Rose Theda, Lambert Sharon, Liu Chang, Raghunathan Radhika S, Musci Rashelle J, Sullivan Alexandra D W, Lyall Kristen, Elliott Amy J, McEvoy Cindy T, Frazier Jean A, Shipp Gayle M, Koinis-Mitchell Daphne, Ganiban Jody M
School of Social Work, University of Maryland Baltimore, Baltimore, Maryland, USA.
Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
J Res Adolesc. 2025 Jun;35(2):e70029. doi: 10.1111/jora.70029.
Comprehensive assessment of mental health includes wellbeing and psychopathology. Using the dual-factor model of mental health, this study explored associations between socioecological domains and mental health profiles and subsequent moderations by sex, race and ethnicity, and age. Cross-sectional data were from the Environmental influences on Child Health Outcomes (ECHO) Cohort (N = 2826). Adolescents were 11-17 years old (mean age 14.4 ± 2.1), 55.3% non-Hispanic White, and 48% girls. Using latent profile analysis, four mental health groups were identified: positive mental health; parent-endorsed symptoms, but content; vulnerable; and troubled. Latent regression analyses showed that, overall, better family, peer, and teacher-school relationships were found in the positive mental health group compared with other groups. No significant moderations were observed. Implications for practice and policy are discussed.
心理健康的综合评估包括幸福感和精神病理学。本研究采用心理健康双因素模型，探讨了社会生态领域与心理健康状况之间的关联，以及性别、种族和民族、年龄随后产生的调节作用。横断面数据来自儿童健康结果的环境影响（ECHO）队列（N = 2826）。青少年年龄在11至17岁之间（平均年龄14.4±2.1岁），55.3%为非西班牙裔白人，48%为女孩。通过潜在剖面分析，确定了四个心理健康组：积极心理健康组；家长认可症状但满意组；易受伤害组；以及问题组。潜在回归分析表明，总体而言，与其他组相比，积极心理健康组的家庭、同伴和师生关系更好。未观察到显著的调节作用。文中讨论了对实践和政策的启示。
