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Title: Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life

Abstract

The onset of most lifetime mental disorders occurs during adolescence, and the years in college, as the final stage of adolescence in a broad sense, deserve attention in this respect. The psychological well-being of undergraduate students can influence not only their academic and professional success, but also the development of society as a whole. Although previous studies suggested psychiatric disorders are common in the adult population, there was little consistent information available about undergraduate students’ mental health problems. This research aimed to describe the changes in depression, anxiety, and stress of Chinese full-time undergraduate students as they experienced university life using the Depression Anxiety Stress Scales-21 (DASS-21). The main conclusions of our study were as follows: (1) on average, students’ severity scores of depression during the four academic years varied between 7.22 and 7.79, while stress scores ranged from 9.53 to 11.68. However, the anxiety scores of college students in the first three years turned out to be 7.40, 7.24 and 7.10, respectively, slightly overtaking the normal threshold of 7. These results indicated that Chinese college students, in general, were mentally healthy with regard to depression and stress, but their average anxiety levels were beyond normal in the first threemore » years. (2) As for the proportions of students with different degrees of severity, approximately 38% to 43% of college students were above the normal level of anxiety, about 35% above the normal level of depression, and around 20% to 30% above the normal level of stress. (3) There were significant differences in the psychological health states of students of different years, especially among the sophomores, juniors, and seniors; the highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years. The findings suggested that colleges and universities need to pay special attention to psychologically unhealthy students, and with concerted efforts by the government, formulate mental health policies in the prevention, detection, and treatment of students’ psychiatric disorders, rather than just focusing on their average levels of mental health.« less

Authors:
 [1];  [2];  [3]
  1. Peking Univ., Beijing (China). Graduate School of Education; Peking Univ., Beijing (China). China Inst. for Educational Finance Research
  2. Guangzhou Administration School (China). Dept. of Public Policy & Management
  3. Peking Univ., Beijing (China). China Inst. for Educational Finance Research
Publication Date:
Research Org.:
Peking Univ., Beijing (China). Graduate School of Education
Sponsoring Org.:
USDOE Office of Science (SC)
OSTI Identifier:
1628347
Grant/Contract Number:  
FG02-00ER41132
Resource Type:
Accepted Manuscript
Journal Name:
International Journal of Environmental Research and Public Health
Additional Journal Information:
Journal Volume: 16; Journal Issue: 16; Journal ID: ISSN 1660-4601
Publisher:
MDPI
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; environmental sciences & ecology; public, environmental & occupational health; undergraduate students; well-being; longitudinal study; depression; anxiety; stress

Citation Formats

Liu, Xinqiao, Ping, Siqing, and Gao, Wenjuan. Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life. United States: N. p., 2019. Web. doi:10.3390/ijerph16162864.
Liu, Xinqiao, Ping, Siqing, & Gao, Wenjuan. Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life. United States. https://doi.org/10.3390/ijerph16162864
Liu, Xinqiao, Ping, Siqing, and Gao, Wenjuan. Sat . "Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life". United States. https://doi.org/10.3390/ijerph16162864. https://www.osti.gov/servlets/purl/1628347.
@article{osti_1628347,
title = {Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life},
author = {Liu, Xinqiao and Ping, Siqing and Gao, Wenjuan},
abstractNote = {The onset of most lifetime mental disorders occurs during adolescence, and the years in college, as the final stage of adolescence in a broad sense, deserve attention in this respect. The psychological well-being of undergraduate students can influence not only their academic and professional success, but also the development of society as a whole. Although previous studies suggested psychiatric disorders are common in the adult population, there was little consistent information available about undergraduate students’ mental health problems. This research aimed to describe the changes in depression, anxiety, and stress of Chinese full-time undergraduate students as they experienced university life using the Depression Anxiety Stress Scales-21 (DASS-21). The main conclusions of our study were as follows: (1) on average, students’ severity scores of depression during the four academic years varied between 7.22 and 7.79, while stress scores ranged from 9.53 to 11.68. However, the anxiety scores of college students in the first three years turned out to be 7.40, 7.24 and 7.10, respectively, slightly overtaking the normal threshold of 7. These results indicated that Chinese college students, in general, were mentally healthy with regard to depression and stress, but their average anxiety levels were beyond normal in the first three years. (2) As for the proportions of students with different degrees of severity, approximately 38% to 43% of college students were above the normal level of anxiety, about 35% above the normal level of depression, and around 20% to 30% above the normal level of stress. (3) There were significant differences in the psychological health states of students of different years, especially among the sophomores, juniors, and seniors; the highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years. The findings suggested that colleges and universities need to pay special attention to psychologically unhealthy students, and with concerted efforts by the government, formulate mental health policies in the prevention, detection, and treatment of students’ psychiatric disorders, rather than just focusing on their average levels of mental health.},
doi = {10.3390/ijerph16162864},
journal = {International Journal of Environmental Research and Public Health},
number = 16,
volume = 16,
place = {United States},
year = {2019},
month = {8}
}

Works referenced in this record:

Misophonia in Singaporean Psychiatric Patients: A Cross-Sectional Study
journal, July 2018

  • Quek, Tian; Ho, Cyrus; Choo, Carol
  • International Journal of Environmental Research and Public Health, Vol. 15, Issue 7
  • DOI: 10.3390/ijerph15071410

Prevalence of depression among nursing students: A systematic review and meta-analysis
journal, April 2018


Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups
journal, September 2007


Socioeconomic Vulnerability to Depressive Symptoms in Patients with Chronic Hepatitis B
journal, January 2019

  • Vu, Thuc; Le, Thieu; Dang, Anh
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 2
  • DOI: 10.3390/ijerph16020255

Toward a new definition of mental health
journal, June 2015

  • Galderisi, Silvana; Heinz, Andreas; Kastrup, Marianne
  • World Psychiatry, Vol. 14, Issue 2
  • DOI: 10.1002/wps.20231

Psychiatric Comorbidities in Asian Adolescent Asthma Patients and the Contributions of Neuroticism and Perceived Stress
journal, August 2014


Mental illness stigma as a mediator of differences in Caucasian and South Asian college students' attitudes toward psychological counseling.
journal, January 2010

  • Loya, Fred; Reddy, Radhika; Hinshaw, Stephen P.
  • Journal of Counseling Psychology, Vol. 57, Issue 4
  • DOI: 10.1037/a0021113

DASS21: A Useful Tool in the Psychological Profile Evaluation of Dialysis Patients
journal, April 2018

  • Liu, Wen Jiun; Musa, Ramli; Chew, Thian Fook
  • The American Journal of the Medical Sciences, Vol. 355, Issue 4
  • DOI: 10.1016/j.amjms.2017.11.015

The relation of depression and anxiety to life-stress and achievement in students
journal, November 2004


Long-term stability of depression, anxiety, and stress syndromes.
journal, August 1998


Determining the quality of life of depressed patients in Singapore through a multiple mediation framework
journal, December 2015


Prevalence of Depression in the Community from 30 Countries between 1994 and 2014
journal, February 2018


Age of onset of mental disorders: a review of recent literature
journal, January 2007

  • Kessler, Ronald C.; Amminger, G. Paul; Aguilar-Gaxiola, Sergio
  • Current Opinion in Psychiatry, Vol. 20, Issue 4
  • DOI: 10.1097/YCO.0b013e32816ebc8c

Relationship of Anxiety and Depression with Respiratory Symptoms: Comparison between Depressed and Non-Depressed Smokers in Singapore
journal, January 2019

  • Ho, Cyrus SH; Tan, Elysia LY; Ho, Roger CM
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 1
  • DOI: 10.3390/ijerph16010163

Perceived Social Support as Moderator of Perfectionism, Depression, and Anxiety in College Students
journal, August 2013

  • Zhou, Xueting; Zhu, Hong; Zhang, Bin
  • Social Behavior and Personality: an international journal, Vol. 41, Issue 7
  • DOI: 10.2224/sbp.2013.41.7.1141

Factors Associated with the Risk of Developing Coronary Artery Disease in Medicated Patients with Major Depressive Disorder
journal, September 2018

  • Ho, Roger; Chua, Anna; Tran, Bach
  • International Journal of Environmental Research and Public Health, Vol. 15, Issue 10
  • DOI: 10.3390/ijerph15102073

Depression and suicide ideation among students accessing campus health care.
journal, January 2011


Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study
journal, January 2019

  • Nguyen, Sau Huu; Nguyen, Long Hoang; Vu, Giang Thu
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 3
  • DOI: 10.3390/ijerph16030305

Mental Health Problems and Help-Seeking Behavior Among College Students
journal, January 2010


Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures
journal, December 2013


Identifying Factors Influencing Mental Health Development of College Students in China
journal, January 2002

  • Tao, Chen; Yongyi, Bi; Zongfu, Mao
  • Social Behavior and Personality: an international journal, Vol. 30, Issue 6
  • DOI: 10.2224/sbp.2002.30.6.547

The Social Consequences of Psychiatric Disorders, III: Probability of Marital Stability
journal, August 1998

  • Kessler, Ronald C.; Walters, Ellen E.; Forthofer, Melinda S.
  • American Journal of Psychiatry, Vol. 155, Issue 8
  • DOI: 10.1176/ajp.155.8.1092

Mental health in adolescence: Is America's youth flourishing?
journal, July 2006


Mental and physical health in students: The role of economic circumstances
journal, September 2000

  • Roberts, Ron; Golding, John; Towell, Tony
  • British Journal of Health Psychology, Vol. 5, Issue 3
  • DOI: 10.1348/135910700168928

The prevalence and correlates of depression, anxiety, and stress in a sample of college students
journal, March 2015


Changes in undergraduate students’ psychological well‐being as they progress through university
journal, August 2010

  • Bewick, Bridgette; Koutsopoulou, Gina; Miles, Jeremy
  • Studies in Higher Education, Vol. 35, Issue 6
  • DOI: 10.1080/03075070903216643

The age of adolescence
journal, March 2018

  • Sawyer, Susan M.; Azzopardi, Peter S.; Wickremarathne, Dakshitha
  • The Lancet Child & Adolescent Health, Vol. 2, Issue 3
  • DOI: 10.1016/S2352-4642(18)30022-1

A longitudinal study of studentsʼ depression at one medical school
journal, January 1997


Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study
journal, January 2015

  • Teh, Choon Khim; Ngo, Choon Wei; Zulkifli, Rashidatul Aniyah binti
  • Open Journal of Epidemiology, Vol. 05, Issue 04
  • DOI: 10.4236/ojepi.2015.54030

Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students
journal, March 2017

  • Abdel Wahed, Wafaa Yousif; Hassan, Safaa Khamis
  • Alexandria Journal of Medicine, Vol. 53, Issue 1
  • DOI: 10.1016/j.ajme.2016.01.005

Prevalence of depression amongst medical students: a meta-analysis
journal, March 2016

  • Puthran, Rohan; Zhang, Melvyn W. B.; Tam, Wilson W.
  • Medical Education, Vol. 50, Issue 4
  • DOI: 10.1111/medu.12962

Exploring the association between childhood and adolescent obesity and depression: a meta-analysis: Depression and obesity in childhood and adolescence
journal, April 2017

  • Quek, Ying-Hui; Tam, Wilson W. S.; Zhang, Melvyn W. B.
  • Obesity Reviews, Vol. 18, Issue 7
  • DOI: 10.1111/obr.12535

The Depression Anxiety Stress Scales-21 (DASS-21): Further Examination of Dimensions, Scale Reliability, and Correlates: Depression Anxiety Stress
journal, August 2012

  • Osman, Augustine; Wong, Jane L.; Bagge, Courtney L.
  • Journal of Clinical Psychology, Vol. 68, Issue 12
  • DOI: 10.1002/jclp.21908

Stigma and Help Seeking for Mental Health Among College Students
journal, February 2009

  • Eisenberg, Daniel; Downs, Marilyn F.; Golberstein, Ezra
  • Medical Care Research and Review, Vol. 66, Issue 5
  • DOI: 10.1177/1077558709335173

Toward a new definition of mental health
journal, June 2015

  • Galderisi, Silvana; Heinz, Andreas; Kastrup, Marianne
  • World Psychiatry, Vol. 14, Issue 2
  • DOI: 10.1002/wps.20231

DASS21: A Useful Tool in the Psychological Profile Evaluation of Dialysis Patients
journal, April 2018

  • Liu, Wen Jiun; Musa, Ramli; Chew, Thian Fook
  • The American Journal of the Medical Sciences, Vol. 355, Issue 4
  • DOI: 10.1016/j.amjms.2017.11.015

The prevalence and correlates of depression, anxiety, and stress in a sample of college students
journal, March 2015


Mental Health Problems and Help-Seeking Behavior Among College Students
journal, January 2010


Prevalence of depression among nursing students: A systematic review and meta-analysis
journal, April 2018


Defining adolescence: priorities from a global health perspective
journal, May 2018


Mental health in adolescence: Is America's youth flourishing?
journal, July 2006


Mental illness stigma as a mediator of differences in Caucasian and South Asian college students' attitudes toward psychological counseling.
journal, January 2010

  • Loya, Fred; Reddy, Radhika; Hinshaw, Stephen P.
  • Journal of Counseling Psychology, Vol. 57, Issue 4
  • DOI: 10.1037/a0021113

Prevalence of Depression in the Community from 30 Countries between 1994 and 2014
journal, February 2018


Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures
journal, December 2013


Changes in undergraduate students’ psychological well‐being as they progress through university
journal, August 2010

  • Bewick, Bridgette; Koutsopoulou, Gina; Miles, Jeremy
  • Studies in Higher Education, Vol. 35, Issue 6
  • DOI: 10.1080/03075070903216643

Depression and suicide ideation among students accessing campus health care.
journal, January 2011


Prevalence of depression amongst medical students: a meta-analysis
journal, March 2016

  • Puthran, Rohan; Zhang, Melvyn W. B.; Tam, Wilson W.
  • Medical Education, Vol. 50, Issue 4
  • DOI: 10.1111/medu.12962

Comorbidity of Mood Disorders: A Longitudinal Prospective Study
journal, June 1996


The relation of depression and anxiety to life-stress and achievement in students
journal, November 2004


The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample
journal, June 2005

  • Henry, Julie D.; Crawford, John R.
  • British Journal of Clinical Psychology, Vol. 44, Issue 2
  • DOI: 10.1348/014466505x29657

Mental and physical health in students: The role of economic circumstances
journal, September 2000

  • Roberts, Ron; Golding, John; Towell, Tony
  • British Journal of Health Psychology, Vol. 5, Issue 3
  • DOI: 10.1348/135910700168928

The impact of financial circumstances on student health
journal, September 2005

  • Jessop, Donna C.; Herberts, Carolina.; Solomon, Lucy.
  • British Journal of Health Psychology, Vol. 10, Issue 3
  • DOI: 10.1348/135910705x25480

Perceived Social Support as Moderator of Perfectionism, Depression, and Anxiety in College Students
journal, August 2013

  • Zhou, Xueting; Zhu, Hong; Zhang, Bin
  • Social Behavior and Personality: an international journal, Vol. 41, Issue 7
  • DOI: 10.2224/sbp.2013.41.7.1141

Misophonia in Singaporean Psychiatric Patients: A Cross-Sectional Study
journal, July 2018

  • Quek, Tian; Ho, Cyrus; Choo, Carol
  • International Journal of Environmental Research and Public Health, Vol. 15, Issue 7
  • DOI: 10.3390/ijerph15071410

Factors Associated with the Risk of Developing Coronary Artery Disease in Medicated Patients with Major Depressive Disorder
journal, September 2018

  • Ho, Roger; Chua, Anna; Tran, Bach
  • International Journal of Environmental Research and Public Health, Vol. 15, Issue 10
  • DOI: 10.3390/ijerph15102073

Relationship of Anxiety and Depression with Respiratory Symptoms: Comparison between Depressed and Non-Depressed Smokers in Singapore
journal, January 2019

  • Ho, Cyrus SH; Tan, Elysia LY; Ho, Roger CM
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 1
  • DOI: 10.3390/ijerph16010163

Socioeconomic Vulnerability to Depressive Symptoms in Patients with Chronic Hepatitis B
journal, January 2019

  • Vu, Thuc; Le, Thieu; Dang, Anh
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 2
  • DOI: 10.3390/ijerph16020255

Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study
journal, January 2019

  • Nguyen, Sau Huu; Nguyen, Long Hoang; Vu, Giang Thu
  • International Journal of Environmental Research and Public Health, Vol. 16, Issue 3
  • DOI: 10.3390/ijerph16030305

Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study
journal, January 2015

  • Teh, Choon Khim; Ngo, Choon Wei; Zulkifli, Rashidatul Aniyah binti
  • Open Journal of Epidemiology, Vol. 05, Issue 04
  • DOI: 10.4236/ojepi.2015.54030

Works referencing / citing this record:

Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator
journal, January 2020

  • Páramo, María Fernanda; Cadaveira, Fernando; Tinajero, Carolina
  • International Journal of Environmental Research and Public Health, Vol. 17, Issue 2
  • DOI: 10.3390/ijerph17020542

Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator
journal, January 2020

  • Páramo, María Fernanda; Cadaveira, Fernando; Tinajero, Carolina
  • International Journal of Environmental Research and Public Health, Vol. 17, Issue 2
  • DOI: 10.3390/ijerph17020542