Depression and resilience mediate the relationship between traumatic life events and ill physical health: results from a population study

We set out to investigate the mediating roles of depression, resilience, smoking, and alcohol use, in the relationship between potentially traumatic life events and objective and subjective, physical and mental health in a single study. A face-to-face, population-based survey was conducted in Hong Kong (N = 1147). Information on health conditions and traumatic life events was obtained, and participants completed measures of subjective physical and mental health, depression, and resilience. Smoking and drinking were not significant mediators of the relationship between life events and both objective and subjective health. Depressive symptomatology was found to mediate the relationship between life threatening illness and subjective physical health, the relationship between abuse (physical and sexual) and subjective mental health, and the relationship between the death of a parent/partner and subjective mental health. Resilience was found to mediate the relationships between multiple traumatic life events and subjective physical and mental health. Our results indicate that psychological factors rather than biological are important mediators of the relationship between life events exposure and health. Our findings provide evidence that depressive symptomatology has a mediating role only in the case of specific potentially traumatic life events and that resilience is only a critical factor in the face of exposure to multiple traumatic events, rather than single events. Our results also indicate that behavioural factors, such as smoking and drinking, are not significant mediators of the relationship between life events and health.     

Differential Influence of Social Support in Emerging Adulthood Across Sources of Support and Profiles of Interpersonal and Non-Interpersonal Potentially Traumatic Experiences

Social support is protective against the negative effects of trauma, yet how these effects vary across sources of support and patterns of trauma exposure has not been examined. High co-occurrence exists among different types of trauma across domains and ages, yielding patterns of trauma exposure that may affect social support. This study identified profiles of potentially traumatic events (PTEs) experienced by 252 college students and examined the relationships between social support and mental health across these profiles. Five profiles emerged: “Non-Interpersonal Trauma Exposure,” “Adult Intimate Partner Violence,” “Poly-trauma Exposure,” “Low Trauma Exposure,” and “Childhood Family Violence.” The link between social support and adjustment differed across profiles. Family support was valuable for promoting resilience across patterns of PTEs. Friend and romantic partner support were related to lower mental health problems. Support from family and friends is particularly valuable in the context of adult intimate partner violence and childhood family violence.     

The role of spirituality in building up the resilience of migrant children in Central America: bridging the gap between needs and responses*

Abstract

Academic research across different disciplines has evidenced that spirituality contributes significantly to the building up of resilience. Little research, however, exists on the relationship between spirituality and resilience among displaced children. Enquiring into this particular area is urgent not only because of the increasing numbers of displaced children in the world today but also because of the insufficiency of current responses, which fail to address children’s deep questions about life, themselves, the world and God. This paper argues that spirituality has the potential to answer these deep existential needs, and, by doing so, can constitute a key resilience factor for migrant children. Furthermore, it argues for the value of using interdisciplinary approaches to explore these issues. Through a qualitative investigation involving adult professionals working with migrant children and adult faith leaders and/or experts in spirituality, this paper provides new insights into how to understand the relationship between spirituality and resilience among displaced populations, and how to nurture migrant children’s spirituality in multi-faith and non-faith settings.     

Building Solutions in Youth: Evaluation of the Human–Animal Resilience Therapy Intervention

The effectiveness of the human-animal resilience therapy (HART) intervention was examined using a randomized comparison group design with youth ages 10–18 (n = 29). Paired samples t-test analyses revealed statistically significant differences between pretest and posttest scores for anxiety, depression, and disruptive behavior inventories for participants in both the treatment and comparison groups. No significant differences were found for the self-concept or anger inventories. An analysis of variance on gain scores of the treatment and comparison groups revealed no between group differences. The implications of the findings are discussed.     

Secondary traumatic stress in emergency medicine clinicians

Previously called Secondary Traumatic Stress (STS), secondary exposure to trauma is now considered a valid DSM-5 Criterion A stressor for posttraumatic stress disorder (PTSD). Previous studies have found high rates of STS in clinicians who treat traumatically injured patients. However, little research has examined STS among Emergency Medicine (EM) physicians and advanced practice providers (APPs). The current study enrolled EM providers (N = 118) working in one of 10 hospitals to examine risk factors, protective factors, and the prevalence of STS in this understudied population. Most of the participants were physicians (72.9%), Caucasian (85.6%), and male (70.3%) with mean age of 39.7 (SD = 8.9). Overall, 12.7% of the sample screened positive for STS with clinical levels of intrusion, arousal, and avoidance symptom clusters, and 33.9% had at least one symptom cluster at clinical levels. Low resilience and a history of personal trauma were positively associated with positive STS screens and STS severity scores. Borderline significance suggested that female gender and spending ≥10% of one’s time with trauma patients could be additional risk factors. Findings suggest that resilience-building interventions may be beneficial.     

Ritual and Recovery: Traditions in Disaster Ritualizing

The aim of this article is partly to analyze and discuss the ritual traditions in the Norwegian context, called disaster services, which consists in ritualizing as a response to accidents and disasters. Furthermore, we find it relevant to understand these traditions in relation to two aspects of recovery: personal and social recovery. From a practical theological perspective, the new traditions are interesting for the understanding of how the churches work in situations where people have stressful experiences, and for developing an understanding of contemporary religion.     

Positive Loss and Tragic Memory: On the Preservation of Community

Theologies of disaster have to recognize exceptional disasters in the framework of a general human exposure to vulnerability, while engaging in the formation of human and religious resilience. Resilience is about “bouncing back and forward” in and through precautionary and self‐adaptive responses to disasters. Drawing up a distinction between personal tragedies and socially shared disasters, the basic argument is that the reconnection of disrupted communities lies at the center of both tragedy and disaster. This article describes a post‐secular theology of tragedy and disaster that mainly stays in a vernacular language, referring to basic assumptions of the gospel while refraining from using the heavier repertoires of Christian doctrine.     

Differential Prediction of Resilience Among Individuals With and Without a History of Abuse

The authors evaluated the differential relationship between mutuality, hope, and spirituality for predicting resilience among 253 young adult participants (47 men, 206 women; M = 22, SD = 5.7) with a history of abuse (n = 64) and without (n = 189). Backward stepwise multiple regression analyses revealed statistically significant models in populations with a history of abuse (p < .01, R ² = .43) and those without (p < .01, R ² = .36), with no statistical difference in the variance between models (z = 0.51, p = .30). Implications for counselors are provided.     

Posttraumatic Stress Disorder and Emotion‐Focused Coping Among Disaster Mental Health Counselors

The authors surveyed 235 disaster mental health counselors (DMHCs) for levels of posttraumatic stress disorder (PTSD) symptom severity. A correlational design was used to examine the roles of adult attachment security, emotion regulation, and mindfulness in predicting PTSD symptoms among this group. Each of the 3 predictors was negatively correlated with PTSD symptom severity, and data supported a mediating role for emotion regulation. Results may inform DMHCs, other counselors, and individuals who train or deploy DMHCs.     

流动性、教育安置方式和心理弹性对流动儿童孤独感的影响:一项追踪研究

采用潜变量增长模型对426名流动儿童进行四次追踪测查,旨在考察流动儿童孤独感的变化趋势,探索不同流动性和教育安置方式的流动儿童孤独感变化的差异性以及心理弹性对孤独感变化的促进性作用。结果发现：（1）流动儿童的孤独感呈线性下降趋势;（2）打工子弟学校流动儿童的孤独感起始水平显著高于公立学校流动儿童;流动性高的儿童的孤独感起始水平高于流动性低的儿童,但流动性和教育安置方式对孤独感的发展趋势没有显著预测作用;（3）对于流动儿童来说,较高的心理弹性水平不仅能显著预测更低的孤独感起始水平,同时也能显著预测更快的孤独感的下降速率。本研究启示,增加进入公立学校学习的机会、降低流动频率和提升心理弹性对降低流动儿童的孤独感水平具有重要的意义。