Lifecourse Development, Psychosocial Function & Cardiovascular Disorder

描述（改编自研究者的摘要）：本研究的中心目的是研究成年期社会心理功能方面的生命历程社会经济模式。这项拟议的研究将利用一个独特的机会，将一系列非常广泛的社会心理功能测量信息与儿童时期的社会经济条件、10岁时的家庭环境、教育、成年后的职业和收入等信息联系起来。为本建议的目的，将使用“社会心理功能”一词泛指一系列信念、态度、情绪、消极影响和心理状态。更具体地说，本项目中的“社会心理功能”指的是自尊、个人不确定性和连贯性等信念；愤世嫉俗的敌意等态度；消极的影响，如抑郁、生命衰竭和绝望；愤怒等情绪；以及其他重要的社会心理功能指标，包括对工作压力的感知、应对A型行为方式、述情障碍和社会关系。本文主要从四个方面研究心理社会功能与成人健康之间的重要联系：(1)童年到成年不同社会经济转型对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预测因素；(3)低出生体重和宫内发育迟缓指标对成人心理社会功能的影响；(4)社会心理功能在低社会经济地位与发病率和死亡率之间的关联中的中介作用程度。主要预测因素包括童年到成年的社会经济途径；幼儿家庭环境；成人收入、职业和就业的变化；出生体重和青春期发育指标。主要结果将包括成人“社会心理功能”的各种指标以及这些指标的潜在聚类。这些因素包括自尊、抑郁、个人不确定性、绝望、应对方式、对工作压力的认知、愤世嫉俗的敌意、连贯性、愤怒、A型行为、生命衰竭、述情障碍和社会网络/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.