Paradoxical Trend for Improvement in Mental Health With Aging: A Community-Based Study of 1,546 Adults Aged 21-100 Years
Paradoxical Trend for Improvement in Mental Health With Aging: A Community-Based Study of 1,546 Adults Aged 21-100 Years
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DOI：
10.4088/jcp.16m10671
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发表时间：
2016-08-01
影响因子：
5.3
通讯作者：
Jeste, Dilip V.
中科院分区：
文献类型：
--
作者：
Thomas, Michael L.;Kaufmann, Christopher N.;Jeste, Dilip V.
目的：对衰老的研究通常集中在身体和认知功能的轨迹上，尽管对一般健康和死亡率有影响，但对整体心理健康的重视程度要低得多。本研究探讨了线性和非线性趋势的身体，认知和心理健康在整个adult lifes.Methods：横断面数据来自1,546个人年龄在21-100岁，选择使用随机数字拨号的成功老化评估（SAGE）的研究，结构化的多队列调查，包括电话采访和家庭调查的社区为基础的成年人没有痴呆症。从2010年1月26日至2011年10月7日收集了针对50-100岁受试者的数据，从2012年6月25日至2013年7月15日收集了针对21-100岁受试者的数据，重点是增加年轻人。数据包括身体健康的自我报告的措施，积极和消极的心理健康的属性的措施，和电话采访为基础的措施cognition.Results：比较年龄队列使用多项式回归建议可能加速恶化的身体和认知功能，平均1.5至2个标准差在成年人的寿命。相比之下，似乎是一个线性改善约1个标准差的心理健康的各种属性在同一life periods.Conclusions：这些横截面的研究结果表明，在心理健康的线性改善的可能性，而不是一个U形曲线，在一些先前的研究报告，在青年期开始。结合心理社会和生物标志物的寿命研究可能会提高我们对老年精神残疾复原力的理解，并导致基础广泛的干预措施，促进所有年龄组的心理健康。
Objective: Studies of aging usually focus on trajectories of physical and cognitive function, with far less emphasis on overall mental health, despite its impact on general health and mortality. This study examined linear and nonlinear trends of physical, cognitive, and mental health over the entire adult lifespan.Methods: Cross-sectional data were obtained from 1,546 individuals aged 21-100 years, selected using random digit dialing for the Successful AGing Evaluation (SAGE) study, a structured multicohort investigation that included telephone interviews and in-home surveys of community-based adults without dementia. Data were collected from 1/26/2010 to 10/07/2011 targeting participants aged 50-100 years and from 6/25/2012 to 7/15/2013 targeting participants aged 21-100 years with an emphasis on adding younger individuals. Data included self-report measures of physical health, measures of both positive and negative attributes of mental health, and a phone interview-based measure of cognition.Results: Comparison of age cohorts using polynomial regression suggested a possible accelerated deterioration in physical and cognitive functioning, averaging 1.5 to 2 standard deviations over the adult lifespan. In contrast, there appeared to be a linear improvement of about 1 standard deviation in various attributes of mental health over the same life period.Conclusions: These cross-sectional findings suggest the possibility of a linear improvement in mental health beginning in young adulthood rather than a U-shaped curve reported in some prior studies. Lifespan research combining psychosocial and biological markers may improve our understanding of resilience to mental disability in older age and lead to broad-based interventions promoting mental health in all age groups.