Turgut Atak Nazlı, Bebiş Hatice
Department of Nursing, Near East University Faculty of Nursing, Mersin, Türkiye.
Department of Nursing, Eastern Mediterranean University, Famagusta, Northern Cyprus.
Psychiatry Clin Psychopharmacol. 2024 Sep 1;34(3):252-264. doi: 10.5152/pcp.2024.23782. eCollection 2024 Sep.
Psychological resilience is defined as the resilience capacity and the power to recover in the face of stressful life events. Adolescents in institutional care have different individual, familial, and environmental risk factors that negatively affect their psychological resilience. This study aimed to comparatively examine studies that detect the risk factors affecting the resilience of adolescents living in institutional care and make recommendations regarding initiatives or specific outcomes related to this.
This study systematically reviewed national and international literature databases such as PubMed, Web of Science, Science Direct, Medline, CINAHL, EBSCO host, Psychinfo, Cochrane Library, Turkish Ulakbim, Turkish Medical Directory, and Turkish Psychiatry Directory up to December 2021. Fourteen studies were included in this study.
Many significant risk factors, such as adolescents' interpersonal relationships, self-confidence, self-esteem, self-efficacy levels, problem-solving skills, empathy skills, as well as parental abandonment, domestic violence, socioeconomic poverty, a history of abuse, peer rejection, lack of social support resources, and low academic performance, have been identified and discussed at individual, familial, and environmental levels.
Adolescents in institutional care were more vulnerable and had more mental and behavioral problems than their peers. This systematic review found no studies evaluating preventive programs, interventions, or interventions designed to reduce the frequency and prevalence of future adverse events for children growing up in institutional care settings. Recommends the comprehensive inclusion and evaluation of preventive programs, practices, and assessments aimed at reducing the frequency and prevalence of risk factors affecting resilience.
心理韧性被定义为面对压力性生活事件时的恢复能力和力量。机构照料中的青少年存在不同的个体、家庭和环境风险因素，这些因素会对他们的心理韧性产生负面影响。本研究旨在比较性地审视那些检测影响机构照料中青少年韧性的风险因素的研究，并就与此相关的举措或具体成果提出建议。
本研究系统回顾了截至2021年12月的国内外文献数据库，如PubMed、科学网、科学Direct、Medline、CINAHL、EBSCO主机、Psychinfo、Cochrane图书馆、土耳其Ulakbim、土耳其医学目录和土耳其精神病学目录。本研究纳入了14项研究。
已在个体、家庭和环境层面识别并讨论了许多重要风险因素，如青少年的人际关系、自信心、自尊、自我效能水平、解决问题的能力、共情能力，以及父母遗弃、家庭暴力、社会经济贫困、虐待史、同伴排斥、缺乏社会支持资源和学业成绩低等。
机构照料中的青少年比同龄人更脆弱，存在更多的心理和行为问题。本系统评价未发现有研究评估旨在减少机构照料环境中成长儿童未来不良事件发生频率和患病率的预防项目、干预措施或干预手段。建议全面纳入并评估旨在降低影响韧性的风险因素发生频率和患病率的预防项目、实践和评估。
