低收入和中等收入国家大学生的压力管理干预措施:系统审查和元分析
Dilfa Juniar1,2, Wouter van Ballegooijen1,3,4, Gabrielle Kleygrewe1
1Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Frontiers in digital health
|September 26, 2025
概括
压力管理干预措施 (SMIs) 有效地减少了来自低收入和中等收入国家 (LMICs) 的大学生的压力. 虽然有希望,但方法上的局限性需要谨慎地解释研究结果,特别是在数字干预方面.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 教育教育教育教育教育教育.
背景情况:
- 大学学生的压力会对学业成绩和生活质量产生负面影响.
- 压力管理干预措施 (SMI) 是有效的,但在低收入和中等收入国家 (LMICs) 缺乏研究.
- 关于中小企业对LMIC学生的有效性的证据有限.
研究的目的:
- 评估中小企业在减少LMIC大学生压力的有效性.
- 在LMIC环境中综合随机对照试验 (RCT) 的证据.
- 在不同人群中确定SMI有效性的潜在调节者和调解者.
主要方法:
- 在多个数据库 (PubMed,Embase,PsycInfo,ERIC,Web of Science,Cochrane Central) 进行系统搜索,截至2024年3月.
- 包括来自8180个已识别的研究的28个RCT.
- 对治疗后应激水平结果的效果大小 (Hedge的g) 的计算.
主要成果:
- 最初的聚合效应大小高且显著 (g = -0.85,p = .002),具有很高的异质性 (I2 = 92.89%).
- 在去除异常值后,发现了中等效果大小 (g = -0.61,p < .001) 与中等异质性 (I2 = 38.9%).
- 方法限制包括高偏差风险,小样本大小和被动对照组;没有观察到显著的亚组差异.
结论:
- 中小企业在减少LMIC大学生压力方面表现出有效性.
- 由于方法论的严谨性问题,研究结果需要谨慎解释.
- 数字中小企业在LMIC环境中显示出可扩展性和成本效益的前景.
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