摘要
目的:综合评价我国小学生抑郁症状的流行情况,为小学生抑郁症状防治工作提供科学依据。方法:检索CBM、CNKI、万方、维普、PubMed、 Embase、APA、Cochrane图书馆等中英文数据库,收集2000~2019年发表的有关小学生抑郁症状流行情况的文献。采用随机效应模型合并抑郁症状检出率,按时间、地区、性别、年级、居住地、量表进行亚组分析。结果:纳入39篇文献,共调查71 170人,其中抑郁症状10 618人,meta分析合并效应值为17.1%(95%CI:14.7%~19.5%)。23篇研究报告了调查时间,亚组分析发现,2011-2018年小学生抑郁症状检出率高于2001~2010年(16.8%vs.13.8%);经济欠发达地区(21.7%)高于其他地区。六年级学生(19.9%)高于其他年级;农村高于城市(18.8%vs.13.9%)。使用最多的是CDI量表,使用CES-D量表所得检出率(22.2%)最高。结论:我国小学生抑郁症状检出率较高,应加强对小学生的心理健康教育。
Objective:To estimate the epidemiology of depressive symptoms among primary school students in China and to provide scientific evidence for control and prevention of depressive symptoms.Methods:The Chinese and English databases were searched to collect the studies published from 2000 and 2019 about the epidemiology of depressive symptoms among Chinese primary school students.Random-effects meta-analysis was adopted to combine the detection rate of depressive symptoms according to the test of heterogeneity, followed by subgroup analyses by time, region, gender, grade, place of residence and screening scale.Results:Totally 39 studies with 71 170 participants and 10 618 students with depressive symptoms met the eligibility criteria.The pooled detection rate of depressive symptoms among primary school students was 17.1%(95%CI:14.7%-19.5%).Subgroup analyses of 23 studies that reported the year of survey showed that the detection rate was 13.8% from 2001 to 2010,16.8% from 2011 to 2018 among the 23 studies.The rates were higher in less-developed areas(21.7%) than in other areas, in boys than in girls(16.3% vs.12.3%),in sixth grade students(19.9%) than in other grade, and in rural students than in urban students(18.8% vs.13.9%).The CDI scale was the most frequently used, and the rate obtained with CES-D(22.2%) was the highest(22.2%).Conclusion:The detection rate of depressive symptoms among primary school students in China may be high.It is necessary to strengthen the mental health education of primary school students.
作者
刘福荣
吴梦凡
董一超
岳馨培
尚小平
隋美丽
刘新奎
LIU Furong;WU Mengfan;DONG Yichao;YUE Xinpei;SHANG Xiaoping;SUI Meili;LIU Xinkui(Department of Medical Records Management,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2021年第6期482-488,共7页
Chinese Mental Health Journal
关键词
小学生
抑郁症状
检出率
META分析
primary school students
depressive symptoms
detection rate
meta-analysis
