基于世界卫生组织健康促进学校架构的心理行为健康服务及其健康效益:系统综述的系统综述  

Psychological-behavioral health services and its outcome based on World Health Organization health-promoting school framework:a systematic review of systematic reviews

作　　者：王少璞[1] 陈钢[2] WANG Shaopu;CHEN Gang(Guangdong Vocational Institute of Sports,Guangzhou,Guangdong 510000,China;School of Physical Education and Sport Sciences,Soochow University,Suzhou,Jiangsu 215021,China)

机构地区：[1]广东体育职业技术学院,广东广州市510000 [2]苏州大学体育学院,江苏苏州市215021

出　　处：《中国康复理论与实践》2023年第7期800-807,共8页Chinese Journal of Rehabilitation Theory and Practice

基　　金：教育部规划基金项目(No.20YJA890001)。

摘　　要：目的探讨基于世界卫生组织(WHO)健康促进学校(HPS)架构下学校心理行为健康服务及其对儿童和青少年心理行为健康的效果。方法检索Medline、EBSCO、PubMed、Web of Science数据库,收集2013年至2023年6月公开发表有关基于WHO HPS架构的学校心理行为健康服务及其健康效益的系统综述,进行系统综述。结果最终纳入7篇文献,涵盖261项研究,来自6个国家;主要来源于儿童心理健康、健康促进学校、学校健康等领域期刊,发表日期主要集中在2013年至2022年。学校心理行为健康服务主要涉及学校健康教育课程和学校健康服务两个领域。学校健康教育课程由受过专业培训的专职教师提供心理健康课程和健康教育课程;学校健康服务由学校专业心理干预(咨询和治疗)人员提供心理行为健康筛查、针对心理行为健康问题的预防性干预、心理健康状况临床评估、心理行为健康管理服务、心理行为健康促进、心理行为支持性服务等。学校心理行为健康服务的健康效益主要包括减轻儿童和年轻人的焦虑和抑郁症状和发病率,降低压力情绪的负面影响,减少消极低落情绪,提升积极态度,提升适应力,增加幸福感,改善学生积极心理状态,改善认知功能(持续注意力、流动智力、信息加工速度和执行功能),树立正确的心理健康观念与态度,帮助学生提高学习兴趣,降低风险行为,提高应对日常生活逆境和负面事件的能力,减少压力下的心理行为问题,适应能力得到更好发展;对学业成绩有积极影响;有效提高学生心理健康素养,掌握有关心理障碍的知识并提高防范意识,提高识别心理障碍征兆和症状的能力,消除对心理健康的污名化认知,促进社交,提升儿童青少年心理求助行为能力。结论基于WHO HPS架构学校心理行为服务主要涉及学校健康教育课程和学校健康服务两个领域。学校心理行为健康服务的�Objective To review the effect of school-based psychological and behavioral health services based on the World Health Organization(WHO)health-promoting school(HPS)framework on the psychological and behavioral health of children and adolescents.Methods Systematic reviews on school-based psychological and behavioral health services based on WHO HPS framework and the health outcome,published from 2013 to June,2023,were searched from Medline,EBSCO,PubMed,Web of Science.A systematic review of the systematic reviews was conducted.Results Seven articles were included,involving 261 studies,from six countries,from the journals in the fields of children's psychological health,HPS and school health,published mainly from 2013 to 2022.School-based psychological and behavioral health services involved school health education curriculum and school health services.School health education curriculum included psychological health courses and health education provided by trained teachers.School health services involved various services provided by professionals in school settings,including psychological screening,preventive interventions for psychological and behavioral health issues,clinical assessment,management services,promotion,and supportive services.The health benefits of school-based psychological and behavioral health services included relieving symptoms and incidence of anxiety and depression,alleviating the negative impact of stress,decreasing negative mood,enhancing positive attitudes and resilience,increasing happiness,improving positive psychological well-being,enhancing cognitive functions(such as sustained attention,fluid intelligence,information processing speed and executive functions),fostering correct attitudes and awareness of psychological health,helping students develop interest in learning,enhancing psychological health literacy,knowledge of psychological disorders,awareness of prevention,ability to recognize signs and symptoms,eliminating stigma related to psychological health,promoting social interaction,a

关 键 词：心理行为健康 健康促进学校 心理健康服务 系统综述 

分 类 号：R494[医药卫生—康复医学]