Division of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Drachman Hall A254, PO Box 245209, Tucson, AZ 85724, USA.
Psychol Health. 2012;27(8):916-37. doi: 10.1080/08870446.2011.633241. Epub 2011 Dec 12.
Constructs representative of global positive expectancies (GPE) such as dispositional optimism and hope have been theoretically and empirically linked to many positive mental and physical health outcomes. However such expectancies' health implications for adolescents, as well as their trajectory over time, are less well understood than for adult populations. This study tested whether GPE predict the key indicators of adolescents' future physical health status, their health-related behaviours. A prospective longitudinal study design was employed whereby a diverse population-based cohort (N = 744; mean age at baseline = 12) completed three surveys over approximately 18 months. Rigorous tests of causal predominance and reciprocal effects were conducted through latent growth and cross-panel structural equation models. Results showed GPE systematically decreased during the course of the study, yet higher initial levels of GPE predicted less alcohol drinking, healthier food choice and greater physical activity over time. GPE's protective relationships towards health protective behaviours (vs. health risk behaviours that also included tobacco smoking) appear more independent from depressive symptomatology, and the primary findings were robust across socio-demographic groups.
代表全球积极期望(GPE)的结构,如性格乐观和希望,已在理论和经验上与许多积极的心理和身体健康结果联系在一起。然而,与成年人相比,这种期望对青少年的健康影响及其随时间的变化轨迹还不太清楚。本研究检验了 GPE 是否可以预测青少年未来身体健康状况的关键指标,即他们的与健康相关的行为。采用前瞻性纵向研究设计,一个多样化的基于人群的队列(N=744;基线时的平均年龄为 12 岁)在大约 18 个月的时间里完成了三次调查。通过潜在增长和跨面板结构方程模型,对因果优势和相互影响进行了严格的测试。结果表明,在研究过程中 GPE 系统地下降,但较高的初始 GPE 水平预示着随着时间的推移,饮酒量减少、更健康的食物选择和更多的体育活动。GPE 对健康保护行为(与包括吸烟在内的健康风险行为相对)的保护关系似乎与抑郁症状更为独立,并且主要发现在社会人口统计学群体中是稳健的。