照顾者的复原力和心理健康：社会包容、自决和独立生活技能的作用

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-05-17 DOI:10.1016/j.chiabu.2025.107489

Fadzai Chikwava , Reinie Cordier , Anna Ferrante , Melissa O'Donnell

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引用次数: 0

摘要

目的：由于不良的童年经历（ace），从家庭外护理（OHC）过渡的年轻人经常经历较差的心理健康和适应能力。然而，对介导和调节这些结果的因素了解有限。这是第一个整合相关行政和纵向数据的研究，以检验安置稳定性、独立生活技能（ILS）、社会包容和自决在检验ace和护理状态对心理健康和心理弹性之间的关系时的中介和调节作用。方法：我们将回顾性关联数据集与一项前瞻性自我报告纵向研究相结合，该研究涉及122名15至25岁的年轻人，他们在2019年4月至2022年5月期间从OHC过渡。通径分析用于模拟涉及调节因子和中介因子的复杂关系。结果生活水平调节了不良经历与心理弹性的关系，而社会包容、自我决定和心理健康介导了护理状态和虐待暴露对心理弹性的影响。安置稳定性独立影响心理健康结果，但不介导ace -弹性关系。本研究强调了风险因素和保护因素在塑造恢复力和心理健康方面的复杂相互作用，强调了技能发展、社会联系和护理人员自主的重要性。研究结果支持早期干预、基于力量的方法和创伤知情干预，包括情绪调节、治疗关系和稳定的支持网络，以减轻过去的创伤，增强复原力和幸福感。

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Resilience and mental health among care leavers: Role of social inclusion, self-determination, and independent living skills

Objective

Young people transitioning from out-of-home care (OHC) frequently experience poor mental health and resilience due to adverse childhood experiences (ACEs). However, there is limited understanding of the factors that mediate and moderate these outcomes. This is the first study to integrate linked administrative and longitudinal data to examine the mediation and moderation effects of placement stability, independent living skills (ILS), social inclusion, and self-determination when examining the association between ACEs and care status on mental health and resilience.

Method

We integrated retrospective linked datasets with a prospective self-report longitudinal study involving 122 young people aged 15 to 25 transitioning from OHC between April 2019 and May 2022. Path analysis was used to model complex relationships involving moderators and mediators.

Results

ILS moderated the association between ACEs and resilience, while social inclusion, self-determination, and mental health mediated the effects of care status and maltreatment exposure on resilience. Placement stability independently influenced mental health outcomes but did not mediate the ACEs-resilience relationship.

Conclusions

This study highlights the complex interplay of risk and protective factors in shaping resilience and mental health, emphasising the importance of skills development, social connectedness and autonomy among care leavers. Findings support early intervention, strength-based approaches, and trauma-informed interventions, including emotional regulation, therapeutic relationships, and stable support networks, to mitigate past trauma and enhance resilience and well-being.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.