The Lancet Psychiatry ( IF 64.3 ) Pub Date : 2019-12-02 , DOI: 10.1016/s2215-0366(19)30434-1 Michael Ungar 1 , Linda Theron 2
More is known about the factors that predict mental disorder than about the factors and processes that promote positive development among individuals exposed to atypically high levels of stress or adversity. In this brief Review of the science of resilience, we show that the concept is best understood as the process of multiple biological, psychological, social, and ecological systems interacting in ways that help individuals to regain, sustain, or improve their mental wellbeing when challenged by one or more risk factors. Studies in fields as diverse as genetics, psychology, political science, architecture, and human ecology are showing that resilience depends just as much on the culturally relevant resources available to stressed individuals in their social, built, and natural environments as it does on individual thoughts, feelings, and behaviours. With growing interest in resilience among mental health-care providers, there is a need to recognise the complex interactions across systems that predict which individuals will do well and to use this insight to advance mental health interventions.
中文翻译:
复原力和心理健康:多系统过程如何促进积极成果。
关于预测精神错乱的因素,比在非典型高水平的压力或逆境中促进个体正向发育的因素和过程了解更多。在对复原力科学的简短回顾中,我们表明,最好将这个概念理解为多种生物,心理,社会和生态系统相互作用的过程,以帮助个人在受到挑战时恢复,维持或改善其心理健康的方式一个或多个危险因素。对遗传学,心理学,政治学,建筑学和人类生态学等众多领域的研究表明,韧性与依赖于个人思想的力量在很大程度上取决于可用于文化,资源和自然环境的文化相关资源,这些资源可用于在其社会,建筑和自然环境中受压的个人,感受,和行为。随着人们对精神卫生保健提供者的抵御能力的兴趣日益增长,有必要认识到跨系统的复杂交互作用,这些交互作用可以预测哪些人会做得更好,并利用这种见识来推进精神卫生干预措施。