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Poor mental health among young adults in higher education is a growing concern. In recent years, the visibility of racism has sharply risen. Vicarious discrimination is defined as the secondhand witnessing of racism, and given society's increased accessibility to social media and the Internet, addressing indirect violence is urgently needed to inform anti-racism and mental health efforts. The current study examined associations between vicarious discrimination and mental health across a large sample of young college students in the United States. We analyzed data from the Healthy Minds Study (HMS; 2020–2021; N =130,566) and used multivariable logistic regression to examine whether past-year vicarious discrimination was associated with various mental health outcomes, adjusting for age, gender, race/ethnicity, and direct discrimination. The sample was predominantly white (n =31,438, 63.66%) and female-identifying (n =34,313, 69.49%) with an average age of 21.1 years. Approximately 35.9% of the sample endorsed experiencing vicarious discrimination. Vicarious discrimination was associated with greater depression (OR:1.97; 95% CI: [1.86,2.09], p < 0.001), anxiety (OR:1.82; 95% CI: [1.72,1.92], p<0.001), languishing (OR:1.75; 95% CI: [1.65,1.87], p <0.001), perceived need for treatment (OR:2.24; 95% CI: [2.10,2.40], p <0.001), suicidal ideation (OR:1.86; 95% CI: [1.73,2.01], p <0.001), suicide plan (OR:1.91; 95% CI: [1.71,2.14], p<0.001), suicide attempt (OR:1.89; 95% CI: [1.51,2.36], p <0.001), self-injurious behavior (OR:2.0; 95% CI: [1.88,2.12], p <0.001), and loneliness (OR:1.67; 95% CI: [1.58,1.77], p<0.001). Consistent with growing literature, vicarious discrimination was associated with poorer mental health among young college students. Additional research should investigate moderators, mediators, and interventions to support those who may be impacted indirectly by discrimination. • Poor mental health among young adults in higher education is a growing concern. • In recent years, the visibility of racism in the United States has sharply risen. • Vicarious discrimination is the secondhand witnessing of racism towards someone else. • Vicarious discrimination is associated with poorer mental health among college students. • Practice and research could support students impacted vicariously by discrimination. [ABSTRACT FROM AUTHOR]

Introduction: Epidemiological data suggest substantial issues on the mental health of university students worldwide. Self-compassion is associated with lower rates of psychological distress and better positive mental health. Thus, we have developed a app-based intervention based on self-compassion principles targeting the prevention and promotion of mental health in college students. The current pilot study assessed adherence to intervention, preliminary mental health benefits, and satisfaction and acceptability with the app among Brazilian college students. Methods: The study employed a pre-experimental single-group design along with pre-test and post-test assessments (n = 23). A mixed methods approach was utilized to comprehensively assess the outcomes of the intervention. Results: The overall adherence rate for the intervention was 37.87%, with 26.26% of participants successfully completing all modules. Among the 21 outcomes assessed, 15 exhibited statistically significant results. Notably, there was a substantial increase in self-compassion, demonstrating a large effect size (d = 1.15), and a moderate effect size reduction in stress (d = 0.62) and anxiety (d = 0.52). All satisfaction indicators for the intervention received scores above 7. The intervention was well-received by participants who completed it, although a potential barrier identified was the volume of text within the app and the need to adopt a more playful and concise format for the intervention. Discussion: Despite a notable participant dropout, the adherence to intervention aligns with patterns observed in other online interventions conducted in realworld settings. The observed mental health benefits, high satisfaction levels, and positive acceptance underscore the rationale for pursuing a subsequent randomized clinical trial. [ABSTRACT FROM AUTHOR]

Background: The increase in mental health problems among college students has become a global challenge, with anxiety and depression in particular becoming increasingly prevalent. Positive psychology has gained attention as an important psychological intervention that emphasizes improving mental health by promoting positive emotions and mindfulness. However, with the diversity of reading styles, however, there is a lack of systematic research on these effects. Therefore, this study aims to explore the specific effects of different reading styles on college students' mental health and quality of life based on positive psychology, with the aim of providing more effective interventions and recommendations for improving college students' mental health. Methods: This study used a two-round questionnaire to select students with mental health problems and divided them into four experimental groups with a control group. The study was conducted by distributing questionnaires and experimental interventions, and a total of 2860 valid questionnaires were collected. The study used the Self-Assessment Scale for Anxiety (SAS) and the Self-Depression Scale (SDS) to assess the participants' anxiety and depression levels. In addition, the study used the Physical Composite Score (PCS) and the Mental Composite Score (MCS) to assess the participants' quality of life. SPSS 26.0 was used for data statistics and repeated measures ANOVA was used. Results: Paper text reading and audio reading methods were effective in reducing anxiety levels and improving sleep quality. However, the electronic text reading approach was less effective compared to paper text reading and audio reading, and the video reading approach was not effective in improving depression. In addition, the positive psychology literature reading intervention showed significant improvements in college students' quality of life scores. Conclusion: The results of this study suggest that paper text reading and audio reading modalities have a positive impact on the mental health and quality of life of college students, while e-text reading and video reading modalities are less effective. These findings provide suggestions for college students to choose appropriate reading styles and further demonstrate the effectiveness of positive psychology reading on mental health. These results have important academic and practical implications for promoting mental health and improving quality of life among college students. [ABSTRACT FROM AUTHOR]

This preface introduces a journal article titled "Application and Progress of Biomechanics in Medicine - Part II." It discusses the evolution of biomechanics in medicine and invites readers to explore the 27 papers included in the article. These papers cover various topics such as stress monitoring, medical image segmentation, blood flow measurement, and muscle atrophy. The preface emphasizes the potential of biomechanics to revolutionize medical science and patient care. The article collection aims to inspire further research and collaboration in the field. [Extracted from the article]

With the increase in academic pressure on college students, some students show signs of academic burnout, which may lead to mental health problems. This study aims to explore the mental health status of college students under the manifestation of academic burnout and to propose a mental health detection model based on electroencephalography (EEG) signals. In this study, college students with the manifestation of study burnout were selected as research subjects, and their EEG signals were collected to identify and analyze their psychological state using a mental health recognition model. In the selection of mental health recognition models, this study used a variety of classical models for comparative analysis, including support vector machine (SVM), k-nearest neighbor (KNN), logistic regression (LR), convolutional neural network (CNN), long and short-term memory network (LSTM), and convolutional neural network-long and short-term memory network (CNN-LSTM). Experimental results show that the CNN-LSTM model performs best in identifying students with mental health problems, and its accuracy and stability are better than other models. Through this study, we conclude that academic burnout is closely related to college students’ mental health problems, and EEG signals combined with the CNN-LSTM model can effectively identify the mental health status of these students. This finding provides a new method and tool for monitoring college students’ mental health, which helps detect and intervene in students’ mental health problems early and promote their healthy growth and development. [ABSTRACT FROM AUTHOR]

The shift to remote learning during the COVID-19 pandemic presented significant mental health challenges for college students, particularly for students with minoritized identities. The current study used quantitative and qualitative methods to examine how psychological distress and barriers to mental healthcare shifted for first-generation college students (FGCS) as the pandemic affected campuses in Spring 2020. FGCS across three college settings (N = 314) responded to surveys in December 2019 and again following the onset of the pandemic in May/June 2020. A sub-sample of 28 participants also provided in-depth interviews . Results showed an increase in depressive symptoms and perceived stress following the onset of the pandemic, with Latinx and female FGCS reporting greater increases in stress compared to other groups. FGCS were significantly less confident in their knowledge about where to seek mental health support following the onset of the pandemic, and mental healthcare utilization dropped significantly as well. Interviews highlighted specific stressors contributing to mental health, as well as key barriers to mental healthcare that intensified during the pandemic. These findings inform our understanding of the mental health needs of college students with minoritized identities, and have implications for policies and procedures around provision of mental health services on university campuses. [ABSTRACT FROM AUTHOR]

Introduction: The mental health (MH) of college students has long been a crucial concern for families, educational institutions, and society. Extensive research has demonstrated the influential role of exercise motivation in shaping MH. However, further investigation is warranted to ascertain which types of exercise motivation may have more influence on the MH of college students. The present study examined the direct effects of five distinct types of exercise motivation, namely health motivation (HM), appearance motivation (APM), fun motivation (FM), ability motivation (ABM), and social motivation (SM) on MH. Additionally, the study explored the potential mediating role of physical exercise (PE) in these relationships. Methods: An cross-sectional study design was employed. A total of 433 Chinese college students participated in the study and completed our questionnaires, which included the Exercise motivation scale (EM scale), the Physical exercise scale (PE scale), and the Mental health scale (MH scale). Results: The findings revealed a significant and positive relationship between all five categories of exercise motivation and the MH of college students. Specifically, FM was found to have the most pronounced impact on MH, followed by HM, ABM, SM, and APM, in descending order of influence. Furthermore, the impacts of HM, FM, ABM, and SM on MH were found to be partially mediated by PE. However, the association between APM and MH was entirely mediated by PE. Discussion: The present study contributes to enhancing the comprehension of the underlying mechanisms behind different exercise motivations in relation to PE and MH. Additionally, it offers practical implications for developing intervention strategies for improving the MH of college students. [ABSTRACT FROM AUTHOR]

Sexual victimization is associated with worse mental health outcomes among LGBQ + adolescents and adults; however, limited work has focused on these relations among emerging adults in college and has not tested mechanisms that might explain these associations. Thus, the current study tested the associations between sexual victimization and mental health outcomes (i.e., anxiety symptoms, depressive symptoms, and posttraumatic stress disorder symptoms) and examined social support and trauma-related drinking as mediators of these associations among diverse LGBQ + college student emerging adults. Additionally, we tested whether findings varied among Students of Color and White Students. Participants included 179 LGBQ + college students (M = 19.48, SD = 0.74) who completed measures of sexual victimization, social support, trauma-related drinking, and mental health. Trauma-related drinking was a significant mediator, such that sexual victimization was associated with greater trauma-related drinking and, in turn, greater anxiety symptoms, depressive symptoms, and posttraumatic stress disorder symptoms. Although social support was not a significant mediator, social support was associated with less anxiety symptoms and less depressive symptoms. Findings did not vary by ethnicity/race. Findings have research and intervention implications by highlighting the ways in which sexual victimization, social support, and trauma-related drinking affect LGBQ + college students' mental health. [ABSTRACT FROM AUTHOR]

While latest research has accepted the importance of mindfulness in mental health, its role in interpersonal well-being receives less attention, including the necessary measurement tools. This study aimed to translate the Relationship Mindfulness Measure (RMM) into Turkish and explore its psychometric properties with unmarried Turkish emerging adults. A total of 191 university students (age range 18–29, M = 22.90, SD = 2.78) in committed romantic relationships participated in this study. The convergent validity analysis revealed a positive relation of RMM with trait mindfulness (r =.47, p <.001) and a negative relation with negative affect (r = −.21, p =.05). Internal and test-retest reliability of RMM was acceptable (α =.78, r =.67). The unidimensional factor structure of 5-item RMM was supported, and no common method variance was observed. Overall, findings indicated that Turkish RMM is a valid and reliable measure to assess emerging adults' relationship mindfulness. [ABSTRACT FROM AUTHOR]

Emerging adulthood is a period of human development ripe for personal identity exploration and a college campus can be a conducive environment for this to take place. Historically, many transition-age adults with intellectual and developmental disabilities (IDD) have been denied access to college, but with the rise in inclusive postsecondary education (IPSE) programs across the country, that is changing. This study uses a combination of semi-structured interviews and photo elicitation discussions with 11 emerging adults enrolled in a southeastern IPSE program to better understand how these individuals understand and express their personal identity as well as the contextual factors contributing to their experiences with personal identity. Using thematic analysis, we uncovered seven salient themes across the data, including a theme related to the complicated nature of the participants' disability identity. [ABSTRACT FROM AUTHOR]

The education of visually impaired students in China has also gone through a developmental stage from "segregated education" to "special education" and then to "inclusive education". In this paper, we take the visually impaired students at Binzhou Medical College, the first university in China to provide higher education for the disabled, as the research object. The study was carried out to investigate the adaptability of visually impaired students, using various research methods such as literature review method, questionnaire method and case study method, we investigated and researched the adaptation of visually impaired students to inclusive education from several aspects such as quality of life, social support, mental health level, self-esteem and self-efficacy study. Finally, the study proposed several countermeasures and suggestions, such as attaching importance to the physical and psychological rehabilitation of visually impaired students, emphasising the inclusive of education and rehabilitation, strengthening the training of professional teachers for visually impaired students, emphasising the complementarity between schools and professions, and improving the employment support service system for visually impaired students, which are of great significance in promoting the development of the cause of inclusive education for visually impaired students and improving the adaptability of inclusive education for visually impaired students. [ABSTRACT FROM AUTHOR]

Objective: College students showed a high prevalence of stress, anxiety, and depression, with medical and nursing students experiencing particularly elevated levels of mental health challenges. Optimism significantly influences overall well-being by promoting a healthy lifestyle and cognitive responses. However, the association of optimism with sleep quality, stress, and mental health in college students remains unexplored. This study aimed to (1) explore the associations of optimism with sleep quality, stress, and mental health and (2) ascertain whether sleep quality and stress mediate the association between optimism and mental health among college students. Methods: A cross-sectional study was conducted using online surveys with students from health science majors at a public university in the northeast United States from September to December 2022. A total of 222 students participated in the study, providing data on sociodemographics, optimism, sleep quality, stress, anxiety, and depression. Parallel and serial mediation models were utilized to examine the potential mediating roles of sleep quality and stress in the association between optimism and mental health. Results: The study found that optimism influences anxiety and depression through both direct and indirect pathways. In line with predictions, the parallel mediation analysis revealed that the impact of optimism on anxiety (βtotal = -0.598, 95% confident interval [CI]: -0.778 to -0.392) and depression (βtotal = -0.724, 95% CI: -0.919 to -0.519) was mediated by stress and sleep quality. Furthermore, the serial mediation models revealed that stress and sleep quality co-mediated the relationship betweenoptimism and anxiety (indirect effect [IE] = -0.074, 95% CI: -0.135 to -0.029) or depression (IE = -0.084, 95% CI: -0.142 to -0.036) in a sequential manner. Conclusion: Optimism was negatively correlated with poor sleep quality, stress, anxiety, and depression. Enhanced optimism was linked to high sleep quality and less stress, anxiety, and depression. These insights emphasize the potential for school-based optimism interventions to improve sleep quality, ameliorate stressrelated concerns, and alleviate mental health challenges in college students. [ABSTRACT FROM AUTHOR]

Background: The long-term impact of COVID-19 on the mental health and well-being of college students, specifically trends over time after full removal of COVID-19 restrictions, has not been well-studied. Methods: Four consecutive cross-sectional surveys were conducted in December 2022 (N = 689), March 2023 (N = 456), June 2023 (N = 300), and November 2023 (N = 601) at a university in Sichuan Province, China. Results: The proportion of students with COVID-19 panic decreased from 95.1 to 77.3% (p < 0.001). The prevalence of moderate anxiety and above decreased from 18 to 13.6% (p < 0.001), and the prevalence of moderate and above depression decreased from 33.1 to 28.1% (p < 0.001), while the prevalence of post-traumatic stress disorder (PTSD) increased from 21.5 to 29.6% (p < 0.005). Further, the proportion of suicidal thoughts increased from 7.7 to 14.8% (p < 0.001). Suicidal thoughts and self-injuries were significantly associated with COVID-19 panic, depression, anxiety, and PTSD. Students who reported being in close contact with COVID-19 patients in the past were more likely to develop PTSD. Further, COVID-19-induced panic was a risk factor for self-injury. Conclusion: One year after the COVID-19 pandemic, the overall mental health of college students was not optimal. Hence, we can conclude that the longterm impacts of COVID-19 on the mental health of college students may have already occurred. To mitigate this impact and prepare for the next major public health event, strengthening college students' mental health curricula and promoting healthy behaviors among college students should be a priority for universities and education authorities. [ABSTRACT FROM AUTHOR]

Meaning in life, which has two possible sources: self-acceptance and social support, is essential to the mental health and development of college students. The current study aims to further clarify the symptom-level relations between meaning in life, self-acceptance, and social support, finding possible ways to improve meaning in the life of college students. Thousand three hundred and forty-eight Chinese college students completed the online questionnaire, including Self-acceptance Questionnaire, Social Support Rating Scale, and Meaning in Life Questionnaire and the data from 1,263 participants was used. Cross-sectional network analysis was used to examine the relation between self-acceptance and social support. We also explored the relation between dimensions of self-acceptance and social support and meaning in life using the flow network. The results show symptom "SlA" (self-acceptance) is the bridge symptom linking self-acceptance and social support. In the flow diagrams, "SlA" is directly and positively associated with the presence of meaning. Objective Support shares the strongest positive association with the search for meaning. The symptom "SIA" may be an important targeting symptom when trying to improve the meaning in life of college students. Additionally, social support is essential for college students to develop meaning in life. [ABSTRACT FROM AUTHOR]

Introduction: The present study investigated whether social-emotional skills in first year college students differed before and after the coronavirus disease (COVID-19) lockdowns. Methods: Participants (N = 1,685) consisted of first year college students (mean age 18.53 years) selected from a broader cohort enrolled in a longitudinal study on college mental health at liberal arts colleges in the United States. In a cohortsequential design, participants completed an online survey assessing social-emotional skills in January of 2018, 2019, 2020, and 2022. Using analysis of covariance, we examined mean differences in social-emotional skills between students who were first years before (January 2018-2020) and after the lockdowns (January 2022), controlling for sociodemographic variables. Results: The post-lockdown group scored significantly lower on emotional control and expressivity and marginally higher on social sensitivity compared to the pre-lockdown group. No group differences in social/emotional expressivity or social control were detected. Discussion: These findings indicate that the COVID-19 lockdowns impaired some, but not all, social-emotional skills in first year college students. Addressing social-emotional skills in college may help to reduce the COVID-19 mental health burden. [ABSTRACT FROM AUTHOR]

Background: Due to the influence of theories, tools, and methodologies in studying well-being, sports science has predominantly focused on subjective well-being, with less attention given to psychological well-being and even less to the integrated study of comprehensive well-being. This study aims to analyze the relationship between yoga exercise intervention and the comprehensive well-being of college students and to explore the mechanism of a yoga exercise intervention to improve the comprehensive well-being of female college students. Methods: With 92 female college students as subjects, the "Comprehensive Well-being Scale" was used, and research methods such as yoga exercise intervention, questionnaire surveys, qualitative analysis, expert interviews, and statistical analysis were employed to investigate the role of a yoga exercise intervention on the comprehensive well-being of female college students. Results: Among the nine dimensions of comprehensive well-being, the three dimensions of subjective well-being and the two dimensions of psychological well-being (health concern and personality growth) of female college students were significantly improved. Additionally, four other dimensions of psychological well-being also showed significant improvement. Furthermore, the improvement in the life satisfaction of female college students' subjective well-being was mainly achieved through yoga meditation, while partner yoga posture practice could help individuals gradually form a stable pattern of altruistic behavior. Conclusion: Yoga exercise intervention can improve the comprehensive wellbeing of female college students and can be an effective counseling method for college students' mental health education. [ABSTRACT FROM AUTHOR]

Background: Mental health of university students has been impacted during the pandemic, highlighting the importance of understanding its psychosocial determinants. Nevertheless, there has been limited exploration into whether the digital inclusion conditions for remote education could mediate the effects that variables such as resilience, social support, and academic self-efficacy may have on mental health. Considering the above, there is evidence that shows a consistent relationship between resilience, social support and academic selfefficacy on mental health, to the extent that these are psychological variables. On the other hand, digital inclusion, which comprehends a contextual variable, not a psychological one, related to ICT access opportunities and mainly focused on the quality of Internet access, should be analyzed in a differential manner. Objectives: This study seeks to analyze the effect of resilience, social support and academic self-efficacy, on the mental health of a group of Peruvian university students; in addition, it seeks to analyze the mediating role of digital inclusion. Materials and methods: A cross-sectional study was conducted with 3,147 undergraduate students from a private university in Lima, Perú. From August to October 2020, data were collected online through questionnaire, this include The Depression, Anxiety and Stress Scale 21 (DASS-21), The 10-item version of the Connor-Davidson Resilience Scale (CD-RISC10), The Multidimensional Scale of Perceived Social Support (EMASP), The Perceived Self-Efficacy Specific for Academic Situations Scale (EAPESA) and to measure digital inclusion, the Perceived Quality of Internet Access reported by the students. The levels of participants' anxiety, depression and stress were described using frequency and percentage. Pearson Correlation test was used to measure the correlation between the variables and a Path analysis was conducted. Finally, The PROCESS macro for SPSS (Model 4) was applied to examine the mediating effect of the model controlling gender variable. Results: The results revealed significant levels of extremely severe symptoms of anxiety (36.8%), depression (33.4%) and stress (18.1%) among the participants. A path analysis, which indicated that resilience (β = -0.346), social support (β = -0.189), academic self-efficacy (β = -0.060) and digital inclusion β = -0.089) had significant impact on students' General Distress. In addition, digital inclusion plays a partial mediation role with low but significant effect size in the relationship between resilience, social support and self-efficacy with mental health. Conclusion: Mental health of university students during the pandemic shows alarming levels of general or emotional distress. The findings indicate that resilience, social support and self-efficacy protect college students' mental health by reducing general distress. However, the study shows that when there is a digital divide around internet quality the impact of these factors is affected. [ABSTRACT FROM AUTHOR]

Although social support is strongly related to college students' mental health in the context of COVID‐19, little is known about the academic mechanisms that explain and influence this relationship. This knowledge gap limits our ability to create effective interventions. Our current study extends the previous research by using longitudinal data from 2020 to 2021 and leveraging a unique panel dataset from over 1,500 university students in Israel. By using a cross‐lagged panel model, we examine how the relationship between social support and mental health is partially explained by academic coping, as well as how these relationships differ across perceived teaching quality. We find that academic coping partially explains the relationship between social support and depression for students who perceived higher‐quality instruction but not for students who perceived lower‐quality instruction. Moreover, these relationships are not apparent for anxiety, suggesting that anxiety may relate to out‐of‐school considerations like pandemic‐related health concerns and hardships. We close with implications for policy and practice. [ABSTRACT FROM AUTHOR]

Despite college students' high rates of depression, a large treatment gap remains in which many students in need are not receiving evidence-based care. This pilot randomized controlled trial (RCT) delivered a novel adaptation of Interpersonal Psychotherapy for College Students (IPT-CS) in group modality at a college counseling center. Of 97 students expressing interest, 18 with mild to moderate depression were randomized to IPT-CS or referral-to-usual-care. The nine who initiated IPT-CS treatment had an average 96.67% attendance rate across 10 sessions and rated IPT-CS as satisfactory and accessible. Facilitators also rated IPT-CS as satisfactory, feasible, and faithful to IPT. Group-by-time analyses indicated that IPT-CS, compared to referral-to-usual-care, yielded a pattern of medium to large effects for depression, anxiety, quality of life, social adjustment and support, interpersonal concerns overall, and disconnection/loneliness specifically. As the pilot trial was powered to detect quite large effects, group-by-time analyses only reached statistical significance for depression and social support, as did within-group analyses for quality of life and interpersonal concerns overall. Importantly, reductions in depression and anxiety were clinically significant, dropping from moderate at pre-intervention to mild/no signs at post-intervention. These findings have implications for improving the accessibility, reach, and impact of effective mental health services for college students. [ABSTRACT FROM AUTHOR]

Very little is known about mental health service utilization among Arab and Middle Eastern American (AMEA) college students. We aimed to document AMEA college students' mental health service utilization behaviors and how known predictors shape this utilization. Using data from the 2015–2020 Healthy Minds Study, we examined self-reported diagnosis of depression or anxiety, lifetime use of therapy/psychotropic medications, and current use of therapy/medications among AMEA and non-AMEA white college students. Survey-weighted logistic regression models were fit with AMEA ethnicity as the main exposure and interaction terms to examine effect modification by religiosity, knowledge, beliefs, and stigma around treatment. Compared to non-AMEA white students, AMEA students had reduced odds of reporting diagnosis of depression (adjusted odds ratio, AOR: 0.84, 95% confidence interval, CI: 0.75, 0.94) or anxiety (AOR: 0.79, 95% CI: 0.71, 0.88), of ever attending therapy (AOR: 0.72, 95% CI: 0.65, 0.79), currently attending therapy (AOR: 0.88, 95% CI: 0.77, 0.99), and receiving medication for a mental health diagnosis (AOR: 0.79, 95% CI: 0.71, 0.88). The relationships between Arab ethnicity and mental health service utilization were modified by religiosity, knowledge, beliefs, and personal stigma about treatment. Better documentation on mental health service utilization in AMEA populations is needed in order to improve prevention efforts and service delivery. [ABSTRACT FROM AUTHOR]

As the stages of the COVID-19 pandemic evolved, the symptoms of depression, anxiety, and insomnia have increasingly manifested among Chinese college students. The aim of this study is to investigate the relationships between these symptoms through network analysis among Chinese college students during COVID-19. A three-wave cross-sectional survey was conducted at 22 colleges in Guangdong Province, involving 381,152 students during three specific time intervals: T1 (baseline, February 3 to 10, 2020), T2 (19 months after baseline, June 10 to 18, 2021), and T3 (37 months after baseline, March 15 to April 22, 2023). Depression (PHQ-9), anxiety (GAD-7), and insomnia (YSIS) were used separately. We analyzed two key network indices: "Expected influence" and "Bridge expected influence". Network stability was assessed through a case-dropping bootstrap program. The effective sample sizes for the three periods were as follows: T1 - 164,101 (103,645 females, 63.2 %), T2 - 86,767 (52,146 females, 60.1 %), and T3 - 130,284 (76,720 females, 58.9 %). Across these three periods, the key central symptoms were "Fatigue" (PHQ4), "Restlessness" (GAD5), "Uncontrollable worrying" (GAD2), "Worry too much" (GAD3) and "Sleep insufficiency" (YSIS6). Notably, "Fatigue" (PHQ4), "Restlessness" (GAD5) and "Irritability" (GAD6) consistently served as bridge symptoms. In the T1 and T2 period, "Motor" (PHQ8) acted as a bridge symptom but weakened in T3. Throughout the three periods, the mental health issues among Chinese college students displayed characteristics of somatization within the depression-anxiety-insomnia comorbidity network. Over time, anxiety symptoms appeared to become more prominent. Consequently, this study highlights the importance of accurately identifying and promptly intervening in these core symptoms of mental health among college students, as these symptoms may evolve across different stages of a pandemic. • The symptom network of depression, anxiety and insomnia in college students at different epidemic stages was discussed. • Throughout the three periods, the mental health issues among Chinese college students displayed characteristics of somatization within the depression-anxiety-insomnia comorbidity network. • Over time, anxiety symptoms appeared to become more prominent. [ABSTRACT FROM AUTHOR]

With such high rates of undergraduate sleep problems, students have chosen to take melatonin, an over-the-counter supplement that can facilitate sleep. Questions remain as to the effectiveness of melatonin for sleep problems, and questions have emerged about its impact on mental health. Accordingly, the current study examined how ongoing melatonin usage might impact relative changes in college students' sleep disturbance and ultimately their depressive symptoms. The two-wave (baseline and 2-month follow-up), online sample consisted of 331 undergraduates (86% female; Mage = 21.3, SD = 2.4), who reported on melatonin usage, sleep disturbance, and depressive symptoms. Controlling for sleep hygiene, socio-economic status, and gender, our model demonstrated a significant indirect effect from ongoing melatonin usage to depressive symptoms. Specifically, melatonin consumption predicted relative increases in sleep disturbance, which, in turn, predicted corresponding increases in students' depressive symptoms. Given the increasing prevalence of melatonin usage, the potential for unforeseen consequences remains high. Results suggest that the negative consequences of melatonin use can include both college students' mental health and their sleep. Given the efficacy of addressing sleep problems with cognitive or behavioral strategies, it is essential that student support services highlight alternatives to melatonin and the potential problems associated with its use. [ABSTRACT FROM AUTHOR]

We aimed to examine the role of materialism and perceived social support on the mental health of college students. Participants were 988 college students from Guangdong Province, China (female = 55.77 %; mean age =19.70 years, SD = 1.56 years). They completed surveys on materialism, perceived social support, and mental health. The results showed that there were significant correlations between materialism, social support, and mental health. Not only did materialism directly affect the mental health of college students, but also indirectly through perceived social support. From these findings, student counselling and development services should seek to develop students' values of introspection and benevolence as a counterbalance to materialism, thereby also mitigating the risk for mental health disorders. [ABSTRACT FROM AUTHOR]

Physical exercise plays an important role in promoting college students' mental health, but the mechanism of the effect of physical exercise on mental health is still under investigation. We conducted a survey with 1,168 Chinese college students using stratified cluster random sampling. Physical exercise, social–emotional competency, peer relationships, and mental health were assessed by using standard scales. Physical exercise was found to be positively correlated with mental health. Social–emotional competency and peer relationships had both independent and chain mediating effects on the link between physical exercise and mental health. These results reveal the mechanism of the relationship between physical exercise and mental health, and provide a preliminary basis for studying the causal relationship between them. Our findings also provide practical insights for intervention in and promotion of college students' mental health. [ABSTRACT FROM AUTHOR]

The aim of this study is to investigate the intricate relationship between social support, self-efficacy, physical activity, personality type, and stress levels among university students. This study employed an analytic observational cross-sectional design, and data were collected from 329 respondents using the Depression, Anxiety, and Stress Scales-42 (DASS-42) questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), General Self-Efficacy Scales (GSES) to measure self-efficacy, International Physical Activity Questionnaire (IPAQ) to measure physical activity, personality type assessed using the Eysenck Personality Inventory (EPI). Purposive sampling was utilized to select samples based on inclusion and exclusion criteria, and statistical analyses, including chi-square and logistic regression tests, were conducted to examine the associations between variables. It was found that 41.9% of students experienced stress, while 58.1% did not experience stress. Notably, higher levels of social support and self-efficacy were linked with reduced stress, with 87.4% of students reporting high social support and 83.2% with high self-efficacy remaining stress-free. In contrast, lower levels of these factors were associated with higher stress incidence. Moreover, good physical activity habits were correlated with lower stress levels (73.8%), contrasting with poor physical activity linked to heightened stress (72.5%). In addition, students with introverted personalities demonstrated higher stress rates (72.5%). Importantly, the study identified a significant influence of social support, self-efficacy, physical activity, and personality type on stress levels (p < 0.05). Fostering social support networks, enhancing self-efficacy beliefs, and promoting physical activity are effective to alleviate stress among university students. [ABSTRACT FROM AUTHOR]

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Objective: As a topic of widespread concern in the fields of mental health and public health, social anxiety has many negative impacts on the physical and mental health of contemporary college students. Therefore, this study aims to provide new ideas for solving the problem of social anxiety among college students by exploring the potential mediating role of social support and psychological capital in the relationship between physical activity and social anxiety. Methods: A cross-sectional survey was conducted on 874 college students from five universities in Shandong Province. Various self-report tools such as physical activity rating scale, social support scale, positive psychological capital scale, and social anxiety scale were used to collect information needed for this study. Related data. Use this to conduct descriptive statistical analysis, correlation analysis, and mediation effect analysis. Results: The results showed that physical activity was significantly positively correlated with college students' social support (r = 0.354, p < 0.01) and psychological capital (r = 0.448, p < 0.01), and social support was significantly positively correlated with psychological capital (r = 0.556, p < 0.01), the above three are significantly negatively correlated with social anxiety (r = -0.326, -0.381, -0.432, p < 0.01); the mediation effect analysis shows that physical activity has a significant direct effect on college students' social anxiety The effect value is -0.136, accounting for 43.31% of the total effect; social support and psychological capital both play a separate mediating role between physical activity and social anxiety among college students, with effect values of -0.064 and -0.073 respectively, accounting for the total effect. 20.38, 23.25%, and also played a chain intermediary role, with an effect value of -0.041, accounting for 13.05% of the total effect. Conclusion: Current research shows that physical activity can not only directly reduce social anxiety among college students, but also indirectly alleviate social anxiety among college students by increasing the level of social support and psychological capital. This has important reference significance for helping college students in China and even around the world overcome social anxiety. [ABSTRACT FROM AUTHOR]

This study utilized a multiple case design to explore and uncover the counseling experiences of selected college students of Ramon Magsaysay Memorial Colleges, General Santos City, Philippines, School Year 2023-2024. Five participants were chosen to undergo the in-depth interview. This study utilized the semi-structured interview guide to know the multiple perspectives of the participants to be carefully interviewed. Participants were made to sign informed consents with the assurance of anonymity and confidentiality. The results of the interview were transcribed, translated to produce themes. The following were the key findings that emerged: Stigma and Fear of Judgment, Academic Stress and Overwhelming Anxiety, Coping Strategies and Mechanism, Impact of Counseling Service, Self-Exploration and Personal Growth, Resilience and Empowerment, Importance of the Counselor-Client Relationship, Support System. By addressing stigma, academic pressures, and the multifaceted needs of students while fostering supportive relationships and peer connections, the counseling center can provide more effective and holistic support to college students on their mental health journeys. This study's findings can contribute to landscape college students' mental health and counseling services. These beckon practitioners and institutions to destigmatize mental health concerns, bolster academic support systems, diversify coping strategies, prioritize accessible counseling services, and nurture resilience. [ABSTRACT FROM AUTHOR]

Despite growing concern about opioid misuse and mental health of college students, little is known about this population who are at high risk of co-occurrence and unmet needs. This national study aims to estimate the prevalence of opioid misuse, examine correlates with anxiety and depression symptoms, and quantify help-seeking behaviors among U.S. college students. Data come from students in the Healthy Minds Study between 2017 and 2020 (n = 176,191). Validated screening tools assessed mental health symptoms (PHQ-9, GAD-7). Marginal effects of logistic regression models estimate the effect of opioid misuse on mental health symptoms, help-seeking and academic performance. 782 students indicated past month opioid misuse. Student opioid misuse was associated with 24.1 percentage point increase in the probability of screening positive for anxiety/depression (p < 0.001) and 3.6 percentage point increase in the probability of informal help-seeking (p = 0.017). Less than half of students with opioid misuse and a positive depression/anxiety screen received any treatment in the past year. Limitations to this study include: possible non-response bias, as it is unknown whether students with opioid misuse may be differentially-likely to respond to the survey; differing time frame for opioid misuse and mental health questions; and data was collected prior to the COVID-19 pandemic. This large, multi-campus study underlines the need for more partnership between substance use and mental health services on campus. It also highlights that college peers could receive training in ways to best help students who misuse opioids, directing them to on- or off-campus care. • 782 students (0.44 %) indicated past month opioid misuse. • Opioid misuse associated with 24.1 percentage point increase in anxiety/depression. • Opioid misuse associated with 3.6 percentage point increase of informal help-seeking. • <50 % with opioid misuse and anxiety/depression received past-year treatment. [ABSTRACT FROM AUTHOR]

Increasing research examines social determinants of health, including structural oppression and discrimination. Microaggression – subtle/ambiguous slights against one's marginalized identity – is distinct from discrimination, which typically presents as overt and hostile. The current study investigated the comparative effects of each exposure on young adult anxiety, depression, and sleep. Race-stratified analyses investigated patterns across groups. Young adults (N = 48,606) completed the Spring 2022 American College Health Association-National College Health Assessment III. Logistic regressions tested odds of anxiety symptoms, depressive symptoms, and sleep disturbance in association with microaggression and discrimination exposure. Microaggression and discrimination equally predicted increased likelihood of anxiety symptoms (OR Micro = 1.42, OR Discrim = 1.46). Discrimination more strongly predicted depressive symptoms (OR = 1.59) and sleep disturbance (OR = 1.54) than did microaggression (OR Depress = 1.24, OR Sleep = 1.27). Race-stratified analyses indicated stronger associations between the each exposure and poor mental health in Whites than Asian American, Black/African American, and Hispanic or Latino/a/x respondents. Microaggression and discrimination exposure were each assessed using a single item. The outcome measures were not assessed using validated measures of anxiety, depression, and sleep (e.g., GAD-7, MOS-SS); thus results should be interpreted with caution. Analyses were cross-sectional hindering our ability to make causal inferences. The findings provide preliminary evidence that microaggression and discrimination exposure operate on health in distinct ways. Racially marginalized individuals may demonstrate a blunted stress response relative to Whites. Treatment approaches must be tailored to the particular exposures facing affected individuals to maximize benefits. • One in five college students experienced microaggression/discrimination the past year. • Exposure rates were higher in racially marginalized students than in Whites. • Microaggression and discrimination each predicted increased odds of all symptoms. • Pathways from the exposures to anxiety, depression, and sleep varied for microaggression versus discrimination. • Clinicians must proactively address identity-based exposures to advance mental health equity. [ABSTRACT FROM AUTHOR]

With the rapid development of information and communications technology, the prevalence of cyberbullying and its influences on mental health among college students have received increasing attention. The purpose of this study was to survey the prevalence of cyberbullying in Chinese college students and to investigate the association between cyberbullying, emotional exhaustion and the perception of collective efficacy. The study sample included 5315 respondents from ten different colleges in Liaoning Province. Their demographic characteristics and characteristics of online behaviors and instruments including a Cyberbullying Scale with 12 items, the Emotional Exhaustion measuring scale, and the Perception of Collective Efficacy Scale, were employed. The prevalence of cyberbullying victimization was 26.45 % (1406/5315). Younger male college students who had more active online lives were more likely to be cyberbullying victims. Binary logistic regression analysis showed that being a cyberbullying victim (odds ratio, OR = 2.188; 95%CI, 1.841–2.600, p < 0.001) was associated with emotional exhaustion. Perceptions of collective efficacy (PCE) is negatively associated with cyberbullying and, thus, alleviate emotional exhaustion and mediate the negative effect of emotional exhaustion after it occurs. Cyberbullying occurs quite frequently among Chinese college students. Cyberbullying is a predictor of emotional exhaustion. PCE play a bidirectional role before and after cyberbullying occurs. Our study highlights the importance of the identification of potential cyberbullying victims and of the provision of early interventions in cyberbullying among Chinese college students to improve their mental health. • The study sample included 5315 respondents from ten different colleges in Liaoning Province. • Cyberbullying occurs quite frequently among Chinese college students. • Cyberbullying victimization n had a significant and positive predictive effect on emotional exhaustion • Perception of Collective Efficacy play a bidirectional role before and after cyberbullying occurs. [ABSTRACT FROM AUTHOR]

Smartphone addiction, loneliness, and depression are the norm in life, and previous studies indicate that they are closely related to each other. However, many studies have reached inconsistent conclusions and the potential mechanisms remain controversial. Therefore, based on the deficient self-regulation model, this paper aimed to examine the relationships between loneliness and smartphone addiction, including depression as a possible mediator, by testing 4274 students in China and performing a two-wave cross-lagged analysis. The results showed that: loneliness (T1) could significantly and positively predict depression and smartphone addiction (T2); depression (T1) could significantly and positively predict loneliness and smartphone addiction (T2); similarly, smartphone addiction (T1) could significantly and positively predict loneliness and depression (T2); depression (T1) mediated the relationship between loneliness (T1) and smartphone addiction (T2). The findings show the significance of promoting college students' mental health and preventing smartphone addiction. [ABSTRACT FROM AUTHOR]

Background: The mental health of university students during the COVID-19 pandemic has attracted the attention of researchers. For the present study researchers constructed a mediation model to explore the relationship between psychological resilience and post-traumatic growth, the mediating role of negative emotions and the moderating role of deliberate rumination in students. Methods: The Psychological Resilience Scale, Posttraumatic Growth Inventory, Depression-Anxiety-Stress Scale (DASS-21) and Event Related Rumination Inventory were used in a survey of 881 college students. The data were analyzed using SPSS 26.0 and the PROCESS plugin (version 3.3). Results: (1) Psychological resilience is positively related with post-traumatic growth. Deliberate rumination is positively related to psychological resilience, posttraumatic growth, and negative emotions. Psychological resilience, post-traumatic growth and negative emotions are negatively related. (2) Negative emotions mediated the relationship between psychological resilience and post-traumatic growth. (3) Deliberate rumination plays a moderating role in psychological resilience affecting negative emotions. Deliberate rumination plays a moderating role in the extent to which psychological resilience influences PTG through negative emotions. Conclusions: Psychological resilience affects post-traumatic growth directly and also indirectly through negative emotions. With the increase of mental resilience, the level of negative emotion tended to decrease. When individuals are experiencing negative emotions, high levels of active rumination are more likely to promote post-traumatic growth. This study helps to explore the factors affecting the mental health of college students during the epidemic, thus providing guidance for appropriate mental health interventions. [ABSTRACT FROM AUTHOR]

Background: Physical activity can alleviate negative emotions in college students by enhancing mood and cognitive functions. Yet, the mechanisms underlying these benefits remain unclear. Purpose: This study examines the association between physical activity and negative emotions--specifically, depression, anxiety, and stress--in college students. Additionally, we explore the mediating effects of psychological resilience and coping styles to offer theoretical and practical insights for mitigating students' negative emotions. Methods: Using a stratified random sampling approach, a total of 1,380 college students, from five universities in Hangzhou, Nanjing, and Wenzhou, were included in the analysis. The survey instruments included the Physical Activity Rating Scale, Connor-Davidson Resilience Scale, Simple Coping Style Scale, and Depression-Anxiety Stress Scale. The data were statistically analyzed using multivariate methods with IBM SPSS 25.0 and the PROCESS V3.3 plug-in. Results: (1) College students engage in a low level of physical activity, with male students participating significantly more than female students (p < 0.001). (2) Physical activity was significantly positively correlated with psychological resilience and positive coping styles (t = 9.126, p < 0.001; t = 23.087, p < 0.001) and overall negative correlated with negative emotions in college students (t = -3.601, p < 0.001). (3) Psychological resilience and positive coping styles were found to play a chain mediating role between physical activity and negative emotions. The mediation effect consists of two paths: physical activity → psychological resilience → negative emotions (effect value: -0.0324), and physical activity → psychological resilience → positive coping → negative emotions (effect value: -0.0099). (4) Female students demonstrated higher levels of positive coping (p < 0.001), while male students exhibited more negative emotions (p < 0.001). Conclusion: Our study identifies a significant indirect link, mediated by psychological resilience and positive coping styles, between physical activity and the reduction of negative emotions. Targeted interventions addressing gender differences, such as offering special courses and providing specialized exercise programs and emotional management strategies, can enhance psychological resilience and positive coping mechanisms. Consequently, these measures can alleviate the adverse effects of negative emotions. Our findings have broader implications for both research and practical interventions in promoting mental health among college students. [ABSTRACT FROM AUTHOR]

Objective: Based on a survey of anxiety among college students during the epidemic, this study takes anxiety as an example to study the coping methods of college students with different personality traits. Thus predicting the behavioral tendencies of college students and proposing some appropriate suggestions for the current psychological education work of college students. Method: The study was carried out during the large-scale outbreak of the COVID-19 epidemic, and the investigation lasted one month. Using the Self Rating Anxiety Scale (SAS), Eysenck Personality Questionnaire Simplified Chinese Version (EPQRSC), and Trait Coping Style Scale (TCSQ), an online questionnaire survey was conducted on 932 college students to analyze the mutual effects of different grades, genders, personality traits, coping methods, and other factors. Results: The research found that there was a significant gender difference in negative coping methods and anxiety among college students. Grade differences: In the comparative study of personality traits, there are gender differences in introversion and concealment dimensions and grade differences in neuroticism and concealment dimensions. There is a pairwise correlation between personality traits, coping methods, and anxiety. There is a significant positive correlation between the dimensions of psychoticism, neuroticism and anxiety; There is a significant negative correlation between introversion, concealment, and anxiety. Positive coping methods are significantly negatively correlated with anxiety, while negative coping methods are significantly positively correlated with anxiety. The positive coping style is significantly negatively correlated with the dimensions of psychoticism and neuroticism and positively correlated with the dimensions of introversion, introversion, and concealment; Negative coping methods are significantly positively correlated with the dimensions of psychoticism and neuroticism and negatively correlated with the dimensions of introversion, introversion, and concealment. Conclusion: The research results indicate that the mental health issues of college students need to be taken seriously to prevent the spread of anxiety. [ABSTRACT FROM AUTHOR]

With the continuous development of the modern information society, social networking sites are increasingly becoming an important part of people's daily lives. The relationship between college students' mental health and online behavior needs more research. This study investigated the multiple roles of perceived social support and loneliness in mediating the relationship between Chinese university students' active use of social network sites and depression. A total of 684 college students (M age = 19.11, SD = 0.94) were recruited from a university in Shaoxing, China. The independent variable was active social network sites use; the dependent variable was depression; the mediating variables were perceived social support and loneliness. Controlling for demographic variables, active social network sites use significantly and negatively predicts students' depression levels (p <.01). Active social network sites use can influence depression through perceived social support (p <.01). Perceived social support and loneliness played a sequential mediating role in the relationship between active social network sites use and depression (p <.01). [ABSTRACT FROM AUTHOR]

The sudden burst of COVID-19 has created unprecedented overnight challenges across all spheres of life, neither barring the education sector. All educational institutions had come to a sudden halt, thereby entitling the students to unparalleled challenges owing to a radical shift from offline to online classes in the wake of the outbreak of Coronavirus. The imposition of confinement within the four walls for a prolonged period paved the way for the onset of mental disorders among the students, in particular, countrywide. The survey conducted during the pandemic period (November 2020 to December 2020), aims to inspect the stress responses and the vulnerability to depressive episodes among the student community. The web-based survey encompassed 416 college-going students, who were assessed on the basis of a poll - Google Form generated standardized e-questionnaire, addressing all the 21 points of DASS21 (Depression Anxiety & Stress Scale) (Tran et al., 2013) to investigate their mental health status. The study population consisted of randomly picked candidates (18-20 years age group) across myriad disciplines. The poll results implied that 12% of the candidates were battling with severe depression while 20% of the sample pool was under constant stress exposure. Out of the 416 students, 288 (69%) attributed the COVID-19 outbreak as the preliminary cause of feelings of stress and anxiety. The survey questionnaire revealed multiple stressors that complemented each other to exaggerate the levels of anxious and depressive behaviours among students including tension associated with their health and their loved ones (104/416, 25%), attention deficiency (58/416, 14%), disrupted sleep-wake cycles (50/416, 12%), redundancy in interactions due to restrictions imposed by social distancing (29/416, 7%), disturbed eating practices (63/416, 15%). With the prevalence and levels of depressive symptoms remaining unaltered and anxiety and stress levels shooting up, the addressal and mitigation of the adversaries of the pandemic on the student population becomes indispensable. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate how trends in mental health (e.g., diagnosis/treatment of depression, anxiety, suicidal ideation) varied across intersections of gender, race/ethnicity, and sexual orientation in a large, national sample of undergraduate students. Data from the American College Health Association, and National College Health Assessment II: 2016–2019 were analyzed (N = 228,640 undergraduate students from 442 campuses, ages 18–24; 67.8 % female, 40.4 % BIPOC, 3.0 % non-binary (trans/non-conforming), 19.4 % LGBQ+). We used logistic regression to predict each mental health indicator; covariates included year, gender, BIPOC, LGBQ+ status, and their interactions, as well as other covariate controls (e.g., region, year in school). There were significant and steady increases in the odds of each mental health indicator by year (ORs = 1.12–1.13), which were significantly greater in magnitude for LGBQ+ students (ORs = 1.20–1.23). Increases did not vary by gender, race/ethnicity, or intersections between these groups and LGBQ+ status. There were significant interactions between identity groups that aligned with intersectional and minority stress theories (which did not vary by year). Non-Hispanic White students had significantly greater odds of past-year treatment/diagnosis of depression and anxiety compared to BIPOC students; however, BIPOC students had significantly greater odds of past-year suicidal ideation and this was pronounced for BIPOC women. Being non-binary x LGBQ+ was associated with significantly greater odds of each indicator. Results affirm the importance of promoting mental health among college students, with a particular focus on how to better serve and support BIPOC, non-binary, and LGBQ+ students. • Mental health indicators increased linearly from 2016 to 2019 • Rates increased more so for LGBQ+ students • Rates did not increase more for any other intersectional groups • BIPOC students continue to be underserved in mental health care [ABSTRACT FROM AUTHOR]

As societies recover from the systemic socio‐economic impacts of the 2019 novel coronavirus disease pandemic, the mental health of the youth must be monitored as they transition back to on‐campus learning. This study sought to determine the socio‐ecological determinants of mental health among Filipino college students after a 2‐year lockdown (i.e., community quarantine). A total of 1204 students aged 18–24 participated in this cross‐sectional online survey research. Multi‐level socio‐ecological determinants were measured, such as individual (age, gender), micro/mesosystem (family, friends and school), exo/macrosystem (national resilience) and chronosystem (life satisfaction change over time). Findings suggest that male students who identify as cisheterosexual (cisgender, which refers to gender identity that aligns with biological sex, and heterosexual, which refers to sexual attraction exclusively for the opposite sex), with higher ratings for family, school community, national identity, trust in public institutions and improvements in life satisfaction post‐lockdown, demonstrated higher mental well‐being. Meanwhile, female, gender and sexual minorities, with lower ratings for family, respect for diversity in school and decline in life satisfaction post‐lockdown, reported higher psychological distress. [ABSTRACT FROM AUTHOR]

We examined the role of locus of control and negative coping in influencing the relationships between fatalism and Chinese college students' depression, anxiety, and stress. Participants were 525 college students, who completed an online questionnaire. The results showed that fatalism, locus of control, negative coping, depression, anxiety, and stress were positively correlated with each other. Further, locus of control and negative coping serially mediated the influence of fatalism on depression, anxiety, and stress among college students. Thus, the good mental health of college students weakens fatalistic beliefs and also changes their locus of control and coping style. [ABSTRACT FROM AUTHOR]

Objective: To explore the latent class characteristics of college students' mental Huagong. Methods: A questionnaire survey was carried out on 510 college students by using Collage Mental Huagong Scale(CMHGS) and the Self-assessment Scale of College Students' Innovation and Entrepreneurship Ability(CSIEASAS). Results: The college students' mental Huagong can be divided into high Huagong group (40%), high-level low will group (6%), medium-level low emotion group (48%) and low Huagong group (5%). There were significant differences in the scores of entrepreneurial personality, basic entrepreneurial ability, core entrepreneurial ability and social adaptability among the four Latent class model of collage students' mental Huagong. Conclusion: There are four Latent class model of college students' mental Huagong, and there are significant differences in each dimensions of college students' abilities of innovation and entrepreneurship among each latent class models of college students' mental Huagong. [ABSTRACT FROM AUTHOR]

The mental well-being of a person is their mental state. Chemical abnormalities in the brain cause mental health problems. It is important to monitor the mental health of different groups in order to predict health-related disorders. The community consists of working professionals and college students. It is widely believed that stress and grief affect people of all ages and backgrounds. Some serious mental health disorders, such as anxiety, bipolar disorder, and schizophrenia, often evolve and produce symptoms that can be recognized early. Such mental disorders could be avoided more successfully if abnormal mental states are detected in the early stages of the disease, allowing for additional care and treatment. This study analyzed the accuracy of four data mining techniques and introduced a new ensemble technique to improve their accuracy in identifying mental health issues. The data mining techniques are Logistic Regression, KNN Classifier, Decision Tree Classifier, and Random Forest. This paper provides scope for other researchers and practitioners seeking to achieve higher accuracy in identifying mental health issues using enhanced data mining algorithms to meet several accuracy criteria. [ABSTRACT FROM AUTHOR]

Asian American (AsA) youth and emerging adults are growing at a faster rate than all other racial and ethnic populations in the United States. Burgeoning empirical evidence shows that they are experiencing increased adverse mental health outcomes since the start of the COVID-19 pandemic. Additionally, trends in AsA youth and emerging adults' utilization and help-seeking behaviors remain low. Health equity scholars posit that the model minority stereotype continues to obscure and minimize these mental health disparities. The current study aims to contribute to this vital research through a Photovoice study with AsA emerging adults. Fourteen AsA undergraduate students (M age = 19.77 years old; SD = 1.12) produced photographs and captions and participated in semi-structured interviews to describe mental health. Four themes were developed: (1) mind–body health connection and the belief that mental health is about the synchronization of one's mind and body; (2) environmental connectedness and the view that mental health is connected to nature; (3) social connectedness and how interpersonal relationships influence mental health; and (4) the internalization of the "good Asian student" stereotype and its impact on mental health. Implications for culturally tailored prevention and intervention strategies are discussed to ultimately improve health equity. [ABSTRACT FROM AUTHOR]

Young adulthood is an important developmental milestone during which individuals could greatly benefit from health promotion tools. Civic engagement has been linked with positive mental health and well-being; however, little is known about civic behavior among young adults who do not attend college. We investigated the relationship between civic engagement and well-being among non-college-bound young adults (NCYAs). Investigators conducted semi-structured focus groups and interviews with 14 young adults (aged 18–25 years old) who were not enrolled in college. Using qualitative thematic analysis procedures, coders defined five key themes within the data pertaining to the intersection of civic engagement and mental health: (1) experiencing, witnessing, and believing in the fruits of civic engagement labor; (2) managing emotions and conflict; (3) balancing individual needs with those of the collective; (4) garnering social connectedness and support; and (5) acting in alignment with values. Participants described complex, bidirectional relationships between civic engagement and well-being. Participants experiencing empowerment and political efficacy resulting from their civic engagement experiences reported greater well-being. Some participants used civic engagement as a strategy to cope with distressing emotions, while others were civically disengaged to avoid conflict and negative affect. Participants described the need to attend to personal needs first before engaging in actions to help the collective. Connecting with others was a notable promoter of well-being among those who were civically active, although negative peer influence was also a notable detractor. Finally, participants described strong value systems and identities related to civic engagement. Civic engagement can elicit both positive and negative emotional, psychological, and social well-being. The results underscore potential mechanisms that mediate the civic engagement to well-being pathway, which can be used to inform efforts to engage and retain NCYAs in civic engagement. Interventionists should cultivate strong coping and conflict management skills among engagers to manage difficult emotions that arise before, during, and after civic activity if health outcomes are to be achieved. [ABSTRACT FROM AUTHOR]

The objective of the study was to explore the effect of academic stress on the mental health of the undergraduate university students. The research was designed as a quantitative causal-comparative study. For the collection of data, standardized instruments were adopted. The instrument was thus duly validated by experts and a pilot study from 60 participants. The population of the study comprised undergraduate university students of the Lahore district. A proportionate stratified random sampling technique was used to select the sample. The selected sample comprised 528 students. The data was analyzed using SPSS version 25. Data analysis included independent sample t-test, ANOVA, and multiple regression analysis. The results revealed the significant correlation between the variables and academic stress was found a significant predictor of mental health issues. It is therefore recommended that the institutions should develop awareness among the students and their parents, regarding the issues under study. Moreover, enhancing the depth and breadth of the research scope can help to get further probe into the issue under considerations. [ABSTRACT FROM AUTHOR]

Introduction: Despite extensive research on contextual factors will relieve college students' depressive symptoms, significant gaps remain in understanding the underlying mechanisms of this relationship, particularly through individual strength factors such as mindfulness and self-esteem. Based on self-determination theory, we explore the association between parental autonomy support and depressive symptoms among Chinese college students and whether mindfulness and self-esteem serve as mediators. Methods: A total of 1,182 Chinese college students aged 16 to 27 years (Mage = 20.33, SD = 1.63; female = 55.7%) participated in this research. Questionnaires pertaining to parental autonomy support, mindfulness, selfesteem, and depressive symptoms were administered. Results: The results revealed that depressive symptoms were negatively correlated with both paternal and maternal autonomy support, with mindfulness and self-esteem acting as chain-mediators. Specifically, mindfulness and selfesteem were positively impacted by parental autonomy support, whereas depressive symptoms were negatively impacted by mindfulness and selfesteem. Furthermore, paternal and maternal autonomy support significantly impacted depressive symptoms via both direct and indirect pathways. Indirect effects included three paths: mediation through mindfulness, mediation through self-esteem, and mediation through the mindfulness and self-esteem chain. Discussion: The study highlights the fundamental mechanisms that account for the association between Chinese college students' parental autonomy support and depressive symptoms, these insights can be used to prevent and manage mental health problems among Chinese college students. For example, parents' autonomy support can directly reduce depressive symptoms, but we can also indirectly promote college students' mental health by emphasizing the mediation role of students' mindfulness and self-esteem. [ABSTRACT FROM AUTHOR]

Previous studies have documented that parent‒child attachment is linked to the mental health of college students. However, little is known about the mediating and moderating mechanisms underlying this relation. Based on attachment theory, this study examined whether security mediates the relationship between parent‒child attachment and mental health among college students and whether problematic smartphone use moderates the second half of the mediation process. In total, 77,211 Chinese students (mean age = 20.09 years, SD = 1.37) were recruited from multiple universities. These students provided self-reported data on demographic variables, parent‒child attachment, security, problematic smartphone use, depression, anxiety and resilience. After controlling for sex, age, paternal education level, maternal education level and family economic status, mediation analysis indicated that security mediates the association between parent‒child attachment and mental health among college students. Moderated mediation analysis further demonstrated that the association between security and mental health is moderated by problematic smartphone use. Specifically, the relationship between security and mental health among college students was stronger for those with highly problematic smartphone use. The current study highlights the significance of identifying the mechanisms that moderate the mediated paths between parent‒child attachment and mental health and has important implications for the prevention and intervention of mental health problems among college students. [ABSTRACT FROM AUTHOR]

The present research explored the relationship among negative life events, self-esteem, grade, and adjustment of college students. In total, 1,717 college students were investigated by the adolescent life events scale, Rosenberg self-esteem inventory, and Chinese college students' adjustment scale. The results showed that negative life events were negatively correlated with selfesteem and college students' adjustment. Moreover, self-esteem was positively correlated with college students' adjustment. Negative life events significantly negatively predicted college students' adjustment, and self-esteem mediated the relationship between negative life events and college students' adjustment. Grade moderated the effects of negative life events on college students' adjustment. These findings have broad implications for college students' mental health. [ABSTRACT FROM AUTHOR]

The sense of relative deprivation, reflecting individuals' self-perceived poor social comparison, is widespread among current college students. However, it remains unclear the impact and potential mediators of this adverse perception on the mental health of this group, and whether this association differs between males and females. The study aimed to investigate the effects of the sense of relative deprivation on depression in this group and their potential mediators and to explore the differences in these effects in males and females. This study, which was planned as relational and cross-sectional, by questionnaire method, consisted of 2576 college students. Single- and multi-cluster structural equation models were constructed in the sample. Results showed that the sense of relative deprivation in college students was associated with depression. Smartphone addiction and sleep together played a pathway role, mediating 31.793% of the association. Additionally, male college students showed a stronger sense of relative deprivation compared to females, and the effect of this adverse perception on smartphone addiction and depression was also found to be greater in this group. Our results highlight the detrimental effects of subjective relative deprivation on college students' mental health, suggesting that males may be more likely to develop smartphone addiction and decreased sleep quality after experiencing a sense of relative deprivation, which may further lead to increased depressive symptoms. [ABSTRACT FROM AUTHOR]