對生命歷程中心理能力和心理健康軌跡的綜合性綜述 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層面的發展軌跡，有助於指導干預措施的制定，從而在全生命周期中保護並提升這些能力。我們對一系列系統綜述進行了一項綜合性狀綜述，旨在考察廣泛的心理能力指標所呈現的發展軌跡。檢索工作在MEDLINE、EMBASE、PsycINFO、Cochrane 系統綜述數據庫及Google Scholar中進行（檢索日期分別為2023年12月11日和2025年6月26日）。最終納入了36篇綜述，這些綜述綜合分析了1307項原始研究。研究結果顯示，大多數綜述聚焦於抑鬱、焦慮及創傷相關症狀，其中呈現“症狀水平持續較低”的發展軌跡最為普遍。女性身份及處於社會經濟劣勢是常見的風險因素，而社會支持則被證實具有保護作用。我們發現，針對較不常見的心理健康狀況、積極心理結局以及老年人群體的綜述相對匱乏。未來的綜述應着重對所採用的分析方法進行嚴格的質量評估，並審視所納入的原始研究在地理分布及社會人口學特徵方面是否存在（或缺乏）多樣性。此外，目前亟需更多關於“全球南方”地區以及人群中處於少數地位或邊緣化群體的相關證據。 [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. 論文原文：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 （翻譯兼責任編輯：MARY） （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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