Interventions for psychiatric disorders among university students: An umbrella review of systematic reviews and meta-analyses

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL International Journal of Clinical and Health Psychology Pub Date : 2024-01-01 DOI:10.1016/j.ijchp.2023.100431

Huan Huang , Shaofen Huang , Shiyun Chen , Xuping Gao , Jun Cai , Yonghui Feng , Jiazi Liu , Xin Su , Jiamin Qiu , Shiwen Zhang , Ying Xu , Zheng Liu , Ting Wang , Fangfang Zeng

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Abstract

Background

Mental disorders are considered to be the main reason for the increase of the disease burden. College students seem to be more vulnerable to the adverse effects of stress, which makes them more at risk of suffering from mental disorders. This umbrella review aimed to evaluate the credibility of published evidence regarding the effects of interventions on mental disorders among university students.

Methods

To identify systematic reviews and meta-analyses investigating the effects of interventions on mental disorders in the university student population, extensive searches were carried out in databases including PubMed, Embase, and the Cochrane Database, spanning from inception to July 21, 2023. Subsequently, a thorough reanalysis of crucial parameters such as summary effect estimates, 95 % confidence intervals, heterogeneity I² statistic, 95 % prediction intervals, small-study effects, and excess significance bias was performed for each meta-analysis found.

Results

Nineteen articles involving 74 meta-analyses were included. Our grading of the current evidence showed that interventions based on exercise, Cognitive-behavioural Intervention (CBI), mindfulness-based interventions (MBI), and other interventions like mood and anxiety interventions (MAI) were effective whereas exercise intervention had the highest effect size for both depression and anxiety among university students. However, the credibility of the evidence was weak for most studies. Besides, suggestive evidence was observed for the positive effects of CBI on sleep disturbance(SMD: -0.603, 95 % CI: -0.916, -0.290; P-random effects<0.01) and MAI on anxiety (Hedges'g = -0.198, 95 % CI: -0.302, -0.094; P-random effects<0.01).

Conclusion

Based on our findings, it appears that exercise interventions, CBI, and MAI have the potential to alleviate symptoms related to mental disorders. Despite the overall weak credibility of the evidence and the strength of the associations, these interventions offer a promising avenue for further exploration and research in the future. More high-quality randomized controlled trials should be taken into account to verify the effects of these interventions on various mental disorders.

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对大学生精神障碍的干预：系统综述和荟萃分析总览

背景精神障碍被认为是疾病负担加重的主要原因。大学生似乎更容易受到压力的不良影响，这使他们更有可能患上精神障碍。本综述旨在评估已发表的有关干预措施对大学生精神障碍影响的证据的可信度。方法为了确定调查干预措施对大学生精神障碍影响的系统综述和荟萃分析，我们在包括PubMed、Embase和Cochrane数据库在内的数据库中进行了广泛的检索，时间跨度从开始到2023年7月21日。随后，对所发现的每项荟萃分析的关键参数，如摘要效应估计值、95 % 置信区间、异质性 I2 统计量、95 % 预测区间、小研究效应和过度显著性偏倚进行了全面的重新分析。我们对现有证据进行了分级，结果显示，基于运动的干预、认知行为干预（CBI）、正念干预（MBI）以及其他干预，如情绪和焦虑干预（MAI）都是有效的，而运动干预对大学生抑郁和焦虑的效果最大。然而，大多数研究的证据可信度较低。此外，还观察到提示性证据表明，情绪和焦虑干预对睡眠障碍（SMD：-0.603，95 % CI：-0.916，-0.290；P-随机效应<0.01）和情绪和焦虑干预对焦虑（Hedges'g = -0.198，95 % CI：-0.302，-0.094；P-随机效应<0.01）有积极影响。尽管证据的可信度和关联的强度总体上较弱，但这些干预措施为未来的进一步探索和研究提供了一个前景广阔的途径。应考虑进行更多高质量的随机对照试验，以验证这些干预措施对各种精神障碍的影响。

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.