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IntroductionThe significance of mental health and its impact on overall well-being is increasingly acknowledged across various sectors, including higher education. However, despite this growing recognition, the stigma associated with mental health issues and related help-seeking, particularly within certain cultural groups and socio-economic contexts, continues to pose a formidable barrier to effective care, especially among university students. Addressing these challenges, this study explores the intricate interplay of factors affecting mental health awareness and stigma, including help-seeking behaviors among Albanian university students in three Western Balkan countries: Kosovo, North Macedonia, and Albania. By dissecting these multi-layered influences, this study aims to develop targeted interventions to enhance mental well-being and dismantle barriers to care in these regions.MethodsThis qualitative study involved 60 Albanian university students from Kosovo, North Macedonia, and Albania, using focus groups to gather data. The discussions were structured around the socio-ecological model, facilitating a comprehensive exploration of the individual, interpersonal, organizational, and societal factors influencing mental health awareness, stigma, and help-seeking behaviors.ResultsFindings from the study indicate a moderate awareness of mental health issues among students. Familial and cultural stigma among Albanians in the Balkans hinder open discussions and access to professional help. There is a notable lack of support from higher education institutions, with only 20% of students reporting that their mental health needs are met. These needs include affordable and confidential counseling, empathetic faculty interactions, and a supportive campus environment. Additionally, there is a lack of continuous and professional help within the community. Societal attitudes deeply rooted in Albanian cultural norms and traditional beliefs perpetuate stigma, limiting effective health care and help-seeking behavior.DiscussionThe results emphasize the need for a culturally sensitive and holistic approach to mental health interventions that integrates strategies across multiple levels of the socio-ecological model. Enhancing mental health literacy, reducing stigma, and advocating for supportive legislation and policies in the Western Balkan region are critical. Moreover, the study highlights the urgent necessity for universities in particular to improve their mental health services, which will significantly enhance both the academic success and personal development of students.

ABSTRACTAlthough mindfulness is effective in reducing anxiety, research on its impact on test anxiety among lower secondary school children in science, technology, engineering, and mathematics (STEM)-related disciplines is limited. Using a one-group pre – post-test research design, this pilot study evaluated the impact of classroom mindfulness meditation training on test anxiety in STEM-related disciplines with 197 sixth-grade students (54.3% boys, aged 10–12 years) from public schools in Kosovo. Mindfulness training significantly decreased students’ test anxiety levels in STEM-related disciplines. Mindfulness helped students calm down, reduced their academic anxiety, and increased their self-esteem. A significant decrease in test anxiety among participants who reported that the training improved their self-esteem and reduced their academic anxiety and stress was ascertained. Regarding sex differences, meditation activities significantly decreased test anxiety scores among girls. Mindfulness training can be employed as a stress-reduction strategy that can be easily incorporated into classroom pedagogy.