新冠肺炎疫情发生前后中国大学生焦虑症状及相关因素的meta分析  

A meta-analysis of anxiety symptoms and related factors in Chinese college students before and after the COVID-19 epidemic

作　　者：翟文海[1] 张琼[1] 胡卫[1] 闫俊 ZHAI Wenhai;ZHANG Qiong;HU Wei;YAN Jun(The Medical College of China Three Gorges University,Y ichang 443002,Hubei Province,China)

机构地区：[1]三峡大学医学院,湖北宜昌443002

出　　处：《中国心理卫生杂志》2022年第7期626-632,共7页Chinese Mental Health Journal

摘　　要：目的:探讨中国大学生焦虑症状及其相关因素在新冠肺炎疫情(简称疫情)发生前后的变化。方法:检索中英文数据库,收集以焦虑自评量表(SAS)为工具研究中国大学生焦虑相关因素的文献,以纳入文献的调查时间在2020年1月前定为疫情前、此后为疫情期间,运用Stata15.1软件进行meta分析。结果:纳入疫情前文献24篇、疫情期间文献14篇。疫情期间大学生焦虑症状检出率高于疫情前(24.2%vs.21.9%)。13个因素被纳入meta分析,疫情前大四年级、独生子女、性格内向、抑郁症状、身体不健康、睡眠质量差、单亲家庭、家庭经济差是大学生焦虑症状的危险因素(OR=1.48、1.24、1.59、6.62、2.23、1.82、2.77、2.13),女性、体育锻炼、高社会支持是其保护因素(OR=0.82、0.53、0.71);疫情期间大四年级、性格内向、抑郁症状、身体不健康、睡眠质量差、家庭经济差是大学生焦虑症状的危险因素(OR=2.57、1.45、1.34、3.96、1.87、1.59),医学生、体育锻炼、高社会支持是其保护因素(OR=0.73、0.66、0.57)。结论:女性、大四年级、身体不健康、抑郁症状、体育锻炼、家庭经济差、单亲家庭和高社会支持对大学生焦虑症状的影响在疫情前后差异明显。Objective:To explore the changes of anxiety symptoms and related factors in Chinese college students before and after the COVID-19 epidemic.Methods:The Chinese and English databases were searched to collect the studies on related factors of anxiety symptoms in Chinese college students with the Self-Rating Anxiety Scale(SAS).According to the survey time in the studies,it was divided into the before and during the epidemic.Meta-analysis was performed by using Statal5.1.Results:Totally 24 studies were included before the epidemic and 14 studies during the epidemic.The detection rate of anxiety symptoms in college students during the epidemic was higher than that before(24.2%vs.21.9%).Totally 13 factors were included in the meta-analysis.Among them,senior year of college,only child,introvert,depression,physical illness,poor sleep quality,single parent and poor family economy were the risk factors for anxiety symptoms in college students before the epidemic(OR=1.48,1.24,1.59,6.62,2.23,1.82,2.77,2.13),and female,physical exercise and high social support were the protective factors(OR=0.82,0.53,0.71).Senior year of college,introvert,depression,physical illness,poor sleep quality and poor family economy were the risk factors during the epidemic(OR=2.57,1.45,1.34,3.96,1.87,1.59),and medical student,physical exercise and high social support were the protective factors(OR=0.73,0.66,0.57).Conclusion:There exist significant differences between the influences of female,senior year of college,physical illness,depression,physical exercise,poor family economy,single parent and high social support with anxiety symptoms in Chinese college students before and during the epidemic.

关 键 词：新冠肺炎疫情 焦虑症状 大学生 相关因素 META分析 

分 类 号：B845.67[哲学宗教—心理学] R749.72[医药卫生—神经病学与精神病学]