Hoping and waiting for rescue: Concepts, scale development and process.

IF 2.6 3区 医学 Q2 PSYCHIATRY
Paul Gilbert, Jaskaran Basran, Ptarmigan Plowright, Kelly Morter, Malcolm Schofield, Jean Gilbert
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引用次数: 0

Abstract

Background: It is clinically recognised that some people find it difficult to engage with or commit to self-help for life difficulties. This may be due to various reasons such as experiences of helplessness, feeling overwhelmed and lacking skills, and low confidence in the process. Another reason can be beliefs of 'needing others' to bring change about; that they are not able to do it for themselves and are 'hoping and waiting' for others to 'rescue' them.

Objectives: This study developed a new self-report scale to explore people's experiences of hoping and waiting to be rescued from distressing mental states. Second, we sought to explore how this orientation links to mental health, social relating, early life experiences, and emotion dysregulation.

Methods: The scale comprised 18 items derived from clinical experiences and was completed online by two general population samples from the United Kingdom (total n = 445). Participants also completed measures of emotion dysregulation, reassurance-seeking, depression, anxiety, stress, self-other relating, social comparison, social safeness, early memories of warmth and parental bonding.

Results: Exploratory and confirmatory factor analyses revealed a good factor structure that separated into two key themes: 1. Hoping and waiting for rescue from others and 2. Self-reliance. Hoping and waiting for rescue was negatively correlated with self-reliance. It was also correlated with parental over-protection (but not care), lack of feeling socially safe, higher reassurance-seeking, depression, anxiety, stress, and emotion dysregulation. Network analysis revealed a stable network in which hoping and waiting for rescue is a central node with direct connections to variables of mental health, social relating, and early life experiences. The scales demonstrated good test-retest reliability and internal consistency.

Conclusions: This study suggests that individuals who feel they need others to rescue them from distressing mental states are less oriented to self-reliance and self-help. Moreover, this coping style is associated with a range of mental health difficulties. Therapists can be alert to these difficulties regarding why clients might not engage in self-help and help clients address them, including linking them to other issues such as unprocessed emotions associated with early attachment difficulties.

希望与等待救援:概念、规模发展与过程。
背景:临床上认识到,一些人发现很难参与或致力于生活困难的自助。这可能是由于各种原因,如无助的经历,感到不知所措和缺乏技能,以及在这个过程中缺乏信心。另一个原因可能是“需要他人”带来改变的信念;他们不能自己做这件事,而是“希望并等待”别人来“拯救”他们。目的:本研究编制了一种新的自我报告量表,探讨人们希望和等待从痛苦的精神状态中被拯救的经历。其次,我们试图探索这种取向与心理健康、社会关系、早期生活经历和情绪失调之间的联系。方法:量表由18个条目组成,来源于临床经验,由来自英国的2个普通人群在线完成(总n = 445)。参与者还完成了情绪失调、寻求安慰、抑郁、焦虑、压力、自我与他人关系、社会比较、社会安全感、对温暖的早期记忆和父母关系的测量。结果:探索性和验证性因子分析揭示了良好的因子结构,分为两个关键主题:1。希望并等待他人的救援。自力更生。希望和等待救援与自力更生呈负相关。它还与父母过度保护(但不关心)、缺乏社交安全感、寻求更多安慰、抑郁、焦虑、压力和情绪失调有关。网络分析揭示了一个稳定的网络,其中希望和等待救援是与心理健康、社会关系和早期生活经历变量直接相关的中心节点。量表具有良好的重测信度和内部一致性。结论:本研究表明,需要他人帮助摆脱痛苦心理状态的个体更不倾向于自力更生和自助。此外,这种应对方式与一系列心理健康问题有关。治疗师可以警惕这些困难,了解为什么客户可能不参与自助活动,并帮助客户解决这些问题,包括将它们与其他问题联系起来,例如与早期依恋困难相关的未处理情绪。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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