The relationship between physical and mental health: A mediation analysis
The relationship between physical and mental health: A mediation analysis
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DOI：
10.1016/j.socscimed.2017.11.008
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发表时间：
2017-12-01
影响因子：
5.4
通讯作者：
Sutton, Matt
中科院分区：
文献类型：
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作者：
Ohrnberger, Julius;Fichera, Eleonora;Sutton, Matt
心理健康和身体健康之间有很强的联系，但人们对从一个到另一个的途径知之甚少。我们分析了过去的心理健康对现在的身体健康和过去的身体健康对现在的心理健康的直接和间接影响，使用生活方式的选择和社会资本的调解框架。我们使用了来自英国老龄化纵向研究六波（2002-2012）的10，693名50岁及以上的人的数据。心理健康由流行病学研究中心抑郁量表（CES）衡量，身体健康由日常生活活动（ADL）衡量。我们发现这两种形式的健康显着的直接和间接影响，间接影响解释了过去的心理健康对身体健康的影响的10%和过去的身体健康对心理健康的影响的8%。体力活动是间接影响的最大贡献者。对男性的心理健康（9.9%）以及对老年人的心理健康（13.6%）和身体健康（12.6%）有更大的间接影响。旨在改变身心健康的卫生政策不仅需要考虑心理健康和身体健康之间的直接交叉效应，而且还需要考虑两者之间的间接交叉效应。
There is a strong link between mental health and physical health, but little is known about the pathways from one to the other. We analyse the direct and indirect effects of past mental health on present physical health and past physical health on present mental health using lifestyle choices and social capital in a mediation framework. We use data on 10,693 individuals aged 50 years and over from six waves (2002-2012) of the English Longitudinal Study of Ageing. Mental health is measured by the Centre for Epidemiological Studies Depression Scale (CES) and physical health by the Activities of Daily Living (ADL). We find significant direct and indirect effects for both forms of health, with indirect effects explaining 10% of the effect of past mental health on physical health and 8% of the effect of past physical health on mental health. Physical activity is the largest contributor to the indirect effects. There are stronger indirect effects for males in mental health (9.9%) and for older age groups in mental health (13.6%) and in physical health (12.6%). Health policies aiming at changing physical and mental health need to consider not only the direct cross-effects but also the indirect cross-effects between mental health and physical health.