尹平, 谢今朝, 廖婧, 顾菁. 中年危机评分构建及其与认知、抑郁的关系[J]. 中华疾病控制杂志, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 引用本文: 尹平, 谢今朝, 廖婧, 顾菁. 中年危机评分构建及其与认知、抑郁的关系[J]. 中华疾病控制杂志, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 YIN Ping, XIE Jinzhao, LIAO Jing, GU Jing. Construction of midlife crisis scores and its relationship with cognition and depression[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 Citation: YIN Ping, XIE Jinzhao, LIAO Jing, GU Jing. Construction of midlife crisis scores and its relationship with cognition and depression[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION , 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 尹平, 谢今朝, 廖婧, 顾菁. 中年危机评分构建及其与认知、抑郁的关系[J]. 中华疾病控制杂志, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 引用本文: 尹平, 谢今朝, 廖婧, 顾菁. 中年危机评分构建及其与认知、抑郁的关系[J]. 中华疾病控制杂志, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 YIN Ping, XIE Jinzhao, LIAO Jing, GU Jing. Construction of midlife crisis scores and its relationship with cognition and depression[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 Citation: YIN Ping, XIE Jinzhao, LIAO Jing, GU Jing. Construction of midlife crisis scores and its relationship with cognition and depression[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION , 2023, 27(5): 562-568. doi: 10.16462/j.cnki.zhjbkz.2023.05.012 目的 初步构建中国人群中年危机的综合测量方法，比较不同年份人群中年危机的差异及其与社会人口特征的关系，并探究中年危机与认知、抑郁的关系。 方法 采用2011年和2018年中国健康与养老追踪调查(China Health and Retirement Longitudinal Survey, CHARLS)数据，基于文献和专家咨询，从经济、照护、工作、健康、社交5个维度构建中年危机的综合测量(总分10分，分数越高代表中年危机越严重)。采用多重线性回归比较了不同年份中年危机的差异和社会人口学影响因素，并探讨了中年危机与认知、抑郁的关系。 结果 共纳入8 554名45~60岁的中年人。校正了社会人口学变量后，与2011年相比，2018年中年危机总分更高。从各维度看，2018年中年人的经济危机与照护危机更大，而工作危机、健康危机和社会关系危机相对较小(均有 P < 0.05)。年龄较大者、女性、农村居民的工作危机和健康危机更大，学历水平更高者经济危机更大，消费水平低、家庭规模大的中年人照护危机更重(均有 P < 0.05)。中年危机与认知功能呈负相关，与抑郁呈正相关(均有 P < 0.05)。 结论 不同时代人群面临的中年危机情况不同，中年危机与认知和抑郁有关，未来应关注中年危机的情况，加强对高危群体的干预。 中年危机 /  中老年人 /  中国健康与养老追踪调查 /  认知 / Abstract: Objective To construct a comprehensive measurement of midlife crisis in the Chinese population, compare the differences in midlife crisis across different years, examine its relationship with socio-demographic characteristics, and explore the association between midlife crisis and cognition and depression. Methods Using data from the China Health and Retirement Longitudinal Survey (CHARLS) in 2011 and 2018, based on the literature and expert consultations, a comprehensive assessment for midlife crisis was constructed from five dimensions: economic, caregiving, work status, health, and social relationship. A total score of 10 was assigned, with a higher score indicating a more severe midlife crisis. Multiple linear regressions were used to analyze the differences and sociodemographic factors influencing midlife crisis across different years, and to explore the association between midlife crisis and cognition and depression. Results A total of 8 554 middle-aged adults aged 45-60 years were included. After adjusting for sociodemographic variables, the total score for midlife crisis was higher in 2018 than in 2011. In terms of the five dimensions, the economic crisis and caregiving crisis in 2018 were higher, while the work crisis, health crisis, and social relationship crisis were relatively lower (all P < 0.05). Older individuals, women, and rural residents experienced greater work and health crises, while those with higher levels of education experienced greater economic crisis. Middle-aged individuals with lower consumption levels and larger family sizes experienced greater care crisis (all P < 0.05). The midlife crisis was negatively correlated with cognitive function and positively correlated with depression (all P < 0.05). Conclusions The midlife crisis situation differs among different generations, and it is related to cognitive function and depression. In the future, attention should be paid to midlife crisis and interventions should be strengthened for high-risk groups. Key words: Midlife crisis /  Middle-aged and elderly /  China Health and Retirement Longitudinal Survey /  Cognition /  Depression  陈琛, 李江平, 张佳星, 等. 中老年人睡眠时间与认知、抑郁关系及影响因素[J]. 中华疾病控制杂志, 2020, 24(8): 919-922. DOI: 10.16462/j.cnki.zhjbkz.2020.08.011 .

ChenC, Li JP, Zhang JX, et al. The influencing factors of sleep time and its relationship with cognition and depression in middle-aged and elderly people [J]. Chin J Dis Control Prev, 2020, 24(8): 919-922. DOI: 10.16462/j.cnki.zhjbkz.2020.08.011 . Chai HM, Fu R, Coyte PC. Unpaid caregiving and labor force participation among Chinese middle-aged adults [J]. Int J Environ Res Public Health, 2021, 18(2): 641. DOI: 10.3390/ijerph18020641 . 中国青年报. 14亿人口大国的挑战: 老龄化趋势明显, 人口红利仍在[EB/OL]. (2021-05-12) [2022-11-03]. https://www.Chinanews.com.cn/gn/2021/05-12/9475281.shtml .

China Youth Daily. Challenges of a country with a population of 1.4 billion: the aging trend is obvious, and the demographic dividend is still here [EB/OL]. (2021-05-12) [2022-11-03]. https://www.Chinanews.com.cn/gn/2021/05-12/9475281.shtml . 钟晓慧, 彭铭刚. 养老还是养小: 中国家庭照顾赤字下的代际分配[J]. 社会学研究, 2022, 37(4): 93-116, 228. https://www.cnki.com.cn/Article/CJFDTOTAL-SHXJ202204005.htm

Zhong XH, Peng MG. Care for the elderly or the children: intergenerational distribution in the context of China's family care deficit [J]. Sociol Stud, 2022, 37(4): 93-116, 228. https://www.cnki.com.cn/Article/CJFDTOTAL-SHXJ202204005.htm 中华人民共和国人力资源和社会保障部. 2018年度人力资源和社会保障事业发展统计公报[ EB/OL]. (2019-06-11) [2022-11-03]. http://www.mohrss.gov.cn/SYrlzyhshbzb/zwgk/szrs/tjgb/201906/t20190611_320429.html .

Statistical bulletin on human resources and social security development in 2018 [EB/OL]. (2019-06-11) [2022-11-03]. http://www.mohrss.gov.cn/SYrlzyhshbzb/zwgk/szrs/tjgb/201906/t20190611_320429.html . 中华人民共和国国务院新闻办公室. 中国交通运输发展[ EB/OL]. (2016-12-29) [2022-11-03]. http://www.gov.cn/zhengce/2016-12/29/content_5154095.htm#1 .

Information Office of the State Council of the people's Republic of China. Development of transportation in China [EB/OL]. (2016-12-29) [2022-11-03]. http://www.gov.cn/zhengce/2016-12/29/content_5154095.htm#1 . Falkingham J, Evandrou M, Qin M, et al. Chinese women's health and wellbeing in middle life: unpacking the influence of menopause, lifestyle activities and social participation [J]. Maturitas, 2021, 143: 145-150. DOI: 10.1016/j.maturitas.2020.10.008 . Sindi S, Kåreholt I, Solomon A, et al. Midlife work-related stress is associated with late-life cognition [J]. J Neurol, 2017, 264(9): 1996-2002. DOI: 10.1007/s00415-017-8571-3 . 李甲森, 马文军. 中国中老年人抑郁症状现状及影响因素分析[J]. 中国公共卫生, 2017, 33(2): 177-181. DOI: 10.11847/zgggws2017-33-02-02 .

Li JS, Ma WJ. Prevalence and influencing factors of depression symptom among middleaged and elderly people in China [J]. Chin J Publ Heal, 2017, 33(2): 177-181. DOI: 10.11847/zgggws2017-33-02-02 .