  = .010) symptoms. However, COVID-19 stress was related to higher levels of depressive and anxiety symptoms only for youth who engaged in low (β = .38,  < .001; β = .38,  = .001) and medium (β = .19,  = .004; β = .22,  = .011) levels of problem-focused engagement coping. Higher levels of family resilience were associated with lower cross-sectional depressive symptoms (β = -.28,  = .004). For longitudinal models, a significant relation between COVID-19 stress and problem-focused engagement predicted Time 2 depressive symptoms (β = -.20,  < .041).

CONCLUSION

Latinx youth who experienced high levels of COVID-19 stress who enacted problem-focused coping fared better across the pandemic. Familial resilience did not carry the same longitudinal benefit but did bolster mental health concurrently. Clinicians should endeavor to buttress familial resilience processes in addition to problem-engaged coping for Latinx youth in treatment.

摘要

目的

本研究调查了拉丁裔青少年中的新冠疫情压力源与一线希望、家族主义价值观、家庭复原力及应对方式,以及它们与内化症状之间的关系。

方法

选取135名拉丁裔青少年组成社区样本,他们相隔6个月完成在线调查(年龄=16岁,59.3%为女性;大多数在美国出生)。

结果

新冠疫情压力与更多的抑郁症状(β=0.18,p=0.027)和焦虑症状(β=0.21,p=0.010)相关。然而,新冠疫情压力仅与采用低水平(β=0.38,p<0.001;β=0.38,p=0.001)和中等水平(β=0.19,p=0.004;β=0.22,p=0.011)问题聚焦应对方式的青少年的较高抑郁和焦虑症状水平有关。较高水平的家庭复原力与较低的横断面抑郁症状相关(β=-0.28,p=0.004)。对于纵向模型,新冠疫情压力与问题聚焦应对之间的显著关系预测了第2阶段的抑郁症状(β=-0.20,p<0.041)。

结论

在整个疫情期间,经历高水平新冠疫情压力且采用问题聚焦应对方式的拉丁裔青少年情况较好。家庭复原力虽没有同样的纵向益处,但同时确实有助于心理健康。临床医生在为接受治疗的拉丁裔青少年提供治疗时,除了采用问题聚焦应对方式外,还应努力增强家庭复原力过程。

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