团体训练对大学生抑郁情绪干预效果的Meta分析

Effectiveness of group training on depressive mood among college students: a Meta-analysis

目的系统评价团体训练干预对大学生抑郁情绪的效果,为制定大学生心理健康措施提供参考。方法计算机检索中国期刊全文数据库、维普期刊网、万方知识平台、中国生物医学、Pub Med、Cochrane Library、Medline、Embase、Science Direct等中英文中关于团体训练对在校抑郁倾向大学生的随机对照试验,检索年限从建库至2016年6月,中文检索词为"团体训练""团体辅导""团体咨询""抑郁",英文检索词为"group training""group practicing""group guidance""organization training""team training""depressed""gloomy""despondent",采用RevMan 5.3和Meta Analyst Beta 3.13软件对纳入文献进行Meta分析。结果共检出142篇相关文献,经筛选最终共纳入文献10篇,累计研究对象415例,其中团体训练组197例,对照组218例。团体训练组抑郁情绪即刻得分高于对照组(SMD=-12.63,95%CI=-14.40^-10.86,P<0.01);团体训练组抑郁随访得分与即刻得分差异有统计学意义(SMD=2.20,95%CI=0.18~4.22,P=0.03)。结论针对性的团体训练可降低抑郁倾向大学生的抑郁情绪水平,可为大学生开展针对性团体训练提供循证依据。

Objective To systematically evaluate the effects of group training on depressive mood among college students in China by using the Meta analysis. Methods All relevant studies in Chinese and English Database were searched by computer. The retrieval time was updated to June, in 2016, The retrieval words were ＂group training＂ ＂group practicing＂ ＂group guidance＂ ＂organ- ization training team training＂＂depressed＂ ＂gloomy despondent＂.Then Meta-analysis on the data collected was conducted by u- sing RevMan 5.3 and Meta Analyst Beta3.13 software. Results A total of 142 studies were retrieved, but finally 10 studies were selected which included 415 cases（ 197 in intervention group and 218 in control group）. Mate-analysis showed that, intervene later the instant depression score of the intervention group was higher than control group, standardized mean different（ SMD =- 12.63, 95%CI=-14.40-10.86） .In group training the difference of the follow-up and instantly scores were statistically significant（ SMD= 2.20, 95%CI：0.18-4.22）. Conclusion Targeted group training can reduce depression for college students, and provides refer- ences for relevant agencies.