留守儿童心理健康状况的Meta分析

目的 系统评价农村留守儿童的心理健康状况,对比分析留守与非留守儿童的心理健康状况,为提高留守儿童心理健康水平提供科学依据。方法 计算机检索中国学术期刊网全文数据库(CNKI)、重庆维普中文科技期刊全文数据库、万方科技期刊全文数据库和中国生物医学文献数据库,检索时限为1979-2012年。按照纳入标准[公开发表的文献、采用“心理健康诊断测验”(MHT)测查、设立合理的非留守组作为对照、有完整的样本统计量]进行选择文献和提取资料。对纳入的12篇文献进行Mata分析,用RevMan 4.2软件进行异质性检验,应用随机效应模型计算各研究结果合并的加权均数差和95%的可信区间。 结果 统计结果显示,MHT量表中八个维度学习焦虑、对人焦虑、孤独倾向、身体症状、恐怖倾向、冲动倾向、过敏倾向和自责倾向,除最后二者外,其他六个维度的得分留守组均高于非留守组(P=0.000 1~0.03)。 结论 应采取针对性措施,展开对农村留守儿童心理健康教育工作。

Meta-analysis on mental health of left-behind children

Objective To systematically evaluate and comparatively analyze the mental health status of the left-behind and the non-left behind children in countryside of China,and to provide scientific evidence for the improvement of the left-behind children's mental health level. Methods Such databases as CNKI,VIP,Wanfang Data and CBM (1979 to 2012)were searched.According to the standard of the inclusion criteria（published papers,MHT scale was used,the non-left-behind children as the control group,completed sample statistics）,12 articles were extracted from the included literatures and RevMan4.2 software was used for Meta-analyses.The test showed heterogeneity so that a random effect model was applied to study WMD and the 95% confidential interval. Results 8 dimensions of MHT(study-anxiety,social-anxiety,solitude trend,body symptom,phobia trend,actuation trend,al-lergy trend and self-accusation trend) were statistical significance except last 2 items and the scores of the left-behind children were higher than the non-left behind children（P=0.000 1~0.03）. Conclusion Targeted measures should be taken for mental health education of the left-behind children of rural.