Meta-analysis of depression detection rate and influencing factors among Chinese medical students

Abstract

Abstract: Objective To understand the detection rate and influencing factors of depression among Chinese medical students,provide reference for the psychological health education and scientific management of medical students with depression. Methods A computer search was conducted in both Chinese and English databases,including PubMed,Cochrane Library,EBSCO,CNKI,Wan Fang,and VIP,for cross-sectional studies on the influencing factors of depression among Chinese medical students published from January 2010 to March 2023. After data extraction and quality evaluation by two independent researchers,meta-analysis was performed using RevMan 5.4.1 software. Results A total of 26 articles were included,with a sample size of 42 382.The results of meta-analysis showed that the detection rate of depression among Chinese medical students was 30.63%（95%CI：26.50%-34.75%）. The male（OR=1.24,95%CI：1.07-1.43）,third year of study（OR=1.56,95%CI：1.13-2.16）,single parent（OR=1.73,95%CI：1.42-2.11）,not satisfied with the profession（OR=4.18,95%CI：1.53-11.41）,family relationship breakdown（OR=2.83,95%CI：1.84-4.35）,no physical activity（OR=1.59,95%CI：1.46-1.72）, self-rated physical health is general/poor（OR=2.34,95%CI：1.41-3.87）,history of smoking and alcohol consumption（OR=2.14、1.71,95%CI：1.67-2.74、1.50-1.96）,introverted personality（OR=1.69,95%CI：1.47-1.94）,left-behind children（OR=1.63,95%CI：1.33-2.00）,experience of bullying（OR=2.51,95%CI：1.94-3.25） and average/poor student relationship（OR=2.34,95%CI：1.69-3.24） were risk factors for depression among medical students（all P<0.05）. Conclusions The detection rate of depression among Chinese medical students is relatively high. Third year of study,poor social support,and bad behavior patterns are risk factors for depression among medical students. Therefore,targeted psychological intervention and health education should be strengthened.

Key words: Medical students, Depression, Detection rate, Influencing factors, Meta-analysis

CLC Number:

R181.2

LI Qiming, PAN Huaping, AN Xianglin, LU Ying, LI Yafang, LU Xinyu. Meta-analysis of depression detection rate and influencing factors among Chinese medical students. [J]OCCUPATION AND HEALTH, 2025, 41(8): 1116-1122.

References

[1] 王蜜源,刘佳,吴鑫,等.近十年中国大学生抑郁症患病率的Meta分析[J].海南医学院学报,2020,26(9):686-693,699.
[2] 何丽,苏梅,吴方园.宁夏某医学院医学生抑郁状况及影响因素分析[J].中国现代医生,2023,61(9):26-30.
[3] 杨娅娟,徐洪吕,王颖,等.医学生健康危害行为的潜在类别及其与抑郁症状的关联[J].中国学校卫生,2021,42(4):583-586,592.
[4] MOHER D,LIBERATI A,TETZLAFF J,et al.系统综述和荟萃分析优先报告的条目:PRISMA声明[J].中西医结合学报,2009,7(9):889-896.
[5] 翁鸿,王颖,李柄辉,等.系统评价与Meta分析的类型及制作步骤[J].同济大学学报(医学版),2019,40(2):248-253.
[6] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[7] 陈月红,杜亮,耿兴远,等.无对照二分类数据的Meta分析在RevMan软件中的实现[J].中国循证医学杂志,2014,14(7):889-896.
[8] PAN X F,WEN Y,ZHAO Y,et al.Prevalence of depressive symptoms and its correlates among medical students in China:A national survey in 33 universities[J].Psychol Health Med,2016,21(7):882-889.
[9] WANG Q,ZHANG B,ZHANG S,et al.Anxiety and depression and their interdependent influencing factors among medical students in Inner Mongolia:The cross-sectional survey[J].BMC Med Educ,2022,22(1):787.
[10] 何志磊,杨艳杰,张翠,等.医学院校学生抑郁情绪影响因素分析[J].中国初级卫生保健,2010,24(4):56-57.
[11] 冯凤莲,王春洋,王誉然,等.医学院校大学生焦虑抑郁情绪的调查研究及成因分析[J].河北医科大学学报,2018,39(6):636-639,644.
[12] 卢文婷,宋美,赵天宇,等.医学生抑郁情绪及其相关因素的调查[J].中国心理卫生杂志,2023,37(2):172-178.
[13] 原子莉,平卫伟,孙国茜,等.医学生抑郁症认知情况及应对方式调查分析[J].长治医学院学报,2022,36(2):92-96.
[14] 吴金庭,伍丽娟.医学生抑郁状况及其与人格特征因素相关分析[J].齐齐哈尔医学院学报,2018,39(22):2681-2683.
[15] 常虹,温莹,李思齐,等.中国西南地区医学生焦虑和抑郁状态研究[J].现代预防医学,2015,42(19):3544-3547,3550.
[16] 徐谦,石丹丹. 医学生焦虑、抑郁情绪影响因素的logistic回归分析[J]. 西部素质教育,2020,6(22):66-68.
[17] 戎志,程明慧,王思远,等.家庭及社会支持对医学生抑郁情绪的影响作用分析[J].社会与公益,2020(1):71-73,77.
[18] 施申超,杨传维,贾闪闪,等.1 372名医学生抑郁现况与影响因素研究[J].中国校医,2012,26(10):727-729.
[19] 曹蕾,张锐,张长宏,等.重庆市某医学院校本科新生抑郁症状及其影响因素[J].医学与社会,2019,32(12):104-108.
[20] 李丽萍,邓俊豪,肖蓉.医学生学习压力对抑郁的影响:睡眠质量的中介作用和生命意义感的调节作用[J].实用医学杂志,2021,37(16):2048-2052.
[21] 李小平,刘文,姚昭,等.井冈山大学医学生抑郁流行病学调查及影响因素分析[J].井冈山大学学报(自然科学版),2018,39(1):102-106.
[22] 李洪杰,钞虹,于阅,等.遭受校园欺凌经历对2 152名医学生抑郁状态的影响[J].中国校医,2022,36(7):488-491.
[23] 李海峰,杨光,夏德涛,等.医学院校大学生抑郁现状的logistic回归分析[J].中国卫生统计,2020,37(6):870-873.
[24] 杨晖,任仲坤,杨莉,等.医学院校大学生心理健康与不同因素之间的关系研究——以昆明医科大学为例[J].科技资讯,2020,18(27):190-192,195.
[25] 杨雪,庄国坤,李佳,等.互联网盛行时代下医学本科生的抑郁分析[J].饮食保健,2018,5(35):266-268.
[26] 林芬,张玲玲,罗振宇,等.医学生抑郁情绪调查及影响因素分析[J].中国健康心理学杂志,2018,26(4):622-627.
[27] 殷草草,王玥,申向丽,等.陕西省医学生心理健康状况及影响因素[J].职业与健康,2020,36(18):2554-2558.
[28] 江顺利,乔艺,解瑞宁.山东省某医学院校医学生抑郁现况及影响因素分析[J].实用预防医学,2022,29(4):469-472.
[29] 秦正积,沈毅,张建,等.医学生人际关系及抑郁状况的影响因素logistic回归分析[J].交通医学,2013,27(2):149-151.
[30] 蒋萍,俞伟珍,关陆阳,等.中国医学生寒假期间心理状况的调查[J].中国现代医生,2020,58(36):141-146.
[31] 赵彬,刘华,张博,等.家庭成长环境对医学类独立学院大学生抑郁情绪的影响[J].中国煤炭工业医学杂志,2015,18(10):1773-1776.
[32] 郭凯,刘美丽,陈威,等.青海大学医学生抑郁状况及其影响因素的调查研究[J].中华疾病控制杂志,2014,18(5):475-476.
[33] 陈丽香. 医学生抑郁现状调查及心理干预研究[J].中国电力教育,2011(5):138-140.
[34] 龚韩湘,伍宝玲,张雅兰,等.我国医学类大学生抑郁患病率的系统评价[J].乐山师范学院学报,2016,31(10):120-126.
[35] 陈雨濛,张亚利,俞国良.2010—2020中国内地大学生心理健康问题检出率的元分析[J].心理科学进展,2022,30(5):991-1004.
[36] ROTENSTEIN L S,RAMOS M A,TORRE M,et al.Prevalence of depression,depressive symptoms,and suicidal ideation among medical students:A systematic review and meta-analysis[J].JAMA,2016,316(21):2214-2236.
[37] 曹衍淼,王美萍,曹丛,等.抑郁遗传基础的性别差异[J].心理科学进展,2013,21(9):1605-1616.
[38] 梅兰,邱丽华.抑郁症性别差异的影像学研究进展[J].磁共振成像,2018,9(11):853-856.
[39] 陈洁. 浅析心理疾病病耻感对在校大学生求助行为的消极影响[J].教育教学论坛,2016(12):72-73.
[40] 张欣,李晓文,樊鑫,等.医学生考试期间心理健康状况及其影响因素分析[J].中国医科大学学报,2019,48(7):629-632.
[41] 张霞,傅丽萍.有留守经历大学生的负性情绪与其家庭功能的关系:自尊和不确定性容忍度的链式中介作用[J].成都师范学院学报,2023,39(7):48-58.
[42] EBERT D D,MORTIER P,KAEHLKE F,et al.Barriers of mental health treatment utilization among first-year college students:First cross-national results from the WHO World Mental Health International College Student Initiative[J].Int J Methods Psychiatr Res,2019,28(2):e1782.
[43] SALEH A,POTTER G G,MCQUOID D R,et al.Effects of early life stress on depression,cognitive performance and brain morphology[J].Psychol Med,2017,47(1):171-181.
[44] KARATEKIN C.Adverse childhood experiences(ACEs),stress and mental health in college students[J].Stress Health,2018,34(1):36-45.
[45] 王琬,姜媛.运动干预改善大学生抑郁的研究现状与发展建议[J].河北体育学院学报,2017,31(2):76-81.
[46] 陈艳艳,周恩媛,王雨,等.大学生阈下抑郁的运动干预及其机制研究进展[J].中国医药导报,2023,20(14):52-55,64.