Mental health of young people: a global public-health challenge

Adolescent resilience research differs from risk research by focusing on the assets and resources that enable some adolescents to overcome the negative effects of risk exposure. We discuss three models of resilience-the compensatory, protective, and challenge models-and describe how resilience differs from related concepts. We describe issues and limitations related to resilience and provide an overview of recent resilience research related to adolescent substance use, violent behavior, and sexual risk behavior. We then discuss implications that resilience research has for intervention and describe some resilience-based interventions.

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ADOLESCENT RESILIENCE: A Framework for Understanding Healthy Development in the Face of Risk

Mental health of young people : a global public-health challenge. Commentary

The focus of this article is on the interface between research on resilience—a construct representing positive adaptation despite adversity —and the applications of this work to the development of interventions and social policies. Salient defining features of research on resilience are delineated, as are various advantages, limitations, and precautions linked with the application of the resilience framework to developing interventions. For future applied efforts within this tradition, a series of guiding principles are presented along with exemplars of existing programs based on the resilience paradigm. The article concludes with discussions of directions for future work in this area, with emphases on an enhanced interface between science and practice, and a broadened scope of resilience-based interventions in terms of the types of populations, and the types of adjustment domains, that are encompassed.

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The construct of resilience: Implications for interventions and social policies

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(12)60149-4.pdf

Adolescence and the social determinants of health

An explanatory model of adolescent problem behavior (problem drinking, cigarette smoking, and general delinquency) based on protective and risk factors in the individual and in 4 social contexts (family, peer group, school, and neighborhood) is employed in school-based samples from the People’s Republic of China (N 51,739) and the United States (N 51,596). Despite lower prevalence of the problem behaviors in the Chinese sample, especially for girls, a substantial account of problem behavior is provided by the same protective and risk factors in both countries and for both genders. Protection is generally higher in the Chinese sample than in the U.S. sample, but in both samples protection also moderates the impact of risk. Despite mean differences in psychosocial protective and risk factors, as well as in problem behavior, in the 2 samples—differences that may reflect societal variation— the explanatory model has, to a large extent, cross-national generality.

Adolescent Problem Behavior in China and the United States: A Cross‐National Study of Psychosocial Protective Factors

The role of psychosocial protective factors in adolescent health-enhancing behaviors--healthy diet, regular exercise, adequate sleep, good dental hygiene, and seatbelt use--was investigated among 1,493 Hispanic, White, and Black high school students in a large, urban school district. Both proximal (health-related) and distal (conventionality-related) protective factors have significant positive relations with health-enhancing behavior and with the development of health-enhancing behavior. In addition, in cross-sectional analyses, protection was shown to moderate risk. Key proximal protective factors are value on health, perceived effects of health-compromising behavior, and parents who model health behavior. Key distal protective factors are positive orientation to school, friends who model conventional behavior, involvement in prosocial activities, and church attendance. The findings suggest the importance of individual differences on a dimension of conventionality-unconventionality. Strengthening both proximal and distal protective factors may help to promote healthful behaviors in adolescence.

Protective factors in adolescent health behavior.

Objectives. We considered the relationship between an urban adult population's fruit and vegetable consumption and several selected social and psychological processes, beneficial aesthetic experiences, and garden participation. Methods. We conducted a population-based survey representing 436 residents across 58 block groups in Denver, Colorado, from 2006 to 2007. We used multilevel statistical models to evaluate the survey data. Results. Neighborhood aesthetics, social involvement, and community garden participation were significantly associated with fruit and vegetable intake. Community gardeners consumed fruits and vegetables 5.7 times per day, compared with home gardeners (4.6 times per day) and nongardeners (3.9 times per day). Moreover, 56% of community gardeners met national recommendations to consume fruits and vegetables at least 5 times per day, compared with 37% of home gardeners and 25% of nongardeners. Conclusions. Our study results shed light on neighborhood processes that affect food-related behaviors and provides insights about the potential of community gardens to affect these behaviors. The qualities intrinsic to community gardens make them a unique intervention that can narrow the divide between people and the places where food is grown and increase local opportunities to eat better. (Am J Public Health. Published online ahead of print June 16, 2011: e1-e8. doi:10.2105/AJPH.2010.300111).

The influence of social involvement, neighborhood aesthetics, and community garden participation on fruit and vegetable consumption.

Risk and Protection in Successful Outcomes Among Disadvantaged Adolescents

Objective: To establish the role of psychosocial risk and protective factors in cross-sectional variation in adolescent problem drinking, and in the transition into problem drinking over time. Method: The data were from a four-wave (1989-1992) longitudinal study of 1,591 adolescents in a large, urban school district. School district officials selected schools for the study with an aim toward maximizing representation of minority students from inner-city areas. At Wave 1, all students in Grades 7, 8, and 9 were asked to participate. Results: Both psychosocial risk factors (such as low expectations for success, peer models for substance use, and poor school performance) and psychosocial protective factors (such as intolerance of deviance, peer models for conventional behavior, and involvement in prosocial activities) account for significant cross-sectional variation in adolescents' involvement in problem drinking, as indicated by more frequent drunkenness and more numerous instances of alcohol-related probl...

Mark S. Turbin

Papers

Adolescent Problem Behavior in China and the United States: A Cross‐National Study of Psychosocial Protective Factors

Protective factors in adolescent health behavior.

The influence of social involvement, neighborhood aesthetics, and community garden participation on fruit and vegetable consumption.

Risk and Protection in Successful Outcomes Among Disadvantaged Adolescents

Transition into adolescent problem drinking: the role of psychosocial risk and protective factors.