Resilience and Thriving: Issues, Models, and Linkages

This article addresses distinctions underlying concepts of resilience and thriving and issues in conceptualizing thriving. Thriving (physical or psychological) may reflect decreased reactivity to subsequent stressors, faster recovery from subsequent stressors, or a consistently higher level of functioning. Psychological thriving may reflect gains in skill, knowledge, confidence, or a sense of security in personal relationships. Psychological thriving resembles other instances of growth. It probably does not depend on the occurrence of a discrete traumatic event or longer term trauma, though such events may elicit it. An important question is why some people thrive, whereas others are impaired, given the same event. A potential answer rests on the idea that differences in confidence and mastery are self-perpetuating and self-intensifying. This idea suggests a number of variables whose role in thriving is worth closer study, including personality variables such as optimism, contextual variables such as social support, and situational variables such as the coping reactions elicited by the adverse event.     

Thriving in the Face of Early Adversity

Integrating theories drawn from biological, social, and developmental perspectives, Bugental's program of research tracked the outcomes experienced by children born with medical or physical disorders. At risk children who experienced harsh parenting manifested a low ability to cope with stress (e.g., they showed cortisol hyper-reactivity and low habituation). In contrast, at risk children who experienced supportive parenting showed adaptive hormonal responses and an exceptional ability to habituate to stress. Children who were not at risk manifested significantly less reactivity to their parenting history. Harsh parenting, in response to at risk children, was found to be moderated by parents' perceived powerlessness. A cognitively-based home visitation program yielded reductions in child maltreatment and the enhancement of health among infants born at medical risk .     

Psychological Thriving Among Latinas With Chronic Illness

This study utilizes a 3-year longitudinal design to explore factors that promote thriving among Latinas facing multiple adversity: poverty and chronic illness (specifically, arthritis). From a thriving paradigm, focus is placed on understanding the positive growth and thriving experiences reported by respondents, as well as the social, cultural, and personal resources that promote thriving. In the baseline interview, we employed a qualitative methodology to understand women's experiences of thriving. Women reported a variety of such experiences, the most frequent being enhanced appreciation of life. In the follow-up study, we created a thriving scale based on responses generated at the initial interview and prior research, then examined which of a number of social/cultural and personal factors predicted thriving 3 years after the initial assessment. Only measures of competence (self-esteem and self-efficacy) and psychological well-being were related to thriving. Path analyses testing the causal sequence of these variables revealed that negative affect contributed to decreased self-efficacy and self-esteem, but it did not have a direct or indirect effect on thriving. Greater self-esteem positively predicted thriving. In contrast, positive affect did not contribute to either measure of competence, but had a direct effect on thriving. Results suggest that psychological well-being (not ill-being) promotes thriving.     

Quantitative Assessment of Thriving

We review methodological issues related to the quantitative assessment of thriving with interviews and paper-and-pencil scales. We emphasize two new paper-and-pencil measures of thriving, the Stress-Related Growth Scale (SRGS; Park, Cohen, & Murch, 1996) and the Posttraumatic Growth Inventory (PTGI; Tedeschi & Calhoun, 1996). These scales are designed to assess perceived benefits that result from a specific stressor. Research with the SRGS suggests a unidimensional structure of thriving, whereas research with the PTGI suggests a multidimensional structure. Two possible reasons for this inconsistent finding concern differences in the method of participant selection and in the recall period for the reporting of stressful events. In addition, we present a number of strategies to validate self-report measures of thriving, including corroboration from significant others and the use of control groups. We conclude with a brief discussion of the assessment of thriving at the group and community levels.     

A Race, Class, and Gender Analysis of Thriving

Thriving research has been dominated by a psychological perspective. Individuals are typically the unit of analysis and thriving is generally operationalized using psychological measures. This article discusses a race, class, and gender perspective that derives from feminist sociology, as well as its implications for thriving research. This perspective, which focuses on the role of race, class, and gender inequality in organizing social relations, draws attention to the need to recognize that both the likelihood that someone will face a challenge and their ability to thrive in the face of that challenge are determined largely by their location in the social hierarchy. It also demonstrates that distinctions must be made between thriving in the face of the routine challenges of daily life and thriving in the face of challenges that are an extraordinary part of life. Finally, the race, class, and gender perspective has implications for the development of interventions to promote thriving. Each of these issues is elaborated further with illustrations drawn from life history and focus group interviews with and field work conducted among drug-addicted women.     

Prospective Associations between Peer Aggression and Victimization: The Moderating Roles of Physiological Stress Reactivity and Gender

The present investigation examined whether heightened skin conductance reactivity (SCLR) to peer stress strengthened the prospective associations between physical and relational aggression and victimization, and whether associations were stronger for physical forms of aggression and victimization among boys and relational forms of aggression and victimization among girls. A total of 91 children [M age = 10.18 years, standard deviation (SD) = .68] were assessed twice over 1 year. At the first assessment, SCLR in response to recounting a relational stressor (e.g., exclusion; SCLR‐R) and an instrumental stressor (e.g., property theft; SCLR‐I), and teacher‐reported aggression were measured. Parents reported on child victimization at both time points. Among youth with heightened SCLR‐I, physical aggression was associated with increases in physical victimization for boys and decreases in physical victimization for girls. Among youth with heightened SCLR‐R, relational aggression was associated with increases in physical victimization for girls only. Results were largely consistent with the hypothesis that aggressors with a propensity to exhibit negative displays of emotion, as indexed by heightened sympathetic nervous system (SNS) reactivity to peer stress, may be especially likely to suffer peer victimization. Gender‐specific effects highlight the importance of including both physical and relational forms of aggression and victimization to capture victimization risk among aggressive boys and girls.     

失业大学生压力源及压力反应的实证分析

根据《失业大学生压力源与压力反应问卷》对当今失业大学生压力源与压力反应进行调查,发现失业大学生的压力源包括＂就业形势预期与职场担忧＂、＂缺乏自信源＂、＂自身竞争力＂和＂社会比较与家人态度＂四个方面;主要的压力反应有＂消极情绪反应＂、＂消极自我评价＂、＂紧张敏感＂、＂浮躁迷茫＂、＂愧疚＂、＂身体不适＂和＂另谋出路＂七个方面。失业大学生压力源与压力反应之间存在显著的正相关,压力源越多,压力反应越明显。应从失业大学生及其家人和朋友等不同角度,减少失业大学生的压力来源,降低压力水平,减少压力反应。     

Paradigm Shift: Why a Focus on Health Is Important

Traditionally, medicine and the social and behavioral sciences have studied health by focusing on pathology. The purpose of this issue of the Journal is to go beyond such a vulnerability model and focus on thriving. We suggest that thriving represents something more than a return to equilibrium following a challenge. This issue describes a "value-added" model, whereby an individual or community may go beyond survival and recovery from a stressor or illness to thrive. We suggest that this change of focus from illness to health represents a paradigm shift. This article gives an overview of the various ideas featured in this issue, which elaborate empirical and theoretical work on the concept of thriving. Ultimately, we believe that the scientific study of thriving can enhance our understanding of health and provide important opportunities for prevention and intervention.     

The Role of Mastery and Social Support in the Association Between Life Stressors and Psychological Distress in Older Canadians

Gerontological social workers and other health professionals are often dealing with older adults in psychological distress. Greater clarity on the relationship between stress and psychological distress will enhance the efficacy of outreach and treatment initiatives for older adults. This study explored the underlying causal structure of the relationships of common life stressors and psychosocial resources for Canadians 65 years and older (542 men and 835 women). Using structural equation modeling of data collected in the National Population Health Survey in 2004–2005 and 2002–2003, the roles played by socioeconomic conditions, physical health, chronic stress, sense of mastery, and perceived social support in the stress–psychological distress relationship were estimated and compared. Findings revealed that chronic stress was the strongest determinant of the level of psychological distress for both genders; however its effect was higher for men compared to women. Poor physical health played a more important role in determining women's psychological distress compared to men. Higher levels of mastery and perceived social support were associated with lower levels of psychological distress for both men and women. These associations were somewhat stronger for men compared with women. Socio-economic conditions played a minor role in the stress–mental health relationship for both genders.     

Interrelatedness of children’s psychological and physiological responses to interparental conflict: A moderating role of harsh parenting

Children’s psychological and physiological responses to interparental conflict have received considerable attention due to their implications for later adjustment, yet limited research has investigated the interplay between these two response systems. This study investigates patterns of association between children’s psychological responses (e.g., emotional distress) and cortisol reactivity to interparental conflict, including possible moderations by negative caregiving environment. Participants included 193 families (mother, father, and child). Parents completed questionnaires relating to their caregiving behaviors toward the child (107 girls and 86 boys, M age = 7.99 years, SD = 0.53 years) and children’s psychological responses to interparental conflict. Children provided three saliva samples over the course of watching videos depicting conflicts between two adults, whom children were asked to pretend were their parents. Based on a series of Latent Growth Curve Models, only children’s emotional responses to interparental conflict (indicated by increased distress) were associated with greater cortisol reactivity. Additionally, fathers’ harsh parenting behavior moderated the relation between children’s emotional reactivity and cortisol reactivity, yet the moderation effect was not found for mothers’ parenting. Findings are discussed in terms of the importance of exploring both psychological and physiological reactivity to conflict and the possible moderating role of harsh parenting.     

Stress, subjective and objective health

The aim of this article is to describe the main physiological stress responses and to analyse under which conditions these responses are health-promoting versus health-damaging, and how subjective and objective health is related. The brain communicates with the rest of the body through nerves, hormones and the immune system. Thus, perceived stress affects various systems and organs in the body, such as the cardiovascular and the gastrointestinal systems, sleep and breathing patterns, healing processes, the effectiveness of the immune system and, by feedback mechanisms, the brain itself. These bodily responses to stress have developed during evolution and are necessary for survival and protection of the body. However, activation of the stress systems means energy mobilisation, and in modern society, where stress is often induced by mental and psychosocial conditions, the mobilisation of energy for fight or flight may have harmful consequences on various bodily systems. To maintain health, repeated or long-term activation of these systems, i.e. catabolic processes, has to be followed by periods of rest and restitution to allow growth, healing and buildup of new resources, i.e. anabolic processes.     

Conventional and expanded adverse childhood experiences (ACEs) and maternal functioning among low-income Black mothers

A paucity of research has examined the individual and cumulative effects of conventional and expanded adverse childhood experiences (ACEs) on maternal functioning, especially among low-income Black mothers. Using self-report data from a subsample of Black mothers (N = 157) who participated in a larger study to evaluate the effectiveness of an urban public prekindergarten program in the mid-Atlantic region of the United States, we examined the prevalence of ACEs and the individual and cumulative effects of conventional (i.e., family trauma and dysfunction) and expanded (i.e., community stressors) ACEs on depression and health among low-income Black mothers. Findings indicated that Black mothers had more exposure to expanded than conventional ACEs. Hierarchical regression analyses revealed that experience of physical neglect was significantly associated with depression and physical abuse with compromised health, and perceived experience of racism was a predictor of depression and compromised health. More conventional and expanded ACEs were associated with clinical levels of depression and compromised health. Findings highlight the need for more research related to the impact of ACEs, especially expanded ACEs, on mental and behavioural health outcomes. Additionally, our findings indicate the need for more trauma-informed care to reduce and address the impact of individual and community-level adversities on low-income Black mothers.     

Moderators of the Relation between Shyness and Behavior with Peers: Cortisol Dysregulation and Maternal Emotion Socialization

This study investigated the relations among shyness, physiological dysregulation, and maternal emotion socialization in predicting children's social behavior with peers during the kindergarten year (N = 66; 29 girls). For shy children, interactions with peers represent potential stressors that can elicit negative emotion and physiological reactions. Behavior during these contexts can be viewed as adaptive (e.g., playing alone) or maladaptive (e.g., watching other children play without joining in) attempts to regulate the ensuing distress. Whether shy children employ adaptive or maladaptive regulatory behaviors was expected to depend on two aspects of emotion regulatory skill: (1) children's physiological regulation, and (2) maternal emotion socialization. Findings supported the hypotheses. Specifically, shy children with poorer cortisol regulation or have mothers who endorsed a higher level of non‐supportive emotion reactions engaged in more maladaptive play behaviors whereas shy children with better cortisol regulation or a high level of supportive maternal emotion reactions engaged in more adaptive play behaviors.     

“Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care

Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training.     

Nursing Home Social Services Directors Who Report Thriving at Work

Nationally representative data from a sample (n?=?928) of full-time nursing home social services directors were used to investigate whether knowing characteristics of the social environment at work can help to explain which directors report job thriving. Two-thirds of directors reported they were thriving in their jobs. Multiple regression results show that thriving is increased by job autonomy, being treated like an important part of the team, having enough time to identify and meet resident psychosocial needs, not having to do things that others could do, and being clear what the social services role is. Findings suggest that addressing these aspects of the social environment and social services role will likely contribute to increasing a sense of thriving at work among social services staff members.     

Strength in the Face of Adversity: Individual and Social Thriving

Inherent in any profound challenge is the potential for crisis or opportunity. This article focuses on the opportunities that challenge presents at the level of individuals, organizations, and nations: opportunities to move beyond recovery and to display thriving by using the challenge as an impetus for change leading to growth. A variety of individual and social resources hypothesized to promote thriving are explored with an eye toward identifying a set of conceptually meaningful categories for use in future theoretical development and empirical investigation.     

Understanding PTSD: Forgetting "Trauma"

The concept of "psychological trauma" conflates emotional responses to traumatic events such as motor vehicle accidents, muggings, and house fires, responses to natural disasters such as earthquakes and volcanic eruptions, and responses to war, chronic physical abuse, prolonged torture, and repeated gang-rape as an act of "ethnic cleansing." It is argued that, from a psychological, human, and moral perspective, use of a single construct to describe responses to such a range of horrific happenings makes no sense. The benefits and limits of conceptualizing PTSD as a unifying concept for describing psychological responses to calamitous events are discussed. The consequences (with respect to clinical work, research, and social policy) of failing to distinguish between responses to relatively circumscribed traumatic events, more extreme, prolonged, or repeated individual traumatization, and collectively experienced mass violence against entire communities are examined.     

Housing and Mental Health: A Review of the Evidence and a Methodological and Conceptual Critique

Despite the fact that people invest more financial, temporal, and psychological resources in their homes than in any other material entity, research on housing and mental health is remarkably underdeveloped. We critically review existing research on housing and mental health, considering housing type (e.g., single-family detached versus multiple dwelling), floor level, and housing quality (e.g., structural damage). We then discuss methodological and conceptual shortcomings of this literature and provide a theoretical framework for future research on housing quality and mental health .