在患有严重精神疾病的成年人中检验Kumpfer的复原力模型

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
D. Pan, Jennifer Sánchez
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引用次数: 3

摘要

患有严重精神疾病(SMI)通常与重大逆境有关,人们对逆境的反应不同。现有的研究支持这样一种观点,即患有SMI的人可以在经历逆境的情况下实现并保持积极的生活结果。韧性,即应对危机(或从危机中迅速恢复)的能力,有助于缓冲各种逆境的负面影响,包括慢性病和残疾,并促进对SMI的心理社会适应过程。Kumpfer的复原力模型是一个人-过程-背景框架,已被广泛用于概念化和评估各种人群的复原力,包括慢性病和残疾人。然而,对SMI患者恢复力的研究非常有限。本研究的目的是实证评估Kumpfer的复原力模型及其提出的预测成分在概念化SMI适应过程中的效用。一百四十四名参与者完成了一项Qualtrics调查,其中包含人口统计问题和一系列经过验证的工具,这些工具代表了Kumpfer弹性模型的主要组成部分。采用分层回归分析对数据进行分析,最终模型解释了因变量——残疾适应的71%的方差。回避应对、内化污名和乐观是适应残疾的重要独立预测因素。本研究支持利用Kumpfer的复原力模型来概念化SMI患者对残疾的适应过程。讨论了康复咨询实践的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Testing Kumpfer’s Resilience Model Among Adults With Serious Mental Illness
Having a serious mental illness (SMI) is often associated with significant adversities, and people respond differently to adversities. The existing research supports the idea that people with SMI can achieve and maintain positive life outcomes despite experiencing adversities. Resilience, the ability to cope with (or bounce back quickly from) crisis, can help buffer the negative effects of various types of adversities, including chronic illness and disability, and facilitate the psychosocial adaptation process to SMI. Kumpfer’s resilience model, a person–process–context framework, has been widely used to conceptualize, and assess for, resilience in various populations, including people with chronic illnesses and disabilities. However, the research in resilience among people with SMI is very limited. The purpose of this study was to empirically assess the utility of Kumpfer’s resilience model and its proposed predictive components for conceptualizing the adaptation process to SMI. One hundred forty-four participants completed a Qualtrics survey containing demographic questions and a series of validated instruments representing the major components of Kumpfer’s resilience model. Hierarchical regression analysis was used to analyze the data, and the final model explained 71% of the variance of the dependent variable—adaptation to disability. Avoidance coping, internalized stigma, and optimism were significant independent predictors of adaptation to disability. This study supports the utilization of Kumpfer’s resilience model to conceptualize the adaptation to disability process among people with SMI. Implications for rehabilitation counseling practices are discussed.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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