|
|
2010~2022年中国高职生心理健康问题检出率的元分析
|
Abstract:
目的：描述中国高职生心理健康问题的检出率及影响因素。方法：对一般心理健康问题的各个指标在中国知网，万方和Web of Science三个数据库中独立进行检索，检索时间范围限定为2010-01-01至2022-01-01，使用CMA3.0进行元分析。结果：焦虑、抑郁、自杀意念、自伤、强迫症和躯体化分别纳入97、101、9、6、59和28篇文献，分别包括12,740、188,085、18,220、6512、125,271和45,165名被试，分析结果表明焦虑、抑郁、自杀意念、自伤、强迫症和躯体化的检出率分别为17.13% (95% CI: 14.67%~19.90%)，17.77% (95% CI: 15.04%~20.88%)，7.05% (95% CI: 5.04%~9.78%)，25.41% (95% CI: 15.39%~38.96%)，17.70% (95% CI: 14.28%~21.73%)和6.47% (95% CI: 4.03%~10.23%)，测量工具、检出标准和地域是影响检出率高低的重要因素。结论：高职生的心理健康问题不容忽视，其心理问题严重程度依次为自我伤害、抑郁、强迫症、焦虑、自杀意念和躯体化问题，其中躯体化问题日趋严重，因此应及时对高职生的心理健康状态进行关注和干预。
Objective: To describe the prevalence and influencing factors of general mental health problems in Chinese higher vocational students. Methods: The indicators of general mental health problems were searched independently on three databases: CNKI, Wan Fang and Web of Science. The time range was confined to date between 2010-01-01 and 2022-01-01. CMA 3.0 was used for meta-analysis. Results: Anxiety, depression, suicidal idealization, self-injury, obsessive-compulsive disorder and somatization were included in 97, 101, 9, 6, 59 and 28 papers respectively, including 12,740, 188,085, 18,220, 6512, 125,271 and 45,165 subjects respectively; the results showed that the detection rates of anxiety, depression, suicidal ideation, self-injury, OCD and somatisation were 17.13% (95% CI: 14.67%~19.90%), 17.77% (95% CI: 15.04%~20.88%), 7.05% (95% CI: 5.04%~ 9.78%), 25.41% (95% CI: 15.39%~38.96%), 17.70% (95% CI: 14.28%~21.73%) and 6.47% (95% CI: 4.03%~10.23%), measurement tools, detection standards and geographical areas are important factors affecting the prevalence of high and low. Conclusion: Higher vocational students’ mental health problems should not be ignored. Their psychological problems are self-harm, depression, obsessive-compulsive disorder, anxiety, suicidal ideation and somatization problems in order of severity, among which somatization problems are getting more and more serious, so the mental health status of higher vocational students should be paid attention to and intervened in time.
| [1] | 陈雨濛, 张亚利, 俞国良(2022). 2010-2020中国内地大学生心理健康问题检出率的元分析. 心理科学进展, 30(5), 991-1004. |
| [2] | 贾晓珊, 朱海东(2021). 社会经济地位与儿童青少年心理健康关系的元分析. 心理与行为研究, 19(5), 671-678. |
| [3] | 雷洁, 赵瑾, 马玲, 武丽红, 苏春娟(2021). 高职生睡眠卫生习惯预测心理健康的路径分析. 中国健康心理学杂志, 29(3), 436-440. https://doi.org/10.13342/j.cnki.cjhp.2021.03.024 |
| [4] | 李远贵(2006). 论高等教育公平——对我国高等教育公平问题的认识和思考. 西华大学学报(哲学社会科学版), (3), 94-96. https://doi.org/10.19642/j.issn.1672-8505.2006.03.028 |
| [5] | 林佳燕, 刘文庆(2014). 高职院校贫困生心理健康问题的元分析及教育策略. 职教论坛, (5), 25-27. |
| [6] | 刘进, 林松月, 王艺蒙, 马丽娜(2019). 西部生源大学生学业表现的多维对比分析——基于B大学N学院学生的实证研究. 重庆高教研究, 7(4), 12-29. https://doi.org/10.15998/j.cnki.issn1673-8012.2019.04.002 |
| [7] | 马文燕, 黄大炜, 高朋, 邹维兴(2022). 新冠疫情期间压力性生活事件和高职高专学生自杀意念的关系: 反刍思维和抑郁的链式中介作用. 中国健康心理学杂志, 30(7), 1037-1042. |
| [8] | 倪仕钢, 陈燕, 金岳龙, 贺连平, 姚应水(2014). 高职院校学生焦虑状况及其影响因素的研究. 泰山医学院学报, 35(5), 346-348. |
| [9] | 钱淑红, 张克峰, 段一鑫(2020). 大学生非自杀性自我伤害与冲动性和抑郁症状的关系. 中国心理卫生杂志, 34(11), 945-949. |
| [10] | 申鲁军, 杨磊, 罗艳艳(2016). 高职生考试焦虑状况及影响因素分析. 职业技术教育, 37(8), 63-66. |
| [11] | 谭琪钰, 栾烨, 徐超, 徐景菊, 黄静雯, 郝姝鑫, 李伟, 罗盛(2022). 中国大学生自杀意念检出率的Meta分析. 现代预防医学, 49(7), 1269-1274. |
| [12] | 王红姣, 卢家楣(2009). 高职生压力源及应付方式特点研究. 心理科学, 32(6), 1328-1332+1305.
https://doi.org/10.16719/j.cnki.1671-6981.2009.06.055 |
| [13] | 王立高(2019). 高职学生压力、情绪表达和学习适应的关系研究——基于广西壮族自治区的问卷调查. 职业技术教育, 40(2), 76-80. |
| [14] | 王蜜源, 韩芳芳, 刘佳, 黄凯琳, 彭红叶, 黄敏婷, 赵振海(2020). 大学生抑郁症状检出率及相关因素的meta分析. 中国心理卫生杂志, 34(12), 1041-1047. |
| [15] | 王旭, 刘衍玲, 林杰, 刘传星, 魏灵真, 邱涵宇(2022). 亲子关系对中学生心理健康的影响: 社会支持和心理素质的链式中介作用. 心理发展与教育, 38(2), 263-271. https://doi.org/10.16187/j.cnki.issn1001-4918.2022.02.13 |
| [16] | 吴愈晓, 张帆(2020). “近朱者赤”的健康代价: 同辈影响与青少年的学业成绩和心理健康. 教育研究, 41(7), 123-142. |
| [17] | 辛素飞, 王一鑫, 林崇德(2018). 高职生心理健康水平变迁的横断历史研究: 1999-2016年. 教育研究, 39(11), 120-130. |
| [18] | 杨立军, 徐隽(2021). 区域背景如何影响大学生发展——基于CCSS调查的大学生发展指数GTWR模型分析. 高等教育研究, 42(2), 82-90. |
| [19] | 俞国良, 王浩, 赵凤青(2017). 心理健康教育: 高职院校学生的自卑与超越. 中国职业技术教育, (7), 28-32. |
| [20] | 俞国良, 赵凤青, 罗晓路(2017). 心理健康教育: 高等院校的地区差异比较研究. 黑龙江高教研究, (12), 89-92. |
| [21] | 张师辉, 何仕(2021). 农村生源大学新生心理健康状况及其应对——以福建省某本科高校近五届新生研究为例. 福建工程学院学报, 19(5), 492-499. |
| [22] | 周哲(2019). 高职生心理健康的影响因素及教育对策. 南方农机, 50(2), 145. |
| [23] | Anderson, E. R., & Mayes, L. C. (2010). Race/Ethnicity and Internalizing Disorders in Youth: A Review. Clinical Psychology Review, 30, 338-348. https://doi.org/10.1016/j.cpr.2009.12.008 |
| [24] | Cao, X.-L., Zhong, B.-L., Xiang, Y.-T., Ungvari, G. S., Lai, K. Y. C., Chiu, H. F. K., & Caine, E. D. (2015). Prevalence of Suicidal Ideation and Suicide Attempts in the General Population of China: A Meta-Analysis. International Journal of Psychiatry in Medicine, 49, 296-308. https://doi.org/10.1177/0091217415589306 |
| [25] | Carr, C. P., Severi Martins, C. M., Stingel, A. M., Lemgruber, V. B., & Juruena, M. F. (2013). The Role of Early Life Stress in Adult Psychiatric Disorders: A Systematic Review According to Childhood Trauma Subtypes. Journal of Nervous and Mental Disease, 201, 1007-1020. https://doi.org/10.1097/NMD.0000000000000049 |
| [26] | Cheng, Q., Xu, Y., Xie, L., Hu, Y., & Lv, Y. (2019). Prevalence and Environmental Impact Factors of Somatization Tendencies in Eastern Chinese Adolescents: A Multicenter Observational Study. Cadernos De Saude Publica, 35, e00008418.
https://doi.org/10.1590/0102-311x00008418 |
| [27] | Cheung, M. W.-L., & Vijayakumar, R. (2016). A Guide to Conducting a Meta-Analysis. Neuropsychology Review, 26, 121-128. https://doi.org/10.1007/s11065-016-9319-z |
| [28] | Demenech, L. M., Oliveira, A. T., Neiva-Silva, L., & Dumith, S. C. (2021). Prevalence of Anxiety, Depression and Suicidal Behaviors among Brazilian Undergraduate Students: A Systematic Review and Meta-Analysis. Journal of Affective Disorders, 282, 147-159. https://doi.org/10.1016/j.jad.2020.12.108 |
| [29] | Derogatis, L. R. (1977). SCL-90-R: Administration, Scoring, and Procedures Manual I for the R(evised) Version. Clinical Psychometric Research. |
| [30] | Fortney, J. C., Curran, G. M., Hunt, J. B., Cheney, A. M., Lu, L., Valenstein, M., & Eisenberg, D. (2016). Prevalence of Probable Mental Disorders and Help-Seeking Behaviors among Veteran and Non-Veteran Community College Students. General Hospital Psychiatry, 38, 99-104. https://doi.org/10.1016/j.genhosppsych.2015.09.007 |
| [31] | Gao, L., Xie, Y., Jia, C., & Wang, W. (2020). Prevalence of Depression among Chinese University Students: A Systematic Review and Meta-Analysis. Scientific Reports, 10, 15897. https://doi.org/10.1038/s41598-020-72998-1 |
| [32] | Khazaie, H., Zakiei, A., McCall, W. V., Noori, K., Rostampour, M., Bahmani, D. S., & Brand, S. (2021). Relationship between Sleep Problems and Self-Injury: A Systematic Review. Behavioral Sleep Medicine, 19, 689-704.
https://doi.org/10.1080/15402002.2020.1822360 |
| [33] | Klonsky, E. D. (2007). The Functions of Deliberate Self-Injury: A Review of the Evidence. Clinical Psychology Review, 27, 226-239. https://doi.org/10.1016/j.cpr.2006.08.002 |
| [34] | Lang, J., & Yao, Y. (2018). Prevalence of Nonsuicidal Self-Injury in Chinese Middle School and High School Students: A Meta-Analysis. Medicine, 97, e12916. https://doi.org/10.1097/MD.0000000000012916 |
| [35] | Li, W., Zhao, Z., Chen, D., Peng, Y., & Lu, Z. (2022). Prevalence and Associated Factors of Depression and Anxiety Symptoms among College Students: A Systematic Review and Meta-Analysis. Journal of Child Psychology and Psychiatry, 63, 1222-1230. https://doi.org/10.1111/jcpp.13606 |
| [36] | Li, Z.-Z., Li, Y.-M., Lei, X.-Y., Zhang, D., Liu, L., Tang, S.-Y., & Chen, L. (2014). Prevalence of Suicidal Ideation in Chinese College Students: A Meta-Analysis. PLOS ONE, 9, e104368. https://doi.org/10.1371/journal.pone.0104368 |
| [37] | Liu, W., Li, J., Huang, Y., Yu, B., Qin, R., & Cao, X. (2021). The Relationship between Left-Behind Experience and Obsessive-Compulsive Symptoms in College Students in China: The Mediation Effect of Self-Esteem. Psychology Health & Medicine, 26, 644-655. https://doi.org/10.1080/13548506.2020.1748667 |
| [38] | McIntyre, M. H., & Edwards, C. P. (2009). The Early Development of Gender Differences. Annual Review of Anthropology, 38, 83-97. https://doi.org/10.1146/annurev-anthro-091908-164338 |
| [39] | Radloff, L. S. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306 |
| [40] | Schlarb, A. A., Cla？en, M., Hellmann, S. M., V？gele, C., & Gulewitsch, M. D. (2017). Sleep and Somatic Complaints in University Students. Journal of Pain Research, 10, 1189-1199. https://doi.org/10.2147/JPR.S125421 |
| [41] | Schulze, R. (2007). Current Methods for Meta-Analysis. Journal of Psychology, 215, 90-103.
https://doi.org/10.1027/0044-3409.215.2.90 |
| [42] | Shafer, A. B. (2006). Meta-Analysis of the Factor Structures of Four Depression Questionnaires: Beck, CES-D, Hamilton, and Zung. Journal of Clinical Psychology, 62, 123-146. https://doi.org/10.1002/jclp.20213 |
| [43] | Silvers, J. A., McRae, K., Gabrieli, J. D. E., Gross, J. J., Remy, K. A., & Ochsner, K. N. (2012). Age-Related Differences in Emotional Reactivity, Regulation, and Rejection Sensitivity in Adolescence. Emotion, 12, 1235-1247.
https://doi.org/10.1037/a0028297 |
| [44] | Slade, T., & Watson, D. (2006). The Structure of Common DSM-IV and ICD-10 Mental Disorders in the Australian General Population. Psychological Medicine, 36, 1593-1600. https://doi.org/10.1017/S0033291706008452 |
| [45] | Sultan, S., Fallata, E. O., Abu Bashar, M. D., Olaqi, E. E., Alsharif, G. H., BinSaleh, R. A., & Fakieh, R. A. (2021). Prevalence, Sociodemographic and Academic Correlates of Obsessive-Compulsive Disorder in the Students of College of Applied Medical Sciences, Umm Al-Qura University. Journal of Obsessive-Compulsive and Related Disorders, 28, Article ID: 100604. https://doi.org/10.1016/j.jocrd.2020.100604 |
| [46] | Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of Nonsuicidal Self-Injury in Nonclinical Samples: Systematic Review, Meta-Analysis and Meta-Regression. Suicide and Life-Threatening Behavior, 44, 273-303. https://doi.org/10.1111/sltb.12070 |
| [47] | Taouk, M., Lovibond, P. F., & Laube, R. (2001). Psychometric Properties of a Chinese Version of the 21-Item Depression Anxiety Stress Scales (DASS21). Report for New South Wales Transcultural Mental Health Centre. Cumberland Hospital. |
| [48] | Wu, D., Rockett, I. R. H., Yang, T., Feng, X., Jiang, S., & Yu, L. (2016). Deliberate Self-Harm among Chinese Medical Students: A Population-Based Study. Journal of Affective Disorders, 202, 137-144.
https://doi.org/10.1016/j.jad.2016.05.030 |
| [49] | Yoldascan, E., Ozenli, Y., Kutlu, O., Topal, K., & Bozkurt, A. I. (2009). Prevalence of Obsessive-Compulsive Disorder in Turkish University Students and Assessment of Associated Factors. BMC Psychiatry, 9, 40.
https://doi.org/10.1186/1471-244X-9-40 |
| [50] | Zanon, C., Brenner, R. E., Baptista, M. N., Vogel, D. L., Rubin, M., Al-Darmaki, F. R., Gon？alves, M., Heath, P. J., Liao, H.-Y., Mackenzie, C. S., Topkaya, N., Wade, N. G., & Zlati, A. (2021). Examining the Dimensionality, Reliability, and Invariance of the Depression, Anxiety, and Stress Scale-21 (DASS-21) Across Eight Countries. Assessment, 28, 1531-1544.
https://doi.org/10.1177/1073191119887449 |
| [51] | Zung, W. W. (1965). A Self-Rating Depression Scale. Archives of General Psychiatry, 12, 63-70.
https://doi.org/10.1001/archpsyc.1965.01720310065008 |
| [52] | Zung, W. W. (1971). A Rating Instrument for Anxiety Disorders. Psychosomatics, 12, 371-379.
https://doi.org/10.1016/S0033-3182(71)71479-0 |
