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青少年至成年早期的青年工作-家庭生活轨迹与心理健康轨迹:一项 TRAILS 研究。

Young adults' work-family life courses and mental health trajectories from adolescence to young adulthood: a TRAILS study.

机构信息

Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Arbo Unie, Utrecht, the Netherlands.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2024 Dec;59(12):2227-2235. doi: 10.1007/s00127-024-02664-8. Epub 2024 Mar 29.

Abstract

PURPOSE

Work-family life courses have been associated with mental health at various time points in life but little is known about how mental health develops during these work-family life courses. The aim of this study was to examine mental health trajectories from adolescence to young adulthood in women and men with different work-family life courses.

METHODS

Data from 992 young adults participating in the 18-year follow-up TRacking Adolescents' Individual Lives Survey (TRAILS) were used. Work-family life courses from ages 18 to 28 years were previously constructed using sequence analysis. For each work-family life course, trajectories of internalising and externalising problems from ages 11 to 29 years were estimated using a multi-group random intercept growth model. Differences in mental health trajectories were examined across work-family life courses.

RESULTS

For women, trajectories of internalising and externalising problems in young adulthood differed significantly between work-family life courses (p = 0.037 and p < 0.001, respectively). Women in the inactive work-family life course reported the highest scores of internalising and externalising problems during the entire young adulthood but the differences in mental health scores became most pronounced at age 29. Trajectories of internalising and externalising problems of men did not significantly differ between the work-family life courses.

CONCLUSION

Mental health trajectories differed between women depending on their work-family life course. In men, differences between work-family life courses were less pronounced. Future studies should examine which work-family events and transitions captured in work-family life courses are associated with subsequent mental health problems during longer follow-up.

摘要

目的

工作-家庭生活轨迹与人生各个阶段的心理健康有关,但对于心理健康在这些工作-家庭生活轨迹中是如何发展的,知之甚少。本研究的目的是在不同工作-家庭生活轨迹的女性和男性中,考察从青春期到成年早期的心理健康轨迹。

方法

本研究使用了参加 18 岁随访青少年个体生活调查(TRAILS)的 992 名年轻成年人的数据。使用序列分析构建了 18 至 28 岁期间的工作-家庭生活轨迹。对于每个工作-家庭生活轨迹,使用多组随机截距增长模型估计了 11 至 29 岁期间的内化和外化问题轨迹。检验了不同工作-家庭生活轨迹之间的心理健康轨迹差异。

结果

对于女性,不同工作-家庭生活轨迹之间的成年早期内化和外化问题轨迹存在显著差异(p=0.037 和 p<0.001)。处于不活跃工作-家庭生活轨迹的女性在整个成年早期报告了最高的内化和外化问题得分,但在 29 岁时,心理健康得分的差异最为明显。男性的内化和外化问题轨迹在工作-家庭生活轨迹之间没有显著差异。

结论

女性的心理健康轨迹因工作-家庭生活轨迹而异。在男性中,工作-家庭生活轨迹之间的差异不太明显。未来的研究应该考察工作-家庭生活轨迹中捕捉到的哪些工作-家庭事件和转变与更长时间随访期间随后的心理健康问题相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4561/11522154/3432d67bc984/127_2024_2664_Fig1_HTML.jpg

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