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超越应对:支持性关系和意义构建在青年福祉中的作用。

Beyond coping: The role of supportive relationships and meaning making in youth well-being.

机构信息

University of Minnesota, School of Nursing, Minneapolis, Minnesota, USA.

University of Southern Maine, School of Nursing, Portland, Maine, USA.

出版信息

J Nurs Scholarsh. 2023 Nov;55(6):1189-1203. doi: 10.1111/jnu.12901. Epub 2023 Apr 25.

Abstract

INTRODUCTION

The purpose of this study was to identify coping strategies, resources, and strengths that predict well-being in a community-based sample of youth with varying levels of adversity.

DESIGN

Grounded in the resilience portfolio model, we used a mixed methods approach with data from a cross-sectional sample of 231 youth ages 8-17.

MATERIALS AND METHODS

Data were collected using a survey, participant-generated timeline activity, and brief interview. Measures included assessments of coping and appraisal, resilience resources and assets, and subjective well-being and depression.

RESULTS

Active and passive coping strategies predicted subjective well-being and depression. Controlling for demographics and coping, meaning making strengths and supportive relationships were significant predictors of subjective well-being and lower depression, and decreased the impact of adversity on these outcomes.

DISCUSSION

The results of this study provide support for the resilience portfolio model in a community-based sample of youth, with relationships as predicted for subjective well-being and symptoms of depression. For both outcomes, family relationships held the strongest associations with positive well-being and lower symptoms of depression. Supportive relationships with peers, meaning making strengths, interpersonal strengths, less passive coping, and fewer adverse life events were also associated with better outcomes.

CONCLUSIONS

These findings underscore the need to assess youth resources and strengths and to design interventions that target these protective factors for all youth, regardless of exposure to adversity.

CLINICAL RELEVANCE

A theory-informed understanding of resources and strengths that predict youth well-being is essential to inform strengths-based interventions for pediatric research and practice. The resilience portfolio model is a useful framework for understanding predictors of youth well-being.

摘要

简介

本研究旨在确定应对策略、资源和优势,以预测具有不同逆境程度的社区样本青年的幸福感。

设计

本研究基于弹性组合模型,采用混合方法,对 231 名 8-17 岁的青年进行了横断面样本研究。

材料与方法

使用问卷调查、参与者生成的时间表活动和简短访谈收集数据。测量包括应对和评估、弹性资源和资产、主观幸福感和抑郁的评估。

结果

积极和消极的应对策略预测了主观幸福感和抑郁。控制人口统计学和应对因素后,意义建构优势和支持性关系是主观幸福感和降低抑郁的显著预测因素,并降低了逆境对这些结果的影响。

讨论

本研究结果为弹性组合模型在社区样本青年中提供了支持,关系如预测的主观幸福感和抑郁症状。对于这两个结果,家庭关系与积极的幸福感和较低的抑郁症状最相关。与同伴的支持性关系、意义建构优势、人际关系优势、较少的消极应对和较少的逆境生活事件也与更好的结果相关。

结论

这些发现强调了需要评估青年的资源和优势,并设计针对这些保护因素的干预措施,以满足所有青年的需求,无论他们是否接触过逆境。

临床意义

对预测青年幸福感的资源和优势的理论理解,对于为儿科研究和实践提供基于优势的干预措施至关重要。弹性组合模型是理解青年幸福感预测因素的有用框架。

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