摘要:
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,WanFang Data,VIP以及Science Direct,EBSCO-ASC +BSC,PubMed 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%,P<0.01).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.
关键词:
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焦虑 /
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精神卫生 /
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Meta分析 /
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学生
Abstract:
Objective To comprehensively evaluate the anxiety disorders detection rate before college entrance examination among Chinese students of grade 3 in senior high school,and to provide a scientific basis for the prevention and control of anxiety disorders.Methods CNKI,WanFang Data,VIP and EBSCO-ASC+BSC,Science Direct,PubMed Central,and Springer database were systematically retrieved to collect the literatures about anxiety disorders among Chinese students of grade 3 in senior high school during 2002 to 2015.A Meta-analysis was carried out to analyze the incidence of complication,and a subgroup analysis,publication bias and sensitivity analysis were also performed.Results A total of 20 literatures were screened out.Among a total sample size of 13 662 students,the detection rate of anxiety disorders was 34%(95%CI=27%-42%,P<0.01).The subgroup analysis revealed that the detection rate of anxiety disorders of Chinese students of grade 3 in senior high school was on the rise.The rates of mild anxiety disorders (23.37%),moderate anxiety disorders (8.52%) and severe anxiety disorders (1.65%) showed the tendency of gradient descent.The detection rate of anxiety disorders before college entrance examination anxiety among female of grade 3 in senior high school (30.94%) was higher than that of the male (23.26%).The detection rate of anxiety disorders before college entrance examination anxiety of the eastern China (38.35%) was the highest,followed by those of the western region (29.81%) and the central region (24.46%).The detection rate measured by non-random sampling method (36.80%) was higher than that by random sampling method (32.34%).The detection rate measured by the TAS scale (55.36%) was higher than that by the SAS scale (23.54%) and other scales (42.53%).Conclusion The detection rate of anxiety disorders among students of grade 3 in senior high school show an upward tendency,thus,the mental health education should be furthur strenghtened.
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