在不同年龄组中,大规模证据表明一种一般性疾病 (d) 是导致不同年龄组中精神和身体健康障碍的因素
Hongyi Sun1, Hannah Carr1, Miguel Garcia-Argibay1,2,3
1Centre for Innovation in Mental Health, School of Psychology, University of Southampton, Southampton, UK.
Psychological medicine
|March 11, 2025
概括
在不同年龄组的身体和心理健康状况下,一个一般因素是基础. 更健康的生活方式与较少的并发病和改善的幸福感有关,挑战了精神和身体健康的传统分离.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 身体和精神健康状况及其不同年龄组的潜在因素之间的关系仍然不清楚.
- 调查影响身体和精神健康问题的倾向的潜在一般因素对于理解并发症至关重要.
研究的目的:
- 为了确定一个一般因素 ("d"因素) 是否在不同年龄组的身体和精神健康状况的共同病变的基础上.
- 探索这种"d"因子与生活方式选择和整体幸福感的关联.
主要方法:
- 来自英国三项大型队列研究的健康数据分析:千年队列研究 (MCS),国家儿童发育研究 (NCDS) 和英国长度老龄化研究 (ELSA).
- 使用多个合适指数 (CFI,TLI,RMSEA) 的确认因素分析 (CFA) 来确定最佳模型.
- 检查了确定"d"因子得分,生活方式变量和幸福指标之间的相关性.
主要成果:
- 一个双因素模型提供了最好的合适性,支持所有研究年龄组 (17,44,50岁以上) 的一般"d"因素的存在.
- "d"因子得分与生活方式和幸福感有显著的相关性.
- 更健康的生活方式与较低的身体和心理健康并发症的可能性有关,积极影响福祉.
结论:
- 精神和身体疾病的共同病变背后有一个一般因素,挑战了两者之间的传统二分法.
- 这一发现对疾病的概念化,疾病途径的未来研究以及开发综合干预措施具有重要意义.
- 支持在有身体疾病的个体中进行精神疾病的系统查,反之亦然,倡导多病症综合护理模式.
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