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## 1993至2016年医学生心理健康变迁的横断历史研究

,1, 1, 2

1 鲁东大学教育科学学院, 烟台 264011

2 中央财经大学社会与心理学院, 北京 100081

## A cross-temporal meta-analysis of changes in medical college students’ mental health: 1993-2016

,1, 1, 2

1 School of Education Science, Ludong University, Yantai 264011, China

2 School of Sociology and Psychology, Central University of Finance and Economics, Beijing 100081, China

 基金资助: * 国家社会科学基金重点项目.  16AZD057教育部人文社会科学研究青年基金项目.  17YJC190026

Abstract

To investigate the changes of mental health status of medical college students in China, data from 181 papers were analyzed using the cross-temporal meta-analysis. The reporting data were collected from 1993 to 2016 (N = 129613), applying the Symptom Checklist 90 (SCL-90). Results showed that: 1) With only one exception (the phobic anxiety dimension), scores of all other 8 symptom dimensions of SCL-90 were negatively correlated with year, which indicated that the mental health level of medical college students in China has been improved over the past 24 years; 2) Scores of these 8 symptom dimensions were negatively correlated with the level of two social indicators (total expenditure for health and number of registered physicians), which suggested that these two social indicators may be key predicting factors for the increase of mental health status of Chinese medical college students; 3) The increasing trend was slightly more salient with male students than with their female counterparts, however, the gender difference was not significant; 4) The increasing trend of mental health status was more salient and comprehensive with freshmen than with non-freshmen of medical college students in China.

Keywords： medical college students ; mental health ; SCL-90 ; cross-temporal meta-analysis ; meta-analysis

XIN Sufei, JIANG Wenyuan, XIN Ziqiang. (2019). A cross-temporal meta-analysis of changes in medical college students’ mental health: 1993-2016. Advances in Psychological Science, 27(7), 1183-1193

## 1 引言

2.2.1 文献搜集的标准

2.2.2 文献检索

### 图1

1995 1 746 0 0 0 0 2007 18 12874 8 8 2 3
1996 4 2126 1 1 2 1 2008 16 7271 10 10 4 6
1997 5 2086 1 1 2 4 2009 8 9598 5 5 1 4
1998 3 1222 1 1 1 1 2010 8 4337 4 4 2 1
1999 5 4193 1 1 0 1 2011 8 4626 5 5 3 2
2000 6 1668 4 4 3 3 2012 14 9929 6 6 2 1
2001 4 1902 2 2 2 1 2013 12 8722 7 7 2 3
2002 10 3857 4 4 2 1 2014 7 4336 4 4 2 2
2003 12 7363 8 8 5 7 2015 6 7724 3 3 1 1
2004 8 6775 3 3 2 4 2016 9 13769 2 2 7 0
2005 7 4120 4 4 2 1 2017 6 4794 3 3 2 3
2006 13 5575 12 12 5 3 合计 190 129613 98 98 54 53

### 2.3 文献编码及数据整理

$\bar{x}=\sum{\mathop{x}_{i}}\mathop{n}_{i}/\sum{\mathop{n}_{i}}$
$\mathop{S}_{T}=\sqrt{[\sum{{{n}_{i}}s_{i}^{2}+\sum{\mathop{n}_{i}\mathop{(\mathop{x}_{i}-{{{\bar{x}}}_{i}})}^{2}]/\sum{\mathop{n}_{i}}}}}$

r r2 β R2

5年前

### 3.4 男性与女性医学生心理健康随年代的变化及差异

β β

M变化 MSD d r² M变化 MSD d r²

$\bar{d}=\sum{{{W}_{i}}{{d}_{i}}}/\sum{{{W}_{i}}}$
${{W}_{i}}=\text{ }2{{N}_{i}}/(8+{{d}_{i}}^{2})$

D=(M- M)/SD

$SD=\sqrt{[(\mathop{n}_{e}-1)\mathop{S}_{e}^{2}+(\mathop{n}_{c}-1)\mathop{S}_{c}^{2}]/(\mathop{n}_{e}+\mathop{n}_{c}-2)}$

d 0.06 0.03 0.03 0.12 0.13 -0.06 0.15 -0.05 -0.01

β R² β R²

### 4.1 医学生的心理健康水平在24年间不断提高

4.1.1 医学生心理健康水平上升的预测因素

4.1.2 医学生心理健康水平上升的其他可能因素

## 5 结论

(1) 近24年来我国医学生心理健康水平在逐年上升。

(2) 卫生总费用和注册医师数可能是预测医学生心理健康水平的重要因素。

(3) 与男生相比, 女生心理健康水平的上升趋势较为明显, 但心理健康水平得分的性别差异整体上并不明显。

(4) 相较于医学非新生, 医学新生心理健康状况的改善效果更明显和全面。

## 参考文献 原文顺序 文献年度倒序 文中引用次数倒序 被引期刊影响因子

1085名医学生心理健康状况调查

1992年以来中学生心理健康的变迁: 一项横断历史研究

2008年度贵州师范大学学生心理健康状况的调查研究

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