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首页> 外文学位 >Evaluating the healing power of art and play: A cross-cultural investigation of psychosocial resilience in child and adolescent survivors of the 2008 Sichuan, China earthquake.
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Evaluating the healing power of art and play: A cross-cultural investigation of psychosocial resilience in child and adolescent survivors of the 2008 Sichuan, China earthquake.

机译：评估艺术和游戏的治愈力：2008年中国四川地震中儿童和青少年幸存者心理社会适应力的跨文化研究。

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摘要

This dissertation builds upon an evaluation that was conducted at the end of a psychosocial intervention that was implemented to improve mental health and foster resilience among child and adolescent survivors after the 2008 Sichuan, China earthquake.;First, a comprehensive review was conducted of universal interventions conducted with children and adolescents after a disaster to examine theoretical and empirical findings. Of the 27 studies identified, only seven were informed by theory. Twenty-five studies demonstrated evidence that the intervention decreased distress symptoms and improved multiple functioning domains. However, the lack of theory creates a black box and presents challenges to program fidelity and replication as well as measurement of specific program component effects and cost-effectiveness.;Second, exploratory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among a sample of 2,132 students in the control group found two resilience factors termed by Chinese scholars as: Rational Thinking: logic based on socially accepted cultural norms and Self-Awareness: rooted in an interdependent view of the self in relation to others and environmental factors. Consistent with previous studies, the CD-RISC demonstrated strong construct validity and adequate internal consistency. The stability of the model was tested using confirmatory factor analysis with data from 1,988 intervention participants.;Lastly, direct and indirect effects of the intervention were examined. Mean scores in CD-RISC did not differ between groups (p=0.67). Mean Rational Thinking was marginally higher (p=0.05) but lower for Self-Awareness (p=0.02) intervention versus controls. Mean PTSD was lower in the intervention than controls (p0.001). The log odds of PTSD did not differ between groups (OR: 1.16, p=0.09). Rational Thinking and PTSD had similar parameter estimates that were negatively related in both groups. Self-Awareness was positively related with PTSD in both groups, but was larger in the intervention. The program focused mainly on strengthening individual traits, which may have heightened perceived variability of external forces that supersede internal capacities. The relationship between Risk Exposure and PTSD was negative for the intervention group. This may be attributed to attachment relationships with intervention caregivers and peers. Findings support the need for more cross-cultural approaches to understanding resilience and adaptive outcomes.
机译：本文基于对社会心理干预措施进行评估之后的评估结果，该干预措施旨在改善2008年中国四川地震后儿童和青少年幸存者的心理健康并增强其适应能力。首先，对普遍干预措施进行了全面回顾在灾难发生后与儿童和青少年进行的调查研究了理论和经验结果。在确定的27项研究中，只有7项是根据理论获得的。二十五项研究表明，该干预措施减少了困扰症状并改善了多个功能域。但是，缺乏理论会产生一个黑匣子，并给程序的保真度和复制以及特定程序组件的效果和成本效益的度量提出了挑战。第二，康纳-戴维森弹性量表（CD-RISC）的探索性因素分析在对照组的2132名学生中，有两个复原力因素被中国学者称为：理性思维：基于社会认可的文化规范和自我意识的逻辑：植根于与其他因素和环境因素相互依赖的自我观。与以前的研究一致，CD-RISC显示出很强的构建有效性和足够的内部一致性。使用确认因子分析和来自1,988名干预参与者的数据测试了模型的稳定性。最后，检查了干预的直接和间接影响。 CD-RISC中的平均得分在各组之间没有差异（p = 0.67）。与对照组相比，平均理性思维略高（p = 0.05），但自我意识干预（p = 0.02）较低。干预中的平均PTSD低于对照组（p <0.001）。两组间PTSD的对数赔率没有差异（OR：1.16，p = 0.09）。理性思维和PTSD具有相似的参数估计值，两组均呈负相关。两组的自我意识与PTSD呈正相关，但在干预中更大。该方案主要侧重于加强个人特质，这可能加剧了取代内部能力的外力的可变性。干预组的风险暴露与PTSD之间的关系为阴性。这可能归因于与干预照料者和同伴的依恋关系。研究结果支持需要更多的跨文化方法来理解弹性和适应性结果。

著录项

  • 作者

    Fu, Christine Yu-Heng.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Health Sciences Public Health.;Psychology Developmental.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 160 p.
  • 总页数 160
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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