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新冠疫情期间孟加拉国学生的精神障碍:一项系统综述

Mental Disorders of Bangladeshi Students During the COVID-19 Pandemic: A Systematic Review.

作者信息

Al Mamun Firoj, Hosen Ismail, Misti Jannatul Mawa, Kaggwa Mark Mohan, Mamun Mohammed A

机构信息

Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Savar, Dhaka, 1342, Bangladesh.

Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.

出版信息

Psychol Res Behav Manag. 2021 May 31;14:645-654. doi: 10.2147/PRBM.S315961. eCollection 2021.

Abstract

BACKGROUND

The unprecedented COVID-19 pandemic has become a global burden disrupting peoples' quality of life. Students being an important cohort of a country, their mental health during this pandemic has been recognized as a concerning issue. Therefore, the prevalence and associated risk factors of Bangladeshi students' mental health sufferings (ie, depression, anxiety, and stress) are systematically reviewed herein for the first time.

METHODS

Adhering to the PRISMA guideline, a systematic search was performed from 1 to 5 April, 2021 in several databases including PubMed; and finally, a total of 7 articles were included to this review.

RESULTS

The prevalence rates of mild to severe symptoms of depression, anxiety, and stress ranged from 46.92% to 82.4%, 26.6% to 96.82%, and 28.5% to 70.1%, respectively. The risk factors concerning mental health problems included the factors related to (i) socio-demographic (younger age, gender, lower educational grade, urban residence, family size, currently living with family/parents, and having children in the family), (ii) behavior and health (smoking status, lack of physical exercise, more internet browsing time, and dissatisfaction with sleep), (iii) COVID-19 pandemic- (COVID-19 related symptoms, COVID-19 related perceptions, and fear of COVID-19 infection), (iv) miscellaneous (losing part-time teaching job, lack of study concentration, agitation, fear of getting assaulted or humiliated on the way to the hospital or home, financial problems, academic dissatisfaction, inadequate food supply, higher exposure to COVID-19 social and mass media, engaging with more recreational activities, and performing more household chores).

CONCLUSION

The overall assumption of mental disorders' prevalence rates can be regarded as problematic to this cohort. Thus, the authorities should consider setting up possible strategies to diminish the pandemic effect on students' mental health.

摘要

背景

史无前例的新冠疫情已成为扰乱人们生活质量的全球负担。学生作为一个国家的重要群体,他们在此次疫情期间的心理健康已被视为一个令人担忧的问题。因此,本文首次对孟加拉国学生心理健康问题(即抑郁、焦虑和压力)的患病率及相关风险因素进行了系统综述。

方法

遵循PRISMA指南,于2021年4月1日至5日在包括PubMed在内的多个数据库中进行了系统检索;最终,本综述共纳入7篇文章。

结果

抑郁、焦虑和压力的轻度至重度症状的患病率分别为46.92%至82.4%、26.6%至96.82%和28.5%至70.1%。与心理健康问题相关的风险因素包括:(i)社会人口统计学因素(年龄较小、性别、教育程度较低、城市居住、家庭规模、目前与家人/父母同住以及家中有孩子),(ii)行为和健康因素(吸烟状况、缺乏体育锻炼、上网时间过长以及睡眠不满意),(iii)新冠疫情相关因素(新冠相关症状、对新冠的认知以及对新冠感染的恐惧),(iv)其他因素(失去兼职教学工作、学习注意力不集中、烦躁不安、在去医院或回家途中担心遭到袭击或羞辱、经济问题、学业不满意、食物供应不足、更多接触新冠相关社会和大众媒体、参与更多娱乐活动以及承担更多家务)。

结论

对于这一群体而言,精神障碍患病率的总体假设可能存在问题。因此,当局应考虑制定可能的策略,以减轻疫情对学生心理健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f2/8180282/26753a122e0d/PRBM-14-645-g0001.jpg

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