Adolescent Resilience
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Transcript of Adolescent Resilience
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Resilience Promotion Using Peer Support
in the Hospital Setting
Stephanie Clifford, MSN, ARNP, CPNP-PC
November 22, 2010
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Adolescents
Desire to be part of a peer group
Desire to be normal
Desire to fit in
Desire acceptance of their condition
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Illness During Adolescence
• Significant impact on psychosocial and social development
• Greater demand for closer social relations
• Interferes with development and maintenance of peer relationships
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Many Feel Trapped
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Resilience Theory
• Focuses on strengths rather than deficits• Resilience is a process:
– Overcoming the negative effects of risk exposure
– Coping successfully with traumatic experiences
– Avoiding negative trajectories associated with risk
• Requires the presence of promotive factors
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The Solution
Use peer relationships as promotive
factors to encourage resilience during a
very difficult time
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WHY?
• Peers provide:– Empathy– Support– Promote/model positive behavior– Increased psychological well-being– Increased feelings of self worth & esteem
-Family members cannot always provide this-
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We need to help…
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Implementation
Peer support program within the hospital• Meetings with peers in a group setting• Meetings with peers on an individual
basis• Consists of volunteers and past and
present patients
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Pros
• Learn new coping techniques• Learn how to influence social
environments• Enlarge perspectives of “normal”• Understand causes of personal stressors• Confirm positive changes in attitudes
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Pros
• Reduce sense of isolation• Enhance social identity• Extend help to others
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Cons
• Witness to a peer’s deterioration in health
• Discovering new and unpleasant information about one’s illness
• Negative self appraisals while another peer is improving
• Feelings of inadequacy
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Cons
• Decreased self esteem• Failure to develop other interests• Feelings of separation from “normal”
society
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Goal
• Provide sick, hospitalized adolescents with peer support to overcome a major life stressor/transition
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References
Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, (1), 399-419. doi: 10.1146/annurev.publhealth.26.021304.144357.
Olsson, C. A., Boyce, M. F., Toumbourou, J. W., & Sawyer, S. M. (2005). The role of peer support in facilitating psychosocial adjustment to chronic illness. Clinical Child Psychoilogy and Psychiatry, 10, (78).
Hagan, J. F., Shaw, J. S., Duncan, P. M., eds. (2008). Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics
Buote, V. M., Pancer, S. M., Pratt, M. W., Adams, G., Birnie-Lefcovitch, S., Polivy, J., & Wintre, M. G., (2007). The importance of friends: Friendship and adjustmnet among first year university students. Jounral of Adolescent Research, 22, (6).