Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet & Region Stockholm, Stockholm, Sweden.
Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet & Region Stockholm, Stockholm, Sweden; Habilitation and Health, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Clin Psychol Rev. 2024 Nov;113:102487. doi: 10.1016/j.cpr.2024.102487. Epub 2024 Aug 15.
Neurodivergent individuals, including a range of conditions impacting neurological function, are at an increased likelihood of poor life outcomes, such as in functional adaptation, mental health, and well-being. Yet, many live meaningful and fulfilling lives. Resilience may provide some explanation for the heterogeneity in outcomes observed in neurodivergent populations. We conducted a scoping review embedded in a neurodiversity-affirmative approach to provide an understanding of resilience in neurodivergent populations. A total of 176 articles were included in this review and were synthesized using a two-phased process. First, findings were synthesized narratively to examine how resilience has been conceptualized and explored in neurodivergent populations. Second, to identify the bio-psycho-social factors important for resilience in neurodivergent individuals, we converted concepts identified in articles to the nomenclature of the World Health Organizations' International Classification of Functioning, Disability and Health (ICF) using a standardized linking process. We find considerable variability in how resilience is conceptualized and measured in neurodivergent populations. We identified 83 unique ICF categories representing resilience factors, of which only 20 appeared in more than 5% of the articles. Identified ICF categories highlight the importance of support systems such as families and friends, community participation and acceptance, and individual capabilities for resilience.
神经多样性个体，包括一系列影响神经功能的状况，更有可能出现不良的生活结果，如功能适应、心理健康和幸福感。然而，许多人过着有意义和充实的生活。韧性可能为神经多样性人群中观察到的结果异质性提供了一些解释。我们采用神经多样性肯定方法进行了范围综述，以了解神经多样性人群中的韧性。本综述共纳入了 176 篇文章，并采用两阶段的过程进行综合分析。首先，通过叙述性综合分析来检查韧性在神经多样性人群中是如何被概念化和探索的。其次，为了确定神经多样性个体韧性的重要生物心理社会因素，我们使用标准化的链接过程，将文章中确定的概念转换为世界卫生组织国际功能、残疾和健康分类（ICF）的命名法。我们发现，神经多样性人群中对韧性的概念化和衡量存在相当大的差异。我们确定了 83 个代表韧性因素的独特 ICF 类别，其中只有 20 个出现在超过 5%的文章中。确定的 ICF 类别强调了支持系统（如家庭和朋友）、社区参与和接受以及个人韧性能力的重要性。
