中国循证医学杂志

中国循证医学杂志

我国留守儿童心理健康问题研究的系统评价

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目的 系统回顾我国留守儿童心理健康状况相关文献,描述和分析目前国内留守儿童的主要心理卫生问题。
方法 在反复讨论并预检索后确定检索词及检索策略,而后电子检索CBM、VIP、CNKI和万方数据库中截止2011年3月发表的中文文献,纳入所有已发表的关于我国留守儿童心理健康状况及问题的调查研究文献。由两名研究者独立进行文献筛选、资料提取并交叉核对,如有分歧讨论解决,必要时参考第三方意见。采用定性方法系统总结纳入文献的研究结果,由于各研究中留守儿童的界定和类型,研究设计及结局指标的异质性,故没有采用Meta分析。
结果 纳入的155篇文献均为横断面研究,其中无对照的横断面研究63篇,有对照的横断面研究92篇。大部分对照研究结果显示,与非留守儿童相比,留守儿童的心理健康水平较低,存在较多问题;但也有少数对照研究显示,两组人群的心理健康状况无显著统计学差异。不同类型的留守儿童(如不同性别、年龄、监护类型、父母外出情况等)其心理健康问题也存在差异。
结论 现有研究结果显示,留守儿童心理健康存在诸多问题,但有关留守儿童与非留守儿童的心理健康比较研究结果存在争议。现有研究中对留守儿童的界定不统一、缺乏高质量的研究设计,影响研究结果的综合分析。需要进一步开展高质量的对照研究,并进行长期动态观察,从而更准确地研究留守儿童的心理健康状况及其与非留守儿童的异同。

Objective To systematically review the literatures on left-behind children’s mental health status, and to describe and analyze the current domestic left-behind children’s main psychological health problems.
Methods With the search terms and strategies predefined by repeated discuss and pre-retrieval, the literatures in Chinese published before March 2011 were searched in following four Chinese databases including Chinese Biological Medical Literature Database (CBM), Chinese Science and Technology Periodical Database (VIP), China National Knowledge Infrastructure (CNKI) and WanFang Dissertation Database (WF). All research papers that reported the left-behind children’s mental health status and problems within China were included. Two reviewers independently screened the literatures and extracted the data. Disagreements were resolved by discussion or by involving a third researcher. The qualitative synthesis method was used to analyze the studies, while the meta-analysis was not adopted because of the tremendous heterogeneity of each study on the definition of left-behind children, study design and outcomes.
Results A total of 155 studies were included for the final analysis and all of them were the cross-sectional study including 63 uncontrolled cross-sectional studies and 92 controlled cross-sectional studies. Most of the results showed that compared with the non-left-behind children, the left-behind children’s mental health level was lower and there were many psychological problems. While several studies suggested that there was no significant difference between the two groups. The left-behind children in different types (such as different gender, age, guardianship types, the migrant condition of parents, etc.) had different mental health problems.
Conclusion The results of the current research indicate that the left-behind children have many mental health problems. However, the results are still controversial. The definitions of left-behind children have not been unified and the quality of current studies is generally low, which might influence the synthesis of results. High quality of controlled studies and long-term prospective cohort studies need to be conducted to study more accurately and deeply on the left-behind children’s mental health and on the differences between the left-behind children and non-left-behind children.

关键词: 留守儿童; 心理健康; 系统评价

Key words: Left-behind children; Mental health; Systematic review

引用本文: 张帆,刘琴,赵勇,孙敏红,王宏. 我国留守儿童心理健康问题研究的系统评价. 中国循证医学杂志, 2011, 11(8): 849-857. doi: 10.7507/1672-2531.20110145 复制

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