Cerolini Silvia, Zagaria Andrea, Franchini Costanza, Maniaci Vito Giuseppe, Fortunato Alexandro, Petrocchi Chiara, Speranza Anna Maria, Lombardo Caterina
Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy.
Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, 00185 Rome, Italy.
Eur J Investig Health Psychol Educ. 2023 Sep 14;13(9):1831-1849. doi: 10.3390/ejihpe13090133.
University counseling services (UCSs) are actively involved in mental health assessment and in supplying interventions aimed at preventing, facing and possibly overcoming psychological problems. However, we do not have a global overview of psychological counseling among universities. This systematic review aims at reviewing the literature on university psychological counseling, including articles documenting: (1) mental health and attitudes regarding help-seeking behaviors and UCSs among university students or counselors, (2) the description of protocols/services among UCSs, (3) the efficacy of psychological counseling/interventions among university students (both face-to-face and internet-delivered interventions). The study followed PRISMA guidelines and was registered on PROSPERO. After defining inclusion and exclusion criteria, a literature search was conducted, identifying 7085 records. Finally, 152 articles met the review eligibility criteria and were included in the qualitative synthesis. Results are divided into seven thematic topics that emerged during the analysis of the literature. The results mainly showed that face-to-face and web-based counseling/psychological interventions improve university students' mental health. Cross-sectional studies showed that many biases exist toward help-seeking behaviors, especially among international students. Both students and counselors must strive to overcome cultural barriers. Available resources for UCSs are scarce and need to be strengthened, as well as efficacy studies through randomized clinical trials.
大学咨询服务（UCSs）积极参与心理健康评估，并提供旨在预防、应对和可能克服心理问题的干预措施。然而，我们对大学中的心理咨询缺乏全面的了解。本系统综述旨在回顾有关大学心理咨询的文献，包括记录以下内容的文章：（1）大学生或咨询师中关于寻求帮助行为和大学咨询服务的心理健康及态度；（2）大学咨询服务中的方案/服务描述；（3）大学生心理咨询/干预措施的效果（包括面对面和网络提供的干预措施）。该研究遵循PRISMA指南，并在PROSPERO上进行了注册。在确定纳入和排除标准后，进行了文献检索，共识别出7085条记录。最后，152篇文章符合综述的纳入标准，并被纳入定性综合分析。结果分为在文献分析过程中出现的七个主题。结果主要表明，面对面和基于网络的咨询/心理干预可改善大学生的心理健康。横断面研究表明，对寻求帮助行为存在许多偏见，尤其是在国际学生中。学生和咨询师都必须努力克服文化障碍。大学咨询服务可用资源稀缺，需要加强，同时也需要通过随机临床试验进行效果研究。
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