Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 886, Baltimore, MD, 21205-1999, USA.
Center for Mental Health Services Research, Brown School, Washington University in St. Louis, St. Louis, MO, USA.
Soc Psychiatry Psychiatr Epidemiol. 2019 Aug;54(8):997-1006. doi: 10.1007/s00127-019-01676-z. Epub 2019 Feb 21.
To estimate the prevalence of enduring mental health (EMH) and examine important correlates of EMH 23 years later in the Baltimore Epidemiologic Catchment Area Follow-Up study.
We estimated the prevalence of EMH among 964 adults with diagnostic data at all four study waves (1981-2004). Those with EMH were compared to those with any mental or behavioral disorder by demographic, psychosocial, and health characteristics. We used forward selection models to identify the most important predictors of EMH.
Twenty-six percent of participants met criteria for enduring mental health across the four waves. Neuroticism, GHQ-20 score, childhood conduct problems, female sex, maternal depression, and poor self-rated health were negatively associated with EMH.
We identified several malleable factors associated with a decreased likelihood of enduring mental health. Interventions that target high neuroticism, childhood conduct problems, or maternal depression may increase the likelihood that children achieve EMH later in life. Identifying and treating other factors such as poor self-reported health and greater psychological distress may also keep sub-clinical symptoms from developing into a full mental or behavioral disorder.
在巴尔的摩流行病学抽样区随访研究中，估计 23 年后持久心理健康（EMH）的流行率，并探讨 EMH 的重要相关因素。
我们在所有四个研究波次（1981-2004 年）中，对 964 名具有诊断数据的成年人估计 EMH 的流行率。将具有 EMH 的人与任何精神或行为障碍的人进行比较，比较其人口统计学、心理社会和健康特征。我们使用前向选择模型来确定 EMH 的最重要预测因素。
26%的参与者在四个波次中符合持久心理健康的标准。神经质、GHQ-20 得分、儿童期品行问题、女性、母亲抑郁和自我健康评价差与 EMH 呈负相关。
我们确定了一些与降低持久心理健康可能性相关的可改变因素。针对高神经质、儿童期品行问题或母亲抑郁的干预措施可能会增加儿童在以后的生活中达到 EMH 的可能性。识别和治疗其他因素，如自我报告的健康状况较差和心理困扰较大，也可能防止亚临床症状发展为完全的精神或行为障碍。
