A systematic review and meta-analysis of studies exploring prevalence of non-specific anxiety in undergraduate university students.

Ahmed, Irtiqa, Hazell, Cassie M, Edwards, Bethany, Glazebrook, Cris and Davies, E Bethan 2023. A systematic review and meta-analysis of studies exploring prevalence of non-specific anxiety in undergraduate university students. BMC Psychiatry. 23 (1) 240. https://doi.org/10.1186/s12888-023-04645-8

TitleA systematic review and meta-analysis of studies exploring prevalence of non-specific anxiety in undergraduate university students.
TypeJournal article
AuthorsAhmed, Irtiqa, Hazell, Cassie M, Edwards, Bethany, Glazebrook, Cris and Davies, E Bethan
AbstractAnxiety is a common mental health problem in the general population, and is associated with functional impairment and negative impacts upon quality of life. There has been increased concern about university students' mental health in recent years, with a wide range of non-specific anxiety rates reported worldwide in undergraduate university students. We aimed to explore prevalence of non-specific anxiety in undergraduate university student populations. Four databases were searched to identify studies published between 1980 and 2020 which investigated prevalence of non-specific anxiety in undergraduate university students. Each study's quality was appraised using a checklist. Sub-analyses were undertaken reflecting outcome measure utilized, course of study, location of study, and whether study was before or during the COVID-19 pandemic. A total of 89 studies - representing approx. 130,090 students-met inclusion criteria. Eighty-three were included in meta-analysis, calculating a weighted mean prevalence of 39.65% (95% CI: 35.72%-43.58%) for non-specific anxiety. Prevalence from diagnostic interview studies ranged from 0.3%-20.8% 12-month prevalence. Prevalence varied by outcome measure used to assess non-specific anxiety, the type of course studied by sample, and by study location. In half the studies, being female was associated with being more likely to have higher non-specific anxiety scores and/or screening above thresholds. Few of the included studies met all quality appraisal criteria. The results suggest that approximately a third of undergraduate students are experiencing elevated levels of non-specific anxiety. Results from sub-analyses have identified some methodological issues that need consideration in appraising prevalence in this population. [Abstract copyright: © 2023. The Author(s).]
KeywordsAnxiety - epidemiology
Students - psychology
Universities
Meta-analysis
Humans
Students
COVID-19 - epidemiology
Male
Anxiety
Quality of Life
Prevalence
Systematic review
Pandemics
Female
Article number240
JournalBMC Psychiatry
Journal citation23 (1)
ISSN1471-244X
Year2023
PublisherBioMed Central
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1186/s12888-023-04645-8
PubMed ID37041470
Publication dates
Published online11 Apr 2023
FunderDepartment of Health

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