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将儿童生活纳入压力和心理健康的生命历程视角。

Incorporating children's lives into a life course perspective on stress and mental health.

机构信息

The University of Western Ontario, Children's Health Research Institute, Canada.

出版信息

J Health Soc Behav. 2010 Dec;51(4):361-75. doi: 10.1177/0022146510386797.

Abstract

Emerging themes in demography, developmental medicine, and psychiatry suggest that a comprehensive understanding of mental health across the life course requires that we incorporate the lives of children into our research. If we can learn more about the ways in which the stress process unfolds for children, we will gain important insights into the factors that influence initial set points of trajectories of mental health over the life course. This will simultaneously extend the scope of the stress process paradigm and elaborate the life course perspective on mental health. Incorporating children's lives into the sociology of mental health will also extend the intellectual influence of the discipline on sociomedical and biomedical research on mental illness. I contend that sociology's greatest promise in understanding trajectories of mental health across the life course lies in a systematic analysis of the social and social-psychological conditions of children, the stressful experiences that arise out of these conditions, and the processes that mediate and moderate the stress process in childhood. In this regard, there are three major issues that sociologists could begin to address: (1) the identification of structural and institutional factors that pattern children's exposure to stress; (2) the construction of a stress universe for children; and (3) the identification of key elements of the life course perspective that may set or alter trajectories of mental health in childhood and adolescence.

摘要

人口统计学、发育医学和精神病学领域的新主题表明,要全面了解整个生命周期的心理健康,我们需要将儿童的生活纳入我们的研究中。如果我们能够更多地了解儿童压力过程的展开方式,我们将深入了解影响心理健康轨迹初始设定点的因素,这些轨迹贯穿整个生命周期。这将同时扩展压力过程范式的范围,并详细阐述心理健康的生命历程观点。将儿童的生活纳入心理健康社会学也将扩大该学科对精神疾病的社会医学和生物医学研究的知识影响力。我认为,社会学在理解整个生命周期的心理健康轨迹方面的最大优势在于系统分析儿童的社会和社会心理状况、这些状况所产生的紧张体验,以及在儿童时期调解和调节压力过程的各种因素。在这方面,社会学家可以开始解决三个主要问题:(1)确定影响儿童压力暴露的结构和制度因素;(2)为儿童构建一个压力宇宙;(3)确定可能确定或改变儿童和青少年时期心理健康轨迹的生命历程观点的关键要素。

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