压力、发展与心理健康研究：芬兰 TAM 队列从青春期到中年的随访研究：队列特征。
Stress, development and mental health study, the follow-up study of Finnish TAM cohort from adolescence to midlife: cohort profile.
机构信息
Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
出版信息
BMJ Open. 2021 Dec 2;11(12):e046654. doi: 10.1136/bmjopen-2020-046654.
PURPOSE
This cohort profile describes the Stress, development and mental health study (TAM), which is a cohort study investigating risk and protective factors as well as longitudinal associations regarding mental health and well-being from adolescence to midlife. This interdisciplinary cohort study operates, for example, in the fields of public health, social medicine, psychiatry and the life course perspective.
PARTICIPANTS
In 1981 (n=2242, 98.0% of the target population), 1982 (n=2191, 95.6%) and 1983 (n=2194, 96.7%) during school classes, surveys were conducted to all Finnish-speaking pupils (mostly born 1967) in the Tampere region in Finland. Participants of the school study at age 16 in 1983 (n=2194) comprised the base population for the longitudinal data and were followed-up using postal questionnaires in the years 1989, 1999, 2009 and 2019 at ages 22 (n=1656, 75.5% of the age 16 participants), 32 (n=1471, 67.0%), 42 (n=1334, 60.8%) and 52 (n=1160, 52.9%).
FINDINGS TO DATE
The self-reported questionnaires include information on physical and mental health (eg, depression and mood disorders, anxiety disorders), health behaviour and substance misuse (eg, alcohol, tobacco and exercise), socioeconomic conditions, psychosocial resources (eg, self-esteem), social relationships and support, life events, etc. The numerous studies published to date have examined mental health and various factors from several perspectives such as risk and protective factors, individual developmental paths (eg, trajectories) and pathway models (mediation and moderation).
FUTURE PLANS
Current and future research areas include, for example, longitudinal associations between mental health (eg, depressive symptoms, self-esteem) and (1) substance use (alcohol and tobacco), (2) family transitions (eg, parenthood, relationship status) and (3) retirement. Next follow-up is planned to be conducted at the latest at age 62 in 2029. Before that it is possible to link the data with cause-of-death register.
目的
本队列研究描述了压力、发展与心理健康研究（TAM），这是一项队列研究，旨在调查从青春期到中年期间心理健康和幸福感的风险和保护因素以及纵向关联。该跨学科队列研究涉及公共卫生、社会医学、精神病学和生命历程等领域。
参与者
1981 年（n=2242，目标人群的 98.0%）、1982 年（n=2191，95.6%）和 1983 年（n=2194，96.7%）期间，在芬兰坦佩雷地区的学校班级中对所有讲芬兰语的学生（主要出生于 1967 年）进行了调查。1983 年 16 岁时参加学校研究的参与者（n=2194）构成了纵向数据的基础人群，并通过邮寄问卷在 1989 年、1999 年、2009 年和 2019 年在 22 岁（n=1656，年龄 16 岁参与者的 75.5%）、32 岁（n=1471，67.0%）、42 岁（n=1334，60.8%）和 52 岁（n=1160，52.9%）时进行随访。
迄今为止的发现
自我报告的问卷包括身体和心理健康（例如，抑郁和情绪障碍、焦虑障碍）、健康行为和物质滥用（例如，酒精、烟草和运动）、社会经济状况、心理社会资源（例如，自尊）、社会关系和支持、生活事件等方面的信息。迄今为止发表的许多研究从风险和保护因素、个体发展路径（例如，轨迹）和途径模型（中介和调节）等多个角度研究了心理健康和各种因素。
未来计划
当前和未来的研究领域包括，例如，心理健康（例如，抑郁症状、自尊）与（1）物质使用（酒精和烟草）、（2）家庭过渡（例如，为人父母、关系状况）和（3）退休之间的纵向关联。计划最晚在 2029 年，即参与者年满 62 岁时进行下一次随访。在此之前，有可能将数据与死因登记册相链接。
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