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Prevalence of depressive symptoms in primary school students in China: A systematic review and meta-analysis
Xu,Dan Dan1,2; Rao,Wen Wang1; Cao,Xiao Lan3; Wen,Si Ying3; An,Feng Rong4; Che,Weng Ian5,6; Bressington,Daniel T.7; Cheung,Teris7; Ungvari,Gabor S.8,9; Xiang,Yu Tao1,10
Source PublicationJournal of Affective Disorders

Backgrounds: Depression in children and adolescents is usually under-recognized. The findings of epidemiological studies on depressive symptoms in primary school students are inconsistent across studies. This study reports a systematic review and meta-analysis on the prevalence of depressive symptoms in primary school students in China. Methods: Literature search was performed in both international (PubMed, PsycINFO, EMBASE) and Chinese (China National Knowledge Internet, WANFANG Data and Chinese Biological Medical Literature) databases. The random-effects model was used to analyze data. Results: Twenty-seven studies involving 42,374 subjects were included. The pooled prevalence of depressive symptoms in Chinese primary school students was 17.2% (95% CI: 14.3%-20.5%). Subgroup analyses found that the prevalence significantly varied between geographic regions, with western China reporting the highest prevalence. Meta-regression analyses found that year of survey and study quality were significantly associated with the prevalence of depressive symptoms. Conclusions: Given the high prevalence of depressive symptoms and its negative health outcomes, preventive measures, regular screening and effective treatments need to be implemented for this population.

KeywordDepressive Symptoms Primary School Students Prevalence Meta-analysis China
URLView the original
WOS IDWOS:000520891900003
WOS SubjectClinical Neurology ; Psychiatry
WOS Research AreaNeurosciences & Neurology ; Psychiatry
Indexed BySCIE ; SSCI
Scopus ID2-s2.0-85080948672
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Cited Times [WOS]:23   [WOS Record]     [Related Records in WOS]
Document TypeReview article
CollectionFaculty of Health Sciences
Co-First AuthorXu,Dan Dan; Rao,Wen Wang; Cao,Xiao Lan; Wen,Si Ying
Corresponding AuthorXiang,Yu Tao
Affiliation1.Unit of Psychiatry,Faculty of Health Sciences,University of Macau,Macao SAR,China
2.Department of Biology,Faculty of Sciences,Harbin University,Harbin,China
3.Shenzhen Key Laboratory for Psychological Healthcare & Shenzhen Institute of Mental Health,Shenzhen Kangning Hospital & Shenzhen Mental Health Center,Shenzhen,China
4.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection,Capital Medical University,Beijing,China
5.Unit of Clinical Epidemiology,Department of Medicine,Solna,Karolinska Institutet,Stockholm,Sweden
6.Department of Public Health Science,Karolinska Institutet,Stockholm,Sweden
7.School of Nursing,Hong Kong Polytechnic University,China
8.Division of Psychiatry,School of Medicine,University of Western Australia,Perth,Australia
9.University of Notre Dame Australia,Fremantle,Australia
10.Center for Cognition and Brain Sciences,University of Macau,China
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Xu,Dan Dan,Rao,Wen Wang,Cao,Xiao Lan,et al.Prevalence of depressive symptoms in primary school students in China: A systematic review and meta-analysis[J].Journal of Affective Disorders.2020.268:20-27.
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