Galambos Nancy L, Johnson Matthew D, Krahn Harvey J
Department of Psychology, University of Alberta, P217 Biological Sciences Building, Edmonton, AB T6G 2E9 Canada.
Department of Human Ecology, University of Alberta, Edmonton, AB Canada.
Curr Psychol. 2022 Dec 2:1-12. doi: 10.1007/s12144-022-04081-z.
Self-rated mental health (SRMH), a single item asking individuals to evaluate their mental or emotional health, is included in some surveys as an indicator of risk for mental disorders and to monitor population health, yet little longitudinal research examines how well it predicts future outcomes. Following a life course perspective, the current longitudinal study of 502 Canadian high school seniors tracked into midlife examined to what extent SRMH at ages 20, 25, and 32 years predicted depressive symptoms at ages 43 and 50. Hierarchical linear regressions showed that lower SRMH at age 25 and at 32 years was a significant predictor of higher levels of depressive symptoms at ages 43 and 50, even when controlling for sex, participant education, marital/cohabitation status, self-rated physical health, and baseline depressive symptoms. The results provide evidence that SRMH assessed during the transition to adulthood may be useful as a broad and powerful measure of risk for mental health problems decades into the future.
自评心理健康（SRMH）是一个要求个体评估自身心理或情绪健康的单项指标，在一些调查中被纳入，作为精神障碍风险的指标以及监测人群健康的手段，但很少有纵向研究考察它对未来结果的预测能力如何。从生命历程的角度出发，当前这项对502名加拿大高中高年级学生追踪至中年的纵向研究，考察了20岁、25岁和32岁时的SRMH在多大程度上能够预测43岁和50岁时的抑郁症状。分层线性回归显示，即使在控制了性别、参与者教育程度、婚姻/同居状况、自评身体健康和基线抑郁症状的情况下，25岁和32岁时较低的SRMH仍是43岁和50岁时较高水平抑郁症状的显著预测指标。研究结果表明，在向成年过渡期间评估的SRMH，可能作为未来几十年心理健康问题风险的一种广泛而有力的衡量指标。
