Evidence map›Paper›PMID 31477124›Full record

SynthesisBMC medical education2019

A systematic review of depression and anxiety in medical students in China.

Ying Mao, Ning Zhang, Jinlin Liu, Bin Zhu, Rongxin He, Xue Wang

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  11. Psychological interventions to foster resilience in healthcare students.The Cochrane database of systematic reviews · 2020
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86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ying MaoSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China. mao_ying@mail.xjtu.edu.cn.
Ning ZhangSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China.
Jinlin LiuSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China.
Bin ZhuSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China.
Rongxin HeSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China.
Xue WangSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, 710049, China.

Funding

China Medical Board 10-029National Office for Philosophy and Social Sciences 17ZDA079
6 · The paper itself

Abstract

backgroundMedical students in China face severe depression and anxiety because of their difficult circumstances, such as the long length of schooling, academic pressure, and the stress of clinical practice. Although there have been many empirical studies about depression or anxiety in medical students in China, no previous studies have conducted a related systematic review about this topic in English. This analysis can convey the general findings from China to other areas of the world.

methodsA systematic review and meta-analysis of depression or anxiety in medical students and related determinants were conducted. Three Chinese and three English databases were searched for the review, with no restrictions on language. Articles published between January 1, 2000 and April 1, 2018 were included.

resultsTwenty-one articles investigating a total of 35,160 individual Chinese medical students were included in this review. The prevalence of depression ranged from 13.10 to 76.21% with a mean of 32.74%, and the prevalence of anxiety ranged from 8.54 to 88.30% with a mean of 27.22%. Based on the meta-analysis, gender, grade level, residence, satisfaction with current major and monthly household income per capita were significantly associated with depression. Grade level and satisfaction with current major were significantly associated with anxiety. Other risk factors were identified and described using a narrative approach.

conclusionThe mean prevalence of depression was 32.74% amongst medical students in China, whereas the mean prevalence of anxiety was 27.22%. The determinants of depression and anxiety included individual factors, social and economic factors, and environmental factors. More measures should be taken towards at-risk medical students based on the identified risk factors.

Indexed as

AnxietyBurnout, ProfessionalChinaDepressionHumansPrevalenceStudents, MedicalAnxietyDepressionMedical studentsMeta-analysisSystematic review

Identifiers

PMID31477124
PMCPMC6721355

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.