我国高三学生高考前焦虑障碍检出情况Meta分析

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

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%,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。

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, Wan Fang Data, VIP and EBSCO-ASC＋BSC, Science Direct, Pub Med 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.