Resilience and mental health in children and adolescents: an update of the recent literature and future directions.
Resilience and mental health in children and adolescents: an update of the recent literature and future directions.
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DOI：
10.1097/yco.0000000000000741
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发表时间：
2021-11-01
影响因子：
6.9
通讯作者：
Hillegers M
中科院分区：
文献类型：
--
作者：
Mesman E;Vreeker A;Hillegers M
为了促进有精神疾病风险的儿童和青少年的最佳发展，更好地理解弹性的概念是至关重要的。在这里，我们提供了一个概述，最近的临床和流行病学的相关工作弹性和心理健康的儿童和青少年。我们系统的文献检索显示，25项研究一致表明，尽管研究人群和工具存在异质性，但较高水平的弹性与较少的心理健康问题有关。心理弹性的相关因素包括社会、文化、家庭和个体等多系统因素，这与近期心理弹性理论所描述的多系统方法是一致的。纵向研究很少，但证实了心理弹性与心理健康的动态特征。纵向研究和创新测量技术的应用将提高我们对压力源对心理弹性和心理健康结果的级联效应的理解。弹性与儿童和青少年的心理健康密切相关，在研究、预防计划和常规临床护理中应该发挥更突出的作用。在评估复原力时纳入社会、文化和家庭背景很有价值，因为这可以确定早期和预防性干预的目标。
In order to promote optimal development of children and adolescents at risk for psychiatric disorders, a better understanding of the concept resilience is crucial. Here, we provide an overview of recent work on clinical and epidemiological correlates of resilience and mental health in children and adolescents. Our systematic literature search revealed 25 studies that unanimously show that higher levels of resilience are related to fewer mental health problems, despite the heterogeneity of study populations and instruments. Correlates of resilience included multisystem factors, such as social, cultural, family and individual aspects, which is in line with the multisystem approach as described by recent resilience theories. Longitudinal studies are scarce but confirm the dynamical character of resilience and mental health. The application of longitudinal studies and innovative measurement techniques will improve our understanding on the cascade effects of stressors on resilience and mental health outcomes. Resilience is strongly associated with mental health in children and adolescents and deserves a more prominent role in research, prevention programs and routine clinical care. Including social, cultural and family context in the evaluation of resilience is of great value, as this can identify targets for early and preventive interventions.