内罗毕大都会区一组人群的心理韧性及其与绝望、抑郁、孤独、创伤后应激障碍(PTSD)以及自杀意念和行为的关联。

Resilience and its association with hopelessness, depression, loneliness, post-traumatic stress disorder (PTSD) and suicidal ideations and behavior in a cohort in the Nairobi Metropolitan.

作者信息

Ndetei David M, Mutiso Victoria, Musyimi Christine, Jeremiah Eric, Nyamai Pascalyne, Walusaka Samuel, Onyango Veronica, Bhui Kamaldeep, Mamah Daniel

机构信息

Africa Institute of Mental and Brain Health (formerly Africa Mental Health Research and Training Foundation), Nairobi, Kenya.

Department of Psychiatry, University of Nairobi, Nairobi, Kenya.

出版信息

Glob Ment Health (Camb). 2025 Mar 11;12:e38. doi: 10.1017/gmh.2025.27. eCollection 2025.

Abstract

Comprehending resilience in the face of mental health issues is important, especially for young people who deal with a variety of psychological pressures. This study aims to investigate the co-occurrence of several mental health conditions and the role of resilience as a potential intervention in youth 14-25 years in the Nairobi metropolitan area. We recruited 1,972 youths. The following self-administered instruments were used: resilience (ARM-R), hopelessness (BHS), depression (BDI, PHQ-9), PTSD (HTQ), loneliness (UCLA Loneliness Scale) and suicidality (C-SSRS). Descriptive statistics, Pearson correlation and hierarchical multiple regression analyses were conducted on the data. The key findings are that depression and hopelessness showed a strong negative association with resilience. PTSD and recent suicidal ideation and behavior showed less negative association with resilience. Building resilience is an important intervention for the conditions reported in our study among the youth. This study contributes novel insights into the intersection of multiple psychological stressors and resilience, paving the way for more targeted, integrative mental health interventions.

摘要

理解面对心理健康问题时的复原力很重要,尤其是对于应对各种心理压力的年轻人而言。本研究旨在调查内罗毕大都市区14至25岁青少年中几种心理健康状况的共现情况以及复原力作为一种潜在干预措施的作用。我们招募了1972名青少年。使用了以下自填式工具:复原力(ARM-R)、绝望感(BHS)、抑郁(BDI、PHQ-9)、创伤后应激障碍(HTQ)、孤独感(UCLA孤独感量表)和自杀倾向(C-SSRS)。对数据进行了描述性统计、皮尔逊相关性分析和分层多元回归分析。关键发现是,抑郁和绝望感与复原力呈强烈负相关。创伤后应激障碍以及近期的自杀意念和行为与复原力的负相关程度较低。培养复原力是针对我们研究中所报告的青少年状况的一项重要干预措施。本研究为多种心理压力源与复原力的交叉点提供了新颖的见解,为更具针对性、综合性的心理健康干预措施铺平了道路。

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