Keyes Corey L M
Department of Sociology, Emory University, Atlanta, GA 30322, USA.
Am Psychol. 2007 Feb-Mar;62(2):95-108. doi: 10.1037/0003-066X.62.2.95.
This article summarizes the conception and diagnosis of the mental health continuum, the findings supporting the two continua model of mental health and illness, and the benefits of flourishing to individuals and society. Completely mentally healthy adults--individuals free of a 12-month mental disorder and flourishing--reported the fewest missed days of work, the fewest half-day or greater work cutbacks, the healthiest psychosocial functioning (i.e., low helplessness, clear goals in life, high resilience, and high intimacy), the lowest risk of cardiovascular disease, the lowest number of chronic physical diseases with age, the fewest health limitations of activities of daily living, and lower health care utilization. However, the prevalence of flourishing is barely 20% in the adult population, indicating the need for a national program on mental health promotion to complement ongoing efforts to prevent and treat mental illness. Findings reveal a Black advantage in mental health as flourishing and no gender disparity in flourishing among Whites.
本文总结了心理健康连续体的概念与诊断、支持心理健康和疾病双连续体模型的研究结果，以及心理蓬勃发展对个人和社会的益处。完全心理健康的成年人——即没有12个月精神障碍且心理蓬勃发展的个体——报告的工作缺勤天数最少、半天及以上的工作减少最少、心理社会功能最健康（即无助感低、生活目标明确、复原力高且亲密度高）、心血管疾病风险最低、随年龄增长的慢性身体疾病数量最少、日常生活活动的健康限制最少，且医疗保健利用率较低。然而，心理蓬勃发展在成年人口中的患病率仅略高于20%，这表明需要一项全国性的心理健康促进计划，以补充正在进行的预防和治疗精神疾病的努力。研究结果显示，在心理蓬勃发展方面黑人具有优势，而在白人中心理蓬勃发展不存在性别差异。
