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印度和以色列低收入青少年群体中的贫困、躯体化倾向与效能:实地探索

Poverty, Somatisation Tendency and Potency in Low-Income Adolescent Groups of India and Israel: Explorations from the Field.

作者信息

Banerjee Saoni, Lev-Wiesel Rachel, De Sonali

机构信息

Emili Sagol Research Center for CAT (Creative Arts Therapies), University of Haifa, Haifa 3498838, Israel.

Body & Mind Psychotherapy Track, Social Work, Tel Hai Academic Center, Qiryat Shemona 1220800, Israel.

出版信息

Children (Basel). 2023 Jun 23;10(7):1104. doi: 10.3390/children10071104.

DOI:10.3390/children10071104
PMID:37508601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10377797/
Abstract

Poverty increases vulnerability towards somatisation and influences the sense of mastery and well-being. The present study on adolescents living in relative poverty in a high-income group country (Israel) and a low-middle-income group country (India) explored the nature of somatisation tendency (ST) and its relationship with potency and perception of poverty (PP). Potency, a buffer against stress-induced negative health effects, was hypothesized to be negatively related to ST and mediate the link between PP and ST. Purposive sampling was used to collect questionnaire-based data from community youth (12-16 years) of two metropolitan cities-Kolkata (India, N = 200) and Tel-Aviv (Israel, N = 208). The nature of ST, PP and potency was analysed using descriptive and inferential statistics and correlation-regression statistics and mediation analysis were used to understand the relationship among them. A clinically significant level of ST was reported by both Indian and Israeli youth experiencing 5-7 somatic symptoms on average. Potency was found to be a significant predictor of ST in both countries ( < 0.05) and emerged as a significant mediator ( < 0.001) in the PP and ST relationship among Indian adolescents. The present study highlights potency as a protective buffer in economically vulnerable community adolescents and re-establishes a high prevalence of ST among them, irrespective of their country's global economic position.

摘要

贫困会增加躯体化倾向,并影响掌控感和幸福感。本研究针对高收入国家(以色列)和中低收入国家(印度)中生活在相对贫困中的青少年,探讨了躯体化倾向(ST)的本质及其与贫困效能感和认知(PP)的关系。效能感是抵御压力引发的负面健康影响的缓冲因素,研究假设其与ST呈负相关,并在PP和ST之间起中介作用。采用立意抽样法,从加尔各答(印度,N = 200)和特拉维夫(以色列,N = 208)这两个大都市的社区青少年(12 - 16岁)中收集基于问卷的数据。使用描述性和推断性统计分析ST、PP和效能感的本质,并运用相关回归统计和中介分析来理解它们之间的关系。印度和以色列的青少年平均报告有5 - 7种躯体症状,均达到了具有临床意义的ST水平。在两个国家,效能感都是ST的显著预测因素(< 0.05),并且在印度青少年的PP与ST关系中成为显著的中介因素(< 0.001)。本研究强调了效能感是经济脆弱社区青少年的一种保护性缓冲因素,并再次证实了他们中ST的高患病率,无论其所在国家的全球经济地位如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/cbf8af2a6e4a/children-10-01104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/b19d6968dae6/children-10-01104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/bd6789949be2/children-10-01104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/7d4b795ed44c/children-10-01104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/cbf8af2a6e4a/children-10-01104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/b19d6968dae6/children-10-01104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/bd6789949be2/children-10-01104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/7d4b795ed44c/children-10-01104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7308/10377797/cbf8af2a6e4a/children-10-01104-g004.jpg

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本文引用的文献

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Community Ment Health J. 2022 Jul;58(5):930-943. doi: 10.1007/s10597-021-00901-x. Epub 2021 Nov 9.
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Social Cohesion and Informal Social Control as Mediators Between Neighborhood Poverty and Child Maltreatment.社会凝聚力和非正式社会控制在邻里贫困与儿童虐待之间的中介作用。
Child Maltreat. 2022 Aug;27(3):334-343. doi: 10.1177/10775595211007566. Epub 2021 Apr 15.
3
Roles of Emotional Reactions and Potency in Coping with Abusive Experiences of Indian Adolescent.
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Graduate student self-efficacy: Implications of a concept analysis.研究生自我效能感:概念分析的启示。
J Prof Nurs. 2021 Jan-Feb;37(1):112-121. doi: 10.1016/j.profnurs.2020.07.001. Epub 2020 Jul 15.
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Mechanisms connecting objective and subjective poverty to mental health: Serial mediation roles of negative life events and social support.将客观贫困和主观贫困与心理健康联系起来的机制:负性生活事件和社会支持的序列中介作用。
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