Individual-level factors associated with mental health in Rwandan youth affected by HIV/AIDS.
Individual-level factors associated with mental health in Rwandan youth affected by HIV/AIDS.
复制标题
与受艾滋病毒/艾滋病影响的卢旺达青年心理健康相关的个人因素。
DOI：
10.1007/s00127-017-1364-2
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发表时间：
2017
影响因子：
4.4
通讯作者：
Betancourt,TheresaS
中科院分区：
文献类型：
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作者：
Scorza,Pamela;Duarte,CristianeS;Stevenson,Anne;Mushashi,Christine;Kanyanganzi,Fredrick;Munyana,Morris;Betancourt,TheresaS
在全球范围内预防精神障碍需要更好地理解与面临普遍生活压力的儿童中较低水平的心理健康问题相关的保护过程。本研究的目的是确定文化上适当的指标，个人层面的保护因素在卢旺达青少年的风险因素，即贫困和创伤史，有显着塑造青年心理health.MethodsThe样本包括367青年10-17岁的农村卢旺达。早些时候对同一人群进行的一项定性研究发现，“kwihangana”（耐心/毅力）和“kwigirira ikizere”（自尊）这两个概念反映了当地对个人特征的看法，有助于减少青年人心理健康问题的风险。9个项目从当地衍生的结构相结合，25个项目从现有的规模，以及对齐与当地建设的Connor-Davidson韧性量表（CD-RISC）。采用探索性因子分析方法对CD-RISC扩展量表的因子结构进行了分析，并确定了CD-RISC扩展量表与抑郁和功能障碍的相关性。六个因素出现了，我们标记为：毅力，适应性，力量/社交能力，积极参与，自信和自我价值感。保护因素量表得分显着负相关，抑郁症和功能障碍（r=-0.49和r =-0.38，分别）。ConclusionsAn适应量表显示坚实的心理测量特性测量卢旺达青年的保护因素。确定文化上适当的保护因素是与预防心理健康问题相关的研究的一个关键组成部分，对儿童和家庭制定基于跨文化力量的干预措施至关重要。
PurposePrevention of mental disorders worldwide requires a greater understanding of protective processes associated with lower levels of mental health problems in children who face pervasive life stressors. This study aimed to identify culturally appropriate indicators of individual-level protective factors in Rwandan adolescents where risk factors, namely poverty and a history of trauma, have dramatically shaped youth mental health.MethodsThe sample included 367 youth aged 10–17 in rural Rwanda. An earlier qualitative study of the same population identified the constructs “kwihangana” (patience/perseverance) and “kwigirira ikizere” (self-esteem) as capturing local perceptions of individual-level characteristics that helped reduce risks of mental health problems in youth. Nine items from the locally derived constructs were combined with 25 items from an existing scale that aligned well with local constructs—the Connor-Davidson Resilience Scale (CD-RISC). We assessed the factor structure of the CD-RISC expanded scale using exploratory factor analysis and determined the correlation of the expanded CD-RISC with depression and functional impairment.ResultsThe CD-RISC expanded scale displayed high internal consistency (α= 0.93). Six factors emerged, which we labeled: perseverance, adaptability, strength/sociability, active engagement, self-assuredness, and sense of self-worth. Protective factor scale scores were significantly and inversely correlated with depression and functional impairment (r= −0.49 andr= − 0.38, respectively).ConclusionsAn adapted scale displayed solid psychometric properties for measuring protective factors in Rwandan youth. Identifying culturally appropriate protective factors is a key component of research associated with the prevention of mental health problems and critical to the development of cross-cultural strength-based interventions for children and families.