1992年以来中学生心理健康的变迁：一项横断历史研究

我国中学生的心理健康状况是否真的在逐渐下降呢？为回答这个问题,研究采用“横断历史研究”这种特殊的元分析方法,选取1992年至2005年间107篇采用90项症状自评量表（SCL–90）的研究报告,分析了111925名中学生在该量表9个因子上得分随年代的变化情况。研究结果表明：(1)SCL–90的7个因子均值与年代正相关显著（0.22~0.35）,7个因子均值的增加量为0.09~0.22（效果量d为0.06~0.35）,这说明1992至2005年间中学生的心理问题在缓慢增加,即中学生健康水平缓慢下降。(2)SCL–90的7个因子的标准差与年代间正相关显著(0.19~0.38),这说明中学生的心理健康水平不再像以前那样趋同,而是逐年变得更为分化。(3)中学生SCL–90得分与社会威胁、教育状况、经济状况三方面的10项社会指标相关显著,这说明社会变迁是预测中学生心理健康水平的重要因素     

1996至2016年中国老年人心理健康变迁的横断历史研究

为探究中国老年人心理健康水平随年代的变迁,运用横断历史研究方法对1996至2016年间160篇采用90项症状自评量表（SCL-90）的研究报告进行元分析。研究发现：（1）SCL-90各因子与年代均呈显著正相关,说明我国老年人心理健康水平在逐年下降。（2）SCL-90各因子与3项社会指标（离婚率、死亡率和犯罪率）有显著正相关。（3）不同性别老年人的心理健康水平均呈逐年下降趋势,但心理健康水平得分的性别差异并不显著。（4）城市老年人的心理健康水平呈逐年下降的趋势,而农村老年人的心理健康水平则呈逐年上升趋势。     

1996至2016年中国老年人心理健康变迁的横断历史研究

为探究中国老年人心理健康水平随年代的变迁,运用横断历史研究方法对1996至2016年间160篇采用90项症状自评量表（SCL-90）的研究报告进行元分析。研究发现：（1）SCL-90各因子与年代均呈显著正相关,说明我国老年人心理健康水平在逐年下降。（2）SCL-90各因子与3项社会指标（离婚率、死亡率和犯罪率）有显著正相关。（3）不同性别老年人的心理健康水平均呈逐年下降趋势,但心理健康水平得分的性别差异并不显著。（4）城市老年人的心理健康水平呈逐年下降的趋势,而农村老年人的心理健康水平则呈逐年上升趋势。     

中国军人心理健康状况的横断历史研究：1990~2007

使用1990~2007年18年间的142组数据, 以横断历史研究的元分析方法, 研究了108736位中国军人的心理健康状况随年代的变化趋势。这些数据来自94篇相关研究报告, 这些研究都使用了90项症状自评量表(SCL-90)作为心理健康的测评工具。结果发现：(1)世纪之交的18年间, 中国军人的心理健康越来越好; (2)18年间, 中国军人在“人际敏感”方面变化最大, 而在“躯体化”方面变化最小; (3)18年间, 中国军人在“恐怖”方面最没问题, 而在“强迫症状”和“人际敏感”方面所表现出的问题一直突出; (4)中国独生子女军人(N = 1944)的心理健康状况低于非独生子女军人(N = 2649); (5)中国城市籍军人(N = 7808)的心理健康状况低于农村籍军人(N = 11459); (6)中国高中学历军人(N = 10189)的心理健康状况低于初中(N = 8407)和大学学历(N = 863)的军人。     

大学生心理健康变迁的横断历史研究

自恢复高考至今, 中国的高等教育取得了巨大进步, 这一历史时期大学生整体的心理健康水平如何变化呢？本研究对1986至2010年间237项采用90项症状自评量表(SCL-90)的研究报告进行了横断历史的元分析, 以考察这些研究(被试为30多万名大学生)所测心理问题的9个因子得分随年代的变化趋势。结果表明：(1)SCL-90各因子均值与年代之间均呈负相关, 年代可以解释9个因子4%至36%的变异; 25年来9个因子均值分别下降了1%至13%, 其中偏执、人际关系、抑郁、敌对因子变化较明显。这说明25年来大学生的心理问题逐渐减少, 即大学生心理健康的整体水平逐步提高。(2)25年来大学生心理健康水平的提高, 主要体现在大学一年级以上的学生上, 而且重点大学学生(较之非重点大学)、城市生源学生(较之农村)、男生(较之女生)的心理健康改善更快。     

1993至2016年医学生心理健康变迁的横断历史研究

为考察我国医学生心理健康水平随年代的变迁趋势, 运用横断历史研究的方法, 对1993至2016年间181篇采用90项症状自评量表(SCL-90)测量医学生心理健康水平的研究报告(被试为129613名医学生)进行元分析。研究发现：(1)除恐怖因子外, SCL-90其余8个因子均与年代呈显著负相关, 这说明, 我国医学生的心理健康水平在逐年提升。(2)当年和5年前的2个社会指标(卫生总费用和注册医师数)与SCL-90的8个因子均值呈显著负相关, 说明这些社会指标可能是预测医学生心理健康水平的重要因素。(3)与男生相比, 女生心理健康水平的上升趋势更为明显, 但心理健康水平的性别差异并不显著。(4)医学新生心理健康水平的上升趋势要比非新生更明显和全面。     

Mental health and quality of life in non-binary transgender adults: a case control study

Abstract

Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking.

Aim: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth.

Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures.

Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups.

Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people.     

Mental Health Problems of Children in Foster Care

We compared the rates of mental health problems in children in foster care across three counties in California. A total of 267 children, ages 0 to 17, were assessed two to four months after entry into foster care using a behavioral screening checklist, a measure of self-concept and, in one county, an adaptive behavior survey. Results confirmed previous research and indicated consistently high rates of mental health problems across the three counties. Behavior problems in the clinical or borderline range of the CBCL were observed at two and a half times the rate expected in a community population. Fewer children fell within the clinical range on the self-concept measure. No significant differences in rates between the three county foster care cohorts were observed, despite the different demographic characteristics of the counties. On the adaptive behavior scale, the mean scores for children in foster care were more than one standard deviation below the norm. Our findings suggest that the most important mental health screening issue with children in foster care is to identify what specific mental health problems need to be addressed so that the most effective treatment services can be provided.     

我国贫困大学生心理健康变迁的横断历史研究:1998~2015

为探讨自1999年高校国家助学贷款政策出台以来,我国贫困大学生心理健康状况的变迁,本研究对106篇1998至2015年间采用SCL-90量表的研究进行了横断历史元分析,考察了贫困大学生心理健康状况随年代的变化趋势。结果表明：（1）SCL-90量表中9个因子的分数均值均与年代呈负相关,年代对各因子变异的解释在4%至16%之间;1998年到2015年这18年来,各因子均值平均下降范围（效果量d）在0.24至0.55个标准差之间,其中强迫、抑郁和精神病3个因子均值变化尤为明显。这表明贫困大学生整体心理健康的状况在缓慢提升。（2）与中部地区相比,东部和西部地区贫困大学生心理健康水平18年来提高更明显。（3）虽然不同性别贫困大学生各因子历年变化差异并不明显,但女生抑郁和精神病两方面改善略快。此外,普通元分析结果表明总体上贫困男大学生比女大学生心理健康状况要好。     

我国内地教师主观幸福感的变迁(2002~2019)：横断历史研究的视角

教师主观幸福感作为衡量教师群体心理健康状况的一项关键指标, 对其现状的调查和分析至关重要, 同时, 对其随社会变迁的动态变化趋势、及其与社会变迁的关系的监测也不可忽视。本研究对2002至2019年间的51篇采用总体幸福感量表(GWB)测量教师主观幸福感的研究报告(共包括13600名教师)进行横断历史的元分析。研究发现：(1)教师主观幸福感均值与年代呈显著负相关, 这说明我国教师主观幸福感在逐年下降。(2)来自社会经济条件(居民消费水平、房价、老年抚养比和教育经费)、社会联结(家庭规模数、离婚率和城镇化水平)和社会威胁(犯罪率)三方面的8项宏观社会指标的变化能显著预测教师主观幸福感的下降。(3)中小学教师的主观幸福感随年代下降的趋势更明显, 其主观幸福感得分要显著低于高校教师。本研究不仅探究了我国教师主观幸福感近20年的变迁趋势, 而且结合社会宏观发展的指标, 提出了影响我国教师主观幸福感的三维理论框架, 对群体社会心理的研究思路进行了纵向(随时代变迁)及横向(宏观社会指标)的拉伸, 拓展理论基础的同时, 在实践上, 为干预调节我国教师群体主观幸福感提供决策依据。     

半个多世纪来中国人的心理与行为变化——心理学视野下的研究

半个多世纪以来, 史无前例的快速社会变迁对中国文化和中国人的心理与行为产生了广泛而深远的影响。现有研究探讨了中国人在十多个方面的心理和行为变化, 包括文化价值、人格特征、自我建构、人际信任、幸福感、情绪、动机、关系、心理健康以及其他社会态度和行为等。总体上, 这些研究勾画出了半个世纪以来中国人心理变化的总体倾向：(1)与现代社会相适应的个体主义价值和心理行为日益盛行; (2)传统社会所强调的集体主义价值虽日渐衰落, 但其部分仍在当代社会主流价值中占有一席之地; (3)多元文化共存将是当下和未来中国社会的重要特征。一些具体的变化还包括：中国人的一般信任在下降、幸福感先下降但近年来有上升的迹象、心理健康总体水平上升但是不同社会群体升降不一致、总体的负性情绪在增加、性观念更为开放和包容等。未来的研究应在广度(内容、领域)和深度(原因、机制和过程)上对现有研究进行拓展, 努力建构能同时解释心理和行为变化一般规律及中国人的变化独特性的理论。     

A multivariate analysis of adolescents' orientations toward physician use

Health professionals know surprisingly little about the origins of the health beliefs and orientations they often seek to change, and they do not know about when, or if, changes in these orientations are likely to occur. This study is aimed at increasing our understanding of the origins and development of health beliefs and attitudes by focusing on the impact of parents' orientations toward physician utilization (inclination to consult a doctor when experiencing somatic symptoms) on the comparable orientations of their adolescent children. Hypotheses regarding direct parent-adolescent links are examined within a multivariate structural equations model relating demographics, adolescents' interpersonal competencies, and parental variables to adolescents' orientations toward physician utilization. Evidence for the development of these orientations is obtained by comparing influences across two groups of adolescents: 12- to 13-year-olds and 16- to 18-year-olds. Findings indicate that adolescents' orientations toward physician use are associated with those of their parents and that this link is generally stronger and more specific during late adolescence. The model also suggests that these orientations conform to social and cultural variables related to differences in social stratification.     

Correlates of neonatal morbidity: maternal characteristics and family resources

The association of mental characteristics, family resources, and receipt of prenatal care with infant birth weight, gestational age, and Apgar scores was assessed in a retrospective review of an extant computerized data base of admissions to a neonatal intensive care unit (NICU; n = 3,818). Prediction variables included mother's age, marital status, health insurance, parity, prenatal health problems, and prenatal drug use. Less favorable infant birth status was associated with prenatal health problems, being single, not having private insurance, obtaining a prior elective abortion, prenatal drug use, and not receiving prenatal care. Stepwise multiple regressions of predictor variables to birth weight and lack of prenatal care were performed. Low birth weight was associated with being single, receiving no prenatal care, and being Black. Lack of prenatal care was associated with mother's age, high parity, prenatal health problems, and prenatal illicit drug use. Pediatric interventions assessing maternal social and behavioral characteristics are proposed.     

Parental Migration and Rural Left-Behind Children’s Mental Health in China: A Meta-Analysis Based on Mental Health Test

Parental migration has been an important predictor of left-behind children’s developmental outcomes. Based on the ecological model of rural left-behind children’s development, we systematically reviewed studies related to rural left-behind children’s mental health in China and investigated left-behind children’s mental health and its influencing factors. Thirty-two studies involving 28,629 participants met the inclusion criteria were included in our meta-analysis to compare mental health of left-behind children and non-left-behind children. Twenty-two studies involving 8,634 participants were included in gender difference meta-analysis. The results indicated that left-behind children report more mental health problems than non-left-behind children, left-behind girls were confronted with higher level of mental health problems than left-behind boys, left-behind children in primary school and junior high school reported more mental health problems than those in senior high school, and self-guardian children have more serious mental health problems than children guarded by grandparents, former generation, and single parent. Implications for future practice were analyzed from family, school, and government perspectives.     

Ethnic differences in adolescents' mental distress, social stress, and resources

Limited data on ethnic group differences among young adolescents exist regarding the prevalence of mental distress, social stress, and resources. The aim of this cross-sectional study was to examine ethnic differences among African American (AA), European American (EA), Hispanic American (HA), and Asian American adolescents in mental distress, social stress, and resources. A total of 316 adolescents completed the self-administered questionnaire: The DSD, Somatic Symptom Scale, SAFE-C, FES, Coping, and Rosenberg's Self-Esteem Scale. The findings revealed that (1) Asian Americans and HAs reported significantly higher scores on social stress and mental distress and lower scores on resources than EAs; (2) Compared to EAs, AAs and HAs were more likely to experience social stress (2.2 < or = OR < or = 4.3), and HAs are more likely to have suicidal ideation (OR = 2.04; 95% CI = 1.04-3.98). Findings highlighted the importance of understanding the role of social stress in the development of adolescents' mental distress. Identified ethnic minority adolescents are vulnerable groups who require additional research and attention from health care providers.     

近10年中国飞行员心理健康状况的元分析

[摘要] 目的：探讨近10年中国飞行员的心理健康状况。方法：搜索2001-2010年10年间所有用SCL-90量表研究中国飞行员心理健康的文献,对符合要求的文献用元分析和横断历史研究的方法进行重新处理和分析。结果：（1）2000年到2001年飞行员SCL-90得分增加,2001-2009年飞行员SCL-90数据呈U型曲线,05年得数最低,09年得分最高,其中人际敏感、抑郁、焦虑、恐怖四个因子的分数在这十年中的变化显著;（2）SCL-90各因子的平均效果量在-0.27到-0.46之间。其中“躯体化”、“抑郁”、“焦虑”“恐怖”四个因子与一般成人常模差异不显著,其余五个因子均与常模差异显著,且分数要低于常模;（3）民航飞行员SCL-90的各个因子得分要低于军事飞行员,但未达到显著性水平。     

1993~2013年常驻高海拔地区军人心理健康状态的横断历史研究

研究为探索常驻高海拔地区军人心理健康水平如何随社会年代变迁而改变,运用了横断历史元分析的方法,对1993年至2013年38篇采用90项症状自评量表(SCL-90)的文献调查数据进行分析,考察了11454名常驻高海拔地区军人在该量表上9个因子得分随年代变化的趋势.结果发现:(1)SCL-90的7个因子均值与年代负相关,且不受期刊类型等的影响.20年来,7个因子下降了5%~15%不等.其中,强迫变化最大,抑郁、焦虑、人际敏感、偏执和精神病性均变化明显.这说明,常驻高海拔地区军人心理健康虽有所波动但整体水平逐步提升,变化幅度大致属于中等程度.(2)当年军费占GDP比值、居民消费水平指数与SCL-90部分因子均值负相关显著;5年前的居民消费水平指数与7个因子显著负相关.这说明,国防建设的经济投入和居民消费水平可能是影响常驻高海拔地区军人心理健康水平的重要因素.     

Trajectories of change in dimensions of forgiveness among older adults and their association with religious commitment

Forgiveness is a complex construct with an important role in religious traditions worldwide, and is associated with mental and physical health outcomes. This seven-year longitudinal study examined changes within individuals during, and differences based on birth cohort, in forgiveness during late life. Growth curve analysis was used to analyse the general pattern of change across the course of older adulthood in eight dimensions related to forgiveness. Increases over time were observed in forgiveness of others, conditionality of forgiveness of others, forgiveness of self, feelings of being forgiven by God, and feelings of being forgiven by others. Decreases over time were observed in difficulty forgiving oneself, and perceptions of conditionality in God's forgiveness. Religious commitment was related to reporting more a more forgiving attitude on seven of these dimensions, but also to more perceived conditionality in God's forgiveness. Finally, differences in mean levels of forgiveness emerged between birth cohorts.     

Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome

This study investigated whether parent-adolescent disagreement regarding adolescents' behavioral and emotional problems predicted adverse outcome. A Dutch sample of 15- to 18-year-olds was prospectively followed across a 4-year interval. The Child Behavior Checklist (CBCL: T. M. Achenbach, 1997) and Youth Self-Report (YSR; T. M. Achenbach, 1991b) were administered at initial assessment, and the following signs of poor outcome were assessed 4 years later: police/judicial contacts, expulsion from school/job, suicidal ideation, unwanted pregnancy, suicide attempts, deliberate self-harm, referral to mental health services, report of having a behavioral or emotional problem, and feeling the need for professional help without actually receiving help. Twenty CBCL syndrome scores, 23 YSR syndrome scores, and 16 discrepancy scores were significant predictors of poor outcome. It was concluded that to determine the prognosis of psychopathology in adolescents, discrepancies between informants may be important.     

Twin-singleton differences in intelligence: a meta-analysis

Since the emergence of twin studies in the 1920s, time and again the question of possible twin-singleton differences in intelligence has been posed. This study addressed the issue through a meta-analysis of published studies on this theme. Twins on the average seem to have lower IQs than singletons. The best estimate for this group difference is 4.2 IQ points (less than one-third of a standard deviation), with a great divide between study outcomes of less vs more recent birth cohorts (5.1 vs 0.5 IQ points, respectively). The evidence is based on studies from six countries (including population-based ones of entire birth cohorts), a massive database (comparisons of more than 30,000 twins with nearly 1.6 million singletons), a variety of intelligence tests, and birth cohorts spanning most of the 20th century, but, for the most part, on an age range limited to children and adolescents. The effect shows considerable between-study heterogeneity but appears robust (fail-safe N calculations), not due to influential individual studies (sensitivity analysis) or publication bias, was present since the very first published studies (cumulative meta-analysis), and appears generalizable across sex, zygosity, and other intelligence domains beyond the verbal. There are insufficient data as to whether the effect persists over the lifespan, exists as well within families, or has ceased in recent birth cohorts of highly developed countries (Denmark and The Netherlands). Likely causes of the effect appear to be prenatal and perinatal factors (reduced fetal growth and shorter gestation for twins).