Durcan Gizem, Yavuz Mesut
Department of Child and Adolescent Psychiatry, İstanbul University Cerrahpaşa Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye.
Turk Arch Pediatr. 2025 Sep 1;60(5):462-468. doi: 10.5152/TurkArchPediatr.2025.25108.
Resilience is a dynamic adaptation process defined as an individual's ability to overcome and recover from stress or unhappiness. A person's resilience is determined by the balance between risk factors and protective factors. Risk factors increase the likelihood of negative outcomes, whereas protective factors modify responses to the negative event, thereby avoiding potential negative outcomes. Studies on the neurobiology of resilience are heterogeneous and have associations in the structure, activity, and connectivity of prefrontal and subcortical areas. Chronic diseases, which have increased in frequency in children and adolescents over the years, are an important risk factor for resilience. Resilience in chronic diseases is closely related to both the course of physical illness and mental outcomes. In chronic diseases, family resilience is of great importance in addition to individual-level characteristics such as self-efficacy, selfconfidence, and coping strategies. The whole family in the child's life, which cannot exist alone, is affected by the disease and the process and affects each other. Family resilience mainly includes shared family belief systems, forms of family organization, and family members' open communication and problem-solving skills. Through the resilience they develop, families cope with the stress of chronic illness, thereby improving their children's ability to cope with stress. As a dynamic concept, resilience can change and be developed over time. Increasing resilience through community, family, and individual interventions at different levels can have a positive impact on medical and psychosocial outcomes.
复原力是一个动态的适应过程，被定义为个体克服压力或不快并从中恢复的能力。一个人的复原力取决于风险因素和保护因素之间的平衡。风险因素增加负面结果的可能性，而保护因素则改变对负面事件的反应，从而避免潜在的负面结果。关于复原力神经生物学的研究是多种多样的，并且与前额叶和皮质下区域的结构、活动及连通性存在关联。多年来，儿童和青少年慢性病的发病率有所上升，这是影响复原力的一个重要风险因素。慢性病中的复原力与身体疾病进程和心理结果都密切相关。在慢性病中，除了自我效能感、自信心和应对策略等个体层面的特征外，家庭复原力也非常重要。孩子生活中的整个家庭并非独立存在，会受到疾病及其进程的影响，并且相互影响。家庭复原力主要包括共同的家庭信仰体系、家庭组织形式以及家庭成员开放的沟通和解决问题的能力。通过培养自身的复原力，家庭能够应对慢性病带来的压力，从而提高孩子应对压力的能力。作为一个动态概念，复原力会随着时间而改变和发展。通过社区、家庭和个人在不同层面的干预来增强复原力，会对医疗和心理社会结果产生积极影响。
