Deis Yasmien, O'Loughlin Jennifer, Doré Isabelle
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada.
Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QC, Canada.
Can J Psychiatry. 2025 Jun 17:7067437251347166. doi: 10.1177/07067437251347166.
ObjectiveTo identify sociodemographic, lifestyle, and psychological correlates of flourishing mental health (i.e., feeling good and functioning well) in a population-based sample of young adults.MethodData for this cross-sectional study were drawn from the ongoing Nicotine Dependance in Teens study, Québec, Canada. Of 799 participants in cycle 23, 792 (mean (SD) age = 30.6 (1.0) years) provided data on positive mental health using the Mental Health Continuum - Short Form (MHC-SF) and were retained for analysis. Each potential correlate was studied in an unadjusted model, a model adjusted for age and sex, and a model adjusted for age, sex and other covariates related to the specific correlate of interest.ResultsOf 792 participants retained for analysis, 39.4% (39.9% of females; 38.8% of males) reported flourishing mental health. Variables associated with higher odds of flourishing included attended university (OR: 1.44 [1.05, 1.99]), being in a relationship (OR: 1.64 [1.22, 2.21], being employed (OR: 1.97 [1.27, 3.11]), high sleep quality (OR: 3.45 [2.53, 4.73]), meeting leisure screen time guidelines (OR: 2.12 [1.59, 2.85]), and relatively high levels of coping ability (OR: 3.11 [2.58, 3.80]). Variables associated with lower odds of flourishing included living alone (OR: 0.58 [0.38, 0.86]), relatively low household income (OR: 0.37 [0.20, 0.64]), and high depressive (OR: 0.05 [0.01, 0.15]) and anxiety (0.17 [0.09, 0.29]) symptoms.ConclusionsSociodemographic (education, relationship status, employment status, and income), lifestyle (sleep, screen time), and psychological (coping ability, depressive and anxiety symptoms) factors are correlates of flourishing mental health in this population-based sample of young adults. Results provide a foundation for future research to inform the development of effective programs targeting specific subgroups to promote positive mental health in young adults.
目的
确定在以人群为基础的年轻成年人样本中，与心理健康状况良好（即感觉良好且功能良好）相关的社会人口学、生活方式和心理因素。
方法
本横断面研究的数据取自加拿大魁北克正在进行的青少年尼古丁依赖研究。在第23轮的799名参与者中，792名（平均（标准差）年龄 = 30.6（1.0）岁）使用心理健康连续体简表（MHC-SF）提供了关于积极心理健康的数据，并被保留用于分析。每个潜在相关因素在未调整模型、调整了年龄和性别的模型以及调整了年龄、性别和与感兴趣的特定相关因素相关的其他协变量的模型中进行研究。
结果
在保留用于分析的792名参与者中，39.4%（女性为39.9%；男性为38.8%）报告心理健康状况良好。与心理健康状况良好几率较高相关的变量包括上过大学（比值比：1.44 [1.05, 1.99]）、处于恋爱关系中（比值比：1.64 [1.22, 2.21]）、就业（比值比：1.97 [1.27, 3.11]）、睡眠质量高（比值比：3.45 [2.53, 4.73]）、符合休闲屏幕时间指南（比值比：2.12 [1.59, 2.85]）以及应对能力相对较高（比值比：3.11 [2.58, 3.80]）。与心理健康状况良好几率较低相关的变量包括独居（比值比：0.58 [0.38, 0.86]）、家庭收入相对较低（比值比：0.37 [0.20, 0.64]）以及抑郁（比值比：0.05 [0.01, 0.15]）和焦虑（0.17 [0.09, 0.29]）症状严重。
结论
社会人口学（教育程度、恋爱状况、就业状况和收入）、生活方式（睡眠、屏幕时间）和心理（应对能力、抑郁和焦虑症状）因素是这个以人群为基础的年轻成年人样本中心理健康状况良好的相关因素。研究结果为未来研究提供了基础，以指导制定针对特定亚组的有效项目，促进年轻成年人的积极心理健康。
