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Unravelling the complex nature of resilience factors and their changes between early and later adolescence.

Accepted version
Peer-reviewed

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Authors

Fritz, J 
Fried, EI 
Goodyer, IM 
van Borkulo, CD 

Abstract

BACKGROUND: Childhood adversity (CA) is strongly associated with mental health problems. Resilience factors (RFs) reduce mental health problems following CA. Yet, knowledge on the nature of RFs is scarce. Therefore, we examined RF mean levels, RF interrelations, RF-distress pathways, and their changes between early (age 14) and later adolescence (age 17). METHODS: We studied 10 empirically supported RFs in adolescents with (CA+; n = 631) and without CA (CA-; n = 499), using network psychometrics. RESULTS: All inter-personal RFs (e.g. friendships) showed stable mean levels between age 14 and 17, and three of seven intra-personal RFs (e.g. distress tolerance) changed in a similar manner in the two groups. The CA+ group had lower RFs and higher distress at both ages. Thus, CA does not seem to inhibit RF changes, but to increase the risk of persistently lower RFs. At age 14, but not 17, the RF network of the CA+ group was less positively connected, suggesting that RFs are less likely to enhance each other than in the CA- group. Those findings underpin the notion that CA has a predominantly strong proximal effect. RF-distress pathways did not differ in strength between the CA+ and the CA- group, which suggests that RFs have a similarly protective strength in the two groups. Yet, as RFs are lower and distress is higher, RF-distress pathways may overall be less advantageous in the CA+ group. Most RF interrelations and RF-distress pathways were stable between age 14 and 17, which may help explain why exposure to CA is frequently found to have a lasting impact on mental health. CONCLUSIONS: Our findings not only shed light on the nature and changes of RFs between early and later adolescence, but also offer some accounts for why exposure to CA has stronger proximal effects and is often found to have a lasting impact on mental health.

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Keywords

Adolescence, Childhood adversity, Mental health, Resilience factors, Adolescent, Adolescent Development, Female, Humans, Male, Resilience, Psychological, Stress, Physiological, Stress, Psychological

Journal Title

BMC Med

Conference Name

Journal ISSN

1741-7015
1741-7015

Volume Title

17

Publisher

Springer Science and Business Media LLC

Rights

All rights reserved
Sponsorship
Medical Research Council (1800905)
Royal Society (DH150176)
MQ: Transforming Mental Health (Unknown)
JS received support from the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) East of England (EoE) at the Cambridgeshire and Peterborough NHS Foundation Trust. IMG is funded by a Wellcome Trust Strategic Award and declares consulting to Lundbeck. CDvB is funded by the ERC Consolidator Grant (647209). POW is funded by the University of Cambridge. ALvH is funded by the Royal Society (DH15017 & RGF\EA\180029 & RFG/RI/180064), and MQ (MQBFC/2). JF is funded by the Medical Research Council Doctoral Training/Sackler Fund and the Pinsent Darwin Fund. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. Funders of the authors played no role in the study conduction, analysis performance, or the reporting of the study.
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