<br>大学生精神疾病的干预措施：系统评价和荟萃分析的总括性评价,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括性评价
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，这使他们更容易患上精神障碍。本伞式综述旨在评估已发表的关于干预措施对大学生精神障碍影响的证据的可信度。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，在包括 PubMed、Embase 和 Cochrane 数据库在内的数据库中进行了广泛的检索，时间跨度从建库到 2023 年 7 月 21 日。随后，对发现的每个荟萃分析对关键参数进行彻底的重新分析，例如汇总效应估计、95 % 置信区间、异质性统计、95 % 预测区间、小规模研究效应和超额显着性偏倚。共纳入 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）、基于正念的干预（MBI）和其他干预措施（如情绪和焦虑干预（MAI））是有效的，而运动干预对大学生的抑郁和焦虑效果最大。然而，对于大多数研究来说，证据的可信度很弱。此外，观察到 CBI 对睡眠障碍的积极影响的提示性证据（SMD： -0.603， 95 % CI： -0.916， -0.290;P 随机效应<0.01）和 MAI 对焦虑的影响（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 似乎有可能缓解与精神障碍相关的症状。尽管证据的总体可信度较低，但这些干预措施为未来的进一步探索和研究提供了一条有希望的途径。应考虑更多高质量的随机对照试验，以验证这些干预措施对各种精神障碍的影响。

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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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