PhD, is distinguished research professor of psychology, Psychology Department, University of the South, 735 University Avenue, Sewanee, TN 37383, USA; and director, Life Paths Research Center, Sewanee, TN 37375, USA.
PhD, MSW, is assistant professor of social work, School of Social Work, University of Michigan, Ann Arbor, MI, USA.
Health Soc Work. 2023 Apr 24;48(2):105-114. doi: 10.1093/hsw/hlad007.
Identifying psychosocial strengths that support physical health can lead to better pathways to prevention and intervention. Relying on the resilience portfolio model as a conceptual framework, this study explores strengths in three domains (regulation, meaning making, and interpersonal) to identify promising protective factors to support physical health-related quality of life (P-HRQOL), controlling for prior exposure to adversity, age, and gender. This study uses data from four resilience portfolio model studies collected in the southern United States, combined to increase the number of people who identified as American Indian/Alaska Native. The sample included 147 people (M age = 28.5 years; SD = 16.26), of which 57 percent are female. The surveys collected data on adversities (polyvictimization, other adversities, county poverty), psychosocial strengths (psychological endurance, sense of purpose, religious meaning making, compassion, and community support), and P-HRQOL. The full model accounted for 24 percent of the variance in P-HRQOL, with strengths explaining more than twice as much variance as adversities (13 percent versus 6 percent). A sense of purpose showed the most promise for supporting P-HRQOL. Regarding implications, authors recommend exploring a wider range of protective factors that might improve resilience in Native communities. Several evidence-based pathways to meaning making, such as narrative and mindfulness, may improve health outcomes for Native people.
识别支持身体健康的心理社会优势可以为预防和干预提供更好的途径。本研究以弹性投资组合模型为概念框架，探讨了三个领域（调节、意义构建和人际关系）的优势，以确定有前途的保护因素，以支持与身体健康相关的生活质量（P-HRQOL），同时控制先前接触逆境、年龄和性别。本研究使用了来自美国南部四项弹性投资组合模型研究的数据，这些数据结合起来增加了自称为美国印第安人/阿拉斯加原住民的人数。样本包括 147 人（M 年龄=28.5 岁；SD=16.26），其中 57%为女性。调查收集了关于逆境（多方面受害、其他逆境、县贫困）、心理社会优势（心理耐力、目标感、宗教意义构建、同情心和社区支持）和 P-HRQOL 的数据。全模型解释了 P-HRQOL 变异的 24%，而优势解释的变异比逆境多两倍（13%对 6%）。目标感在支持 P-HRQOL 方面最有希望。关于影响，作者建议探索更广泛的保护因素，以提高土著社区的适应力。一些基于证据的意义构建途径，如叙事和正念，可能会改善土著人民的健康结果。
