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社会决定因素和积极青少年发展的5C对智利青少年心理健康的影响。

The influence of social determinants and 5Cs of positive youth development on the mental health of Chilean adolescents.

作者信息

Marín-Gutiérrez Mauricio, Caqueo-Urízar Alejandra

机构信息

Programa de Doctorado en Psicología, Universidad de Tarapacá, 18 de Septiembre 2222, Arica, Chile.

Instituto de Alta Investigación, Universidad de Tarapacá, Antofagasta 1520, Arica, Chile.

出版信息

BMC Psychol. 2025 Apr 3;13(1):333. doi: 10.1186/s40359-025-02629-9.

Abstract

This study analyzes the influence of social determinants (SD) and positive youth development (PYD) on the mental health (MH) of Chilean adolescents. A non-experimental, cross-sectional, correlational-explanatory design was used to analyze data from 612 adolescents (43.46% male and 56.54% female), aged between 11 and 19 years (M = 14.92, SD = 1.50). The assessed SD variables included parental educational level, family affluence, gender, migratory status, and ethnicity. PYD was measured using the 5Cs model (Competence, Confidence, Connection, Character, and Caring). MH was conceptualized through the dual-factor model, which encompasses subjective well-being (SWB) and psychopathological symptoms (PTH). The analyses included confirmatory factor analysis to assess the measurement models and structural equation modeling to examine both the direct and indirect effects of the hypothesized relationships. The findings indicate that family affluence and gender are the factors most consistently associated with the dimensions of PYD and MH. Confidence and connection positively influence MH by enhancing SWB and reducing PTH. Furthermore, these two dimensions act as significant mediators between SD and MH. The study highlights the importance of considering both the socioeconomic context and individual capabilities in mental health promotion strategies, proposing an integrated approach that addresses both the positive and negative aspects of adolescent mental health.

摘要

本研究分析了社会决定因素(SD)和青少年积极发展(PYD)对智利青少年心理健康(MH)的影响。采用非实验性、横断面、相关解释性设计,对612名年龄在11至19岁之间(M = 14.92,标准差 = 1.50)的青少年(43.46%为男性,56.54%为女性)的数据进行分析。评估的社会决定因素变量包括父母教育水平、家庭富裕程度、性别、移民身份和种族。采用5C模型(能力、自信、联系、品格和关爱)来衡量青少年积极发展。心理健康通过双因素模型进行概念化,该模型包括主观幸福感(SWB)和心理病理症状(PTH)。分析包括验证性因素分析以评估测量模型,以及结构方程模型以检验假设关系的直接和间接影响。研究结果表明,家庭富裕程度和性别是与青少年积极发展和心理健康维度最一致相关的因素。自信和联系通过增强主观幸福感和减少心理病理症状对心理健康产生积极影响。此外,这两个维度在社会决定因素和心理健康之间起着重要的中介作用。该研究强调了在心理健康促进策略中考虑社会经济背景和个人能力的重要性,提出了一种综合方法来应对青少年心理健康的积极和消极方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888d/11969783/794c1d369315/40359_2025_2629_Fig1_HTML.jpg

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