Mehrdad Shahidi, Michael Ungar, Miryam Wedyaswari, Mahnaz Shojaee
{"title":"复原力作为新斯科舍省接受儿童福利服务的青少年童年不利经历与心理健康之间的调解因素的作用","authors":"Mehrdad Shahidi, Michael Ungar, Miryam Wedyaswari, Mahnaz Shojaee","doi":"10.1007/s10560-024-00979-8","DOIUrl":null,"url":null,"abstract":"<p>While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. <i>Participants and setting</i>: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (<i>β</i> = − 0.409, <i>p</i> < .001) and indirectly mediates the effect of ACEs on outcomes (<i>β =</i> 0.236, <i>P</i> < .001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.</p>","PeriodicalId":51512,"journal":{"name":"Child and Adolescent Social Work Journal","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Role of Resilience as a Mediating Factor between Adverse Childhood Experience and Mental Health in Adolescents Receiving Child Welfare Services in Nova Scotia\",\"authors\":\"Mehrdad Shahidi, Michael Ungar, Miryam Wedyaswari, Mahnaz Shojaee\",\"doi\":\"10.1007/s10560-024-00979-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. <i>Participants and setting</i>: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (<i>β</i> = − 0.409, <i>p</i> < .001) and indirectly mediates the effect of ACEs on outcomes (<i>β =</i> 0.236, <i>P</i> < .001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.</p>\",\"PeriodicalId\":51512,\"journal\":{\"name\":\"Child and Adolescent Social Work Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-08-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child and Adolescent Social Work Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10560-024-00979-8\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SOCIAL WORK\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child and Adolescent Social Work Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10560-024-00979-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL WORK","Score":null,"Total":0}
The Role of Resilience as a Mediating Factor between Adverse Childhood Experience and Mental Health in Adolescents Receiving Child Welfare Services in Nova Scotia
While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. Participants and setting: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (β = − 0.409, p < .001) and indirectly mediates the effect of ACEs on outcomes (β = 0.236, P < .001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.
期刊介绍：
The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings. CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies. Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.
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