Change in Level of Positive Mental Health as a Predictor of Future Risk of Mental Illness
Change in Level of Positive Mental Health as a Predictor of Future Risk of Mental Illness
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DOI：
10.2105/ajph.2010.192245
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发表时间：
2010-12-01
影响因子：
12.7
通讯作者：
Simoes, Eduardo J.
中科院分区：
文献类型：
--
作者：
Keyes, Corey L. M.;Dhingra, Satvinder S.;Simoes, Eduardo J.
目的我们试图描述心理健康和疾病的患病率，两种诊断随时间的稳定性，以及心理健康水平的变化是否可以预测队列组中的心理疾病。方法2009年，我们分析了1995年和2005年美国中年横断面调查的数据。（n = 1723）结果3种精神障碍的患病率和心理健康水平在1999年至2000年呈稳定趋势，但在2000年至2001年呈动态变化。个人层面2005年175%的精神疾病患者中有52%是新发病例，1995年精神疾病患者中有一半在2005年有所改善，1995年精神疾病患者中有一半在2005年有所下降。（作为一个新的而不一定是第一个事件运作）结论心理健康的改善预测了心理疾病的下降，支持了公众心理健康促进的呼吁心理健康的损失预测了心理疾病的增加，支持了公众心理健康的呼吁保护（Am J Public Health 2010 100 2366-2371 doi 10 2105/AJPH 2010 192245）
Objectives We sought to describe the prevalence of mental health and illness the stability of both diagnoses over time and whether changes in mental health level predicted mental illness in a cohort groupMethods In 2009 we analyzed data from the 1995 and 2005 Midlife in the United States cross sectional surveys (n = 1723) which measured positive mental health and 12 month mental disorders of major depressive episode panic and generalized anxiety disordersResults Population prevalence of any of 3 mental disorders and levels of mental health appeared stable but were dynamic at the individual level Fifty two percent of the 17 5% of respondents with any mental illness in 2005 were new cases one half of those languishing in 1995 improved in 2005 and one half of those flourishing in 1995 declined in 2005 Change in mental health was strongly predictive of prevalence and incidence (operationalized as a new not necessarily a first episode) of mental illness in 2005Conclusions Gains in mental health predicted declines in mental illness supporting the call for public mental health promotion losses of mental health predicted increases in mental illness supporting the call for public mental health protection (Am J Public Health 2010 100 2366-2371 doi 10 2105/AJPH 2010 192245)