Schäfer Sarah K, Supke Max, Kausmann Corinna, Schaubruch Lea M, Lieb Klaus, Cohrdes Caroline
Leibniz Institute for Resilience Research, Mainz, Germany.
Department of Clinical Psychology, Psychotherapy and Psychodiagnostics, Technische Universität, Braunschweig, Braunschweig, Germany.
Commun Psychol. 2024 Oct 5;2(1):92. doi: 10.1038/s44271-024-00138-w.
Societal challenges put public mental health at risk and result in a growing interest in resilience as trajectories of good mental health during stressor exposure. Resilience factors represent multilevel psychosocial resources that increase the likelihood of resilient responses. This preregistered systematic review aims at summarizing evidence on the predictive value of individual, social and societal resilience factors for resilient responses to societal challenges and crises. Eligible studies examined the predictive value of resilience factors in stressor-exposed populations in high-income countries by means of multinomial regression models based on growth mixture modeling. Five databases were searched until August 2, 2023. Data synthesis employed a rating scheme to assess the incremental predictive value of resilience factors beyond sociodemographic variables and other resilience factors. An adapted version of the Newcastle-Ottawa Scale was used for risk of bias assessment. Fifty studies (sample sizes: 360-65,818 participants) with moderate study quality reported on various stressors (e.g., pandemics, natural disasters, terrorist attacks). Higher income, socioeconomic status and perceived social support, better emotion regulation and psychological flexibility were related to more resilient responses. The association between resilience factors and resilient responses was stronger in samples with younger mean age and a larger proportion of women. Most studies used non-representative convenience samples and effects were smaller when accounting for sociodemographic variables and other resilience factors. For many factors, findings were mixed, supporting the importance of the fit between resilience factors and situational demands. Research into social and societal resilience factors and multilevel resilience interventions is needed. Preregistration-ID: 10.17605/OSF.IO/GWJVA. Funding source: Robert Koch Institute (ID: LIR_2023_01).
社会挑战使公众心理健康面临风险，并导致人们对复原力的兴趣日益浓厚，将其视为在暴露于压力源期间保持良好心理健康的轨迹。复原力因素代表多层次的社会心理资源，可增加复原力反应的可能性。这项预先注册的系统评价旨在总结关于个体、社会和社会复原力因素对社会挑战和危机的复原力反应的预测价值的证据。符合条件的研究通过基于增长混合模型的多项回归模型，检验了高收入国家压力源暴露人群中复原力因素的预测价值。检索了五个数据库，直至2023年8月2日。数据综合采用评分方案，以评估复原力因素相对于社会人口统计学变量和其他复原力因素的增量预测价值。使用纽卡斯尔-渥太华量表的改编版进行偏倚风险评估。五十项研究（样本量：360 - 65,818名参与者），研究质量中等，报告了各种压力源（如大流行、自然灾害、恐怖袭击）。较高的收入、社会经济地位和感知到的社会支持、更好的情绪调节和心理灵活性与更具复原力的反应相关。在平均年龄较小且女性比例较高的样本中，复原力因素与复原力反应之间的关联更强。大多数研究使用非代表性的便利样本，并且在考虑社会人口统计学变量和其他复原力因素时效应较小。对于许多因素，研究结果不一，这支持了复原力因素与情境需求之间匹配的重要性。需要对社会和社会复原力因素以及多层次复原力干预措施进行研究。预注册编号：10.17605/OSF.IO/GWJVA。资金来源：罗伯特·科赫研究所（编号：LIR_2023_01）。
