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韧性的社会决定因素:整合心理和政策研究的概念框架。

The social determinants of resilience: A conceptual framework to integrate psychological and policy research.

机构信息

Department of Psychology, College of Arts and Sciences, Stony Brook University.

Department of Psychology, College of Arts and Sciences, University of Washington.

出版信息

Am Psychol. 2024 Nov;79(8):1049-1062. doi: 10.1037/amp0001308.

Abstract

The psychological study of resilience has increasingly underscored the need for children and families to access material and psychological resources to positively adapt to significant stress. Redistributive policies-policies that downwardly reallocate society's social and economic resources-can offer economically disadvantaged families sustained access to these resources and mitigate the harmful impacts of adversity. This conceptual article builds upon and integrates insights from psychological and policy research to develop a unifying multilevel resilience framework, which we call the Social Determinants of Resilience. We examine four U.S. redistributive policies that have been extensively studied for their effects on child and family outcomes as case studies: (1) Medicaid expansion; (2) the Earned Income Tax Credit; (3) childcare subsidies; and (4) Temporary Assistance for Needy Families. Informed by a scoping review of each policy, we propose that redistributive policies promote children's resilience through three mechanisms by (1) increasing families' resource and service access; (2) reducing family stress; and (3) enhancing adaptive cognitions, emotions, behaviors, and interpersonal processes that protect against the development of psychopathology and promote positive mental health outcomes. Highlighting current evidence for these resilience mechanisms as well as gaps in knowledge, we conclude by setting a multidisciplinary research agenda that can leverage this conceptual framework to advance the science on how redistributive policies enable children and families to thrive. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

韧性的心理学研究越来越强调,儿童和家庭需要获得物质和心理资源,以积极适应重大压力。再分配政策——将社会的社会和经济资源向下重新分配的政策——可以为经济上处于不利地位的家庭持续提供这些资源,并减轻逆境的有害影响。本文综合了心理学和政策研究的观点,提出了一个统一的多层次韧性框架,我们称之为韧性的社会决定因素。我们以四项在美国被广泛研究的、对儿童和家庭结果有影响的再分配政策为例:(1)医疗补助计划扩大;(2)劳动所得税抵免;(3)儿童保育补贴;以及(4)补充营养援助计划。通过对每项政策的范围审查,我们提出,再分配政策通过以下三种机制促进儿童的韧性:(1)增加家庭的资源和服务获取;(2)减轻家庭压力;以及(3)增强适应性认知、情感、行为和人际过程,以防止精神病理学的发展并促进积极的心理健康结果。本文强调了这些韧性机制的现有证据以及知识空白,并最后制定了一个多学科的研究议程,可以利用这一概念框架来推进关于再分配政策如何使儿童和家庭茁壮成长的科学研究。(美国心理协会,2024)

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本文引用的文献

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Psychological Resilience: An Affect-Regulation Framework.心理韧性:一种情感调节框架。
Annu Rev Psychol. 2023 Jan 18;74:547-576. doi: 10.1146/annurev-psych-020122-041854. Epub 2022 Sep 14.

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