Wilson Patrick A, Meyer Ilan H, Antebi-Gruszka Nadav, Boone Melissa R, Cook Stephanie H, Cherenack Emily M
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Williams Institute, University of California - Los Angeles, Los Angeles, CA, USA.
Am J Community Psychol. 2016 Mar;57(1-2):144-57. doi: 10.1002/ajcp.12018. Epub 2016 Mar 28.
Young Black gay/bisexual men (YBGBM) are affected by contextual stressors-namely syndemic conditions and minority stress-that threaten their health and well-being. Resilience is a process through which YBGBM achieve positive psychosocial outcomes in the face of adverse conditions. Self-efficacy, hardiness and adaptive coping, and social support may be important resilience factors for YBGBM. This study explores different profiles of these resilience factors in 228 YBGBM in New York City and compares profiles on psychological distress, mental health, and other psychosocial factors. Four profiles of resilience were identified: (a) Low self-efficacy and hardiness/adaptive coping (23.5%); (b) Low peer and parental support (21.2%); (c) High peer support, low father support (34.5%); and (d) High father and mother support, self-efficacy, and hardiness/adaptive coping (20.8%). YBGBM in profile 1 scored markedly higher on distress (d = .74) and lower on mental health functioning (d = .93) compared to men in the other profiles. Results suggest that self-efficacy and hardiness/adaptive coping may play a more important role in protecting YBGBM from risks compared to social support and should be targeted in interventions. The findings show that resilience is a multidimensional construct and support the notion that there are different patterns of resilience among YBGBM.
年轻的黑人男同性恋者/双性恋男性(YBGBM)受到情境性压力源的影响,即共病状况和少数群体压力,这些压力源威胁着他们的健康和幸福。复原力是YBGBM在面对不利状况时实现积极心理社会结果的过程。自我效能感、心理韧性和适应性应对以及社会支持可能是YBGBM重要的复原力因素。本研究探讨了纽约市228名YBGBM中这些复原力因素的不同特征,并比较了这些特征在心理困扰、心理健康和其他心理社会因素方面的差异。确定了四种复原力特征:(a)低自我效能感和心理韧性/适应性应对(23.5%);(b)低同伴和父母支持(21.2%);(c)高同伴支持、低父亲支持(34.5%);以及(d)高父母支持、自我效能感和心理韧性/适应性应对(20.8%)。与其他特征的男性相比,特征1中的YBGBM在困扰方面得分显著更高(d = 0.74),在心理健康功能方面得分更低(d = 0.93)。结果表明,与社会支持相比,自我效能感和心理韧性/适应性应对在保护YBGBM免受风险方面可能发挥更重要的作用,应在干预中予以关注。研究结果表明,复原力是一个多维结构,并支持YBGBM中存在不同复原力模式的观点。