青少年考试焦虑干预的meta分析

A meta-analysis of test anxiety intervention for adolescents

目的:评估青少年考试焦虑干预的有效性,分析不同干预方式的效果差异。方法:检索EB-SCOhost和中国知网数据库,收集从建库至2021年7月发表的关于青少年考试焦虑干预的随机对照实验(RCT),使用Revman5.4进行meta分析,用标准化考试焦虑量表评估考试焦虑程度,采用Hedge′sg计算干预效应量,g=0.2、0.5和0.8分别为小、中、大的效应量。结果:共40篇RCT文献,合计研究对象5786例。对青少年考试焦虑的干预效果达到大效应量(g=0.85,95%CI:0.68~1.03,P<0.001),其中心身干预的效应量最大(g=1.32,95%CI:0.65~1.99,P<0.001),行为干预(g=0.88,95%CI:0.52~1.24,P<0.001),认知行为干预(g=0.81,95%CI:0.41~1.22,P<0.001)和混合干预方式(g=0.65,95%CI:0.40~0.90,P<0.001)也达到了中或大的效应量。结论:青少年考试焦虑的各种干预方式效果均较好,心身干预效果更为突出。

Objective:To evaluate the effectiveness of test anxiety intervention for adolescents, and to analyze the effects of difference intervention methods.Methods:The literature was retrieved through EBSCOhost and CNKI database, and the randomized controlled trials(RCTs) on test anxiety intervention for adolescents published before July 2021 were collected.Meta-analysis was conducted by Revman 5.4.Test anxiety was evaluated with the standardized test anxiety scale, and Hedge′s g was used to calculate the effect size of intervention, g=0.2,0.5 and 0.8 were small, medium and large effect size, respectively.Results:Forty RCTS were obtained, with a total of 5786 subjects.The intervention effect on adolescents′ test anxiety was large(Hedge′s g=0.85,95%CI:0.68-1.03,P<0.001),mind-body intervention had the largest effect size(g=1.32,95%CI:0.65-1.99,P<0.001),behavior intervention(g=0.88,95%CI:0.52-1.24,P<0.001),cognitive behavioral intervention(g=0.81,95%CI:0.41-1.22,P<0.001) and mixed intervention(g=0.65,95%CI:0.40-0.90,P<0.001) also achieved medium or large effect size.Conclusion:All kinds of test anxiety interventions for adolescents have significant effects, especially the mind-body intervention.