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多系统资源对抑郁的抵抗力很重要:从南非年轻成年人样本中学习。

Multisystemic Resources Matter for Resilience to Depression: Learning From a Sample of Young South African Adults.

机构信息

Department of Educational Psychology, University of Pretoria, Pretoria, South Africa.

Resilience Research Centre, Dalhousie University, Halifax, NS, Canada.

出版信息

Qual Health Res. 2023 Aug;33(10):828-841. doi: 10.1177/10497323231182906. Epub 2023 Jul 6.

DOI:10.1177/10497323231182906
PMID:37414738
Abstract

This article interrogates the continuing emphasis on personal sources of resilience; it also amends the inattention to the protective factors and processes (PFPs) that support the mental health resilience of African emerging adults. To that end, we report a study that explored which PFPs distinguished risk-exposed South African 18- to 29-year-olds with negligible depression symptoms from those who reported moderate to severe symptoms. Using an arts-based approach, young people volunteered the PFPs they had personally experienced as resilience-enabling. An inductive thematic analysis of visual and narrative data, generated by young people self-reporting high exposure to family and community adversity ( = 233; mean age: 24.63, SD: 2.43), revealed patterns in the PFPs relative to the severity of self-reported depression symptoms. Specifically, young people reporting negligible depression symptoms reported a range of PFPs associated with psychological, social, and ecological systems. In contrast, the PFPs identified by those reporting more serious depression symptoms were mostly restricted to personal strengths and informal relational supports. In the interests of youth mental health, the findings direct society's attention to the criticality of facilitating young people's access to a composite of resources rooted in personal, social, and ecological systems.

摘要

本文探讨了对个人韧性来源的持续强调,同时也修正了对支持非裔成年初显期人群心理健康韧性的保护因素和过程(PFPs)的关注不足。为此,我们报告了一项研究,该研究探讨了哪些 PFPs 可以区分出风险暴露的南非 18 至 29 岁人群中,那些报告有中度至重度抑郁症状的人群和那些报告几乎没有抑郁症状的人群。通过采用基于艺术的方法,年轻人自愿分享他们个人经历的有助于韧性的 PFPs。通过对年轻人自我报告的家庭和社区逆境(=233;平均年龄:24.63,SD:2.43)高暴露的视觉和叙事数据进行归纳主题分析,揭示了与自我报告的抑郁症状严重程度相关的 PFPs 模式。具体而言,报告几乎没有抑郁症状的年轻人报告了一系列与心理、社会和生态系统相关的 PFPs。相比之下,那些报告更严重抑郁症状的年轻人所确定的 PFPs 大多仅限于个人优势和非正式关系支持。为了促进青年的心理健康,研究结果使社会关注到为年轻人提供个人、社会和生态系统中资源的重要性。

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