Annual Research Review: Resilient functioning in maltreated children--past, present, and future perspectives.

Annual Research Review: Resilient functioning in maltreated children--past, present, and future perspectives.
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DOI:
10.1111/j.1469-7610.2012.02608.x
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发表时间:
2013-04
期刊:
Journal of child psychology and psychiatry, and allied disciplines
影响因子:
--
通讯作者:
Cicchetti D
Cicchetti D
中科院分区:
其他
文献类型:
--
作者:
Cicchetti D

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通过一种概率性的渐成说过程,儿童受虐逐渐导致在对成功适应至关重要的多个发展领域的适应性受损。这些发展失败对整个生命过程中精神病理学的出现构成重大风险。除了虐待的心理后果外,越来越多的研究记录了虐待和忽视对生理过程的有害影响。然而,并非所有受虐儿童都会出现适应不良。事实上,尽管经历了重大的逆境和压力,仍有一定比例的受虐儿童能以坚韧的方式成长。 有选择性地回顾了关于受虐儿童韧性决定因素的文献,并阐述了纳入研究的标准。大多数关于韧性功能影响因素的研究都集中在单一分析层面以及社会心理过程上。多层次的研究已经开始出现,产生了一些关于将生物/遗传和心理领域相结合的韧性功能过程的研究。 在我们基于与这一动态发展过程固有的复杂性相称的多层次分析方法拥有足够的知识之前,还必须完成大量关于韧性功能决定因素的额外研究。提出了关于受虐儿童韧性功能发展的未来研究建议,并讨论了干预的意义。
Through a process of probabilistic epigenesis, child maltreatment progressively contributes to compromised adaptation on a variety of developmental domains central to successful adjustment. These developmental failures pose significant risk for the emergence of psychopathology across the life course. In addition to the psychological consequences of maltreatment, a growing body of research has documented the deleterious effects of abuse and neglect on biological processes. Nonetheless, not all maltreated children develop maladaptively. Indeed, some percentage of maltreated children develop in a resilient fashion despite the significant adversity and stress they experience. The literature on the determinants of resilience in maltreated children is selectively reviewed and criteria for the inclusion of the studies are delineated. The majority of the research on the contributors to resilient functioning has focused on a single level of analysis and on psychosocial processes. Multilevel investigations have begun to appear, resulting in several studies on the processes to resilient functioning that integrate biological/genetic and psychological domains. Much additional research on the determinants of resilient functioning must be completed before we possess adequate knowledge based on a multiple levels of analysis approach that is commensurate with the complexity inherent in this dynamic developmental process. Suggestions for future research on the development of resilient functioning in maltreated children are proffered and intervention implications are discussed.
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