Lifecourse Development, Psychosocial Function & Cardiovascular Disorder

描述(改编自研究者的摘要)：这项建议的中心目的是研究成年后心理社会功能各方面的生活过程社会经济模式。拟议的研究将利用一个独特的机会，将关于心理社会功能的一系列非常广泛的衡量标准的信息与关于儿童的社会经济状况、10岁的家庭环境、教育以及成人职业和收入的信息联系起来。就本提案而言，一般术语“心理社会功能”将指一系列信仰、态度、情绪、消极情绪和心理状态。更具体地说，本项目中的“心理社会功能”指的是信念，如自尊、个人不确定性和连贯感；态度，如愤世嫉俗的敌意；负面情绪，如抑郁、生命疲惫和绝望；情绪，如愤怒；以及其他重要的心理社会功能指标，包括对工作压力的感知、A型行为应对方式、述情障碍和社会关系。研究人员建议在四个主要领域研究心理社会功能和成人健康之间的重要联系：(1)从儿童到成年的不同社会经济转型对各种成人心理社会功能指标的影响；(2)11年来心理社会功能变化的社会经济学预测指标；(3)低出生体重以及宫内和儿童发育迟缓指标对成人心理社会功能的影响；以及(4)心理社会功能在多大程度上调节低社会经济地位与发病率和死亡率之间的联系。主要预测因素将包括儿童到成人的社会经济路径；儿童早期家庭环境；成人收入、职业和就业的变化；出生体重和青春期成长指标。主要结果将包括成人“心理社会功能”的各种指标以及这些指标的潜在聚集性。这些因素包括自尊、抑郁、个人不确定、绝望、应对方式、对工作压力的看法、愤世嫉俗的敌意、连贯感、愤怒、A型行为、生命衰竭、述情障碍和社交网络/关系。

DESCRIPTION (adapted from investigator's abstract): The central purpose of this proposal is to examine the lifecourse socioeconomic patterning of aspects of psychosocial functioning in adulthood. The proposed study will take advantage of a unique opportunity to link information on a very broad array of measures of psychosocial functioning, and information on socioeconomic conditions in childhood, family environment at age 10, education, and adult occupation and income. For the purposes of this proposal, the general term "psychosocial functioning" will be used to refer to a range of beliefs, attitudes, emotions, negative affect and psychological states. More specifically, "psychosocial functioning" in this project refers to beliefs such as self esteem, personal uncertainty, and sense of coherence; attitudes such as cynical hostility; negative affect such as depression, vital exhaustion, and hopelessness; emotions such as anger; as well as other important indicators of psychosocial functioning including perceptions of job stress, Type A behavior ways of coping, alexithymia and social relations. The investigators propose to study the important links between psychosocial functioning and adult health in four principal areas: (1) the effects of different socioeconomic transitions from childhood to adulthood on a variety of indicators of adult psychosocial functioning; (2) socioeconomic predictors of changes in psychosocial functioning over 11 years; (3) the effects of low birthweight and indicators of in-utero and childhood growth retardation on adult psychosocial functioning; and (4) the extent to which psychosocial functioning mediates the association between low socioeconomic position and morbidity and mortality. Main predictors will include childhood to adult socioeconomic pathways; early childhood family environment; changes in adult income, occupation, and employment; birthweight and indicators of growth through adolescence. Main outcomes will include a variety of indicators of adult "psychosocial function" and the potential clustering of these indicators. These include self-esteem, depression, personal uncertainty, hopelessness, ways of coping, perceptions of job stress, cynical hostility, sense of coherence, anger, type A behavior, vital exhaustion, alexithymia and social network/relations.