causes of stress among university students essay

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Stress, Anxiety, and Depression Among Undergraduate Students during the COVID-19 Pandemic and their Use of Mental Health Services

Jungmin lee.

1 Department of Educational Policy Studies and Evaluation, University of Kentucky, 597 S. Upper Street, 131 Taylor Education Building, Lexington, KY 40506-0001 USA

Hyun Ju Jeong

2 Department of Integrated Strategic Communication, University of Kentucky, Lexington, KY USA

3 Division of Biomedical Informatics, University of Kentucky, Lexington, KY USA

Associated Data

Not applicable.

The coronavirus 2019 (COVID-19) has brought significant changes to college students, but there is a lack of empirical studies regarding how the pandemic has affected student mental health among college students in the U.S. To fill the gap in the literature, this study describes stress, anxiety, and depression symptoms for students in a public research university in Kentucky during an early phase of COVID-19 and their usage of mental health services. Results show that about 88% of students experienced moderate to severe stress, with 44% of students showing moderate to severe anxiety and 36% of students having moderate to severe depression. In particular, female, rural, low-income, and academically underperforming students were more vulnerable to these mental health issues. However, a majority of students with moderate or severe mental health symptoms never used mental health services. Our results call for proactively reaching out to students, identifying students at risk of mental health issues, and providing accessible care.

The coronavirus 2019 (COVID-19) has brought significant and sudden changes to college students. To protect and prevent students, faculty, and staff members from the disease, higher education institutions closed their campus in the spring of 2020 and made a quick transition to online classes. Students were asked to evacuate on a short notice, adjust to new online learning environments, and lose their paid jobs in the middle of the semester. The pandemic has also raised concerns among college students about the health of their family and friends (Brown & Kafka, 2020 ). Because all these changes were unprecedented and intensive, they caused psychological distress among students, especially during the first few months of the pandemic. There is abundant anecdotal evidence describing students’ stress and emotional difficulties as impacted by COVID-19, but there are only a few empirical studies available that directly measure college student mental health since the outbreak (e.g., Huckins et al., 2020 ; Kecojevic et al., 2020 ; Son et al., 2020 ). Most existing studies focus on mental health for general populations (e.g., Gao et al., 2020 ) or health care workers (e.g., Chen et al., 2020 ), whose results may not be applicable to college students. Given that college students are particularly vulnerable to mental health issues (e.g., Kitzrow, 2003 ), it is important to explore their mental health during this unprecedented crisis.

In this study, we describe the prevalence of stress, anxiety, and depression for undergraduate students in a public research university during the six weeks after the COVID-19 outbreak alongside their usage of mental health services. Using a self-administered online survey, we measured stress, anxiety, and depression levels with well-established clinical tools and asked the extent to which college students used on-campus and off-campus mental health services for the academic year. Our results revealed that more than eight out of ten students surveyed experienced modest or severe stress, and approximately 36–44% of respondents showed moderate or severe anxiety and depression. However, more than 60% of students with moderate or severe stress, anxiety, or depression had never utilized mental health services on- or off-campus. Although focusing on a single institution, this paper is one of the few studies that empirically examine mental health of college students in the U.S. during the early phase of the pandemic. Findings from this paper reassure the seriousness of student mental health during the pandemic and call for a proactive mental health assessment and increased support for college students.

Literature Review

Covid-19 and student mental health.

Empirical studies reported a high prevalence of college mental health issues during the early phase of COVID-19 around the world (Cao et al., 2020 ; Chang et al., 2020 ; Liu et al., 2020 , Rajkumar, 2020 ; Saddik et al., 2020 ). In the U.S. a few, but a growing number of empirical surveys and studies were conducted to assess college students’ mental health during the pandemic. Three nationwide surveys conducted across the U.S. conclude that college student mental health became worse during the pandemic. According to an online survey administered by Active Minds in mid-April of 2020, 80% of college students across the country reported that COVID-19 negatively affected their mental health, with 20% reporting that their mental health had significantly worsened (Horn, 2020 ). It is also concerning that 56% of students did not know where to go if they had immediate needs for professional mental health services (Horn, 2020 ). Another nationwide survey conducted from late-May to early-June also revealed that 85% of college students felt increased anxiety and stress during the pandemic, but only 21% of respondents sought a licensed counselor or a professional (Timely MD, n.d. ) According to the Healthy Minds Network’s survey (2020), which collected data from 14 college campuses across the country between March and May of 2020, the percentage of students with depression increased by 5.2% compared to the year before. However, 58.2% of respondents never tried mental health care and about 60% of students felt that it became more difficult to access to mental health care since the pandemic. These survey results clearly illustrate that an overwhelming majority of college students in the U.S. have experienced mental health problems during the early phase of COVID-19, but far fewer students utilized professional help. Despite the timely and valuable information, only Healthy Minds Network ( 2020 ) used clinical tools to measure student mental health, and none of them explored whether student characteristics were associated with mental health symptoms.

To date, only a few scholarly research studies focus on college student mental health in the U.S. since the COVID-19 outbreak. Huckins et al. ( 2020 ) have longitudinally tracked 178 undergraduate students at Dartmouth University for the 2020 winter term (from early-January to late-March of 2020) and found elevated anxiety and depression scores during mid-March when students were asked to leave the campus due to the pandemic. The evacuation decision coincided with the final week, which could have intensified student anxiety and depression. The anxiety and depression scores gradually decreased once the academic term was over, but they were still significantly higher than those measured during academic breaks in previous years. Conducting semi-structured interviews with 195 students at a large public university in Texas, Son et al. ( 2020 ) found that 71% of students surveyed reported increased stress and anxiety due to the pandemic, but only 5% of them used counseling services. The rest of the students explained that they did not use counseling services because they assumed that others would have similar levels of stress and anxiety, they did not feel comfortable talking with unfamiliar people or over the phone, or they did not trust counseling services in general. Common stressors included concerns about their own health or their loved ones’, sleep disruption, reduced social interactions, and difficulty in concentration. Based on a survey from 162 undergraduate students in New Jersey, Kecojevic et al. ( 2020 ) found that female students had a significantly higher level of stress than male students and that upper-class undergraduate students showed a higher level of anxiety than first-year students. Having difficulties in focusing on academic work led to increased levels of stress, anxiety, and depression (Kecojevic et al., 2020 ).

College Student Mental Health and Usage of Mental Health Services Before COVID-19

College student mental health has long been studied in education, psychology, and medicine even before the pandemic. The general consensus of the literature is that college student mental health is in crisis, worsening in number and severity over time. Before the pandemic in the academic year of 2020, more than one-third of college students across the country were diagnosed by mental health professionals for having at least one mental health symptom (American College Health Association, 2020 ). Anxiety (27.7%) and depression (22.5%) were most frequently diagnosed. The proportion of students with mental health problems is on the rise as well. Between 2009 and 2015, the proportion of students with anxiety or depression increased by 5.9% and 3.2%, respectively (Oswalt et al., 2020 ). Similarly, between 2012 and 2020, scores for depression, general anxiety, and social anxiety have constantly increased among those who visited counseling centers on college campuses (Center for College Mental Health [CCMH], 2021 ).

Some groups are more vulnerable to mental health problems than others. For example, female and LGBTQ students tend to report a higher prevalence of mental health issues than male students (Eisenberg et al., 2007b ; Evans et al., 2018 ; Wyatt et al., 2017 ). However, there is less conclusive evidence on the difference across race or ethnicity. It is well-supported that Asian students and international students report fewer mental health problems than White students and domestic students, but there are mixed results regarding the difference between underrepresented racial minority students (i.e., African-American, Hispanic, and other races) and White students (Hyun et al., 2006 ; Hyun et al., 2007 ). Many researchers find either insignificant differences (e.g., Eisenberg et al., 2007b ) or fewer mental health issues reported for underrepresented minority students compared to White students (e.g., Wyatt et al., 2017 ). This may not necessarily mean that racial minority students tend to have fewer mental health problems, but it may reflect their cultural tendency against disclosing one’s mental health issues to others (Hyun et al., 2007 ; Wyatt & Oswalt, 2013 ). In terms of age, some studies (e.g., Eisenberg et al., 2007b ) reveal that students who are 25 years or older tend to have fewer mental health issues than younger students, while others find it getting worse throughout college (Wyatt et al., 2017 ). Lastly, financial stress significantly increases depression, anxiety, and suicidal thoughts among college students (Eisenberg et al., 2007b ).

Despite the high prevalence of mental health issues, college students tend to underutilize mental health services (Cage et al., 2018 ; Hunt & Eisenberg, 2010 ; Lipson et al., 2019 ; Oswalt et al., 2020 ). The Healthy Minds Study 2018–2019, which collected data from 62,171 college students across the country, reports that 57% of students with positive anxiety or depression screens have not used counseling or therapy, and 64% of them have not taken any psychotropic medications within the past 12 months (Healthy Minds, 2019 ). Even when students had visited a counseling center, about one-fourth of them did not return for a scheduled appointment, and another 14.1% of students declined further services (CCMH, 2021 ). When asked the barriers that prevented them from seeking mental health services, students reported a lack of perceived needs for help (41%), preference to deal with mental health issues on their own or with families and friends (27%), a lack of time (23%), financial difficulty (15%), and a lack of information about where to go (10%). Students who never used mental health services were not sure if their insurance covered mental health treatment or were more skeptical about the effectiveness of treatment (Eisenberg et al., 2007a ). Stigma, students’ view about getting psychological help for themselves, is another significant barrier in seeking help and utilizing mental health services (Cage et al., 2018 ).

Current Study

While previous studies have advanced our understanding of student mental health and their usage of mental health services, we find a lack of empirical studies on these matters, particularly in the context of COVID-19. The goal of this study is to fill the gap with specific investigations into the prevalence and pattern of U.S. college student mental health with regard to counseling service use during the early phase of COVID-19. First, very few studies focus on college students and their mental health during the pandemic, and most nationwide surveys conducted in the U.S. did not use clinically validated tools to measure student mental health. In this study, we have employed the three clinical measures to assess stress, anxiety, and depression, which are the most prevalent mental health problems among college student populations (Leviness et al., 2017 ). Secondly, it should be noted that while empirical research conducted in U.S. institutions clearly demonstrate that college students were under serious mental distress during the pandemic (Huckins et al., 2020 ; Son et al., 2020 ; Kecojevic et al., 2020 ), such studies have relatively small sample sizes and rarely examined whether particular groups were more vulnerable than others during the pandemic. To overcome such limitations, the present study has recruited a relatively large number of students from all degree-seeking students enrolled at the study institution. Further, given the high prevalence of mental health issues, we have identified vulnerable student groups and provided suggestions regarding necessary support for these students in an effort to reduce mental health disparity. Lastly, previous studies (e.g., Healthy Minds, 2019 ) show that college students, even those with mental health issues, tended to underutilize counseling services before the pandemic. Yet, there is limited evidence regarding whether this continued to be the case during COVID-19. Our study provides empirical evidence regarding the utilization of mental health services during the early phase of the pandemic and identifies its predictors. Based on the preceding discussions, we address the following research questions in this study:

First, how prevalent were stress, anxiety, and depression among college students during the early phase of the pandemic? Second, to what extent have students utilized mental health services on- and off-campus? Third, what are the predictors of mental health symptoms and the usage of mental health services?

We collected data via a self-administered online survey. This survey was designed to measure student mental health, the usage of mental health services, and demographics. The survey was sent to all degree-seeking students enrolled in a public research university in Kentucky for the spring of 2020. An invitation email was first sent on March 23, which was two days after the university announced campus closure, and two more reminder emails were sent in mid-April and late-April. The survey was available until May 8th, which was the last day of the semester.

A total of 2691 students (out of 24,146 qualified undergraduate and graduate degree-seeking students enrolled for the semester) responded to the survey. The response rate was 11.14%, but this is acceptable as it is within the range of Internet survey response rates, which is anywhere from 1 to 30% (Wimmer & Dominick, 2006 ). We deleted responses from 632 students who did not answer any mental health questions, which left 2059 valid students for the analysis. In this study, we focused on undergraduate students because they are significantly different from graduate students in terms of demographics (e.g., racial composition, age, and income) and major stressors (Wyatt & Oswalt, 2013 ). As a result, 1412 undergraduate students are included in our sample. 90% of these students had complete data. The rest of students skipped a couple of questions (usually related to their residency) but answered most of the question. Thus, we conducted multiple imputation, created ten imputed data sets, and ran regression models using these imputed data (Allison, 2002 ). Our regression results using imputed data are qualitatively similar to the estimates using original data; however, for comparison, we also provided the regression estimates using original data in Appendix Tables  6 and ​ and7. 7 . Please note that we still used original data for descriptive research questions (presented in Tables  1 , ​ ,2, 2 , and ​ and4) 4 ) to accurately describe the prevalence of mental health symptoms and use of counseling services.

Descriptive statistics of sample characteristics

Descriptive statistics for stress, anxiety, and depression prevalence

Usage of mental health services among students with moderate or severe symptoms

Ordinal logistic regression models for severity of mental health symptoms (original data)

Odds ratio are reported, and numbers in parentheses are standard error

+ p  < 0.1, * p  < 0.05, ** p  < 0.01, *** p  < 0.001

Logistic regression models predicting the usage of mental health services (original data)

+ p < 0.1, * p < 0.05, ** p < 0.01, *** p < 0.001

Table  1 provides descriptive statistics for students in our data. Female (73%), White (86%), and students who are below 25 years old (95%) are the vast majority of our sample. About one in four students are rural students and/or students from Appalachian areas (27%) and first-generation students (23%). Wealthier students (whose family income was $100,000 or more) make up about 44% of the sample (44%). Compared to the undergraduate student population at the study site, female students (56.3% at the study site) are overrepresented in our study. The proportion of White students is slightly higher in our sample (86%) than the study population (84%), and that of first-generation students is slightly lower in our sample (23%) than that in the study population (26%).

There are five key outcome variables for this study. The first three outcome variables are stress, anxiety, and depression, and the other two variables are the extent to which students used on-campus and off-campus mental health services for the academic year, respectively. Our mental health measures are well-established and widely used in a clinical setting. For stress, we used the Perceived Stress Scale (PSS) that includes ten items asking students’ feelings and perceived stress measured on a 5-point Likert scale from 0 (strongly disagree) to 4 (strongly agree) (Cohen et al., 1983 ). Using the sum of scores from the ten items, the cut-off score for low, moderate, and high stress is 13, 26, and 40, respectively. PSS scale was used in hundreds of studies and validated in many languages (Samaha & Hawi, 2016 ). PSS also has a high internal consistency reliability. Of the recent studies that used the instrument to measure mental health of U.S. college students, Cronbach’s alpha was around 0.83 to 0.87, which exceeded the commonly used cut-off of 0.70 (Adams et al., 2016 ; Burke et al., 2016 ; Samaha & Hawi, 2016 ).

We used the General Anxiety Disorder 7-item (GAD-7) scale to measure anxiety. This is a brief self-report scale to identify probable cases of anxiety disorders (Spitzer et al., 2006 ). The GAD scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate, and severe anxiety, respectively. In a clinical setting, anyone with a score of 10 or above are recommended for further evaluation. GAD is moderately good at screening three other common anxiety disorders - panic disorder (sensitivity 74%, specificity 81%), social anxiety disorder (sensitivity 72%, specificity 80%), and post-traumatic stress disorder (sensitivity 66%, specificity 81%) (Spitzer et al., 2006 ) In their recent study, Johnson, et al. ( 2019 ) validated that “the GAD-7 has excellent internal consistency, and the one-factor structure in a heterogeneous clinical population was supported” (p. 1).

Lastly, depression was assessed with the eight-item Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Short Form (Pilkonis et al., 2014 ). A score less than 17 is considered as none to slight depression, a score between 17 and 21 is considered as mild depression, a score between 22 and 32 is considered as moderate depression, and a score of 33 or above is considered as severe depression. PROMIS depression scale is a universal, rather than a disease-specific, measure that was developed using item response theory to promote greater precision and reduce respondent burden (Shensa et al., 2018 ). The scale has been correlated and validated with other commonly used depression instruments, including the Center for Epidemiological Studies Depression Scale (CES-D), the Beck Depression Inventory (BDI-II), and the Patient Health Questionnaire (PHQ-9) (Lin et al., 2016 ).

When it comes to the usage of psychological and counseling services, we asked students to indicate the extent to which they used free on-campus resources (e.g., counseling center) and off-campus paid health professional services (e.g., psychiatrists) anytime during the academic year on a scale of 1 (never) to 5 (very often), respectively. These questions do not specifically ask if students utilized these services after the COVID-19 outbreak, but responses for these questions indicate whether and how often students had used any of these services for the academic year until they responded to our survey.

We also collected data about student demographics and characteristics including student gender, race or ethnicity, age, class levels (freshman, sophomore, junior, and senior), first generation student status (1 = neither parent has a bachelor’s degree, 0 = at least one parent with a bachelor’s degree), family income, residency (rural and/or Appalachian students, international students), GPAs, and perceived stigma about seeking counseling or therapy (i.e., “I am afraid of what my family and friends will say or think of me if I seek counseling/therapy”) measured on a 5-point Likert scale. We used these variables to see if they were associated with a high level of stress, anxiety, and depression and the usage of mental health services.

We used descriptive statistics, ordinal logistic regression, and logistic regression models in this study. To address the first and second research questions, we used descriptive statistics and presented the prevalence of stress, anxiety, and depression as well as the frequency of using mental health services. For the third research question, we adopted ordinal logistic regression and logistic regression models depending on outcome variables. We used ordinal logistic regression models to identify correlates of different levels of stress, anxiety, and depression, which were measured in ordinal variables (e.g., mild, moderate, and severe). For the usage of mental health service outcomes, we employed logistic regression models. Because more than two-thirds of students in the sample never utilized either type of mental health services, we re-coded the usage variables into binary variables (1 = used services, 0 = never used services) and ran logistic regression models.

Limitations

Our study is not without limitations. First, we do not claim a causal relationship in this study, but we describe the state of mental health for students soon after the COVID-19 outbreak. We acknowledge that many students may have suffered from mental health problems before the pandemic, with some experiencing escalation after the outbreak (e.g., Horn, 2020 ). Even if our study does not provide a causal relationship, we believe that it is important to measure and document student mental health during the pandemic so that practitioners can be aware of the seriousness of this issue and consider ways to better serve students. Secondly, our study results may not be applicable to students in other institutions or states. We collected data from a public research university in Kentucky where the number of confirmed cases and deaths were relatively lower than other states such as New York. The study site mainly serves traditional college students who attend college right after high school, who live on campus, and who do not have dependents. Therefore, mental health for students at other types of institutions or in other states could be different from what is presented in our study.

Prevalence of Stress, Anxiety, and Depression

Table  2 shows the prevalence of stress, anxiety, and depression. Overall, a majority of students experienced psychological distress during the early phase of the pandemic. When it comes to stress, about 63% of students had a moderate level of stress, and another 24.61% of students fell into a severe stress category. Only 12% of students had a low level of stress. In other words, more than eight in ten students in the survey experienced moderate to severe stress during the pandemic. This result is comparable to the Active Minds’ survey results that report 91% of college students reported experiencing feelings of stress and anxiety since the pandemic (Horn, 2020 ).

In terms of anxiety, approximately 24% and 21% of students in our study had moderate and severe anxiety disorders, respectively. Given that those who scored 10 or above on the GAD-7 scale (moderate to severe category) are recommended to meet with professionals (Spitzer et al., 2006 ), this finding implies that nearly half of students in this study needed to get professional help. This proportion of students with moderate to severe anxiety is almost double that for university students in China (e.g., Chang et al., 2020 ) or the United Arab Emirates soon after the COVID-19 outbreak (Saddik et al., 2020 ). Lastly, approximately 30% and 6% of students suffered from moderate and severe depression, respectively. These proportions are far higher than college students in China measured during the pandemic (Chang et al., 2020 ) but slightly higher than a nationwide sample of U.S. college students assessed before the pandemic (Healthy Minds, 2019 ). Given that our study measured these mental health symptoms for the first six weeks of the pandemic, we speculate that the proportion of students with moderate or severe depression would increase over time.

In order to explore predictors of a higher level of stress, anxiety, and depression, we ran ordinal logistic regression models as presented in Table  3 . Overall, it is clear and consistent that the odds of experiencing a higher level of stress, anxiety, and depression (e.g., severe than moderate, moderate than mild, etc.) were significantly greater for female students by a factor of 1.489, 1.723, and 1.246 than the odds for male students when other things were held constant. This gender difference in mental health symptoms is quite consistent with other studies before and during the pandemic (Eisenberg et al., 2007a ; Kecojevic et al., 2020 ). When it comes to race or ethnicity, the odds of experiencing a higher level of stress, anxiety, and depression for African-American students were almost as half as the odds for White students. However, there was no significant difference in the odds for Hispanic and Asian students compared to White students. Student class level was significantly related to stress and anxiety levels: The odds were greater for upper-class students than lower class students. This result is consistent with Kecojevic et al. ( 2020 ), which reported significantly higher levels of anxiety among upper-class students compared to freshman students. It may reflect that one of major stressors for college students during the pandemic is the uncertain future of their education and job prospects, which would be a bigger concern for upper-class students (Timely MD, n.d.).

Ordinal logistic regression models for severity of mental health symptoms (imputed data)

One’s rurality, family income, and GPA were significantly associated with the severity of mental health symptoms. The odds of experiencing a severe level of anxiety and depression were 1.325 and 1.270 times higher among rural students than urban and suburban students. With every one unit increase in family income or students’ GPAs, the odds of experiencing a more severe stress, anxiety, and depression significantly decreased. This result suggests that students from disadvantaged backgrounds were even more vulnerable to psychological distress during the early phase of the pandemic. The negative association between GPAs and mental distress levels was consistent with previous studies that showed that college students were very concerned about their academic performances and had difficulty in concentration during the early phase of the pandemic (Kecojevic et al., 2020 ; Son et al., 2020 ).

Usage of Mental Health Services

In Table  4 , we first describe the extent to which students with moderate to severe symptoms of stress, anxiety, or depression used mental health services on- and off-campus during the academic year. The university in this study has provided free counseling services for students, and the counseling services have continued to be available for students in the state via phone or Internet even after the university was closed after the outbreak. Table ​ Table4 4 presents the frequency of students using on-campus mental health services (Panel A) and off-campus paid mental health services (Panel B) on a five-point scale. For this table, we limited the sample to students with moderate to severe symptoms of stress, anxiety, or depression to focus on students who were in need of these services. Surprisingly, a majority of these students never used mental health services on- and off-campus even when their stress, anxiety, or depression scores indicated that they needed professional help. More than 60% of students with moderate to severe symptoms never used on-campus services, and more than two-thirds of students never used off-campus mental health services. This underutilization of mental health resources is concerning but not surprising given that college students tended not to use counseling services before and during the pandemic as presented in previous studies (e.g., CCMH, 2021 ; Healthy minds, 2019 ; Son et al., 2020 ).

In order to explore predictors of the usage of mental health services, we ran logistic regression models as shown in Table  5 . We included all students in these regression models to see whether a severity of mental health symptoms was related to the usage of mental health services. Table ​ Table5 5 presents the results for the usage of any mental health services, on-campus mental health services, and off-campus mental health services, respectively. Overall, stress, anxiety, and depression levels were positively associated with using mental health services on- and off-campus: With every one unit increase in each of these mental health symptoms, the odds of using on- and off-campus mental health services significantly increased. This result is relieving as it suggests that students who were in great need of these services actually used them. Other than mental health symptoms, there were different predictors for utilizing on-campus and off-campus services. African-American and Hispanic students were significantly more likely to use on-campus services than White students. The odds of using on-campus mental health services were 3.916 times higher for African-American students and 2.032 times higher for Hispanic students than White students. This result is interesting given that the odds of having severe mental distress were significantly lower for African-American students than White students, according to Table ​ Table3. 3 . It may suggest that African-American students reported relatively lower levels of mental health symptoms as they had been using on-campus mental health services at higher rates. The odds of using on-campus mental health services were 2.269 times higher for international students than domestic students, but there was no significant difference in the odds of using off-campus services between the two groups. Students’ age was significantly associated with the usage of on-campus and off-campus mental health services: The odds of using on-campus services were significantly lower for older students, while the odds of utilizing off-campus services were significantly higher for older students compared to younger students. When it comes to using off-campus mental health services, the odds were significantly higher for female students, older students, and upper-class students than male students, younger students, and lower classman students. Students who were concerned with stigma associated with getting counseling and therapy were less likely to utilize off-campus mental health services.

Logistic regression models predicting the usage of mental health services (imputed data)

Discussions

Our paper describes the prevalence of stress, anxiety, and depression among a sample of undergraduate students in a public research university during an early phase of the COVID-19 outbreak. Using well-established clinical tools, we find that stress, anxiety, and depression were the pervasive problems for college student population during the pandemic. In particular, female, rural, low-income, and academically low-performing students were more vulnerable to psychological distress. Despite its prevalence, about two-thirds of students with moderate to severe symptoms had not utilized mental health services on- and off-campus. These key findings are very concerning considering that mental health is strongly associated with student well-being, academic outcomes, and retention (Bruffaerts et al., 2018 ; Wyatt et al., 2017 ).

Above all, we reiterate that college student mental health is in crisis during the pandemic and call for increased attention and interventions on this issue. More than eight in ten students in our study had moderate to severe stress, and more than one thirds of students experienced moderate to severe anxiety and/or depression. This is much worse than American college students before the COVID-19 (e.g., American College Health Association, 2020 ) and postsecondary students in other countries during the pandemic (e.g., Chang et al., 2020 ; Saddik et al., 2020 ). In particular, rural students, low-income students, and students with low GPAs were more vulnerable to psychological distress. These students have already faced multiple barriers in pursuing higher education (e.g., Adelman, 2006 ; Byun et al., 2012 ), and additional mental health issues would put them at a high risk of dropping out of college. Lastly, although they were dropped from the main analysis due to the small sample size ( n  = 17), it is still noteworthy that a significantly higher proportion of LGBTQ students in our sample experienced severe stress, anxiety, and depression, which calls for significant attention and care for these students.

Despite the high prevalence of mental health problems, a majority of students with moderate to severe symptoms never used mental health services during the academic year, even though the university provided free counseling services. This result could be partially explained by the fact that the university’s counseling center switched to virtual counseling since the COVID-19 outbreak, which was available only for students who stayed within the state due to the license restriction across state boarders. This transition could limit access to necessary care for out-of-state students, international students, or students in remote areas where telecommunications or the internet connection is not very stable. Even worse, these students may also have limited access to off-campus health professionals due to the geographic restrictions (rural students), limited insurance coverage (international students), or a lack of financial means. Our results support that international students relied significantly more on on-campus resources than domestic students. We urge practitioners and policy makers to provide additional mental health resources that are accessible, affordable, and available for students regardless of their locations, insurance, and financial means, such as informal peer conversation groups or regular check-ins via phone calls or texts.

It is also important to point out that the overall usage of both on-campus and off-campus mental health services was generally low even before the COVID-19 outbreak. Previous studies consistently report that college students underutilize mental health services not only because of a lack of information, financial means, or available seats but also because of a paucity of perceived needs or stigma related to revealing one’s mental health issues to others (Cage et al., 2018 ; Eisenberg et al., 2007a ; Son et al., 2020 ). Our results support this finding by demonstrating that stigma one associated with getting counseling or therapy negatively influenced their utilization of off-campus mental health services. Considering these barriers, practitioners should deliver a clear message publicly that mental health problems are very common among college students and that it is natural and desirable to seek professional help if students feel stressed out, anxious, or depressed. In order to identify students with mental health needs and raise awareness among students, it can be also considered to administer a short and validated assessment in classes that enroll a large number of students (e.g., in a freshman seminar course), inform the entire class of how to interpret their scores on their own, and provide a list of available resources for those who may be interested. This would give students a chance to self-check their mental health without revealing their identities and seek help, if necessary.

We recommend that future researchers longitudinally track students and see whether the prevalence of mental health problems changes over time. Longitudinal studies are generally scarce in student mental health literature, but the timing of assessment can influence mental health symptoms reported (Huckins et al., 2020 ). The survey for our study was sent out right after the university of this study was closed due to the pandemic. It is possible that students may adjust to the outbreak over time and feel better, or that their stress may add up as the disease progresses. Tracking students over time can illustrate whether and how their mental health changes, especially depending on the way the pandemic unfolds combined with the cycle of an academic year. Secondly, there should be more studies that evaluate the effect of an intervention program on student mental health. Hunt and Eisenberg ( 2010 ) point out that little has been known about the efficacy of intervention programs while almost every higher education institution offers multiple mental health resources and counseling programs. During this pandemic, it can be a unique opportunity to implement virtual mental health interventions and evaluate their efficacy. Future research on virtual counseling and mental health interventions would guide practices to accommodate mental health needs for students who exclusively take online courses or part-time students who spend most of their time off campus. Lastly, we recommend future research investigate the extent of mental health service utilization among students with mental health needs. Existing surveys and studies on this topic usually rely on responses from those who visit a counseling center or students who respond to their surveys. Neither of these groups accurately represents those who are in need of professional help because there may be a number of students who are not aware of their mental health issues or do not want to reveal it. An effective treatment should first start with identifying those in need.

Our study highlights that college students are stressed, anxious, and depressed in the wake of COVID-19. Although college students have constantly reported mental health issues (e.g., American College Health Association, 2020 ), it is remarkable to note that the broad spectrum of COVID-19-related challenges may mitigate the overall quality of their psychological wellbeing. This is particularly the case for at-risk students (rural, international, low-income, and low-achieving students) who have already faced multiple challenges. We also present that a majority of students with mental health needs have never utilized on- and off-campus services possibly due to the limited access or potential stigma associated with mental health care. Systematic efforts with policy makers and practitioners are requested in this research to overcome the potential barriers. All these findings, based on the clinical assessment of student mental health during the early phase of the pandemic, will benefit scholars and practitioners alike. As many colleges and universities across the country have re-opened their campus for the 2020–2021 academic year, students, especially those who take in-person classes, would be concerned about the disease and continuing their study in this unprecedented time. On top of protecting students from the disease by promoting wearing masks and social distancing, it is imperative to pay attention to their mental health and make sure that they feel safe and healthy. To this end, higher education institutions should proactively reach out to all student populations, identify students at risk of mental health issues, and provide accessible and affordable care.

Biographies

is Assistant Professor of Higher Education at the University of Kentucky. She studies higher education policy, program, and practice and their effects on student success.

is an Assistant Professor of Integrated Strategic Communication at the University of Kentucky. She earned her Ph.D. in Media and Information Studies at Michigan State University. Her research interests include prosocial campaigns, consumer wellbeing, and civic engagement.

is an associate professor in the Division of Biomedical Informatics in the College of Medicine at the University of Kentucky. Dr. Kim’s current research includes: consumer health informatics, personal health information management, and health information seeking behaviors. She uses clinical natural language professing techniques and survey methodologies to better understand patients’ health knowledge and their health information uses and behaviors.

Author’s Contribution

The order of the authors in the title page reflects the share of each author’s contribution to the manuscript.

Data Availability

Code availability, declarations.

The authors declare that they have no conflicts of interest.

All authors agree to publish this paper.

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Contributor Information

Jungmin Lee, Email: [email protected] .

Hyun Ju Jeong, Email: [email protected] .

Sujin Kim, Email: ude.yku@miknijus .

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The Impact of Stress Among Undergraduate Students: Supporting Resilience and Wellbeing Early in Career Progression

• First Online: 24 August 2023

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• Linda Perkins-Porras 3  

The increased expectation that the majority of young people should attend university, widening access of higher education, introduction of fees for teaching and student loans, and greater numbers of international students have changed the sociodemographic characteristics of the student population. There are many positive aspects of this, but one of the urgent issues that has become apparent is that to increase the likelihood of students completing their studies successfully, universities have the awareness, resources and will to support the emotional and psychological needs as well as the academic needs of their students. This chapter will discuss the nature of the pressures students are under in the current university system, changes over recent years and how this may cause stress. It will review recent research investigating mental health among university students in comparison to non-students of comparable age and review efforts by universities to provide effective support.

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Perkins-Porras, L. (2023). The Impact of Stress Among Undergraduate Students: Supporting Resilience and Wellbeing Early in Career Progression. In: Fauquet-Alekhine, P., Erskine, J. (eds) The Palgrave Handbook of Occupational Stress. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-27349-0_19

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Stress in College Students, Its Causes and Effects Research Paper

Major cause: social causes, leading second cause: financial causes of stress, academic causes of stress, effects of stress on college students.

Evidently, college life is a difficult and testing stage of a person’s life. In particular, the modern American college life is characterized by stress and frustrations. Among other things, financial, social and academic factors contribute to the increasing rate of students with stress in modern colleges and universities. The need to balance classes, research projects, extracurricular activities, relationships and work makes it difficult for students to cope with college life (Chemers, Hu & Garcia, 2011).

Recognizing the cause and effect of stress in college students is an important aspect in college management and leadership as it will lead to a better understanding and development of the appropriate methods for intervention (Chemers et al., 2011). In this context, the paper seeks to investigate the cause and effects of stress in college students, arguing that stress is a major issue in student life and is based on three major aspects: financial, social and academic stress.

Upon entry into a college, freshmen face a number of social challenges as they attempt to adapt to the new environment, develop new relationships and establish social networks among them. In particular, new students must leave behind the social support, relationships and networks previously developed within their neighborhoods, places of work and high schools. The new environment requires students to reschedule their relationships and develop new ones with new people from different backgrounds and geographical locations (Dyrbye, Thomas & Shanafelt, 2010).

It is worth noting that new students find it difficult to cope with the loss of close parental support previously enjoyed during their high school years. They must deal with the fact that they are away from their homes. They have to live with strange peers as roommates. In addition, they must manage their own activities, including balancing new relationships with academics and other issues.

Secondly, it is important to note that most college students are in their early adulthood or late adolescent ages. In human development and lifespan, these are the most critical stages in which a person must develop relationships with peers, including intimate relations. In these stages, individuals are sexually active and the desire to explore sexuality is at the peak. In addition, the college life offers maximum freedom for developing any form of relationships, including those with opposite sex.

In particular, most students come from backgrounds where parental control and limitation of freedom are common. As such, the freedom offered by college life exposes students to various risks and opportunities. An individual finds that it is almost free to test relationships, drug and other aspects of life common among the young people. Peer pressure, the desire to explore and the emotions created by age seem to be in conflict with the desire to have self-control and dedication to academics and learning. As such, the students develop emotional and mental stress that makes it difficult to concentrate on academics.

As previously mentioned, students find themselves in a new position that requires them to be their own managers. In most cases, students are being exposed to the idea of financial control and management for the first time in their lives. They have a free access to the finances provided by both the parents or the relevant authorities and sponsors. Considering that most students are in the human growth stages that require one to explore such issues as drugs and sexual activities, it becomes difficult to achieve an effective method of managing funds. For instance, alcohol and impulse buying are common factors that affect the students’ ability to control and manage their funds.

For instance, while other drugs are normally prohibited in most colleges, alcohol is allowed to an extent, especially if one does not disrupt others. Moreover, the freedom to move in and out of the institution as well as visiting clubs and other places for leisure requires the students to have adequate supplies of funds. Peer pressure makes most students fail to apply effective management of the funds available to them, which causes emotional and psychological stress.

Obviously, the degree of difficulty of college and university education is relatively high when compared to high schools. At this level, a student is required to attend classes, take and pass tests, carry out research, complete assignments and projects and make presentations as required by their institutions (Chemers et al., 2011). In addition, most American colleges and universities require the students to be active in one or more extracurricular activities.

At the same time, the institutional environment exposes the students to excessive freedom. Students find it difficult to balance between the social freedoms the new environment gives them and the excessive demands for academic excellence. At the same time, they need to manage their funds as well. The social and financial stressors increase the degree of academic pressure because the institutions seems to have little regards for the student’s social and financial needs and places emphasis on academic excellence. In addition, with little parental and psychological support from the institutions, the students find it difficult to deal with these stressors, yet the university expects them to perform excellent.

Economic Eeffect 1

Students tend to change their social orientation after joining colleges. The increased freedom offered by the university environment makes the students spend much of their finances on some unnecessary things such as entertainment, leisure, drugs, alcohol and junk foods. The parents spend a lot of money on their children’s education, yet the students spend much of the parent’s money on things that do not create value on their academic and career goals.

Economic Effect 2

Parents, the government and the society invest heavily in the education system. They expect the students to perform excellently in academics and assume the roles of leadership in the economic, political and social sectors. However, the academic and social stresses affecting the students also affect the academic outcomes. Rather than performing as per the social expectations, the students perform poorly due to the stressing factors, making the society make economic losses.

As mentioned above, drinking and eating habits are common problems among the college and university students. Partially due to stress, financial, social, and academic pressures, students struggle with eating habits. Some tend to consume excessive sugary or junk foods while others use excessive alcohol. Others end up eating little amounts of food, leading to health and weight problems. The pressures to perform excellently in academics make it difficult for most students to find enough time for sleep or rest. In fact, sleep problems are some of the major issues affecting most college students, including insomnia and the associated psychological problems (Cohen, Kamarck & Mermelstein, 2003).

At the end, the economic effect is that the students perform poorly in academics, making the society loss the economic potential of the young age. Education is a major investment for the society. The society expects the young people to perform excellently in academics and take the roles of steering the economy once they graduate. However, the poor performance caused by these stressors makes the society lose the economic potentials of the young generation.

In order to find the best ways of developing the appropriate intervention programs or methods, the knowledge of causes and effects of stress on college students is required. This paper has examined these issues. It has emerged that the major causes of stress are financial, academic and social factors. On the other hand, these stressors cause health and psychological problems that should be solved in order to enhance mental, psychological and physical health in students.

Chemers, M. M., Hu, L. T., & Garcia, B. F. (2011). Academic self-efficacy and first year college student performance and adjustment. Journal of Educational Psychology , 93 (1), 55.

Cohen, S., Kamarck, T., & Mermelstein, R. (2003). A global measure of perceived stress. Journal of health and social behavior , 24 (4), 385-396.

Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2010). Medical student distress: causes, consequences, and proposed solutions. Mayo Clinic Proceedings 80 (12), 1613-1622.

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Understanding Academic Stress in College

How can you tell if your college stress is unhealthy, signs you may need professional support, get more academic stress tips.

Share this resource

If you’re like most college students, you experience school-related stress. Stress isn’t always a bad thing. At manageable levels, it’s necessary and healthy because it keeps you motivated and pushes you to stay on track with studying and classwork. 

But when stress, worry, and anxiety start to overwhelm you, it makes it harder to focus and get things done. National studies of college students have repeatedly found that the biggest stumbling blocks to academic success are emotional health challenges including:

• Not getting enough sleep
• Depression 

Many things can create stress in college. Maybe you’re on a scholarship and you need to maintain certain grades to stay eligible. Maybe you’re worried about the financial burden of college on your family. You may even be the first person in your family to attend college, and it can be a lot of pressure to carry the weight of those expectations.

Stress seems like it should be typical, so it’s easy to dismiss it. You may even get down on yourself because you feel like you should handle it better. But research shows that feeling overwhelming school-related stress actually reduces your motivation to do the work, impacts your overall academic achievement, and increases your odds of dropping out.

Stress can also cause health problems such as depression, poor sleep, substance abuse, and anxiety.

For all those reasons—and just because you deserve as much balance in your life as possible—it’s important to figure out if your stress is making things harder than they need to be, affecting your health, or getting in the way of your life.

Then you can get help and learn ways to reduce the impact of stress on your life. 

First identify what’s causing your stress.

• Is it a particular class or type of work?
• Is it an issue of time management and prioritization?
• Do you have too much on your plate?
• Is it due to family expectations or financial obligations?

Next think about how college stress affects you overall.

• Does it prevent you from sleeping?
• Does it make it take longer to do your work or paralyze you from even starting?
• Does it cause you to feel anxious, unwell, or depressed?

If any of that feels familiar, it’s time to find support to ease your stress and help you feel better. Check out these tips to figure out the best support and approach for you. 

It’s important to be able to recognize when stress starts to become all-encompassing, affecting your overall mental health and well-being. Here are some signs you might need to get help:

• Insomnia or chronic trouble sleeping
• Inability to motivate
• Anxiety that results in physical symptoms such as hair loss, nail biting, or losing weight
• Depression, which may manifest as not wanting to spend time with friends, making excuses, or sleeping excessively
• Mood swings, such as bursting into tears or bouts of anger

Learn how to find professional mental health support at your school or elsewhere. 

If you need help right now, text HOME to 741-741 for a free, confidential conversation with a trained counselor any time of day, or text or call 988 or use the chat function at 988lifeline.org .

If this is a medical emergency or there is immediate danger of harm, call 911 and explain that you need support for a mental health crisis.

Tips for Managing Academic Stress in College

How to Reduce Stress by Prioritizing and Getting Organized

5 Ways to Stay Calm When You’re Stressed About School

6 Ways to Take Care of Yourself During Exam Time

Related resources

3 steps to make it easier to ask for mental health support, how to identify and talk about your feelings, election stress: tips to manage anxious feelings about politics, search resource center.

If you or someone you know needs to talk to someone right now, text, call, or chat  988 for a free confidential conversation with a trained counselor 24/7. 

You can also contact the Crisis Text Line by texting HOME to 741-741.

If this is a medical emergency or if there is immediate danger of harm, call 911 and explain that you need support for a mental health crisis.

ORIGINAL RESEARCH article

Academic stress and mental well-being in college students: correlations, affected groups, and covid-19.

• 1 Department of Neurology, Rutgers New Jersey Medical School, Newark, NJ, United States
• 2 Rutgers New Jersey Medical School, Newark, NJ, United States
• 3 Office for Diversity and Community Engagement, Rutgers New Jersey Medical School, Newark, NJ, United States
• 4 Department of Biology, The College of New Jersey, Ewing, NJ, United States

Academic stress may be the single most dominant stress factor that affects the mental well-being of college students. Some groups of students may experience more stress than others, and the coronavirus disease 19 (COVID-19) pandemic could further complicate the stress response. We surveyed 843 college students and evaluated whether academic stress levels affected their mental health, and if so, whether there were specific vulnerable groups by gender, race/ethnicity, year of study, and reaction to the pandemic. Using a combination of scores from the Perception of Academic Stress Scale (PAS) and the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), we found a significant correlation between worse academic stress and poor mental well-being in all the students, who also reported an exacerbation of stress in response to the pandemic. In addition, SWEMWBS scores revealed the lowest mental health and highest academic stress in non-binary individuals, and the opposite trend was observed for both the measures in men. Furthermore, women and non-binary students reported higher academic stress than men, as indicated by PAS scores. The same pattern held as a reaction to COVID-19-related stress. PAS scores and responses to the pandemic varied by the year of study, but no obvious patterns emerged. These results indicate that academic stress in college is significantly correlated to psychological well-being in the students who responded to this survey. In addition, some groups of college students are more affected by stress than others, and additional resources and support should be provided to them.

Introduction

Late adolescence and emerging adulthood are transitional periods marked by major physiological and psychological changes, including elevated stress ( Hogan and Astone, 1986 ; Arnett, 2000 ; Shanahan, 2000 ; Spear, 2000 ; Scales et al., 2015 ; Romeo et al., 2016 ; Barbayannis et al., 2017 ; Chiang et al., 2019 ; Lally and Valentine-French, 2019 ; Matud et al., 2020 ). This pattern is particularly true for college students. According to a 2015 American College Health Association-National College Health Assessment survey, three in four college students self-reported feeling stressed, while one in five college students reported stress-related suicidal ideation ( Liu, C. H., et al., 2019 ; American Psychological Association, 2020 ). Studies show that a stressor experienced in college may serve as a predictor of mental health diagnoses ( Pedrelli et al., 2015 ; Liu, C. H., et al., 2019 ; Karyotaki et al., 2020 ). Indeed, many mental health disorders, including depression, anxiety, and substance abuse disorder, begin during this period ( Blanco et al., 2008 ; Pedrelli et al., 2015 ; Saleh et al., 2017 ; Reddy et al., 2018 ; Liu, C. H., et al., 2019 ).

Stress experienced by college students is multi-factorial and can be attributed to a variety of contributing factors ( Reddy et al., 2018 ; Karyotaki et al., 2020 ). A growing body of evidence suggests that academic-related stress plays a significant role in college ( Misra and McKean, 2000 ; Dusselier et al., 2005 ; Elias et al., 2011 ; Bedewy and Gabriel, 2015 ; Hj Ramli et al., 2018 ; Reddy et al., 2018 ; Pascoe et al., 2020 ). For instance, as many as 87% of college students surveyed across the United States cited education as their primary source of stress ( American Psychological Association, 2020 ). College students are exposed to novel academic stressors, such as an extensive academic course load, substantial studying, time management, classroom competition, financial concerns, familial pressures, and adapting to a new environment ( Misra and Castillo, 2004 ; Byrd and McKinney, 2012 ; Ekpenyong et al., 2013 ; Bedewy and Gabriel, 2015 ; Ketchen Lipson et al., 2015 ; Pedrelli et al., 2015 ; Reddy et al., 2018 ; Liu, C. H., et al., 2019 ; Freire et al., 2020 ; Karyotaki et al., 2020 ). Academic stress can reduce motivation, hinder academic achievement, and lead to increased college dropout rates ( Pascoe et al., 2020 ).

Academic stress has also been shown to negatively impact mental health in students ( Li and Lin, 2003 ; Eisenberg et al., 2009 ; Green et al., 2021 ). Mental, or psychological, well-being is one of the components of positive mental health, and it includes happiness, life satisfaction, stress management, and psychological functioning ( Ryan and Deci, 2001 ; Tennant et al., 2007 ; Galderisi et al., 2015 ; Trout and Alsandor, 2020 ; Defeyter et al., 2021 ; Green et al., 2021 ). Positive mental health is an understudied but important area that helps paint a more comprehensive picture of overall mental health ( Tennant et al., 2007 ; Margraf et al., 2020 ). Moreover, positive mental health has been shown to be predictive of both negative and positive mental health indicators over time ( Margraf et al., 2020 ). Further exploring the relationship between academic stress and mental well-being is important because poor mental well-being has been shown to affect academic performance in college ( Tennant et al., 2007 ; Eisenberg et al., 2009 ; Freire et al., 2016 ).

Perception of academic stress varies among different groups of college students ( Lee et al., 2021 ). For instance, female college students report experiencing increased stress than their male counterparts ( Misra et al., 2000 ; Eisenberg et al., 2007 ; Evans et al., 2018 ; Lee et al., 2021 ). Male and female students also respond differently to stressors ( Misra et al., 2000 ; Verma et al., 2011 ). Moreover, compared to their cisgender peers, non-binary students report increased stressors and mental health issues ( Budge et al., 2020 ). The academic year of study of the college students has also been shown to impact academic stress levels ( Misra and McKean, 2000 ; Elias et al., 2011 ; Wyatt et al., 2017 ; Liu, C. H., et al., 2019 ; Defeyter et al., 2021 ). While several studies indicate that racial/ethnic minority groups of students, including Black/African American, Hispanic/Latino, and Asian American students, are more likely to experience anxiety, depression, and suicidality than their white peers ( Lesure-Lester and King, 2004 ; Lipson et al., 2018 ; Liu, C. H., et al., 2019 ; Kodish et al., 2022 ), these studies are limited and often report mixed or inconclusive findings ( Liu, C. H., et al., 2019 ; Kodish et al., 2022 ). Therefore, more studies should be conducted to address this gap in research to help identify subgroups that may be disproportionately impacted by academic stress and lower well-being.

The coronavirus disease 19 (COVID-19) pandemic is a major stressor that has led to a mental health crisis ( American Psychological Association, 2020 ; Dong and Bouey, 2020 ). For college students, the COVID-19 pandemic has resulted in significant changes and disruptions to daily life, elevated stress levels, and mental and physical health deterioration ( American Psychological Association, 2020 ; Husky et al., 2020 ; Patsali et al., 2020 ; Son et al., 2020 ; Clabaugh et al., 2021 ; Lee et al., 2021 ; Lopes and Nihei, 2021 ; Yang et al., 2021 ). While any college student is vulnerable to these stressors, these concerns are amplified for members of minority groups ( Salerno et al., 2020 ; Clabaugh et al., 2021 ; McQuaid et al., 2021 ; Prowse et al., 2021 ; Kodish et al., 2022 ). Identifying students at greatest risk provides opportunities to offer support, resources, and mental health services to specific subgroups.

The overall aim of this study was to assess academic stress and mental well-being in a sample of college students. Within this umbrella, we had several goals. First, to determine whether a relationship exists between the two constructs of perceived academic stress, measured by the Perception of Academic Stress Scale (PAS), and mental well-being, measured by the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), in college students. Second, to identify groups that could experience differential levels of academic stress and mental health. Third, to explore how the perception of the ongoing COVID-19 pandemic affected stress levels. We hypothesized that students who experienced more academic stress would have worse psychological well-being and that certain groups of students would be more impacted by academic- and COVID-19-related stress.

Materials and Methods

Survey instrument.

A survey was developed that included all questions from the Short Warwick-Edinburgh Mental Well-Being ( Tennant et al., 2007 ; Stewart-Brown and Janmohamed, 2008 ) and from the Perception of Academic Stress Scale ( Bedewy and Gabriel, 2015 ). The Short Warwick-Edinburgh Mental Well-Being Scale is a seven-item scale designed to measure mental well-being and positive mental health ( Tennant et al., 2007 ; Fung, 2019 ; Shah et al., 2021 ). The Perception of Academic Stress Scale is an 18-item scale designed to assess sources of academic stress perceived by individuals and measures three main academic stressors: academic expectations, workload and examinations, and academic self-perceptions of students ( Bedewy and Gabriel, 2015 ). These shorter scales were chosen to increase our response and study completion rates ( Kost and de Rosa, 2018 ). Both tools have been shown to be valid and reliable in college students with Likert scale responses ( Tennant et al., 2007 ; Bedewy and Gabriel, 2015 ; Ringdal et al., 2018 ; Fung, 2019 ; Koushede et al., 2019 ). Both the SWEMWBS and PAS scores are a summation of responses to the individual questions in the instruments. For the SWEMWBS questions, a higher score indicates better mental health, and scores range from 7 to 35. Similarly, the PAS questions are phrased such that a higher score indicates lower levels of stress, and scores range from 18 to 90. We augmented the survey with demographic questions (e.g., age, gender, and race/ethnicity) at the beginning of the survey and two yes/no questions and one Likert scale question about the impact of the COVID-19 pandemic at the end of our survey.

Participants for the study were self-reported college students between the ages of 18 and 30 years who resided in the United States, were fluent in English, and had Internet access. Participants were solicited through Prolific ( https://prolific.co ) in October 2021. A total of 1,023 individuals enrolled in the survey. Three individuals did not agree to participate after beginning the survey. Two were not fluent in English. Thirteen individuals indicated that they were not college students. Two were not in the 18–30 age range, and one was located outside of the United States. Of the remaining individuals, 906 were full-time students and 96 were part-time students. Given the skew of the data and potential differences in these populations, we removed the part-time students. Of the 906 full-time students, 58 indicated that they were in their fifth year of college or higher. We understand that not every student completes their undergraduate studies in 4 years, but we did not want to have a mixture of undergraduate and graduate students with no way to differentiate them. Finally, one individual reported their age as a non-number, and four individuals did not answer a question about their response to the COVID-19 pandemic. This yielded a final sample of 843 college students.

Data Analyses

After reviewing the dataset, some variables were removed from consideration due to a lack of consistency (e.g., some students reported annual income for themselves and others reported family income) or heterogeneity that prevented easy categorization (e.g., field of study). We settled on four variables of interest: gender, race/ethnicity, year in school, and response to the COVID-19 pandemic ( Table 1 ). Gender was coded as female, male, or non-binary. Race/ethnicity was coded as white or Caucasian; Black or African American; East Asian; Hispanic, Latino, or of Spanish origin; or other. Other was used for groups that were not well-represented in the sample and included individuals who identified themselves as Middle Eastern, Native American or Alaskan Native, and South Asian, as well as individuals who chose “other” or “prefer not to answer” on the survey. The year of study was coded as one through four, and COVID-19 stress was coded as two groups, no change/neutral response/reduced stress or increased stress.

Table 1 . Characteristics of the participants in the study.

Our first goal was to determine whether there was a relationship between self-reported academic stress and mental health, and we found a significant correlation (see Results section). Given the positive correlation, a multivariate analysis of variance (MANOVA) with a model testing the main effects of gender, race/ethnicity, and year of study was run in SPSS v 26.0. A factorial MANOVA would have been ideal, but our data were drawn from a convenience sample, which did not give equal representation to all groupings, and some combinations of gender, race/ethnicity, and year of study were poorly represented (e.g., a single individual). As such, we determined that it would be better to have a lack of interaction terms as a limitation to the study than to provide potentially spurious results. Finally, we used chi-square analyses to assess the effect of potential differences in the perception of the COVID-19 pandemic on stress levels in general among the groups in each category (gender, race/ethnicity, and year of study).

In terms of internal consistency, Cronbach's alpha was 0.82 for the SMEMWBS and 0.86 for the PAS. A variety of descriptors have been applied to Cronbach's alpha values. That said, 0.7 is often considered a threshold value in terms of acceptable internal consistency, and our values could be considered “high” or “good” ( Taber, 2018 ).

The participants in our study were primarily women (78.5% of respondents; Table 1 ). Participants were not equally distributed among races/ethnicities, with the majority of students selecting white or Caucasian (66.4% of responders; Table 1 ), or years of study, with fewer first-year students than other groups ( Table 1 ).

Students who reported higher academic stress also reported worse mental well-being in general, irrespective of age, gender, race/ethnicity, or year of study. PAS and SWEMWBS scores were significantly correlated ( r = 0.53, p < 0.001; Figure 1 ), indicating that a higher level of perceived academic stress is associated with worse mental well-being in college students within the United States.

Figure 1 . SWEMWBS and PAS scores for all participants.

Among the subgroups of students, women, non-binary students, and second-year students reported higher academic stress levels and worse mental well-being ( Table 2 ; Figures 2 – 4 ). In addition, the combined measures differed significantly between the groups in each category ( Table 2 ). However, as measured by partial eta squared, the effect sizes were relatively small, given the convention of 0.01 = small, 0.06 = medium, and 0.14 = large differences ( Lakens, 2013 ). As such, there were only two instances in which Tukey's post-hoc tests revealed more than one statistical grouping ( Figures 2 – 4 ). For SWEMWBS score by gender, women were intermediate between men (high) and non-binary individuals (low) and not significantly different from either group ( Figure 2 ). Second-year students had the lowest PAS scores for the year of study, and first-year students had the highest scores. Third- and fourth-year students were intermediate and not statistically different from the other two groups ( Figure 4 ). There were no pairwise differences in academic stress levels or mental well-being among racial/ethnic groups.

Table 2 . Results of the MANOVA.

Figure 2 . SWEMWBS and PAS scores according to gender (mean ± SEM). Different letters for SWEMWBS scores indicate different statistical groupings ( p < 0.05).

Figure 3 . SWEMWBS and PAS scores according to race/ethnicity (mean ± SEM).

Figure 4 . SWEMWBS and PAS scores according to year in college (mean ± SEM). Different letters for PAS scores indicate different statistical groupings ( p < 0.05).

The findings varied among categories in terms of stress responses due to the COVID-19 pandemic ( Table 3 ). For gender, men were less likely than women or non-binary individuals to report increased stress from COVID-19 (χ 2 = 27.98, df = 2, p < 0.001). All racial/ethnic groups responded similarly to the pandemic (χ 2 = 3.41, df = 4, p < 0.49). For the year of study, first-year students were less likely than other cohorts to report increased stress from COVID-19 (χ 2 = 9.38, df = 3, p < 0.03).

Table 3 . Impact of COVID-19 on stress level by gender, race/ethnicity, and year of study.

Our primary findings showed a positive correlation between perceived academic stress and mental well-being in United States college students, suggesting that academic stressors, including academic expectations, workload and grading, and students' academic self-perceptions, are equally important as psychological well-being. Overall, irrespective of gender, race/ethnicity, or year of study, students who reported higher academic stress levels experienced diminished mental well-being. The utilization of well-established scales and a large sample size are strengths of this study. Our results extend and contribute to the existing literature on stress by confirming findings from past studies that reported higher academic stress and lower psychological well-being in college students utilizing the same two scales ( Green et al., 2021 ; Syed, 2021 ). To our knowledge, the majority of other prior studies with similar findings examined different components of stress, studied negative mental health indicators, used different scales or methods, employed smaller sample sizes, or were conducted in different countries ( Li and Lin, 2003 ; American Psychological Association, 2020 ; Husky et al., 2020 ; Pascoe et al., 2020 ; Patsali et al., 2020 ; Clabaugh et al., 2021 ; Lee et al., 2021 ; Lopes and Nihei, 2021 ; Yang et al., 2021 ).

This study also demonstrated that college students are not uniformly impacted by academic stress or pandemic-related stress and that there are significant group-level differences in mental well-being. Specifically, non-binary individuals and second-year students were disproportionately impacted by academic stress. When considering the effects of gender, non-binary students, in comparison to gender-conforming students, reported the highest stress levels and worst psychological well-being. Although there is a paucity of research examining the impact of academic stress in non-binary college students, prior studies have indicated that non-binary adults face adverse mental health outcomes when compared to male and female-identifying individuals ( Thorne et al., 2018 ; Jones et al., 2019 ; Budge et al., 2020 ). Alarmingly, Lipson et al. (2019) found that gender non-conforming college students were two to four times more likely to experience mental health struggles than cisgender students ( Lipson et al., 2019 ). With a growing number of college students in the United States identifying as as non-binary, additional studies could offer invaluable insight into how academic stress affects this population ( Budge et al., 2020 ).

In addition, we found that second-year students reported the most academic-related distress and lowest psychological well-being relative to students in other years of study. We surmise this may be due to this group taking advanced courses, managing heavier academic workloads, and exploring different majors. Other studies support our findings and suggest higher stress levels could be attributed to increased studying and difficulties with time management, as well as having less well-established social support networks and coping mechanisms compared to upperclassmen ( Allen and Hiebert, 1991 ; Misra and McKean, 2000 ; Liu, X et al., 2019 ). Benefiting from their additional experience, upperclassmen may have developed more sophisticated studying skills, formed peer support groups, and identified approaches to better manage their academic stress ( Allen and Hiebert, 1991 ; Misra and McKean, 2000 ). Our findings suggest that colleges should consider offering tailored mental health resources, such as time management and study skill workshops, based on the year of study to improve students' stress levels and psychological well-being ( Liu, X et al., 2019 ).

Although this study reported no significant differences regarding race or ethnicity, this does not indicate that minority groups experienced less academic stress or better mental well-being ( Lee et al., 2021 ). Instead, our results may reflect the low sample size of non-white races/ethnicities, which may not have given enough statistical power to corroborate. In addition, since coping and resilience are important mediators of subjective stress experiences ( Freire et al., 2020 ), we speculate that the lower ratios of stress reported in non-white participants in our study (75 vs. 81) may be because they are more accustomed to adversity and thereby more resilient ( Brown, 2008 ; Acheampong et al., 2019 ). Furthermore, ethnic minority students may face stigma when reporting mental health struggles ( Liu, C. H., et al., 2019 ; Lee et al., 2021 ). For instance, studies showed that Black/African American, Hispanic/Latino, and Asian American students disclose fewer mental health issues than white students ( Liu, C. H., et al., 2019 ; Lee et al., 2021 ). Moreover, the ability to identify stressors and mental health problems may manifest differently culturally for some minority groups ( Huang and Zane, 2016 ; Liu, C. H., et al., 2019 ). Contrary to our findings, other studies cited racial disparities in academic stress levels and mental well-being of students. More specifically, Negga et al. (2007) concluded that African American college students were more susceptible to higher academic stress levels than their white classmates ( Negga et al., 2007 ). Another study reported that minority students experienced greater distress and worse mental health outcomes compared to non-minority students ( Smith et al., 2014 ). Since there may be racial disparities in access to mental health services at the college level, universities, professors, and counselors should offer additional resources to support these students while closely monitoring their psychological well-being ( Lipson et al., 2018 ; Liu, C. H., et al., 2019 ).

While the COVID-19 pandemic increased stress levels in all the students included in our study, women, non-binary students, and upperclassmen were disproportionately affected. An overwhelming body of evidence suggests that the majority of college students experienced increased stress levels and worsening mental health as a result of the pandemic ( Allen and Hiebert, 1991 ; American Psychological Association, 2020 ; Husky et al., 2020 ; Patsali et al., 2020 ; Son et al., 2020 ; Clabaugh et al., 2021 ; Lee et al., 2021 ; Yang et al., 2021 ). Our results also align with prior studies that found similar subgroups of students experience disproportionate pandemic-related distress ( Gao et al., 2020 ; Clabaugh et al., 2021 ; Hunt et al., 2021 ; Jarrett et al., 2021 ; Lee et al., 2021 ; Chen and Lucock, 2022 ). In particular, the differences between female students and their male peers may be the result of different psychological and physiological responses to stress reactivity, which in turn may contribute to different coping mechanisms to stress and the higher rates of stress-related disorders experienced by women ( Misra et al., 2000 ; Kajantie and Phillips, 2006 ; Verma et al., 2011 ; Gao et al., 2020 ; Graves et al., 2021 ). COVID-19 was a secondary consideration in our study and survey design, so the conclusions drawn here are necessarily limited.

The implications of this study are that college students facing increased stress and struggling with mental health issues should receive personalized and specific mental health services, resources, and support. This is particularly true for groups that have been disproportionately impacted by academic stress and stress due to the pandemic. Many students who experience mental health struggles underutilize college services due to cost, stigma, or lack of information ( Cage et al., 2020 ; Lee et al., 2021 ). To raise awareness and destigmatize mental health, colleges can consider distributing confidential validated assessments, such as the PAS and SWEMWBS, in class and teach students to self-score ( Lee et al., 2021 ). These results can be used to understand how academic stress and mental well-being change over time and allow for specific and targeted interventions for vulnerable groups. In addition, teaching students healthy stress management techniques has been shown to improve psychological well-being ( Alborzkouh et al., 2015 ). Moreover, adaptive coping strategies, including social and emotional support, have been found to improve the mental well-being of students, and stress-reduction peer support groups and workshops on campus could be beneficial in reducing stress and improving the self-efficacy of students ( Ruthig et al., 2009 ; Baqutayan, 2011 ; Bedewy and Gabriel, 2015 ; Freire et al., 2020 ; Green et al., 2021 ; Suresh et al., 2021 ). Other interventions that have been effective in improving the coping skills of college students include cognitive-behavioral therapy, mindfulness mediation, and online coping tools ( Kang et al., 2009 ; Regehr et al., 2013 ; Molla Jafar et al., 2015 ; Phang et al., 2015 ; Houston et al., 2017 ; Yusufov et al., 2019 ; Freire et al., 2020 ). Given that resilience has also been shown to help mediate stress and improve mental well-being during the COVID-19 pandemic, interventions focusing on enhancing resilience should be considered ( Surzykiewicz et al., 2021 ; Skalski et al., 2022 ). Telemental health resources across colleges can also be implemented to reduce stigma and improve at-risk students' access to care ( Toscos et al., 2018 ; Hadler et al., 2021 ). University campuses, professors, and counselors should consider focusing on fostering a more equitable and inclusive environment to encourage marginalized students to seek mental health support ( Budge et al., 2020 ).

Limitations

While our study has numerous strengths, including using standardized instruments and a large sample size, this study also has several limitations due to both the methodology and sample. First, the correlational study design precludes making any causal relationships ( Misra and McKean, 2000 ). Thereby, our findings should be taken in the context of academic stress and mental well-being, and recognize that mental health could be caused by other non-academic factors. Second, the PAS comprised only the perception of responses to academic stress, but stress is a multi-factorial response that encompasses both perceptions and coping mechanisms to different stressors, and the magnitude of stress varies with the perception of the degree of uncontrollability, unpredictability, or threat to self ( Miller, 1981 ; Hobfoll and Walfisch, 1984 ; Lazarus and Folkman, 1984 ; Wheaton, 1985 ; Perrewé and Zellars, 1999 ; Schneiderman et al., 2005 ; Bedewy and Gabriel, 2015 ; Schönfeld et al., 2016 ; Reddy et al., 2018 ; Freire et al., 2020 ; Karyotaki et al., 2020 ). Third, the SWEMSBS used in our study and the data only measured positive mental health. Mental health pathways are numerous and complex, and are composed of distinct and interdependent negative and positive indicators that should be considered together ( Margraf et al., 2020 ). Fourth, due to the small effect sizes and unequal representation for different combinations of variables, our analysis for both the PAS and SWEMSBS included only summed-up scales and did not examine group differences in response to the type of academic stressors or individual mental health questions.

An additional limitation is that the participants in our study were a convenience sample. The testing service we used, prolific.co, self-reports a sample bias toward young women of high levels of education (i.e., WEIRD bias) ( Team Prolific, 2018 ). The skew toward this population was observed in our data, as 80% of our participants were women. While we controlled for these factors, the possibility remains that the conclusions we draw for certain groups, such as nonbinary students, ethnic/racial minorities, and men, may not be as statistically powerful as they should be. Moreover, our pre-screening was designed to recruit undergraduate level, English-speaking, 18–30-year-olds who resided in the United States. This resulted in our participant demographics being skewed toward the WEIRD bias that was already inherent in the testing service we used. Future research will aim to be more inclusive of diverse races/ethnicities, sexual orientations, languages, educational backgrounds, socioeconomic backgrounds, and first-generation college students.

Another limitation of our study is the nature of satisficing. Satisficing is a response strategy in which a participant answers a question to satisfy its condition with little regard to the quality or accuracy of the answer ( Roberts et al., 2019 ). Anonymous participants are more likely to satisfice than respondents who answer the question face-to-face ( Krosnick et al., 2002 ). We sought to mitigate satisficing by offering financial incentives to increase response rates and decrease straight-lining, item skipping, total missing items, and non-completion ( Cole et al., 2015 ). Concerns of poor data quality due to surveys offering financial incentives found little evidence to support that claim and may do the opposite ( Cole et al., 2015 ). On the other hand, social desirability bias may have influenced the participant's self-reported responses, although our anonymous survey design aimed to reduce this bias ( Joinson, 1999 ; Kecojevic et al., 2020 ).

Future Studies

Future studies should replicate our study to validate our results, conduct longitudinal cohort studies to examine well-being and perceived academic stress over time, and aim for a more representative student sample that includes various groups, including diverse races/ethnicities, sexual orientations, socioeconomic backgrounds, languages, educational levels, and first-generation college students. Additionally, these studies should consider examining other non-academic stressors and students' coping mechanisms, both of which contribute to mental health and well-being ( Lazarus and Folkman, 1984 ; Freire et al., 2020 ). Further explorations of negative and other positive indicators of mental health may offer a broader perspective ( Margraf et al., 2020 ). Moreover, future research should consider extending our work by exploring group differences in relation to each factor in the PAS (i.e., academic expectations, workload and examinations, and self-perception of students) and SWEMBS to determine which aspects of academic stress and mental health were most affected and allow for the devising of targeted stress-reduction approaches. Ultimately, we hope our research spurs readers into advocating for greater academic support and access to group-specific mental health resources to reduce the stress levels of college students and improve their mental well-being.

Utilizing two well-established scales, our research found a statistically significant correlation between the perceived academic stress of university students and their mental well-being (i.e., the higher the stress, the worse the well-being). This relationship was most apparent among gender and grade levels. More specifically, non-binary and second-year students experienced greater academic burden and lower psychological well-being. Moreover, women, non-binary students, and upper-level students were disproportionately impacted by stress related to the COVID-19 pandemic.

Studies regarding broad concepts of stress and well-being using a questionnaire are limited, but our study adds value to the understanding of academic stress as a contributor to the overall well-being of college students during this specific point in time (i.e., the COVID-19 pandemic). Competition both for admission to college ( Bound et al., 2009 ) and during college ( Posselt and Lipson, 2016 ) has increased over time. Further, selective American colleges and universities draw applicants from a global pool. As such, it is important to document the dynamics of academic stress with renewed focus. We hope that our study sparks interest in both exploring and funding in-depth and well-designed psychological studies related to stress in colleges in the future.

Data Availability Statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Ethics Statement

The studies involving human participants were reviewed and approved by Institutional Review Board at Rutgers University. The patients/participants provided their written informed consent to participate in this study.

Author Contributions

GB and MB contributed to conceptualization, study design, IRB application, manuscript drafting, and revision. XZ participated in the conceptualization and design of the questionnaires. HB participated in subject recruitment and questionnaire collection. KP contributed to data analysis, table and figure preparation, manuscript drafting, and revision. XM contributed to conceptualization, study design, IRB application, supervision of the project, manuscript drafting, and revision. All authors contributed to the article and approved the submitted version.

This study was made possible by a generous donation from the Knights of Columbus East Hanover Chapter in New Jersey.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher's Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Acknowledgments

The authors wish to thank Shivani Mehta and Varsha Garla for their assistance with the study. We also thank all the participants for their efforts in the completion of the study.

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Keywords: academic stress, well-being, college students, Perception of Academic Stress, Short Warwick-Edinburgh Mental Well-Being Scale, COVID-19

Citation: Barbayannis G, Bandari M, Zheng X, Baquerizo H, Pecor KW and Ming X (2022) Academic Stress and Mental Well-Being in College Students: Correlations, Affected Groups, and COVID-19. Front. Psychol. 13:886344. doi: 10.3389/fpsyg.2022.886344

Received: 28 February 2022; Accepted: 20 April 2022; Published: 23 May 2022.

Reviewed by:

Copyright © 2022 Barbayannis, Bandari, Zheng, Baquerizo, Pecor and Ming. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Keith W. Pecor, pecor@tcnj.edu

† These authors have contributed equally to this work and share first authorship

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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The impact of stress on students’ academic performance

Eureka: Journal of Educational Research

This study assessed the impact of stress on the academic performance of students in the Bolgatanga Technical University. It investigated the causes of stress, the symptoms of stress, the effects of stress and how students can overcome stress. The quantitative research strategy was used for the study. The research data collection was preceded by a literature review to provide an in-depth understanding of the research topic. A structured questionnaire designed in the form of a Likert-Scale was administered to One Hundred and Forty (140) students who were the participants of the study. The data was analysed using the Statistical Package for Social Sciences (SPSS) and the results were presented in the form of descriptive statistics using the Relative Importance Index (RII). The study revealed that several factors namely high cost of living, poor time management, limited facilities, difficult relations and the workload caused stress among students of the Bolgatanga Technical University. ...

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The causes, levels of stress, and coping mechanisms vary. The study of Social Work course is basically a rigorous one as it is designed to prepare students for the actual demands in the world of work, specifically on social issues and problems and on community organizing. This study sought to determine the causes of stress, the effects of stress, and the stress coping mechanisms of Bachelor of Science in Social Work students in the Leyte Normal University, Tacloban City. It tested some assumptions using the descriptive survey method with 54 respondents. Quizzes/examinations, school requirements/projects and recitations were the most common stressors. Sleepless nights was the common effects of stress. There was disparity on the causes and effects of stress between the male and female respondents. Praying to God was the common stress coping mechanism. No disparity was observed between the male and female coping mechanisms.

The causes, levels of stress, and coping mechanisms vary. The study of Bachelor of Elementary Education course is basically a rigorous one as it is designed to prepare students for the actual demands in the world of work, specifically the elementary school classroom. This study sought to determine the causes of stress, the effects of stress, and the stress coping mechanisms of Bachelor of Elementary Education students in the Leyte Normal University, Tacloban City. This is a replication study. It tested some assumptions using the descriptive survey method with 316 respondents. Recitations and practicum/demonstration were the most common stressors. Disparity was observed in the causes of stress for the male and female students. Males became irritable/moody, had headache and felt sad/lonely while the females experienced sleepless nights and low performance in class as effects of stress. Disparity was observed in the effects of stress among the male and female respondents. Praying to Go...

molyn mpofu

Journal of Education and Learning (EduLearn)

Hazreena Hussein

Publisher ijmra.us UGC Approved

This research investigated how much stress is induced by various study-related factors, in undergraduate students belonging to a renowned university in Karachi along with the unhealthy coping strategy the students use to manage the stress. The study related factors considered for the purpose of the study were curriculum and instruction based stress, teacher-student relationship, assessment system and different components related to academic work. A survey in which questionnaires were administered to hundred students was conducted. The data were analyzed quantitatively to determine the percentages of stress induced by the various factors. The study found that student-teacher relationship is the strongest factor that causes stress in the undergraduate students specifically when teachers do not deliver the lectures effectively and give assignments and presentations to students without clear guidelines and instructions. The second important factor that causes stress was the different components of academic life, such as, parental expectations and pressures to achieve one's goals. Assessment system was found to be the third key factor inducing stress and affecting students' cognitive and psychological functioning. The most commonly used unhealthy coping strategy for stress management was procrastination. In light of the findings, it is recommended that importance be given to teacher training to ensure that instruction is proper and healthy teacher student relationship exists. Effective support programs, workshops, seminars, and different awareness programs should be arranged for promoting awareness regarding mental health in educational institutions. Moreover, additional zero credit courses should be offered to teach students how to learn stress management and healthy coping skills. * Lectures(psychology)at FAST National University of computer and emerging scinces ** Head of department(scinces and humanities)at Hamdard University, Pakistan

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Transforming stress through awareness, education and collaboration.

Anxiety in College Students: Causes, Statistics & How Universities Can Help

Anxiety and depression are the two most common reasons that students seek mental health services, according to the  Center for Collegiate Mental Health 2017 Annual Report  from Penn State University. While the incidence of all other mental illnesses reported by college students has declined or remained flat, these two mental health conditions have shown year-over-year increases.

Many types of anxiety disorders can afflict college students. According to the  Mayo Clinic , symptoms of anxiety include nervousness, unease, a sense of impending danger or doom, sweating and trembling, inability to maintain focus, uncontrollable worry, and insomnia. Generalized anxiety disorder is characterized by feelings of restlessness, fatigue, and difficulty maintaining focus, according to the  U.S. National Institute of Mental Health  (NIMH). Anxiety is present in such specialized disorders as phobia-related illnesses caused by an inordinate fear of certain items or situations, such as germs or confined spaces.

Anxiety is similar to other mental health illnesses in being difficult for diagnosticians to identify and sufferers to acknowledge. People experiencing chronic anxiety often avoid places and activities that may trigger these feelings, which negatively affects their quality of life. They often downplay the impact of anxiety on their day-to-day lives, or they simply may not realize they are dealing with a potentially serious mental health condition.

However, here are some tips to help effectively treat anxiety which can enable a person afflicted with the disorder to live a normal, healthy life. This guide explores the causes and symptoms of anxiety in college students, as well as current and long-term health impacts from the condition and the ways universities are helping students who suffer from anxiety.

Facts and Statistics About Anxiety in College Students

The  U.S. Census Bureau  reports that in 2017, more than 18 million students were enrolled in college in the U.S. According to figures compiled by  Statista , nearly three out of four of these students have experienced a sense of “overwhelming anxiety” at some time, and just under 30% report having felt overwhelming anxiety in the previous two weeks. Here are other statistics that examine the impact of anxiety on college students.

Prevalence of Anxiety in College Students

That so many college students are affected by anxiety is not surprising. Students often have to manage heavy loads of coursework, in addition to participating in extracurricular activities and holding part-time or full-time jobs. Students must also cope with the stress of choosing a new career based on their education goals. Despite anxiety being so prevalent among college students, university officials may not be aware of the damage anxiety can cause to students, nor know how to properly address the disorder.

Anxiety is prevalent among college students in part because they are in the midst of a major life transition. Lois M. Collins writes in the  Deseret News  that “college students may have a unique vulnerability because mental illness often appears amid the transition from childhood to adulthood.” The everyday stresses and demands of the academic environment also contribute to students’ feelings of anxiety.

Additional Mental Health Afflictions College Students May Experience

In addition to anxiety, college students may suffer from other mental health conditions. It is understandable for college students to feel sad or anxious on occasion, but the feelings usually pass in a matter of days. Depression and anxiety may cause these negative emotions to persist and affect all aspects of the student’s life, however. The  Mayo Clinic  describes “college depression” not as a separate clinical diagnosis but rather as the onset of depression that starts during college. Symptoms of “college depression” include persistent feelings of sadness and hopelessness, angry outbursts, loss of interest in hobbies and activities, and a sense of worthlessness.

Students with mental health disorders may face unique challenges during their time on campus. According to the  National Alliance on Mental Illness , adults who have schizophrenia or bipolar disorder are more likely to drop out of college than those who do not have a psychiatric diagnosis. Other mental health conditions that college students may suffer from include eating disorders, post-traumatic stress disorder, and substance abuse disorders.

Anxiety’s Effects After Students Leave College

Beyond the short-term effects of anxiety, the condition can have a long-term impact on college students, sometimes extending long after they’ve graduated. The  Mayo Clinic  notes that generalized anxiety disorder can precede other mental health problems, or it may worsen a preexisting health condition, such as headaches and migraines, heart disease, and chronic pain.

Additionally, anxiety can play a role in a person’s recovery from another illness. Writing for  Johns Hopkins Medicine , Una McCann, MD, describes how anxiety can impair a person’s recovery from a heart attack by interfering with the patient’s prescribed medications or preventing sleep during recovery, among other complications. “Anxiety disorders come with a high degree of fear and uncertainty,” Dr. McCann writes. “When this fear and uncertainty keep the heart attack or heart disease patient from following the advice and treatment plan of their cardiologist, it can have a major impact on recovery.”

Treatment and Support for Anxiety in College Students

Although anxiety is a serious mental health condition, effective treatments are available to prevent the condition from impairing the education of a college student. The resources described here help students overcome anxiety and lead a happier, healthier life.

University Mental Health Resources

In conjunction with on-campus clinics and hospitals that provide the full gamut of health services to students, faculty, staff, and the community, most colleges and universities offer a range of mental health services geared specifically to the needs of students. For example, The Center for Student Wellbeing  at Duquesne University offers free, confidential  University Counseling Services  to enrolled students to help them overcome anxiety and deal with other mental health conditions. Additionally, the university offers a crisis support line, therapy groups, and workshops that give students the opportunity to discuss their problems as a component of their recovery.  The Duquesne Wellbeing Resources  page offers tips and links to sources for more information about anxiety, stress, depression, and sleep disorders, among other mental health topics.

However, many universities struggle to provide their students with robust mental health services. Students often have to cut through red tape within the institution, and funding such programs and initiatives becomes increasingly difficult in light of the continual belt-tightening at most schools. As Caroline Simon writes in  USA Today , demand for mental health services for college students is increasing at a time when scarce resources make it nearly impossible for schools to hire sufficient counselors to meet the demand. The result is students having to wait weeks before a counselor is available, or once treatment starts, students may be limited to a set number of sessions with the counselor.

External Health Clinics

College students facing anxiety may find that the resources offered by mental health clinics outside their campus community provide the most effective treatment for their conditions. The resources include consulting with mental health practitioners operating in public health facilities and in private offices.

The  Mayo Clinic  describes potential treatment options for individuals who suffer from anxiety:  psychotherapy, medications, clinical trials, lifestyle coaching, home remedies, support groups, behavior modification, and alternative medicine, such as herbal and dietary supplements. College students who have health insurance through their school or another provider may receive therapy or medications through the mental health services of their insurers.

Support Groups for Students with Anxiety

College students suffering from anxiety may find relief by discussing the progress of their recovery with others who have the same condition or other firsthand experience with anxiety. The  Anxiety and Depression Association of America  (ADAA) provides an extensive directory of support groups for individuals dealing with anxiety and other mental health issues. Students who would like to start an anxiety support group to help their peers will find instructions for doing so on the ADAA  Start a Support Group  page.

Tips for Addressing Anxiety in College Students

Anxiety in college students goes far beyond the typical worrying about picking a major or cramming for a final exam. The illness can be debilitating, preventing students from completing their studies and affecting them long after they have left school. Anxiety impacts millions of individuals across the country, but the symptoms and effects of the disorder on a given individual are unique. Understanding the wide-ranging effects of anxiety enables faculty, staff, and other students to recognize the full scope of the illness and empathize with those afflicted by it.

Anxiety is an Illness that Needs to Be Taken Seriously

Even with the growing awareness of the detrimental impact of anxiety, college students may find that peers and instructors do not take their battle with anxiety seriously. More outreach is required to ensure that those suffering from the illness receive proper treatment. The Mayo Clinic  Anxiety Disorders  page provides helpful tips for coping with anxiety, such as discovering what may trigger stress in a person, learning time management techniques, devising an individualized treatment plan, and strictly following the treatment plan.

It may not be immediately apparent to college students when a peer is suffering from anxiety. The behavior and other symptoms characteristic of an anxiety disorder may be perceived by others as strange or bizarre. It is also difficult for students who have experienced the normal, everyday stress and anxiety of college life to fully comprehend the debilitating effects of a full-blown anxiety disorder.

Because anxiety symptoms and effects vary from person to person, effective treatment starts by acknowledging the potential severe impact the illness can have on a person. It is counterproductive to downplay the seriousness of the malady by labeling the symptoms as nothing more than standard “jitters.”

Helping Students Overcome Anxiety Begins with Support

Anxiety is a widespread mental health condition that is also one of the most misunderstood. By showing your support for students who suffer from anxiety, you let them know that they are not alone in their struggle. Remind these students that they are welcome in the campus community, whether by attending an anxiety support group with a peer who has anxiety or by starting a support group or organization on campus. All will be rewarded by sharing in the contributions these students make to society once they return to health and begin their careers.

Anxiety and Depression Association of America, Start a Support Group

Anxiety and Depression Association of America, Support Groups

The Conversation, “1 in 5 College Students Have Anxiety or Depression. Here’s Why”

Deseret News , “The New Campus Crisis: How Anxiety Is Crippling College Kids Across the Country”

Duquesne University, Confidentiality

Duquesne University, Counseling & Wellbeing: Services

Duquesne University, Wellbeing Resources

Johns Hopkins Medicine, Anxiety and Heart Disease

Mayo Clinic, Anxiety Disorders

Mayo Clinic, “College Depression: What Parents Need to Know”

National Alliance on Mental Illness, “A Diagnosis of Mental Illness Need Not End a College Career”

Penn State University Center for Collegiate Mental Health, 2017 Annual Report

Statista, “Percentage of U.S. College Students that Had Ever Felt Overwhelming Anxiety as of Fall 2018”

U.S. Census Bureau, “More than 76 Million Students Enrolled in U.S. Schools, Census Bureau Reports”

U.S. National Institute of Mental Health, Anxiety Disorders

USA Today , “More and More Students Need Mental Health Services. But Colleges Struggle to Keep Up”

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Essay Sample on Causes and Effects of Stress on Students, With Outline

Published by gudwriter on January 4, 2021 January 4, 2021

Cause and Effects Essay Outline About Stress Among Students

Introduction.

Stress in students may have serious harmful effects and thus needs to be addressed.

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Paragraph 1:

One of the causes of stress in students is poor sleeping habits.

• Students who do not get enough sleep at night or lack healthy sleeping habits are likely to develop stress.
• Enough sleep allows the brain and body of a student to relax and recharge.
• Lack of it can limit a student’s ability to learn, concentrate and solve problems.

Paragraph 2:

Student stress is caused by academic pressure.

• They are given homework assignments.
• They have classroom assignments and term papers that are supposed to be completed and submitted in strict deadlines.
• Pressure to do well from those close to them such as family, friends, and teachers.

Paragraph 3:

Student stress may result from poor nutrition and unhealthy eating habits.

• Stress-inducing foods are those that have high refined carbohydrates, sugar, caffeine, and fat.
• A stress-reducing diet is made up of foods that are high in complex carbohydrates and fiber and low in fat content.

Paragraph 4: 

High stress levels could make students develop physical symptoms that could negatively affect their academic performance.

• When a student experiences these symptoms, they might not feel the motivation they once felt about doing their best on academic tasks.
• The symptoms are detrimental to the health of students.

Paragraph 5:

Stress makes students to have poor management skills.

• A student could become disorganized and uncertain about their priorities and goals.
• They become incapable of effectively budgeting and managing their time.
• They develop a tendency of procrastinating and neglecting responsibilities.

Paragraph 6:

Stress leads to self-defeating thoughts.

• A student under stress may consistently think about the adversity or negative situation in which they are.
• They could constantly focus on their weaknesses and failures.

Paragraph 7: 

There are various stress management strategies students may take to reduce stress.

• Get regular physical activity and practice.
• Spend quality time with friends and family, and keeping a sense of humor.
• Find time for such hobbies as listening to music, playing football, and reading a book.
• Get enough sleep and consume balanced diet.
• Stress in students cause serious negative effects, both physical and academic.
• It results from poor sleeping habits, academic pressure, and poor nutrition and unhealthy eating habits.
• It results into physical symptoms, poor management skills, and self-defeating thoughts.
• Parents and teachers should work together to ensure that students do not experience much stress.

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A Cause and Effect Essay on Stress in Students

Stress is the natural response the human body gives to challenges. Students are exposed to stress by various factors. When a student undergoes chronic stress or high stress levels, their ability to learn, memorize, and post good academic performances can be interfered with regardless of their age or grade. Stress can also make a student experience poor mental, emotional, and physical health. Teachers and parents may help students avoid chronic stress in their lives if they learn about and develop a good understanding of common stressors. Stress in students may have serious harmful effects and thus needs to be addressed.

One of the causes of stress in students is poor sleeping habits. Compared to students who get plenty of sleep, students who do not get enough sleep at night or lack healthy sleeping habits are likely to develop stress. Enough sleep allows the brain and body of a student to relax and recharge. It also helps in ensuring that the immune system remains strong. On the other hand, lack of enough sleep can limit a student’s ability to learn, concentrate, and solve problems and can also make them more aggressive. According to Hales and Hales (2016), it is recommended by the National Sleep Foundation that young people, especially students, should maintain a regular sleep schedule and that they should sleep for between 8.5 and 9.25 hours per night.

Another major cause of student stress is academic pressure. As teachers prepare students for standardized tests, they give them homework even if the students are as young as six only. In addition to these homework assignments, there are classroom assignments and term papers that are supposed to be completed and submitted in strict deadlines. The pressure that comes from these assignments coupled with the desire by students to succeed academically culminates into stress. Students also experience pressure to do well in their academic work from those close to them such as family, friends, and even teachers (Raju, 2009). They therefore feel so much pushed that they even resort to academic dishonesty such as cheating in exams so as to match these high expectations.

A student’s stress levels can also increase due to poor nutrition and unhealthy eating habits. Foods that are associated with high stress levels in students include those that have high refined carbohydrates, sugar, caffeine, and fat. This is the case with many types of fast, processed, and convenience foods. Examples of foods that induce stress include French fries, white bread, processed snack foods, candy bars, donuts, energy drinks, and sodas (Kumar, 2015). A healthy stress-reducing diet is made up of foods that are high in complex carbohydrates and fiber and low in fat content. Examples of such foods include lean proteins, nuts, whole grains, vegetables, and fruits.

It is noteworthy that high stress levels can make students develop physical symptoms that could negatively affect their academic performance. These signs and symptoms include chest pain, elevated blood pressure, stomach upset, mumbled or rapid speech, nervous habits such as fidgeting, back and neck pains, tremors and trembling of lips, and frequent headaches (Kumar, 2015). When a student experiences these symptoms, they might not feel the motivation they once felt about doing their best in such academic tasks as completing assignments or preparing for tests. Moreover, the symptoms are detrimental to the health of students, a factor which may father make their academic fortunes to dwindle.

Stress also makes students to have poor management skills. A student could become disorganized and uncertain about their priorities and goals as a result of suffering from high levels of stress. This could further make them incapable of effectively budgeting and managing their time. Moreover, highly stressed students have the tendency to procrastinate and neglect such important responsibilities as meeting deadlines and completing assignments (Hales & Hales, 2016). This, of course, negatively impacts the quality of their academic work and study skills.

High stress levels could further lead to self-defeating thoughts among students. While undergoing stress, it is likely that a student may consistently think about the adversity or negative situation in which they find themselves. In addition, they could constantly focus on their weaknesses and failures while ignoring their strengths and achievements. These are self-defeating thoughts that not only deal a blow to their self-esteem but also affect how they behave and how they feel both as humans and as students (Patel, 2016). They result into a student lacking confidence in their abilities and this negatively impacts their success in school since they cannot perform to their highest potential.

There are various stress management strategies students may take to reduce stress. One of these is to get regular physical activity and practice such relaxation techniques as massage, tai chi, yoga, meditation, and deep breathing. Students may also keep stress away by spending quality time with friends and family, and keeping a sense of humor. Another strategy may be to find time for such hobbies as listening to music, playing football, and reading a book. It is also important that one gets enough sleep and consumes balanced diet (Mayo Clinic Staff, 2019). These strategies may both alleviate and prevent stress among students.

Stress in students cause serious negative effects, both physical and academic. Students may experience stress due to poor sleeping habits, academic pressure, and poor nutrition and unhealthy eating habits. Students need enough sleep and less pressure for their brain to relax and recharge for it to function well. They also need to avoid stress-inducing foods such as fries and sodas. As has been seen, high stress levels could lead to physical symptoms, poor management skills, and self-defeating thoughts among students. As such, parents and teachers should work together in ensuring that students do not experience much stress because it is not good for their health and academic ability.

Hales, D., & Hales, J. (2016). Personal stress management: surviving to thriving . Boston, MA: Cengage Learning.

Kumar, N. (2015). Psychological stress among science students . New York, NY: Springer.

Mayo Clinic Staff. (2019). “Stress symptoms: effects on your body and behavior”. Mayo Clinic . Retrieved March 27, 2020 from https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987

Patel, G. (2016). An achievement motivation and academic anxiety of school going students . Lunawada: Red’shine Publication. Inc.

Raju, M. V. (2009). Health psychology and counselling . Delhi, India: Discovery Publishing House.

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Dive into the complex web of stressors and their consequences for students in our comprehensive essay. To amplify the impact of your talk, use our innovative speech generator to craft engaging speeches.

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'Adjusting the sails' on student stress

Asu professor's study on coping with stress in college earns lasting impact award.

Photo courtesy iStock/Getty Images

The impact of stress on individuals in work and educational contexts poses a significant financial burden, particularly in the workplace, estimated at around $300 billion annually.

And while some stress is to be expected as part of the college experience, according to Christopher P. Neck , the pressure for college students to excel and find a good job is more complex and pervasive than ever before.

Neck, a professor at the W. P. Carey School of Business at Arizona State University, co-authored a paper titled “Effective Stress Management: A Model of Emotional Intelligence, Self-Leadership, and Student Stress Coping” with four other academics Neck’s co-authors include Jeffery D. Houghton, Jinpei Wu, Jeffrey L. Godwin and Charles C. Manz. to explain the complex interplay of emotional intelligence and self-leadership in enhancing students' ability to manage stress effectively.

5 tips for stress regulation

1. Cultivate emotional intelligence: Develop your emotional intelligence by enhancing your ability to perceive, understand and regulate your own emotions.

2. Practice self-leadership: Embrace self-leadership principles to take control of your thoughts, feelings and actions. 

3. Engage in positive self-talk: Foster a positive mindset by engaging in constructive self-talk. 

4. Utilize stress coping strategies: Equip yourself with effective stress coping strategies to manage academic pressures and life transitions.

5. Foster a growth mindset: Cultivate a growth mindset by embracing challenges as opportunities for learning and personal growth.

The Journal of Management Education published the paper in 2012, and a decade later, the research’s relevance has not only persisted but also gained recognition for its enduring impact on the field.

That’s why it was awarded the 2023 Lasting Impact Award by the Management and Organizational Behavior Teaching Society and Sage Publications. This accolade is awarded to publications that have significantly influenced management education or educators, providing insights that remain relevant and vital over the years. The recognition underscores the article’s substantial influence and role in shaping educational approaches to stress management.

As we approach the presentation of this award at the 51st annual MOBTS Teaching Conference in June 2024 and in recognition of  Mental Health Awareness Month , it is poignant to reflect on the developments since the article’s publication and consider the future trajectory of this research area.

ASU News spoke to Neck about how the landscape of student stress has evolved over the years, and what new understandings we need to integrate into our educational systems.

Editor's note: Answers may have been edited for length and/or clarity.

Question: How has stress become more intense for college students over the years, and what don't people understand about what students are dealing with today?

Answer: The adage “You can’t control the wind but certainly can adjust the sails” rings true here. In short, there seems to be a lot more wind facing college students today. Stress among college students has evolved significantly over the years, becoming more intense due to various societal and cultural factors. One prominent contributor is the increasingly competitive nature of academia, with higher expectations for academic achievement and a greater emphasis on career prospects post-graduation. The pressure to excel academically while balancing extracurricular activities, internships and social obligations can be overwhelming.

Additionally, the rise of technology and social media has created a constant state of connectivity, making it challenging for students to disconnect and relax. The pervasive influence of social media also contributes to feelings of comparison and inadequacy, as students often compare themselves to their peers’ seemingly perfect lives portrayed online. Also, the proliferation of social media creates a situation where students are usually multitasking — a problem that increases anxiety and stress.

Furthermore, financial burdens play a significant role in exacerbating stress among college students today. The rising cost of tuition, coupled with concerns about student loan debt and job prospects after graduation, adds additional pressure. Many students also juggle part-time jobs or internships to support themselves financially, further adding to their stress levels. Moreover, issues such as mental health challenges, societal expectations and the uncertainty of the future contribute to the complexity of stress experienced by today's college students. Overall, the multifaceted nature of stressors facing students today highlights the need for comprehensive support systems and effective coping strategies within higher education institutions to help students “adjust the sails.”

Q: In your paper, you specifically name two types of stress students experience: distress and eustress. Can you summarize each type and how it uniquely applies to college students?

A: Distress and eustress are two distinct types of stress that college students commonly experience, each with unique characteristics and implications.

Distress is the negative type of stress, characterized by feelings of overwhelm, anxiety and pressure. In college, distress often arises from academic deadlines, performance expectations, interpersonal conflicts and personal struggles. ... Distress can harm students' mental and physical well-being if left unaddressed, impacting their academic performance and overall quality of life.

On the other hand, eustress is a positive form of stress that arises from challenging but manageable situations. Unlike distress, which is overwhelming and debilitating, eustress is energizing and motivating. In college, eustress can stem from experiences such as starting a new project, preparing for an exam or pursuing personal growth opportunities like joining clubs or participating in extracurricular activities. ... Eustress can enhance students' motivation, focus and performance, helping them thrive academically and personally.

Understanding the distinction between distress and eustress is crucial for college students as it allows them to effectively identify and manage their stressors. By recognizing the difference between overwhelming challenges that may require support and manageable stressors that can enhance performance, students can develop coping strategies tailored to their specific needs. Additionally, fostering a positive mindset and reframing stressors as opportunities for growth can help students harness the power of eustress to successfully navigate the demands of college life.

Q: Your paper also discusses emotional intelligence and emotion regulation. What are these concepts, and how do they apply to this situation?

A: Emotional intelligence refers to the ability to perceive, understand, manage and utilize emotions effectively in various situations. It encompasses self-awareness, self-regulation, empathy and social skills. Emotion regulation, on the other hand, refers to the process of managing and controlling one's emotional responses to different situations.

These concepts are highly relevant for college students and stress management for several reasons. Firstly, college life often presents numerous challenges and stressors, from academic pressures to personal relationships and career uncertainties. Developing emotional intelligence equips students with the skills to navigate these challenges effectively. For instance, self-awareness allows students to recognize their emotional triggers and responses, while self-regulation enables them to manage stress and maintain balance. Empathy and social skills help students build supportive relationships and seek help when needed, fostering resilience and coping mechanisms.

Moreover, emotion regulation strategies play a crucial role in mitigating the negative impact of stress on students' mental health and well-being. By learning to regulate their emotions, students can reduce feelings of anxiety, overwhelm and burnout commonly associated with college life. Effective emotion regulation also promotes adaptive coping strategies, such as seeking social support, engaging in problem-solving and practicing self-care — essential for managing stress effectively.

Q: You and your co-authors suggest that self-leadership is a primary way of dealing with stress. What is self-leadership, and how can students develop stress-regulating strategies?

A: Self-leadership is the process of influencing oneself to establish self-direction and self-motivation for effective performance. It involves adopting specific behavior-focused and cognitive-focused strategies to enhance individual effectiveness. In essence, self-leadership empowers individuals to take control of their thoughts, feelings and actions, facilitating goal achievement and personal growth.

For college students, developing self-leadership skills is paramount for effectively managing stress and navigating the demands of academic life. One way students can cultivate self-leadership is by practicing behavior-focused strategies such as self-observation, self-goal setting, self-reward and self-correcting feedback. Self-observation entails assessing one's behaviors to identify areas for improvement or change, while self-goal setting involves setting specific, challenging and realistic goals to focus one's efforts. Self-rewarding involves creating incentives linked to goal attainment to motivate and energize oneself, while self-correcting feedback entails evaluating failures constructively and redirecting efforts toward positive outcomes.

Additionally, students can develop cognitive-focused self-leadership strategies to reshape their thought processes and enhance their coping abilities. Cognitive strategies include positive self-talk, constructive mental imagery and challenging dysfunctional beliefs and assumptions. Positive self-talk involves fostering optimistic inner dialogues to combat negative self-talk and promote resilience. Constructive mental imagery visualizes success and positive outcomes to bolster confidence and motivation. Challenging dysfunctional beliefs involves identifying and reframing negative thought patterns contributing to stress and adopting more adaptive perspectives.

Q: What do you envision as the next steps in this field of research and practice?

A: Looking ahead, the next frontier in stress management research for college students lies in exploring the intersection of emotional intelligence, self-leadership and holistic well-being. While our model provides valuable insights into the mechanisms through which these factors influence stress coping, there is still much to uncover in terms of individual differences, contextual influences and long-term outcomes. Future research could delve deeper into the efficacy of specific intervention programs tailored to enhance college students' emotional intelligence and self-leadership skills, evaluating their impact on academic performance, mental health outcomes and overall resilience.

Moreover, as technology continues to reshape the landscape of higher education, there is a growing need to explore innovative approaches to stress management that harness digital platforms and virtual resources. From mobile apps and online support networks to virtual reality-based interventions, the possibilities for leveraging technology to promote student well-being are vast.  

For instance, I’m currently working on a study where students use a daily app on their smartphones to record their self-talk during a particular time each day. The hope is that by helping students become more aware of their mental processes, they can learn to realize when such self-dialogue is creating stress and how they can change this dysfunctional self-talk to less stress-provoking.

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