我国高三学生高考前焦虑障碍检出情况Meta分析

发布时间：2018-04-03 22:13

本文选题：焦虑　切入点：精神卫生　出处：《中国学校卫生》2017年08期

【摘要】：目的综合评价我国高三学生高考前焦虑障碍检出情况,为开展相关防治和控制工作提供科学依据。方法系统检索CNKI,Wan Fang Data,VIP以及Science Direct,EBSCO-ASC+BSC,Pub Med Central,Springer数据库,收集2002—2015年收录的有关我国高三学生焦虑障碍的文献,采用Meta分析合并发生率,并进行亚组分析,且对文献进行发表偏倚和敏感性分析。结果共筛选出符合标准文献20篇,总样本量为13 662名高三学生,焦虑障碍合并检出率为34%(95%CI=27%~42%,P0.01)。亚组分析结果显示,我国高三学生焦虑障碍检出率随研究时间段的增加呈上升趋势;高三学生轻度(23.37%)、中度(8.52%)、重度(1.65%)焦虑障碍检出率呈梯度下降趋势;女生焦虑障碍检出率(30.94%)高于男生(23.26%);我国东部地区高三学生高考前焦虑障碍检出率最高(38.35%),西部地区(29.81%)次之,中部地区(24.46%)最低;非随机抽样法高三学生高考前焦虑障碍检出率(36.80%)高于随机抽样法(32.34%);考试焦虑量表(TAS)测出的结果(55.36%)高于焦虑自评量表(SAS)(23.54%)和其他量表(42.53%)。结论高三学生焦虑障碍检出率高且呈上升趋势,需进一步加强心理健康教育工作。
[Abstract]:Objective to evaluate the detection of anxiety disorder in senior high school students before college entrance examination and provide scientific basis for prevention and control.Methods CNKI Wan Fang data VIP database and Science DirectOASC EBSCO-ASC EBSCO-ASC Med Central Med Springer database were searched systematically. The literatures about anxiety disorder of senior high school students in China from 2002 to 2015 were collected. The incidence rate of anxiety was analyzed by Meta, and subgroup analysis was carried out.The published bias and sensitivity of the literature were also analyzed.Results A total of 20 articles were selected, with a total sample size of 13 662 students in senior high school. The combined rate of anxiety disorder was 3495%.The results of subgroup analysis showed that the prevalence rate of anxiety disorder in senior high school students increased with the increase of the period of study, and that the detection rate of anxiety disorder in junior high school students showed a gradient downward trend with the increase of 23.37%, 8.52% and 1.65% respectively.The prevalence rate of anxiety disorder in girls (30.94) was higher than that in boys (23.26m), the rate of anxiety disorder (38.35%) was the highest in the east of China, the second was in the west (29.81%), and the lowest was in the central region (24.46%).The prevalence rate of anxiety disorder before college entrance examination by non-random sampling (36.80) was higher than that by random sampling (32.34); the test anxiety scale (TAS55.36) was higher than the self rating anxiety scale (SAS 23.54) and other scales (42.53).Conclusion the prevalence rate of anxiety disorder among the third grade students is high and the trend is on the rise. It is necessary to further strengthen the mental health education.
【作者单位】：广州医科大学研究生院;广州医科大学卫生管理学院;广州医科大学药学院;
【基金】：广州市医学重点学科建设项目(穗卫科[2013]21号-11) 广州医科大学人文社科类重点资助项目(2016B023)
【分类号】：G444

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