<br>大学生精神疾病的干预措施：系统评价和荟萃分析的总体评价,International Journal of Clinical and Health Psychology

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大学生精神疾病的干预措施：系统评价和荟萃分析的总体评价
International Journal of Clinical and Health Psychology ( IF 5.3 ) Pub Date : 2024-01-12 , DOI: 10.1016/j.ijchp.2023.100431
Huan Huang ₁ , Shaofen Huang ₂ , Shiyun Chen ₃ , Xuping Gao _{3,

4} , Jun Cai ₃ , Yonghui Feng ₃ , Jiazi Liu ₃ , Xin Su ₃ , Jiamin Qiu ₃ , Shiwen Zhang ₃ , Ying Xu ₅ , Zheng Liu ₅ , Ting Wang ₆ , Fangfang Zeng ₃

Affiliation

精神障碍被认为是疾病负担增加的主要原因。大学生似乎更容易受到压力的不利影响，这使他们更有可能患上精神障碍。这项总体审查旨在评估已发表的有关干预措施对大学生精神障碍效果的证据的可信度。为了确定调查干预措施对大学生群体精神障碍影响的系统评价和荟萃分析，我们在 PubMed、Embase 和 Cochrane 数据库等数据库中进行了广泛的检索，检索时间从最初开始到 2023 年 7 月 21 日。对发现的每项荟萃分析都对关键参数进行了彻底的重新分析，例如总结效应估计、95%置信区间、异质性统计、95%预测区间、小型研究效应和过度显着性偏差。纳入了 19 篇文章，涉及 74 项荟萃分析。我们对当前证据的分级表明，基于运动、认知行为干预（CBI）、正念干预（MBI）以及情绪和焦虑干预（MAI）等其他干预措施是有效的，而运动干预的效果最大针对大学生的抑郁和焦虑。然而，大多数研究的证据可信度都很弱。此外，还观察到 CBI 对睡眠障碍的积极影响（SMD：-0.603，95 % CI：-0.916，-0.290；P 随机效应<0.01）和 MAI 对焦虑的积极影响（Hedges'g = -0.198， 95% CI：-0.302，-0.094；P-随机效应<0.01）。根据我们的研究结果，运动干预、CBI 和 MAI 似乎有可能减轻与精神障碍相关的症状。尽管证据的整体可信度和关联的强度都较弱，但这些干预措施为未来的进一步探索和研究提供了有希望的途径。应考虑更多高质量的随机对照试验来验证这些干预措施对各种精神障碍的效果。

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Interventions for psychiatric disorders among university students: An umbrella review of systematic reviews and meta-analyses

Mental disorders are considered to be the main reason for the increase of the disease burden. College students seem to be more vulnerable to the adverse effects of stress, which makes them more at risk of suffering from mental disorders. This umbrella review aimed to evaluate the credibility of published evidence regarding the effects of interventions on mental disorders among university students. To identify systematic reviews and meta-analyses investigating the effects of interventions on mental disorders in the university student population, extensive searches were carried out in databases including PubMed, Embase, and the Cochrane Database, spanning from inception to July 21, 2023. Subsequently, a thorough reanalysis of crucial parameters such as summary effect estimates, 95 % confidence intervals, heterogeneity statistic, 95 % prediction intervals, small-study effects, and excess significance bias was performed for each meta-analysis found. Nineteen articles involving 74 meta-analyses were included. Our grading of the current evidence showed that interventions based on exercise, Cognitive-behavioural Intervention (CBI), mindfulness-based interventions (MBI), and other interventions like mood and anxiety interventions (MAI) were effective whereas exercise intervention had the highest effect size for both depression and anxiety among university students. However, the credibility of the evidence was weak for most studies. Besides, suggestive evidence was observed for the positive effects of CBI on sleep disturbance(SMD: -0.603, 95 % CI: -0.916, -0.290; P-random effects<0.01) and MAI on anxiety (Hedges'g = -0.198, 95 % CI: -0.302, -0.094; P-random effects<0.01). Based on our findings, it appears that exercise interventions, CBI, and MAI have the potential to alleviate symptoms related to mental disorders. Despite the overall weak credibility of the evidence and the strength of the associations, these interventions offer a promising avenue for further exploration and research in the future. More high-quality randomized controlled trials should be taken into account to verify the effects of these interventions on various mental disorders.

更新日期：2024-01-12

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