Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Psychiatry Res. 2021 Jul;301:113863. doi: 10.1016/j.psychres.2021.113863. Epub 2021 Mar 9.
The COVID-19 pandemic and its accompanying infection control measures introduced significant disruptions to the routines of many higher education students around the world. It also deprived them of in-person counselling services and social support. These changes have put students at a greater risk of developing mental illness. The objective of this review is to assess the prevalence of depressive symptoms, anxiety symptoms and sleep disturbances in higher education students during the pandemic. A systematic search of English and Chinese databases was conducted current to January 1, 2021. The quality of included studies was evaluated using a modified Newcastle-Ottawa scale. Prevalence of depressive symptoms, anxiety symptoms and sleep disturbances were pooled using random-effects meta-analysis. Eighty-nine studies (n=1,441,828) were included. The pooled prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances was 34%, 32% and 33%, respectively. The prevalence values differ based on geographical regions, diagnostic criteria, education level, undergraduate year of study, financial situation, living arrangements and gender. Overall, the prevalence of depressive symptoms and anxiety symptoms synthesized in this study was higher compared to pre-pandemic prevalence in similar populations. Evidently, mental health screening and intervention should be a top priority for universities and colleges during the pandemic.
COVID-19 大流行及其伴随的感染控制措施给全球许多高等教育学生的日常生活带来了重大干扰。它还剥夺了他们的面对面咨询服务和社会支持。这些变化使学生更容易患上精神疾病。本综述的目的是评估大流行期间高等教育学生中抑郁症状、焦虑症状和睡眠障碍的患病率。截至 2021 年 1 月 1 日，对英文和中文数据库进行了系统搜索。使用改良的纽卡斯尔-渥太华量表评估纳入研究的质量。使用随机效应荟萃分析汇总抑郁症状、焦虑症状和睡眠障碍的患病率。共纳入 89 项研究（n=1,441,828）。抑郁症状、焦虑症状和睡眠障碍的总患病率分别为 34%、32%和 33%。患病率值因地理位置、诊断标准、教育水平、本科学习年级、经济状况、居住安排和性别而异。总体而言，与类似人群的大流行前患病率相比，本研究综合的抑郁症状和焦虑症状患病率较高。显然，在大流行期间，心理健康筛查和干预应该是大学和学院的首要任务。
