In this study, we aimed to investigate the prevalence of poor mental health and its association with loneliness and social support among 3531 undergraduate students in nine Asian countries. Mental health was assessed using the Self-Reporting Questionnaire, which was developed by the World Health Organization. Across the entire sample, we detected that nearly half of the students reported poor mental health according to the Self-Reporting Questionnaire and nearly one out of seven students felt lonely. While feeling lonely increased the odds of experiencing poor mental health (odds ratio [OR]), moderate (OR: 0.35) and strong social support (OR: 0.18) decreases the odds of experiencing poor mental health. The high prevalence of poor mental health calls for further in-depth investigations and implementation of mental health support interventions.
Hernández-TorranoDIbrayevaLSparksJ, et al. Mental health and well-being of university students: a bibliometric mapping of the literature. Front Psychol. 2020;11:1226. doi:10.3389/fpsyg.2020.01226
2.
AuerbachRPMortierPBruffaertsR, et al. WHO world mental health surveys international college student project: prevalence and distribution of mental disorders. J Abnorm Psychol. 2018;127(7):623-638. doi:10.1037/abn0000362
3.
AldiabatKMMataniNNavenecCLL. Mental health among undergraduate university students: a background paper for administrators, educators and healthcare providers. Univers J Public Health. 2014;2(8):209-214. doi:10.13189/ujph.2014.020801
4.
EisenbergDGolbersteinEHuntJB. Mental health and academic success in college. BE J Econ Anal Policy. 2009;9(1):40. doi:10.2202/1935-1682.2191
5.
MurphyMHCarlinAWoodsC, et al. Active students are healthier and happier than their inactive peers: the results of a large representative cross-sectional study of university students in Ireland. J Phys Act Health. 2018;15(10):737-746. doi:10.1123/jpah.2017-0432
6.
EllardOBDennisonCTuomainenH (2022). Review: Interventions addressing loneliness amongst university students: a systematic review. Child Adolesc Ment Health. 2022 Advance online publication. https://doi.org/10.1111/camh.12614
7.
Gonzalez MendezMJXuHFLiM, et al. Mental Health and associated factors among college students during the COVID-19 pandemic in China. Asia Pac J Public Health. 2022;34(4):427-429. doi:10.1177/10105395221074535
8.
LiuXPingSGaoW. Changes in undergraduate students’ psychological well-being as they experience university life. Int J Environ Res Public Health. 2019;16(16):2864. doi:10.3390/ijerph16162864
9.
KahnJKasky-HernándezLAmbrosePFrenchS. Stress, Depression, and Anxiety among Transitioning College Students: The Family as a Protective Factor. J First-year Exp Stud Transit. 2017;29(2):11-25.
10.
DiehlKJansenCIshchanovaKHilger-KolbJ. Loneliness at universities: determinants of emotional and social loneliness among students. Int J Environ Res Public Health. 2018;15(9):1865. doi:10.3390/ijerph15091865
11.
BeusenbergMOrleyJH; World Health Organization. A user’s guide to the Self Reporting Questionnaire (SRQ / compiled by M. Beusenberg and J. Orley. WHO/MNH/PSF/94.8. Unpublished). Published 1994. Accessed April 19, 2023. https://apps.who.int/iris/handle/10665/61113
12.
NetsereabTBKifleMMTesfagiorgisRBHabteabSGWeldeabzgiYKTesfamariamOZ. Validation of the WHO self-reporting questionnaire-20 (SRQ-20) item in primary health care settings in Eritrea. Int J Ment Health Syst. 2018;12:61. doi:10.1186/s13033-018-0242-y
13.
ScholteWFVerduinFvan LammerenARutayisireTKampermanAM. Psychometric properties and longitudinal validation of the self-reporting questionnaire (SRQ-20) in a Rwandan community setting: a validation study. BMC Med Res Methodol. 2011;11(1):116. doi:10.1186/1471-2288-11-116
14.
RussellDPeplauLACutronaCE. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980;39(3):472-480. doi:10.1037//0022-3514.39.3.472
15.
XuSQiuDHahneJZhaoMHuM. Psychometric properties of the short-form UCLA Loneliness Scale (ULS-8) among Chinese adolescents. Medicine (Baltimore). 2018;97(38):e12373. doi:10.1097/MD.0000000000012373
16.
KocaleventRDBergLBeutelME, et al. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC Psychol. 2018;6(1):31. doi:10.1186/s40359-018-0249-9
17.
ChenTLucockM. The mental health of university students during the COVID-19 pandemic: an online survey in the UK. PLoS ONE. 2022;17(1):e0262562. doi:10.1371/journal.pone.0262562
18.
TancrediSBurton-JeangrosCRueggR, et al. Financial loss and depressive symptoms in university students during the first wave of the COVID-19 pandemic: comparison between 23 countries. Int J Public Health. 2022;67:1604468. doi:10.3389/ijph.2022.1604468
19.
GiuntellaOHydeKSaccardoSSadoffS. Lifestyle and mental health disruptions during COVID-19. Proc Natl Acad Sci U S A. 2021;118(9):e2016632118. doi:10.1073/pnas.2016632118
20.
ElmerTMephamKStadtfeldC. Students under lockdown: comparisons of students’ social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS ONE. 2020;15(7):e0236337. doi:10.1371/journal.pone.0236337
21.
BrummettBHBarefootJCSieglerIC, et al. Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med. 2001;63(2):267-272. doi:10.1097/00006842-200103000-00010
22.
KawachiIBerkmanLF. Social ties and mental health. J Urban Health. 2001;78(3):458-467. doi:10.1093/jurban/78.3.458
23.
LoadesMEChatburnEHigson-SweeneyN, et al. Rapid systematic review: the impact of social isolation adolescents in the context of COVID-19. J Am Child Adolesc Psychiatry. 2020;59(11):1218-1239.
24.
SchofieldMJO’HalloranPMcLeanSAForresterKnauss-CPaxtonSJ. Depressive symptoms among Australian university students: who is at risk?Aust Psychol. 2016;51(2):135-144. doi:10.1111/ap.12129
25.
CohenSWillsTA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310-357.
26.
NegashSKartschmitNMikolajczykRT, et al. Worsened financial situation during the COVID-19 pandemic was associated with depressive symptomatology among university students in Germany: results of the COVID-19 international student well-being study. Front Psychiatry. 2021;12:743158. doi:10.3389/fpsyt.2021.743158
27.
BrotonKMGoldrick-RabSBensonJ. Working for college: the causal impacts of financial grants on undergraduate employment. Educ Eval Policy Anal. 2016;38(3):477-494. doi:10.3102/0162373716638440
28.
TsuruganoSNishikitaniMInoueMYanoE. Impact of the COVID-19 pandemic on working students: results from the Labour Force Survey and the student lifestyle survey. J Occup Health. 2021;63(1):e12209. doi:10.1002/1348-9585.12209
29.
MeierDThomsenSLTrunzerJ. The Financial Situation of Students During the COVID-19 Pandemic. Institute of Labor Economics; 2022. doi:10.2139/ssrn.4114656
30.
PedrelliPNyerMYeungAZulaufCWilensT. College students: mental health problems and treatment considerations. Acad Psychiatry. 2015;39(5):503-511. doi:10.1007/s40596-014-0205-9
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