对生命历程中心理能力和心理健康轨迹的综合性综述

对生命历程中心理能力和心理健康轨迹的综合性综述

An umbrella review of psychological capacity and mental health trajectories across the life course

——《自然•心理健康》第4卷，第3期，2026年3月——

<Nature • Mental Health> Volume 4, Issue 3, March 2026

【摘要】了解心理能力在人群层面的发展轨迹，有助于指导干预措施的制定，从而在全生命周期中保护并提升这些能力。我们对一系列系统综述进行了一项综合性状综述，旨在考察广泛的心理能力指标所呈现的发展轨迹。检索工作在MEDLINE、EMBASE、PsycINFO、Cochrane 系统综述数据库及Google Scholar中进行（检索日期分别为2023年12月11日和2025年6月26日）。最终纳入了36篇综述，这些综述综合分析了1307项原始研究。研究结果显示，大多数综述聚焦于抑郁、焦虑及创伤相关症状，其中呈现“症状水平持续较低”的发展轨迹最为普遍。女性身份及处于社会经济劣势是常见的风险因素，而社会支持则被证实具有保护作用。我们发现，针对较不常见的心理健康状况、积极心理结局以及老年人群体的综述相对匮乏。未来的综述应着重对所采用的分析方法进行严格的质量评估，并审视所纳入的原始研究在地理分布及社会人口学特征方面是否存在（或缺乏）多样性。此外，目前亟需更多关于“全球南方”地区以及人群中处于少数地位或边缘化群体的相关证据。

[Abstract] Understanding population trajectories of psychological capacities can guide interventions to protect and enhance them across the life course. We conducted an umbrella review of systematic reviews examining the trajectories of a wide range of psychological capacity measures. Searches were performed in MEDLINE, EMBASE, PsycINFO, the Cochrane Database of Systematic Reviews and Google Scholar (11 December 2023 and 26 June 2025). Thirty-six reviews synthesizing 1,307 primary studies were included. Here we show that most reviews focused on depression, anxiety and trauma-related symptoms, with stable low-symptom trajectories being most common. Being a girl/woman and socioeconomic disadvantage were frequent risk factors, while social support emerged as protective. We found a comparative lack of reviews focused on less common mental-health conditions, positive outcomes and older adults. Future reviews should engage with a robust quality assessment of the analytical approach used and the (lack of) geographical and sociodemographic diversity in the primary studies included. Similarly, more evidence on the Global South and on minoritized and marginalized groups within populations is needed.

论文原文：Darío Moreno-Agostino, Nusrat Khan, Vanessa De Rubeis, et al. (2026).  An umbrella review of psychological capacity and mental health trajectories across the life course. Nature • Mental Health, Volume 4, Issue 3, Pages 451–468, March 2026.

https://doi.org/10.1038/s44220-026-00592-x

（翻译兼责任编辑：MARY）

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