Johnson Samantha, Tunison Laura, Thiruppathi Nidhi, Humphries Nicole, Cernak Ibolja
Medical School, Mercer University School of Medicine, Columbus, USA.
Integrated Medical Education, Belmont University Thomas F. Frist, Jr. College of Medicine, Nashville, USA.
Cureus. 2024 Aug 27;16(8):e67897. doi: 10.7759/cureus.67897. eCollection 2024 Aug.
As studied previously, chronic stress environments lead to the formation of distinctive resilience groupings when related to individual outcomes among participants. The majority of the population has decreased mental and physical strength during prolonged periods of mental distress but returns to baseline status when those stressors are removed. Others have increased and decreased mental fortitude despite the removal of stressors. Our hypothesis is that certain demographic, environmental, and/or transgenerational aspects are associated with resilience or lack thereof in populations with a history of chronic stress. The end goal is the early identification of at-risk populations to decrease adverse outcomes and improve quality of life. In this review, we looked at 17 studies to gain a greater understanding of which factors influence individual resilience. The factors found to have a positive relationship with resilience were religion, cognitive function, socioeconomic status, marriage, psychological functioning, positive coping mechanisms, and relationships; the negative were medical diagnoses, violence exposure, female sex, stressors/trauma, disaster exposure, and negative coping mechanisms. During our research, we found that transgenerational aspects such as race/ethnicity, occupation, education, age, substance use, and physical location had mixed results across multiple studies. These findings suggest the need for future original research to allow for a definitive understanding of populations resilient to chronic stress.
如先前研究所表明的,在参与者的个体结果方面,慢性应激环境会导致形成独特的复原力分组。大多数人在长期精神痛苦期间身心力量会下降,但当这些压力源消除后会恢复到基线状态。另一些人尽管压力源已消除,但心理韧性却有增有减。我们的假设是,某些人口统计学、环境和/或跨代因素与有慢性应激史人群的复原力或缺乏复原力有关。最终目标是早期识别高危人群,以减少不良后果并提高生活质量。在本综述中,我们查阅了17项研究,以更深入了解哪些因素会影响个体复原力。发现与复原力呈正相关的因素有宗教、认知功能、社会经济地位、婚姻、心理功能、积极的应对机制和人际关系;呈负相关的因素有医学诊断、暴力暴露、女性性别、压力源/创伤、灾难暴露和消极的应对机制。在我们的研究过程中,我们发现种族/民族、职业、教育、年龄、物质使用和地理位置等跨代因素在多项研究中的结果不一。这些发现表明,未来需要进行原创性研究,以便对能抵御慢性应激的人群有明确的了解。