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建立韧性的动态适应过程理论(ADAPTOR):应激暴露、储备能力、适应和后果。

Building a dynamic adaptational process theory of resilience (ADAPTOR): Stress exposure, reserve capacity, adaptation, and consequence.

机构信息

Department of Psychology, University of Notre Dame.

出版信息

Am Psychol. 2024 Nov;79(8):1063-1075. doi: 10.1037/amp0001280.

Abstract

A Dynamic Adaptational Process Theory of Resilience (ADAPTOR) incorporates a synchronistic interplay of reserve capacity, adaptation, and consequences in the context of the larger exposome. This conceptualization of resilience centers on the argument that individuals can "build" resilience by drawing upon their various reserve capacities to effectively adapt to challenging contextual factors, and that this process has long-term consequences for health and wellness trajectories. These theoretical arguments were tested using the Notre Dame Study of Health & Well-Being-COVID Study, which is a multitimescale, longitudinal study of data collected from September 2020 through February 2022. We included 444 participants (age range = 26-90, M = 62.23, SD = 14.26), and used hierarchical linear modeling to assess the effects of global perceptions of stress reactivity (reserve capacity), daily affective reactivity (adaptation), as well as negative pandemic exposure (exposome) on trajectories of depression and anxiety (consequences) across the COVID-19 pandemic. Most pertinent to ADAPTOR, an interactive effect indicated that reserve capacity and adaptation may serve compensatory roles for one another in the context of a more stressful exposome, whereas the synchrony between reserve capacity and adaptation may be important in the context of a less stressful exposome. These findings support the ADAPTOR framework, such that reserve capacity, adaptation, the exposome, and their confluence differentially impact various consequences. This ultimately highlights the importance of taking a dynamic, process-oriented, and multifaceted approach to studying resilience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

一种韧性的动态适应过程理论(ADAPTOR),在更大的外显组背景下,包含了储备能力、适应和后果的同步相互作用。这种韧性的概念集中在一个论点上,即个体可以通过利用其各种储备能力来有效地适应具有挑战性的环境因素,从而“构建”韧性,并且这个过程对健康和幸福轨迹有长期影响。这些理论观点是使用圣母大学健康与幸福感研究-新冠研究来检验的,这是一项多时间尺度、纵向研究,收集了 2020 年 9 月至 2022 年 2 月的数据。我们纳入了 444 名参与者(年龄范围为 26-90 岁,M=62.23,SD=14.26),并使用分层线性模型评估了全球应激反应知觉(储备能力)、日常情感反应(适应)以及负面大流行暴露(外显组)对新冠肺炎大流行期间抑郁和焦虑轨迹(后果)的影响。与 ADAPTOR 最相关的是,一个交互效应表明,在更具压力的外显组背景下,储备能力和适应可能相互补偿,而在压力较小的外显组背景下,储备能力和适应之间的同步性可能很重要。这些发现支持了 ADAPTOR 框架,即储备能力、适应、外显组及其融合以不同的方式影响各种后果。这最终强调了采用动态、过程导向和多方面的方法来研究韧性的重要性。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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