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首页> 外文期刊>The International journal of drug policy >Resilience from the perspective of the illicit injection drug user: An exploratory descriptive study
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Resilience from the perspective of the illicit injection drug user: An exploratory descriptive study

机译：非法注射吸毒者的复原力：探索性描述性研究

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Background: Illicit injection drug use and its attendant harms are a key health and social concern. Resilience-based strategies have the potential to complement existing approaches, but there is a paucity of research on resilience. This study identifies and explores manifestations of resilience among illicit drug users (IDUs), including indicators of cognitive transformation at key turning points, and protective factors associated with enhanced resilience.Method: A secondary analysis was conducted on data collected from a larger qualitative study involving 41 injection drug users and 45 service providers and community leaders. A conceptualization of resilience as a relative and dynamic process manifesting at key 'turning points' provided a lens to frame the analysis, which was also informed by the resilience models of Garmezy [Garmezy, N. (1991). Resiliency and vulnerability to adverse developmental outcomes associated with poverty. American Behavioral Scientist, 34, 6-430.] and Werner and Smith [Werner, E., Smith, R. (1982). Vulnerable but invincible: A longitudinal study of resilient children and youth. New York: McGraw-Hill.]; instances of cognitive transformation [Tebes, J. K., Irish, J. T., Vasquez, M. J. P., & Perkins, D. V. (2004). Cognitive transformation as a marker of resilience. Substance Use xi Misuse, 39, 769-788.] were also identified. Analytic techniques of constant comparison and open coding [Morse, J. M., & Field, P. A. (1995). Qualitative research methods health professionals (2nd ed). Thousand Oaks, CA: Sage.] were used.Results: Key turning points reflecting resilience were captured by two themes. First, participants described how "Getting to the Point of Change" involved particular cognitive and emotional mechanisms encompassed within this theme: "Recognizing it's not Worth it", "Getting Scared" and "Recognizing an Inner Desire to Quit". The second manifestation of resilience centred on the enactment of hope in goal-setting, and entailed "Envisioning a Better Future." In contrast, descriptions of the need to dull past and present hopelessness and pain suggested the suppression of resilience. Hope and a sense of control were particular manifestations of resilience. Other factors (physical or emotional pain, frightening experiences, witnessing or experiencing negative costs) were protective for some individuals but suppressed resilience in others.Conclusion: The findings support the usefulness of the concept of resilience in understanding cognitive and behavioural change among IDUs, and provide a promising direction for future research.
机译：背景：非法注射毒品及其伴随的危害是健康和社会关注的关键问题。基于复原力的策略可能会补充现有方法，但是关于复原力的研究很少。这项研究识别并探讨了非法药物使用者（IDU）的适应力表现，包括关键转折点的认知转变指标以及与增强适应力相关的保护性因素。方法：对来自较大规模定性研究的数据进行了二次分析41个注射毒品使用者和45个服务提供者及社区领袖韧性作为在关键“转折点”上出现的相对动态过程的概念化提供了一个框架来分析，这也得到了Garmezy的韧性模型的启发[Garmezy，N.（1991）。对与贫困相关的不利发展结果的适应能力和脆弱性。 《美国行为科学家》，第34卷，第6-430页。]和沃纳和史密斯[沃纳，E。，史密斯，R。（1982）。脆弱但无敌：对有韧性的儿童和青少年的纵向研究。纽约：麦格劳-希尔[]。认知转变的实例[Tebes，J.K。，爱尔兰人，J.T.，Vasquez，M.J.P。和Perkins，D.V。（2004）。认知转变是韧性的标志。还确定了物质使用xi Misuse，39，769-788。常数比较和开放编码的分析技术[Morse，J. M.，＆Field，P. A.（1995）。卫生专业人员的定性研究方法（第二版）。结果：通过两个主题捕捉了反映弹性的关键转折点。首先，参与者描述了“到达变化点”如何涉及该主题中包含的特定认知和情感机制：“认识它不值得”，“感到害怕”和“认识到内在的渴望”。复原力的第二个表现集中在目标设定中的希望的实现上，并涉及“展望更美好的未来”。相反，对过去和现在的绝望和痛苦的需求的描述表明抑制了弹性。希望和控制感是韧性的特殊体现。其他因素（身体或情感上的痛苦，令人恐惧的经历，目击或经历的消极代价）对某些人有保护作用，但对其他人则有抑制作用。结论：这些发现支持了复原力概念在理解注射毒品使用者之间的认知和行为变化中的作用，以及为未来的研究提供有希望的方向。

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