Meta analysis on the detection of anxiety disorders before college entrance examination among Chinese students of grade 3 in senior high school

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.