Psychological distress from early adulthood to early old age: evidence from the 1946, 1958 and 1970 British birth cohorts.
Psychological distress from early adulthood to early old age: evidence from the 1946, 1958 and 1970 British birth cohorts.
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DOI：
10.1017/s003329172000327x
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发表时间：
2022-06
影响因子：
6.9
通讯作者：
Ploubidis, George B.
中科院分区：
文献类型：
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作者：
Gondek, Dawid;Bann, David;Patalay, Praveetha;Goodman, Alissa;McElroy, Eoin;Richards, Marcus;Ploubidis, George B.
关键词：
关于成年期心理困扰概况的现有证据使用横截面或纵向研究，观察期较短。本研究的目的是研究英国三个出生队列中同一个体从成年早期到老年早期的心理困扰概况。我们使用了三个英国出生队列的数据：1946年（n = 3093），1958年（n = 13250）和1970年（n = 12019）。心理困扰的概况-表达为临床病例的概率或基于队列内和队列间可比项目的症状计数-使用多级回归框架建模。在1958年和1970年的队列中，23-26岁和33-34岁之间的病例概率最初有所下降。随后，在1946年队列中，成为病例的预测概率从36岁时的12.5%增加到53岁时的19.5%;在1958年队列中，从33岁时的8.0%增加到42岁时的13.7%;在1970年队列中，从34岁时的15.7%增加到42岁时的19.7%。在1946年的队列中，60-64岁和69岁之间的病例概率有所下降（19.5%对15.2%）。结果的连续版本获得了一致的结果。在战后英国的三个出生队列中，中年似乎是经历心理痛苦的一个特别脆弱的阶段。了解其原因对于预防和管理心理健康问题非常重要。
Existing evidence on profiles of psychological distress across adulthood uses cross-sectional or longitudinal studies with short observation periods. The objective of this research was to study the profile of psychological distress within the same individuals from early adulthood to early old age across three British birth cohorts. We used data from three British birth cohorts: born in 1946 (n = 3093), 1958 (n = 13 250) and 1970 (n = 12 019). The profile of psychological distress – expressed both as probability of being a clinical case or a count of symptoms based on comparable items within and across cohorts – was modelled using the multilevel regression framework. In both 1958 and 1970 cohorts, there was an initial drop in the probability of being a case between ages 23–26 and 33–34. Subsequently, the predicted probability of being a case increased from 12.5% at age 36 to 19.5% at age 53 in the 1946 cohort; from 8.0% at age 33 to 13.7% at age 42 in the 1958 cohort and from 15.7% at age 34 to 19.7% at age 42 in the 1970 cohort. In the 1946 cohort, there was a drop in the probability of caseness between ages 60–64 and 69 (19.5% v. 15.2%). Consistent results were obtained with the continuous version of the outcome. Across three post-war British birth cohorts midlife appears to be a particularly vulnerable phase for experiencing psychological distress. Understanding the reasons for this will be important for the prevention and management of mental health problems.