Stone Arthur A, Schwartz Joseph E, Broderick Joan E, Deaton Angus
Department of Psychiatry and Behavioral Science, Stony Brook University, Stony Brook, NY 11794-8790, USA.
Proc Natl Acad Sci U S A. 2010 Jun 1;107(22):9985-90. doi: 10.1073/pnas.1003744107. Epub 2010 May 17.
Psychological well-being (WB) includes a person's overall appraisal of his or her life (Global WB) and affective state (Hedonic WB), and it is considered a key aspect of the health of individuals and groups. Several cross-sectional studies have documented a relation between Global WB and age. Little is known, however, about the age distribution of Hedonic WB. It may yield a different view of aging because it is less influenced by the cognitive reconstruction inherent in Global WB measures and because it includes both positive and negative components of WB. In this study we report on both Global and Hedonic WB assessed in a 2008 telephone survey of 340,847 people in the United States. Consistent with prior studies, Global WB and positive Hedonic WB generally had U-shaped age profiles showing increased WB after the age of 50 years. However, negative Hedonic WB variables showed distinctly different and stronger patterns: Stress and Anger steeply declined from the early 20s, Worry was elevated through middle age and then declined, and Sadness was essentially flat. Unlike a prior study, men and women had very similar age profiles of WB. Several measures that could plausibly covary with the age-WB association (e.g., having children at home) did not alter the age-WB patterns. Global and Hedonic WB measures appear to index different aspects of WB over the lifespan, and the postmidlife increase in WB, especially in Hedonic WB, deserves continued exploration.
心理健康(WB)包括一个人对其生活的总体评价(总体心理健康)和情感状态(享乐心理健康),并且它被认为是个人和群体健康的一个关键方面。几项横断面研究记录了总体心理健康与年龄之间的关系。然而,对于享乐心理健康的年龄分布却知之甚少。它可能会产生一种不同的衰老观点,因为它较少受到总体心理健康测量中固有的认知重构的影响,并且因为它包括了心理健康的积极和消极成分。在本研究中,我们报告了在2008年对美国340,847人进行的电话调查中评估的总体心理健康和享乐心理健康情况。与先前的研究一致,总体心理健康和积极的享乐心理健康通常呈现U形年龄分布,显示出50岁以后心理健康有所增加。然而,消极的享乐心理健康变量呈现出明显不同且更强的模式:压力和愤怒从20岁出头急剧下降,担忧在中年时期升高然后下降,悲伤基本保持平稳。与先前的一项研究不同,男性和女性的心理健康年龄分布非常相似。一些可能与年龄 - 心理健康关联合理相关的测量指标(例如,家中有孩子)并没有改变年龄 - 心理健康模式。总体心理健康和享乐心理健康测量指标似乎在整个生命周期中索引了心理健康的不同方面,中年后心理健康的增加,尤其是享乐心理健康的增加,值得继续探索。