University College London and the Anna Freud National Centre for Children and Families, United Kingdom.
University College London and the Anna Freud National Centre for Children and Families, United Kingdom.
J Am Acad Child Adolesc Psychiatry. 2021 Aug;60(8):1030-1039. doi: 10.1016/j.jaac.2020.11.012. Epub 2020 Nov 29.
Enduring mental health (EMH) is a relatively new concept, which refers to a long-term state of not experiencing a mental illness (ie, enduring mental wellness). No analysis using this concept has been undertaken on United Kingdom data nor specifically in the childhood years. The present study seeks to consider the extent and predictors of EMH in children aged 9 months to 14 years who were part of the UK-wide Millennium Cohort Study.
Data derived from 13,310 children (49.4% girls) at ages 9 months and 3, 5, 7, 11, and 14 years were pooled into 3 categories: EMH, some instances of mental health problems (SIMHP), and many instances of mental health problems (MIMHP).
Fewer than half of the children (41%) fell into the category of EMH; the rest had at least some periods of mental health problems. Factors associated with EMH relative to those with SIMHP or MIMHP included cognitive ability, lack of special educational needs, good emotion regulation, cooperation, and enjoyment of school. Parenting and maternal mental health were also associated with EMH but only compared with those with MIMHP.
Findings suggests that EMH is not the norm during childhood. Identification of the high association between both educational well-being and emotional regulation with EMH offer the opportunity for a potentially powerful combination of community and individual initiatives. These might include supporting positive mental health of the primary care giver, systems to support early recognition, supporting positive parenting in the early years, enhancing school engagement, and strengthening the child's social and emotional skills (including cooperation) and self-regulation to prevent later mental health problems.
持久心理健康（EMH）是一个相对较新的概念，它是指长期没有经历精神疾病（即持久的心理健康）的状态。尚未使用这一概念对英国数据进行分析，也未专门针对儿童时期进行分析。本研究旨在考虑参加英国全国千禧年队列研究的 9 个月至 14 岁儿童中 EMH 的程度和预测因素。
从 9 个月、3 岁、5 岁、7 岁、11 岁和 14 岁的 13310 名儿童（49.4%为女孩）的数据中汇总为 3 类：EMH、一些心理健康问题（SIMHP）和许多心理健康问题（MIMHP）。
不到一半的儿童（41%）属于 EMH 类别；其余的儿童至少有过一段时间的心理健康问题。与 SIMHP 或 MIMHP 相比，与 EMH 相关的因素包括认知能力、无特殊教育需求、良好的情绪调节、合作和享受学校生活。育儿和产妇心理健康也与 EMH 相关，但仅与 MIMHP 相关。
研究结果表明，在儿童时期，EMH 不是常态。发现教育福利和情绪调节与 EMH 之间存在高度关联，为社区和个人倡议的潜在强大组合提供了机会。这些措施可能包括支持初级保健提供者的心理健康、支持早期识别的系统、支持幼儿时期的积极育儿、增强学校参与度以及加强儿童的社交和情绪技能（包括合作）和自我调节能力，以预防以后的心理健康问题。
