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社会支持对患有精神疾病的大学生的影响:一项系统评价与叙述性综合分析

The impact of social support on university students living with mental illness: a systematic review and narrative synthesis.

作者信息

Vicary Emily, Kapadia Dharmi, Bee Penny, Bennion Mia, Brooks Helen

机构信息

Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

Department of Sociology, University of Manchester, Manchester, UK.

出版信息

J Ment Health. 2025 Aug;34(4):463-475. doi: 10.1080/09638237.2024.2408237. Epub 2024 Oct 7.

Abstract

BACKGROUND

Limited reviews address the role of social support for university students with mental health issues, despite its proven significance for other vulnerable groups.

AIMS

The current review aims to examine the current evidence on the nature and impact of social support for students with self-reported and diagnosed mental health problems, along with the availability and effectiveness of social support interventions.

METHODS

Electronic databases (CENTRAL, CINAHL, Embase, HMIC, MEDLINE, PsycINFO, SCOPUS, Web of Science) and grey literature databases (EThOS, SSRN) were systematically searched from inception to March 2024 Articles were eligible for inclusion if they reported on the nature and role of social support for university students with mental health problems. Data from included articles were extracted and narratively synthesised. Quality of included studies was assessed using the Mixed Methods Appraisal Tool.

RESULTS

Ten studies, involving 3669 participants, were included. Findings indicated high social support significantly mitigated against suicide, depression, anxiety, and psychological distress. Barriers to support access and both positive and negative impacts on mental health were identified.

CONCLUSIONS

Results underscore the need to consider the distinct support requirements of students with mental health problems, who often face insufficient access to high social support. This emphasises the potential for effective interventions in this population.

摘要

背景

尽管社会支持对其他弱势群体的重要性已得到证实,但针对有心理健康问题的大学生的社会支持作用的综述有限。

目的

本综述旨在研究目前关于社会支持对自我报告及被诊断有心理健康问题的学生的性质和影响的证据,以及社会支持干预措施的可获得性和有效性。

方法

从数据库建立至2024年3月,系统检索电子数据库(CENTRAL、CINAHL、Embase、HMIC、MEDLINE、PsycINFO、SCOPUS、Web of Science)和灰色文献数据库(EThOS、SSRN)。如果文章报道了社会支持对有心理健康问题的大学生的性质和作用,则 eligible for inclusion。提取纳入文章的数据并进行叙述性综合分析。使用混合方法评估工具评估纳入研究的质量。

结果

纳入了10项研究,涉及3669名参与者。研究结果表明,高社会支持显著减轻了自杀、抑郁、焦虑和心理困扰。确定了获得支持的障碍以及对心理健康的积极和消极影响。

结论

结果强调需要考虑有心理健康问题的学生的独特支持需求,他们往往难以获得高水平的社会支持。这凸显了对这一人群进行有效干预的潜力。

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