research title examples about mental health of students

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207 Mental Health Research Topics For Top Students

College and university students pursuing psychology studies must write research papers on mental health in their studies. It is not always an exciting moment for the students since getting quality mental health topics is tedious. However, this article presents expert ideas and writing tips for students in this field. Enjoy!

What Is Mental Health?

It is an integral component of health that deals with the feeling of well-being when one realizes his or her abilities, cope with the pressures of life, and productively work. Mental health also incorporates how humans interact with each other, emote, or think. It is a vital concern of any human life that cannot be neglected.

How To Write Mental Health Research Topics

One should approach the subject of mental health with utmost preciseness. If handled carelessly, cases such as depression, suicide or low self-esteem may occur. That is why students are advised to carefully choose mental health research paper topics for their paper with the mind reader.

To get mental health topics for research paper, you can use the following sources:

The WHO website
Websites of renowned psychology clinics
News reports and headlines.

However, we have a list of writing ideas that you can use for your inspiration. Check them out!

Mental Illness Research Questions

The role of antidepressant medicines in treating mental illnesses
How taxation of alcoholic beverages and their restriction can help in curbing mental illnesses
The impact of mental illnesses on the economic development of a country
Efficient and cost-effective ways of treating mental illnesses
Early childhood interventions to prevent future mental illnesses
Why children from single-parent families are prone to mental illnesses
Do opportunities for early learning have a role in curbing mental diseases?
Life skills programmes that everyone should embrace to fight mental illnesses
The role of nutrition and diet in causing mental illness
How socio-economic empowerment of women can help promote mental health
Practical social support for elderly populations to prevent mental illnesses
How to help vulnerable groups against mental illnesses
Evaluate the effectiveness of mental health promotional activities in schools

Hot Mental Health Topics For Research

Do stress prevention programmes on TV work?
The role of anti-discrimination laws and campaigns in promoting mental health
Discuss specific psychological and personality factors leading to mental disorders
How can biological factors lead to mental problems?
How stressful work conditions can stir up mental health disorders
Is physical ill-health a pivotal contributor to mental disorders today?
Why sexual violence has led many to depression and suicide
The role of life experiences in mental illnesses: A case of trauma
How family history can lead to mental health problems
Can people with mental health problems recover entirely?
Why sleeping too much or minor can be an indicator of mental disorders.
Why do people with mental health problems pull away from others?
Discuss confusion as a sign of mental disorders

Research Topics For Mental Health Counseling

Counselling strategies that help victims cope with the stresses of life
Is getting professional counselling help becoming too expensive?
Mental health counselling for bipolar disorders
How psychological counselling affects victims of mental health disorders
What issues are students free to share with their guiding and counselling masters?
Why are relationship issues the most prevalent among teenagers?
Does counselling help in the case of obsessive-compulsive disorders?
Is counselling a cure to mental health problems?
Why talking therapies are the most effective in dealing with mental disorders
How does talking about your experiences help in dealing with the problem?
Why most victims approach their counsellors feeling apprehensive and nervous
How to make a patient feel comfortable during a counselling session
Why counsellors should not push patients to talk about stuff they aren’t ready to share

Mental Health Law Research Topics

Discuss the effectiveness of the Americans with Disabilities Act
Does the Capacity to Consent to Treatment law push patients to the wall?
Evaluate the effectiveness of mental health courts
Does forcible medication lead to severe mental health problems?
Discuss the institutionalization of mental health facilities
Analyze the Consent to Clinical Research using mentally ill patients
What rights do mentally sick patients have? Are they effective?
Critically analyze proxy decision making for mental disorders
Why some Psychiatric Advance directives are punitive
Discuss the therapeutic jurisprudence of mental disorders
How effective is legal guardianship in the case of mental disorders?
Discuss psychology laws & licensing boards in the United States
Evaluate state insanity defence laws

Controversial Research Paper Topics About Mental Health

Do mentally ill patients have a right to choose whether to go to psychiatric centres or not?
Should families take the elderly to mental health institutions?
Does the doctor have the right to end the life of a terminally ill mental patient?
The use of euthanasia among extreme cases of mental health
Are mental disorders a result of curses and witchcraft?
Do violent video games make children aggressive and uncontrollable?
Should mental institutions be located outside the cities?
How often should families visit their relatives who are mentally ill?
Why the government should fully support the mentally ill
Should mental health clinics use pictures of patients without their consent?
Should families pay for the care of mentally ill relatives?
Do mentally ill patients have the right to marry or get married?
Who determines when to send a patient to a mental health facility?

Mental Health Topics For Discussion

The role of drama and music in treating mental health problems
Explore new ways of coping with mental health problems in the 21 st century
How social media is contributing to various mental health problems
Does Yoga and meditation help to treat mental health complications?
Is the mental health curriculum for psychology students inclusive enough?
Why solving problems as a family can help alleviate mental health disorders
Why teachers can either maintain or disrupt the mental state of their students
Should patients with mental health issues learn to live with their problems?
Why socializing is difficult for patients with mental disorders
Are our online psychology clinics effective in handling mental health issues?
Discuss why people aged 18-25 are more prone to mental health problems
Analyze the growing trend of social stigma in the United States
Are all people with mental health disorders violent and dangerous?

Mental Health Of New Mothers Research Topics

The role of mental disorders in mother-infant bonding
How mental health issues could lead to delays in the emotional development of the infant
The impact of COVID-19 physical distancing measures on postpartum women
Why anxiety and depression are associated with preterm delivery
The role of husbands in attending to wives’ postpartum care needs
What is the effectiveness of screening for postpartum depression?
The role of resilience in dealing with mental issues after delivery
Why marginalized women are more prone to postpartum depression
Why failure to bond leads to mental disorders among new mothers
Discuss how low and middle-income countries contribute to perinatal depression
How to prevent the recurrence of postpartum mental disorders in future
The role of anti-depression drugs in dealing with depression among new mothers
A case study of the various healthcare interventions for perinatal anxiety and mood disorders

What Are The Hot Topics For Mental Health Research Today

Discuss why mental health problems may be a result of a character flaw
The impact of damaging stereotypes in mental health
Why are many people reluctant to speak about their mental health issues?
Why the society tends to judge people with mental issues
Does alcohol and wasting health help one deal with a mental problem?
Discuss the role of bullying in causing mental health disorders among students
Why open forums in school and communities can help in curbing mental disorders
How to build healthy relationships that can help in solving mental health issues
Discuss frustration and lack of understanding in relationships
The role of a stable and supportive family in preventing mental disorders
How parents can start mental health conversations with their children
Analyze the responsibilities of the National Institute for Health and Care Excellence (NICE)
The role of a positive mind in dealing with psychological problems

Good Research Topics On Refugees Mental Health

Why do refugees find themselves under high levels of stress?
Discuss the modalities of looking after the mental health of refugees
Evaluate the importance of a cultural framework in helping refugees with mental illnesses
How refugee camp administrators can help identify mental health disorders among refugees
Discuss the implications of dangerous traditional practices
The role of the UNHCR in assisting refugees with mental problems
Post-traumatic Stress Disorder among refugees
Dealing with hopelessness among refugees
The prevalence of traumatic experiences in refugee camps
Does cognitive-behavioural therapy work for refugees?
Discuss the role of policy planning in dealing with refugee-mental health problems
Are psychiatry and psychosomatic medicine effective in refugee camps?
Practical groups and in‐group therapeutic settings for refugee camps

Adolescent Mental Health Research Topics

Discuss why suicide is among the leading causes of death among adolescents
The role of acting-out behaviour or substance use in mental issues among adolescents
Mental effects of unsafe sexual behaviour among adolescents
Psychopharmacologic agents and menstrual dysfunction in adolescents
The role of confidentiality in preventive care visits
Mental health disorders and impairment among adolescents
Why adolescents not in school risk developing mental disorders
Does a clinical model work for adolescents with mental illnesses?
The role of self-worth and esteem in dealing with adolescent mental disorders
How to develop positive relationships with peers
Technology and mental ill-health among adolescents
How to deal with stigma among adolescents
Curriculum that supports young people to stay engaged and motivated

Research Topics For Mental Health And Government

Evaluate mental health leadership and governance in the United States
Advocacy and partnerships in dealing with mental health
Discuss mental health and socio-cultural perspective
Management and coordination of mental health policy frameworks
Roles and responsibilities of governments in dealing with mental health
Monitoring and evaluation of mental health policies
What is the essence of a mental health commission?
Benefits of mental well-being to the prosperity of a country
Necessary reforms to the mental health systems
Legal frameworks for dealing with substance use disorders
How mental health can impede the development of a country
The role of the government in dealing with decaying mental health institutions
Inadequate legislation in dealing with mental health problems

Abnormal Psychology Topics

What does it mean to display strange behaviour?
Role of mental health professionals in dealing with abnormal psychology
Discuss the concept of dysfunction in mental illness
How does deviance relate to mental illness?
Role of culture and social norms
The cost of treating abnormal psychology in the US
Using aversive treatment in abnormal psychology
Importance of psychological debriefing
Is addiction a mental disease?
Use of memory-dampening drugs
Coercive interrogations and psychology

Behavioural Health Issues In Mental Health

Detachment from reality
Inability to withstand daily problems
Conduct disorder among children
Role of therapy in behavioural disorders
Eating and drinking habits and mental health
Addictive behaviour patterns for teenagers in high school
Discuss mental implications of gambling and sex addiction
Impact of maladaptive behaviours on the society
Extreme mood changes
Confused thinking
Role of friends in behavioural complications
Spiritual leaders in helping deal with behavioural issues
Suicidal thoughts

Latest Psychology Research Topics

Discrimination and prejudice in a society
Impact of negative social cognition
Role of personal perceptions
How attitudes affect mental well-being
Effects of cults on cognitive behaviour
Marketing and psychology
How romance can distort normal cognitive functioning
Why people with pro-social behaviour may be less affected
Leadership and mental health
Discuss how to deal with anti-social personality disorders
Coping with phobias in school
The role of group therapy
Impact of dreams on one’s psychological behaviour

Professional Psychiatry Research Topics

The part of false memories
Media and stress disorders
Impact of gender roles
Role of parenting styles
Age and psychology
The biography of Harry Harlow
Career paths in psychology
Dissociative disorders
Dealing with paranoia
Delusions and their remedy
A distorted perception of reality
Rights of mental caregivers
Dealing with a loss
Handling a break-up

Consider using our expert research paper writing services for your mental health paper today. Satisfaction is guaranteed!

150+ Trending Mental Health Research Topics For Students (2023)

Mental health is an important part of our well-being, encompassing our emotional, psychological, and social health. In the United States, the importance of addressing mental health has gained recognition, with growing concerns about stress, anxiety, and depression.

In this blog, we will guide you the meaning of mental health research topics with our 5 useful tips. Moreover, we give you a list of 150+ Mental Health Research Topics in 2023, including qualitative, interesting, and even controversial ones, you’ll find options that suit your interests. From the impact of social media to the intersection of Mental Health with political science and music therapy, we’ve got you covered.

Stay tuned for more on mental health research topics, and do not forget our bonus tips for selecting the best topics.

What Is Mental Health?

Table of Contents

Mental health is about how we feel and think inside our minds. It’s like taking care of our thoughts and emotions, just like we take care of our bodies. When our mental health is good, we usually feel happy and calm and can handle life’s challenges. But when our mental health is not so good, we might feel sad, anxious, or overwhelmed.

What Are Mental Health Research Topics?

Mental health research topics are subjects that scientists and experts study to learn more about our thoughts and emotions. These topics include things like understanding what causes mental health problems, finding better ways to help people who are struggling, and figuring out how to prevent these issues from happening. Researchers also examine how different treatments, like therapy or medication, can help improve mental health.

These research topics are important because they help us learn more about our minds and how to keep them healthy. By studying these topics, scientists can discover new ways to support people who are facing mental health challenges, making it easier for everyone to lead happier and more balanced lives.

5 Useful Tips For Choosing Mental Health Research Topics

Here are some useful tips for choosing mental health research topics:

1. Your research will be more focused and impactful.

2. You will be more likely to find funding and support.

3. You will be more likely to publish your research in peer-reviewed journals.

4. You will be more likely to make a huge contribution to the field of mental health research.

5. You will be more likely to enjoy your research experience.

Choosing the right mental health research topic is essential for success. By following the tips above, you can choose a topic that is focused, impactful, and relevant to your interests and expertise.

150+ Mental Health Research Topics In 2023

In this section, we will explore 150+ mental health research topics on different categories:

Mental Health Research Topics For College Students

College students often face unique mental health challenges. Here are 15 research topics for studying mental health in this demographic:

The impact of academic stress on college students’ mental health.
Exploring the relationship between sleep patterns and mental well-being among college students.
Analyzing the effectiveness of campus mental health services.
Investigating the prevalence of substance abuse and its effects on mental health in college students.
The role of peer support groups in reducing anxiety and depression among college students.
Examining the influence of social media usage on the mental health of college students.
The correlation between mental stress and financial stress issues in college students.
The value of practicing mindfulness and meditation for college students’ mental health.
Getting a better idea of how different cultures affect college students’ mental health.
Trying to figure out how mental health and physical movement affect college students.
Investigating the stigma surrounding mental health issues in college environments.
Analyzing the role of academic pressure in the onset of eating disorders among college students.
The effectiveness of online mental health resources and apps for college students.
Examining the mental health challenges faced by LGBTQ+ college students.
The impact of COVID-19 and remote learning on the mental health of college students.

Mental Health Research Topics For High School Students

High school students also encounter unique mental health concerns. Here are 15 research topics for studying mental health in this age group:

The effects of academic pressure on the mental health of high school students.
Investigating the role of family dynamics in the emotional well-being of high school students.
Analyzing the impact of bullying and cyberbullying on the mental health of teenagers.
The relationship between social media use and body image issues in high school students.
Examining the effectiveness of mental health education programs in high schools.
Investigating the prevalence of self-harm and suicidal ideation among high school students.
Analyzing the influence of peer relationships on the mental health of adolescents.
The role of extracurricular activities in promoting positive mental health in high school students.
Exploring the effects of substances abuse on the mental well-being of teenagers.
Investigating the stigma surrounding mental health issues in high schools.
The effects of COVID-19 and remote learning on the mental health of high school students.
Examining the mental health challenges faced by immigrant and refugee high school students.
Analyzing the relationship between sleep patterns and mental health in adolescents.
The effectiveness of art and creative therapies in treating mental health issues in high school students.
Investigating the role of teachers and school counselors in supporting students’ mental health.

Mental Health Research Topics For Nursing Students

Nursing students play a vital role in mental health care. Here are 15 research topics relevant to nursing students:

The impact of nursing education on students’ mental health.
Investigating the effectiveness of therapeutic communication in psychiatric nursing.
Analyzing the role of psychiatric medications in mental health treatment.
The importance of self-care practices for nursing students’ mental well-being.
Exploring the challenges faced by nursing students in caring for patients with severe mental illness.
Investigating the influence of nursing curricula on reducing mental health stigma.
Analyzing the role of clinical placements in preparing nursing students for mental health nursing.
The effects of peer support programs on nursing students’ mental health.
Examining the prevalence of burnout and stress among nursing students.
The importance of cultural skills in nursing care for different mental health patients.
Investigating the impact of technology and telehealth on mental health nursing practices.
Analyzing the ethical dilemmas faced by nursing students in mental health care.
Exploring the use of simulation training in psychiatric nursing education.
The effectiveness of mindfulness and stress management programs for nursing students.
Finding out what nursing students think about the healing model in mental health care is the goal of this study.

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Psychology Culture, And Mental Health Research Topics

Psychology and culture intersect in complex ways. Here are 15 research topics in this area:

Cross-cultural variations in the manifestation of mental disorders.
The influence of cultural beliefs on help-seeking behaviors for mental health issues.
Analyzing cultural factors in the diagnosis and treatment of depression.
The effect of acculturation on the mental health of newcomers.
Exploring cultural stigma surrounding mental illness in different societies.
Investigating the role of traditional healing practices in mental health care.
Cross-cultural perspectives on the concept of resilience in mental health.
Analyzing cultural variations in the experience of anxiety disorders.
The role of cultural competence in psychotherapy and counseling.
Exploring indigenous perspectives on mental health and well-being.
The impact of globalization on cultural attitudes toward mental health.
Investigating the influence of religion and spirituality on mental health outcomes.
Analyzing cultural differences in the perception and treatment of eating disorders.
The role of cultural identity in coping with trauma and adversity.
Cross-cultural perspectives on the use of psychotropic medications in mental health treatment.

Community Mental Health Research Topics

Community mental health research is crucial for improving public well-being. Here are 15 research topics in this field:

Evaluating the effectiveness of community-based mental health programs.
Investigating the role of peer support networks in community mental health.
Analyzing the impact of housing instability on mental health in urban communities.
Why early intervention programs are so important for avoiding serious mental illness.
Exploring the use of telemedicine in delivering mental health services to underserved communities.
Investigating the integration of mental health care into primary care settings.
Analyzing the effectiveness of crisis intervention teams in community policing.
The role of community art and creative programs in promoting mental well-being.
Examining the mental health challenges faced by homeless populations.
The impact of community outreach and education on reducing mental health stigma.
Investigating the use of community gardens and green spaces for improving mental health.
Analyzing the relationship between neighborhood characteristics and mental health disparities.
Exploring the role of community leaders and advocates in mental health policy.
The effectiveness of community-based substance abuse treatment programs.
Finding out what part social determinants of health play in the mental health of a community.

Global Mental Health Research Topics

Mental health is a global issue with unique challenges. Here are 15 research topics in global mental health:

Analyzing the burden of mental illness on global public health.
Investigating the cultural variations in mental health stigma worldwide.
The impact of arms conflict and displacement on mental well-being.
Exploring the use of teletherapy for improving access to mental health care in low-resource settings.
Analyzing the role of traditional healers in global mental health care.
Investigating the mental health challenges faced by refugees and asylum seekers.
The effectiveness of international mental health aid and interventions.
Examining the mental health implications of weather change and natural disasters.
Analyzing the global prevalence and treatment of common mental disorders.
Exploring the intersection of infectious diseases (e.g., HIV/AIDS) and mental health.
Mental Health in Urban Environments: Analyzing the unique challenges faced by individuals living in densely populated urban areas.
Mental Health and Digital Technology: Exploring the impact of digital technology on mental well-being across cultures and age groups.
Mental Health in Indigenous Communities: Investigating mental health disparities among indigenous populations and the role of cultural preservation.
Mental Health in the Workplace: Examining workplace-related stressors and policies to support employees’ mental well-being globally.
Youth Mental Health: Studying mental health challenges among children and adolescents, considering factors like education and family dynamics.

Qualitative Mental Health Research Topics

Qualitative research in mental health can provide rich insights into individuals’ experiences and perceptions. Here are 15 qualitative research topics in mental health:

Exploring the lived experiences of individuals with schizophrenia.
Qualitative analysis of the stigma associated with seeking mental health treatment.
Understanding the coping mechanisms of parents with children diagnosed with autism spectrum disorder.
Investigating the narratives of individuals recovering from addiction.
Analyzing the cultural perceptions of depression and its treatment.
Examining the subjective experiences of caregivers of dementia patients.
Discussing the role of spirituality in the recovery process for people with mental illness.
Qualitative assessment of the impact of mindfulness-based interventions on stress reduction.
Investigating the narratives of survivors of suicide attempts.
Understanding the experiences of LGBTQ+ individuals in mental health care.
Analyzing the perceptions of veterans regarding post-traumatic stress disorder (PTSD) treatment.
Exploring the subjective experiences of individuals with eating disorders.
Qualitative assessment of the role of peer support groups in recovery from substance abuse.
Investigating the stigma and barriers faced by individuals with bipolar disorder.
Understanding the cultural variations in perceptions of anxiety disorders.

Interesting Mental Health Research Topics

Fascinating mental health topics can engage researchers and readers alike. Here are 15 intriguing research topics in mental health:

The impact of virtual reality therapy on anxiety and phobias.
Investigating the connection between creativity and mental well-being.
Analyzing the role of pet therapy in reducing stress and anxiety.
Exploring the effects of nature and green spaces on mental health.
The relationship between personality types (e.g., introversion, extroversion) and mental health outcomes.
Investigating the benefits of laughter therapy on mood and stress.
Analyzing the effects of lucid dreaming on nightmares and trauma.
Exploring the mental health benefits of volunteering and altruism.
The impact of time-restricted eating on mood and cognitive function.
Investigating the use of virtual support groups for individuals with social anxiety.
Analyzing the relationship between music and memory in Alzheimer’s disease.
Exploring the mental health effects of color psychology and interior design.
The role of adventure therapy in enhancing self-esteem and resilience.
Investigating the influence of childhood hobbies on adult mental well-being.
Analyzing the connection between humor and emotional intelligence in mental health promotion.

Social Media On Mental Health Research Topics

Social media’s impact on mental health is a timely and relevant research area. Here are 15 research topics on this subject:

Analyzing the relationship between social media use and feelings of loneliness.
Investigating the effects of cyberbullying on adolescent mental health.
The influence of social media comparison on body image dissatisfaction.
Exploring the role of social media in the dissemination of mental health information.
Analyzing the impact of social media detoxes on well-being.
Investigating the link between excessive screen time and sleep disturbances.
The effects of online support communities on mental health recovery.
Exploring the role of influencer culture in shaping mental health perceptions.
Analyzing the relationship between social media activism and mental well-being.
Investigating the impact of “FOMO” (Fear of Missing Out) on anxiety levels.
The role of social media in spreading wrong information about mental health.
Exploring the effects of targeted advertising on mental health outcomes.
Analyzing the relationship between online gaming and addictive behaviors.
Investigating the influence of social media on political polarization and mental health.
The role of social media in fostering a sense of community among marginalized groups with mental health issues.

Cool Mental Health Research Topics

Cool mental health topics can pique interest and lead to innovative research. Here are some cool research topics in mental health:

Investigating the therapeutic potential of psychedelic substances for mental health treatment.
Analyzing the impact of virtual reality gaming on managing stress and anxiety.
Exploring the use of artificial intelligence and chatbots in mental health counseling.
The effectiveness of mindfulness apps and wearable devices in promoting mental well-being.
Investigating the role of gut microbiota in mood and mental health.
Analyzing the use of neurofeedback technology for improving attention and focus in ADHD.
Exploring the benefits of equine-assisted therapy for individuals with PTSD .
The potential of psychedelic-assisted psychotherapy for treating depression.
Investigating the use of art therapy and virtual art galleries for mental health support.
Analyzing the impact of music and sound therapy on sleep quality and anxiety.
Exploring the use of scent and aroma therapy in mood regulation.
The role of biofeedback and wearable sensors in managing panic disorders.
Investigating the mental health benefits of urban gardening and green rooftops.
Analyzing the use of brain-computer interfaces in enhancing emotional regulation.
Exploring the connection between outdoor adventure activities and resilience in mental health recovery.

research title examples about mental health of students

Understanding what mental health is and exploring various mental health research topics is crucial in addressing the challenges individuals face today. Choosing the right topic involves considering your audience and interests, as highlighted in our five tips. With 150+ mental health research topics for 2023, we have provided options for college, high school, and nursing students and those interested in psychology, culture, and global perspectives.

Moreover, qualitative and intriguing topics offer diverse avenues for exploration while acknowledging the impact of social media on mental health is essential. Remember our bonus tips when selecting your mental health research topic – prioritize relevance and impact to make a meaningful contribution to this vital field.

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Mental Health Dissertation Topics

Published by Carmen Troy at January 9th, 2023 , Revised On April 16, 2024

You probably found your way here looking for mental health topics for your final year research project. Look no further, we have drafted a list of issues, and their research aims to help you when you are brainstorming for dissertation or thesis topics on mental health.

PhD-qualified writers of our team have developed these topics, so you can trust to use these topics for drafting your dissertation.

You may also want to start your dissertation by requesting a brief research proposal or full dissertation service from our writers on any of these topics, which includes an introduction to the topic, research question , aim and objectives, literature review , and the proposed research methodology to be conducted. Let us know if you need any help in getting started.

Check our dissertation examples to understand how to structure your dissertation .

Also read: Psychology dissertation topics & nursing dissertation topics

Latest Mental Health Dissertation Topics for 2024

Review the step-by-step guide on how to write your dissertation here .

Topic 1: Assessing the Influence of Parents’ Divorce or Separation on Adolescent Children regarding long-term psychological impact.
Topic 2: Investigating the impact of Trauma and Health-related quality of life on a child’s Mental health and self-worth.

Topic 3: Assessing the effect of Psychological training on males suffering from Post-Surgery Anxiety in the UK.

Topic 4: Investigating the Relationship between Mental Illness and Suicides- A case study of UK’s Young Adults.

Topic 5: Examining the behaviour of Mental Health Nurses taking care of Schizophrenia Patients in the UK.

Topic 1: an assessment of the influence of parents' divorce or separation on adolescent children in terms of long-term psychological impact..

Research Aim: This study aims to investigate the level of traumas experienced by the children of divorced or separated parents. The principal aim of this study is to explore the long-term psychological impacts of parents’ divorce on the life of children regardless of their gender and age in terms of mental wellbeing, academic performance, and self-worth.

Topic 2: An investigation of the impact of Trauma and Health-related quality of life on the Mental health and Self-worth of a child.

Research Aim: This study aims to assess the long-term impacts of the trauma children face in their early years of life on their overall mental health. Also, numerous studies have emphasized improving the quality of life for children who tend to experience multiple traumas and take them along in adulthood. Therefore, this study also proposed the impacts of traumatic childhood experiences on self-worth, mental health, and vitality of implementing firm intervention before the child reaches adulthood.

Research Aim: Postoperative problems may occur as a result of surgical stress. This study aims to examine different approaches to control post-surgical anxiety and improve patients’ lives in the short and long term, focusing on male patients in the UK. It will also give us an understanding of how psychological training and interventions affect anxiety in male patients and help them overcome this through a systematic review.

Topic 4: Investigating the Relationship between Mental illness and Suicides- A case study of UK's Young Adults.

Research Aim: This study aims to find the relationship between mental illness and suicides and risk factors in the UK. This study will specifically focus on young adults. It will examine different mental disorders and how they have led to suicide and will analyse further studies of people who had died by suicide and find evidence of the presence or absence of mental illness.

Research Aim: Negative behaviours and discrimination have been usually reported as a reason for the inconvenience in the treatment of mentally ill or schizophrenia patients, which negatively impacts the patient’s results. Health care professionals’ attitudes have been regarded as being more negative than the general public, which lowers the outlook for patients suffering from mental illness. This study will examine the behaviour of mental health nurses regarding schizophrenia patients in the UK and also focus on the characteristics associated with nurses’ attitudes.

COVID-19 Mental Health Research Topics

Topic1: impacts of the coronavirus on the mental health of various age groups.

Research Aim: This study will reveal the impacts of coronavirus on the mental health of various age groups

Topic 2: Mental health and psychological resilience during COVID-19

Research Aim: Social distancing has made people isolated and affected their mental health. This study will highlight various measures to overcome the stress and mental health of people during coronavirus.

Topic 3: The mental health of children and families during COVID-19

Research Aim: This study will address the challenging situations faced by children and families during lockdown due to COVID-19. It will also discuss various ways to overcome the fear of disease and stay positive.

Topic 4: Mental wellbeing of patients during the Coronavirus pandemic

Research Aim: This study will focus on the measures taken by the hospital management, government, and families to ensure patients’ mental well-being, especially COVID-19 patients.

Best Mental Health Topics for Your Dissertation in the Year 2023

Topic 1: kids and their relatives with cancer: psychological challenges.

Research Aim: In cancer diagnoses and therapies, children often don’t know what happens. Many have psychosocial problems, including rage, terror, depression, disturbing their sleep, inexpiable guilt, and panic. Therefore, this study is designed to identify and treat the child and its family members’ psychological issues.

Topic 2: Hematopoietic device reaction in ophthalmology patient’s radiation therapy

Research Aim: This research is based on the analysis of hematopoietic devices’ reactions to ophthalmology’s radiation.

Topic 3: Psychological effects of cyberbullying Vs. physical bullying: A counter study

Research Aim: This research will focus on the effects of cyberbullying and physical bullying and their consequences on the victim’s mental health. The most significant part is the counter effects on our society’s environment and human behaviour, particularly youth.

Topic 4: Whether or not predictive processing is a theory of perceptual consciousness?

Research Aim: This research aims to identify: whether or not predictive processing is a theory of perceptual consciousness?

Topic 5: Importance of communication in a relationship

Research Aim: This research aims to address the importance of communication in relationships and the communication gap consequences.

Topic 6: Eating and personality disorders

Research Aim: This research aims to focus on eating and personality disorders

Topic 7: Analysis of teaching, assessment, and evaluation of students and learning differences

Research Aim: This research aims to analyse teaching methods, assessment, and evaluation systems of students and their learning differences

Topic 8: Social and psychological effects of virtual networks

Research Aim: This research aims to study the social and psychological effects of virtual networks

Topic 9: The role of media in provoking aggression

Research Aim: This research aims to address the role of media and in provoking aggression among people

Best Mental Health Topics for Your Dissertation in the Year 2022

Topic 1: what is the impact of social media platforms on the mental wellbeing of adults.

Research Aim: the current study aims to investigate the impact social media platforms tend to have on adults’ mental well-being with a particular focus on the United Kingdom. While many studies have been carried out to gauge the impact of social media platforms on teenagers’ mental well-being, little to no research has been performed to investigate how the health of adults might be affected by the same and how social media platforms like Facebook impact them.

Topic 2: The contemporary practical management approach to treating personality disorders

Research Aim: This research will discuss the contemporary practical management approach for treating personality disorders in mental health patients. In the previous days, much of the personality disorder treatments were based on medicines and drugs. Therefore, this research will address contemporary and practical ways to manage how personality disorders affect the mental state of the individuals who have the disease.

Topic 3: How is Prozac being used in the modern-day to treat self-diagnosed depression?

Research Aim: In the current day and age, besides people suffering from clinical depression, many of the teens and the adults across have started to suffer from self-diagnosed depression. To treat their self-diagnosed depression, individuals take Prozac through all the wrong means, which harms their mental state even more. Therefore, the current study aims to shed light on how Prozac is being used in the modern age and the adverse effects of misinformed use on the patients.

Topic 4: Are women more prone to suffer from mental disorders than men: Comparative analysis

Research Aim: There have been several arguments regarding whether women are more likely to suffer from mental disorders than men. Much of the research carried out provides evidence that women are more prone to suffer from mental disorders. This research study aims to conduct a comparative analysis to determine whether it’s more likely for men or women to suffer from mental disorders and what role biological and societal factors play in determining the trend.

Topic 5: The impact of breakups on the mental health of men?

Research Aim: Several studies have been carried out to discuss how women are affected more by a breakup than men. However, little research material is available in support of the impact the end of a relationship can have on men’s mental health. Therefore, this research study will fill out the gap in research to determine the impact of a breakup on men’s mental health and stability.

Topic 6: A theoretical analysis of the Impact of emotional attachment on mental health?

Research Aim: This research aims to analyse the theories developed around emotional attachment to address how emotional attachment can harm individuals’ mental health across the globe. Several theories discuss the role that emotional attachment tends to play in the mind of a healthy being, and how emotional attachment can often negatively affect mental well-being.

Topic 7: How do social media friendships contribute to poor mental health?

Research Aim: This research idea aims to address how social media friendships and networking can often lead to a lack of self-acceptance, self-loathing, self-pity, self-comparison, and depression due to the different mindsets that are present in today’s world.

Topic 8: What role do parents play in ensuring the mental well-being of their children?

Research Aim: It is assumed that parents tend to stop playing a role in ensuring that the mental health and well-being of their children are being maintained after a certain age. Therefore, this study will aim to put forward the idea that even after the children pass the age of 18, activities and their relationship with their parents would always play a role in the way their mental health is being transformed.

Topic 9: A study on the mental health of soldiers returning from Iraq?

Research Aim: This topic idea puts forward the aim that the mental health of soldiers who return from war-struck areas is always a subject of interest, as each of the soldiers carries a mental burden. Therefore, it is vital to understand the soldiers’ mental health returning from Iraq, focusing on what causes their mental health to deteriorate during the war and suggestions of what to do or who to call if they do become unwell.

Topic 10: How the contemporary media practices in the UK are leading to mental health problems?

Research Aim: The media is known to have control and influence over people’s mindsets who are connected to it. Many of the contemporary media practices developed in the UK can negatively impact the mental well-being of individuals, which makes it necessary to analyse how they are contributing to the mental health problems among the UK population.

Topic 11: What is the impact of television advertising on the mental development of children in the UK?

Research Aim: This topic would aim to address how television advertising can negatively impact children’s mental development in the United Kingdom, as it has been observed in many studies that television advertising is detrimental to the mental health of children.

Topic 12: How deteriorating mental health can have an Impact on physical health?

Research Aim: This research aims to address the side-effects of deteriorating mental health on the physical health of individuals in the society, as it is believed that the majority of the physical ailments in the modern-day and age are due to the deteriorating mental health of individuals. The study can address the treatments for many ailments in our society due to deteriorating mental health and well-being.

Topic 13: The relationship between unemployment and mental health

Research Aim: How unemployment relates to concepts, such as a declining economy or lack of social skills and education, has been frequently explored by many researchers in the past. However, not many have discussed the relationship between unemployment and the mental health of unemployed individuals. Therefore, this topic will help address the problems faced by individuals due to unemployment because of the mental blocks they are likely to develop and experience. In the future, it would lead to fewer people being depressed due to unemployment when further research is carried out.

Topic 14: The mental health problems of prisoners in the United Kingdom

Research Aim: While prisoners across the globe are criticised and studied for the negativity that goes on in their mindsets, one would rarely research the mental health problems they tend to develop when they become a prisoner for committing any crime. It is often assumed that it is the life inside the prison walls that impacts the prisoners’ mental health in a way that leads to them committing more crimes. Therefore, this research topic has been developed to study prison’s impact on prisoners’ mental well-being in the United Kingdom to eventually decrease the number of crimes that occur due to the negative environment inside the prisons.

Topic 15: Mental well-being of industry workers in China

Research Aim: While many research studies have been carried out regarding the conditions that the workers in China tend to be exposed to, there is very little supporting evidence regarding the impact such working conditions have on the mindset and mental health of the workers. Therefore, this study aims to address the challenges faced by industry workers in China and the impact that such challenges can have on their mental well-being.

Topic 16: Is the provision of mental health care services in the United Kingdom effective?

Research Aim: Many people have made different assumptions regarding the mental health care services provided across the globe. However, it seems that little to no research has been carried out regarding the efficiency and effectiveness of the provision of mental health care services in the United Kingdom. Therefore, this study aims to put forward research into the mental health care services provided in well-developed countries like the United Kingdom to gauge the awareness and importance of mental health in the region.

Topic 17: What are the mental health problems the minorities in the United Kingdom face?

Research Aim: It is believed that the minorities in the United Kingdom are likely to experience physical abuse, societal abuse and are often exposed to discrimination and unfair acts at the workplace and in their social circle. The study investigates the range of mental problems faced by minorities in the UK, which need to be addressed to have equality, diversity, and harmony.

Topic 18: The impact the Coronavirus has had on the mental health of the Chinese people

Research Aim: The spread of the deadly Coronavirus has led to many deaths in the region of China, and many of those who have been suspected of the virus are being put in isolation and quarantine. Such conditions tend to have hurt the mental health of those who have suffered from the disease and those who have watched people suffer from it. Therefore, the current study aims to address how the Coronavirus has impacted the mental health of the Chinese people.

Topic 19: How to create change in mental health organisations in China?

Research Aim: Research suggests little awareness about mental health in many Asian countries. As mental health problems are on the rise across the globe, it is necessary to change mental health organisations. Therefore, the study aims to discuss how to create change in mental health organisations in the Asian region using China’s example.

Topic 20: Addressing the mental health concerns of the Syrian refugees in the UK

Research Aim: This research project would address the concerns in terms of the refugees’ mental health and well-being, using an example of the Syrian refugees who had been allowed entry into the United Kingdom. This idea aims to put forward the negative effects that migration can have on the refugees and how further research is required to combat such issues not just in the United Kingdom but worldwide.

How Can ResearchProspect Help?

ResearchProspect writers can send several custom topic ideas to your email address. Once you have chosen a topic that suits your needs and interests, you can order for our dissertation outline service which will include a brief introduction to the topic, research questions , literature review , methodology , expected results , and conclusion . The dissertation outline will enable you to review the quality of our work before placing the order for our full dissertation writing service!

Important Notes:

As a mental health student looking to get good grades, it is essential to develop new ideas and experiment on existing mental health theories – i.e., to add value and interest in the topic of your research.

Mental health is vast and interrelated to so many other academic disciplines like civil engineering , construction , project management , engineering management , healthcare , finance and accounting , artificial intelligence , tourism , physiotherapy , sociology , management , project management , and nursing . That is why it is imperative to create a project management dissertation topic that is articular, sound, and actually solves a practical problem that may be rampant in the field.

We can’t stress how important it is to develop a logical research topic based on your entire research. There are several significant downfalls to getting your topic wrong; your supervisor may not be interested in working on it, the topic has no academic creditability, the research may not make logical sense, there is a possibility that the study is not viable.

This impacts your time and efforts in writing your dissertation as you may end up in the cycle of rejection at the initial stage of the dissertation. That is why we recommend reviewing existing research to develop a topic, taking advice from your supervisor, and even asking for help in this particular stage of your dissertation.

While developing a research topic, keeping our advice in mind will allow you to pick one of the best mental health dissertation topics that fulfill your requirement of writing a research paper and add to the body of knowledge.

Therefore, it is recommended that when finalizing your dissertation topic, you read recently published literature to identify gaps in the research that you may help fill.

Remember- dissertation topics need to be unique, solve an identified problem, be logical, and be practically implemented. Please look at some of our sample mental health dissertation topics to get an idea for your own dissertation.

How to Structure your Mental Health Dissertation

A well-structured dissertation can help students to achieve a high overall academic grade.

A Title Page
Acknowledgements
Declaration
Abstract: A summary of the research completed
Table of Contents
Introduction : This chapter includes the project rationale, research background, key research aims and objectives, and the research problems. An outline of the structure of a dissertation can also be added to this chapter.
Literature Review : This chapter presents relevant theories and frameworks by analysing published and unpublished literature available on the chosen research topic to address research questions . The purpose is to highlight and discuss the selected research area’s relative weaknesses and strengths whilst identifying any research gaps. Break down the topic, and key terms that can positively impact your dissertation and your tutor.
Methodology : The data collection and analysis methods and techniques employed by the researcher are presented in the Methodology chapter which usually includes research design , research philosophy, research limitations, code of conduct, ethical consideration, data collection methods, and data analysis strategy .
Findings and Analysis : Findings of the research are analysed in detail under the Findings and Analysis chapter. All key findings/results are outlined in this chapter without interpreting the data or drawing any conclusions. It can be useful to include graphs, charts, and tables in this chapter to identify meaningful trends and relationships.
Discussion and Conclusion : The researcher presents his interpretation of results in this chapter, and state whether the research hypothesis has been verified or not. An essential aspect of this section of the paper is to draw a linkage between the results and evidence from the literature. Recommendations with regards to implications of the findings and directions for the future may also be provided. Finally, a summary of the overall research, along with final judgments, opinions, and comments, must be included in the form of suggestions for improvement.
References : This should be completed following your University’s requirements
Bibliography
Appendices : Any additional information, diagrams, and graphs used to complete the dissertation but not part of the dissertation should be included in the Appendices chapter. Essentially, the purpose is to expand the information/data.

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How to find mental health dissertation topics.

To find mental health dissertation topics:

Research recent mental health issues.
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Mental Health of Higher Education Students

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An Exploratory Study of Students with Depression in Undergraduate Research Experiences

Katelyn M. Cooper
Logan E. Gin
M. Elizabeth Barnes
Sara E. Brownell

*Address correspondence to: Katelyn M. Cooper ( E-mail Address: [email protected] ).

Department of Biology, University of Central Florida, Orlando, FL, 32816

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Biology Education Research Lab, Research for Inclusive STEM Education Center, School of Life Sciences, Arizona State University, Tempe, AZ 85281

Depression is a top mental health concern among undergraduates and has been shown to disproportionately affect individuals who are underserved and underrepresented in science. As we aim to create a more inclusive scientific community, we argue that we need to examine the relationship between depression and scientific research. While studies have identified aspects of research that affect graduate student depression, we know of no studies that have explored the relationship between depression and undergraduate research. In this study, we sought to understand how undergraduates’ symptoms of depression affect their research experiences and how research affects undergraduates’ feelings of depression. We interviewed 35 undergraduate researchers majoring in the life sciences from 12 research-intensive public universities across the United States who identify with having depression. Using inductive and deductive coding, we identified that students’ depression affected their motivation and productivity, creativity and risk-taking, engagement and concentration, and self-perception and socializing in undergraduate research experiences. We found that students’ social connections, experiencing failure in research, getting help, receiving feedback, and the demands of research affected students’ depression. Based on this work, we articulate an initial set of evidence-based recommendations for research mentors to consider in promoting an inclusive research experience for students with depression.

INTRODUCTION

Depression is described as a common and serious mood disorder that results in persistent feelings of sadness and hopelessness, as well as a loss of interest in activities that one once enjoyed ( American Psychiatric Association [APA], 2013 ). Additional symptoms of depression include weight changes, difficulty sleeping, loss of energy, difficulty thinking or concentrating, feelings of worthlessness or excessive guilt, and suicidality ( APA, 2013 ). While depression results from a complex interaction of psychological, social, and biological factors ( World Health Organization, 2018 ), studies have shown that increased stress caused by college can be a significant contributor to student depression ( Dyson and Renk, 2006 ).

Depression is one of the top undergraduate mental health concerns, and the rate of depression among undergraduates continues to rise ( Center for Collegiate Mental Health, 2017 ). While we cannot discern whether these increasing rates of depression are due to increased awareness or increased incidence, it is clear that is a serious problem on college campuses. The percent of U.S. college students who self-reported a diagnosis with depression was recently estimated to be about 25% ( American College Health Association, 2019 ). However, higher rates have been reported, with one study estimating that up to 84% of undergraduates experience some level of depression ( Garlow et al. , 2008 ). Depression rates are typically higher among university students compared with the general population, despite being a more socially privileged group ( Ibrahim et al. , 2013 ). Prior studies have found that depression is negatively correlated with overall undergraduate academic performance ( Hysenbegasi et al. , 2005 ; Deroma et al. , 2009 ; American College Health Association, 2019 ). Specifically, diagnosed depression is associated with half a letter grade decrease in students’ grade point average ( Hysenbegasi et al. , 2005 ), and 21.6% of undergraduates reported that depression negatively affected their academic performance within the last year ( American College Health Association, 2019 ). Provided with a list of academic factors that may be affected by depression, students reported that depression contributed to lower exam grades, lower course grades, and not completing or dropping a course.

Students in the natural sciences may be particularly at risk for depression, given that such majors are noted to be particularly stressful due to their competitive nature and course work that is often perceived to “weed students out”( Everson et al. , 1993 ; Strenta et al. , 1994 ; American College Health Association, 2019 ; Seymour and Hunter, 2019 ). Science course instruction has also been described to be boring, repetitive, difficult, and math-intensive; these factors can create an environment that can trigger depression ( Seymour and Hewitt, 1997 ; Osborne and Collins, 2001 ; Armbruster et al ., 2009 ; Ceci and Williams, 2010 ). What also distinguishes science degree programs from other degree programs is that, increasingly, undergraduate research experiences are being proposed as an essential element of a science degree ( American Association for the Advancement of Science, 2011 ; President’s Council of Advisors on Science and Technology, 2012 ; National Academies of Sciences, Engineering, and Medicine [NASEM], 2017 ). However, there is some evidence that undergraduate research experiences can add to the stress of college for some students ( Cooper et al. , 2019c ). Students can garner multiple benefits from undergraduate research, including enhanced abilities to think critically ( Ishiyama, 2002 ; Bauer and Bennett, 2003 ; Brownell et al. , 2015 ), improved student learning ( Rauckhorst et al. , 2001 ; Brownell et al. , 2015 ), and increased student persistence in undergraduate science degree programs ( Jones et al. , 2010 ; Hernandez et al. , 2018 ). Notably, undergraduate research experiences are increasingly becoming a prerequisite for entry into medical and graduate programs in science, particularly elite programs ( Cooper et al. , 2019d ). Although some research experiences are embedded into formal lab courses as course-based undergraduate research experiences (CUREs; Auchincloss et al. , 2014 ; Brownell and Kloser, 2015 ), the majority likely entail working with faculty in their research labs. These undergraduate research experiences in faculty labs are often added on top of a student’s normal course work, so they essentially become an extracurricular activity that they have to juggle with course work, working, and/or personal obligations ( Cooper et al. , 2019c ). While the majority of the literature surrounding undergraduate research highlights undergraduate research as a positive experience ( NASEM, 2017 ), studies have demonstrated that undergraduate research experiences can be academically and emotionally challenging for students ( Mabrouk and Peters, 2000 ; Seymour et al. , 2004 ; Cooper et al. , 2019c ; Limeri et al. , 2019 ). In fact, 50% of students sampled nationally from public R1 institutions consider leaving their undergraduate research experience prematurely, and about half of those students, or 25% of all students, ultimately leave their undergraduate research experience ( Cooper et al. , 2019c ). Notably, 33.8% of these individuals cited a negative lab environment and 33.3% cited negative relationships with their mentors as factors that influenced their decision about whether to leave ( Cooper et al. , 2019c ). Therefore, students’ depression may be exacerbated in challenging undergraduate research experiences, because studies have shown that depression is positively correlated with student stress ( Hish et al. , 2019 ).

While depression has not been explored in the context of undergraduate research experiences, depression has become a prominent concern surrounding graduate students conducting scientific research. A recent study that examined the “graduate student mental health crisis” ( Flaherty, 2018 ) found that work–life balance and graduate students’ relationships with their research advisors may be contributing to their depression ( Evans et al. , 2018 ). Specifically, this survey of 2279 PhD and master’s students from diverse fields of study, including the biological/physical sciences, showed that 39% of graduate students have experienced moderate to severe depression. Fifty-five percent of the graduate students with depression who were surveyed disagreed with the statement “I have good work life balance,” compared to only 21% of students with depression who agreed. Additionally, the study highlighted that more students with depression disagreed than agreed with the following statements: their advisors provided “real” mentorship, their advisors provided ample support, their advisors positively impacted their emotional or mental well-being, their advisors were assets to their careers, and they felt valued by their mentors. Another recent study identified that depression severity in biomedical doctoral students was significantly associated with graduate program climate, a perceived lack of employment opportunities, and the quality of students’ research training environment ( Nagy et al. , 2019 ). Environmental stress, academic stress, and family and monetary stress have also been shown to be predictive of depression severity in biomedical doctoral students ( Hish et al. , 2019 ). Further, one study found that self-esteem is negatively correlated and stress is positively correlated with graduate student depression; presumably research environments that challenge students’ self-esteem and induce stress are likely contributing to depressive symptoms among graduate students ( Kreger, 1995 ). While these studies have focused on graduate students, and there are certainly notable distinctions between graduate and undergraduate research, the research-related factors that affect graduate student depression, including work–life balance, relationships with mentors, research environment, stress, and self-esteem, may also be relevant to depression among undergraduates conducting research. Importantly, undergraduates in the United States have reported identical levels of depression as graduate students but are often less likely to seek mental health care services ( Wyatt and Oswalt, 2013 ), which is concerning if undergraduate research experiences exacerbate depression.

Based on the literature on the stressors of undergraduate research experiences and the literature identifying some potential causes of graduate student depression, we identified three aspects of undergraduate research that may exacerbate undergraduates’ depression. Mentoring: Mentors can be an integral part of a students’ research experience, bolstering their connections with others in the science community, scholarly productivity, and science identity, as well as providing many other benefits ( Thiry and Laursen, 2011 ; Prunuske et al. , 2013 ; Byars-Winston et al. , 2015 ; Aikens et al. , 2016 , 2017 ; Thompson et al. , 2016 ; Estrada et al. , 2018 ). However, recent literature has highlighted that poor mentoring can negatively affect undergraduate researchers ( Cooper et al. , 2019c ; Limeri et al. , 2019 ). Specifically, one study of 33 undergraduate researchers who had conducted research at 10 institutions identified seven major ways that they experienced negative mentoring, which included absenteeism, abuse of power, interpersonal mismatch, lack of career support, lack of psychosocial support, misaligned expectations, and unequal treatment ( Limeri et al. , 2019 ). We hypothesize negative mentoring experiences may be particularly harmful for students with depression, because support, particularly social support, has been shown to be important for helping individuals with depression cope with difficult circumstances ( Aneshensel and Stone, 1982 ; Grav et al. , 2012 ). Failure: Experiencing failure has been hypothesized to be an important aspect of undergraduate research experiences that may help students develop some the most distinguishing abilities of outstanding scientists, such as coping with failure, navigating challenges, and persevering ( Laursen et al. , 2010 ; Gin et al. , 2018 ; Henry et al. , 2019 ). However, experiencing failure and the stress and fatigue that often accompany it may be particularly tough for students with depression ( Aldwin and Greenberger, 1987 ; Mongrain and Blackburn, 2005 ). Lab environment: Fairness, inclusion/exclusion, and social support within one’s organizational environment have been shown to be key factors that cause people to either want to remain in the work place and be productive or to want to leave ( Barak et al. , 2006 ; Cooper et al. , 2019c ). We hypothesize that dealing with exclusion or a lack of social support may exacerbate depression for some students; patients with clinical depression react to social exclusion with more pronounced negative emotions than do individuals without clinical depression ( Jobst et al. , 2015 ). While there are likely other aspects of undergraduate research that affect student depression, we hypothesize that these factors have the potential to exacerbate negative research experiences for students with depression.

Depression has been shown to disproportionately affect many populations that are underrepresented or underserved within the scientific community, including females ( American College Health Association, 2018 ; Evans et al. , 2018 ), first-generation college students ( Jenkins et al. , 2013 ), individuals from low socioeconomic backgrounds ( Eisenberg et al. , 2007 ), members of the LGBTQ+ community ( Eisenberg et al. , 2007 ; Evans et al. , 2018 ), and people with disabilities ( Turner and Noh, 1988 ). Therefore, as the science community strives to be more diverse and inclusive ( Intemann, 2009 ), it is important that we understand more about the relationship between depression and scientific research, because negative experiences with depression in scientific research may be contributing to the underrepresentation of these groups. Specifically, more information is needed about how the research process and environment of research experiences may affect depression.

Given the high rate of depression among undergraduates, the links between depression and graduate research, the potentially challenging environment of undergraduate research, and how depression could disproportionately impact students from underserved communities, it is imperative to begin to explore the relationship between scientific research and depression among undergraduates to create research experiences that could maximize student success. In this exploratory interview study, we aimed to 1) describe how undergraduates’ symptoms of depression affect their research experiences, 2) understand how undergraduate research affects students’ feelings of depression, and 3) identify recommendations based on the literature and undergraduates’ reported experiences to promote a positive research experience for students with depression.

This study was done with an approved Arizona State University Institutional Review Board protocol #7247.

In Fall 2018, we surveyed undergraduate researchers majoring in the life sciences across 25 research-intensive (R1) public institutions across the United States (specific details about the recruitment of the students who completed the survey can be found in Cooper et al. (2019c) ). The survey asked students for their opinions about their undergraduate research experiences and their demographic information and whether they would be interested in participating in a follow-up interview related to their research experiences. For the purpose of this study, we exclusively interviewed students about their undergraduate research experiences in faculty member labs; we did not consider students’ experiences in CUREs. Of the 768 undergraduate researchers who completed the survey, 65% ( n = 496) indicated that they would be interested in participating in a follow-up interview. In Spring 2019, we emailed the 496 students, explaining that we were interested in interviewing students with depression about their experiences in undergraduate research. Our specific prompt was: “If you identify as having depression, we would be interested in hearing about your experience in undergraduate research in a 30–60 minute online interview.” We did not define depression in our email recruitment because we conducted think-aloud interviews with four undergraduates who all correctly interpreted what we meant by depression ( APA, 2013 ). We had 35 students agree to participate in the interview study. The interview participants represented 12 of the 25 R1 public institutions that were represented in the initial survey.

Student Interviews

We developed an interview script to explore our research questions. Specifically, we were interested in how students’ symptoms of depression affect their research experiences, how undergraduate research negatively affects student depression, and how undergraduate research positively affects student depression.

We recognized that mental health, and specifically depression, can be a sensitive topic to discuss with undergraduates, and therefore we tried to minimize any discomfort that the interviewees might experience during the interview. Specifically, we conducted think-aloud interviews with three graduate students who self-identified with having depression at the time of the interview. We asked them to note whether any interview questions made them uncomfortable. We also sought their feedback on questions given their experiences as persons with depression who had once engaged in undergraduate research. We revised the interview protocol after each think-aloud interview. Next, we conducted four additional think-aloud interviews with undergraduates conducting basic science or biology education research who identified with having depression to establish cognitive validity of the questions and to elicit additional feedback about any questions that might make someone uncomfortable. The questions were revised after each think-aloud interview until no question was unclear or misinterpreted by the students and we were confident that the questions minimized students’ potential discomfort ( Trenor et al. , 2011 ). A copy of the final interview script can be found in the Supplemental Material.

All interviews were individually conducted by one of two researchers (K.M.C. and L.E.G.) who conducted the think-aloud interviews together to ensure that their interviewing practices were as similar as possible. The interviews were approximately an hour long, and students received a $15 gift card for their participation.

Personal, Research, and Depression Demographics

All student demographics and information about students’ research experiences were collected using the survey distributed to students in Fall 2018. We collected personal demographics, including the participants’ gender, race/ethnicity, college generation status, transfer status, financial stability, year in college, major, and age. We also collected information about the students’ research experiences, including the length of their first research experiences, the average number of hours they spend in research per week, how they were compensated for research, who their primary mentors were, and the focus areas of their research.

In the United States, mental healthcare is disproportionately unavailable to Black and Latinx individuals, as well as those who come from low socioeconomic backgrounds ( Kataoka et al. , 2002 ; Howell and McFeeters, 2008 ; Santiago et al. , 2013 ). Therefore, to minimize a biased sample, we invited anyone who identified with having depression to participate in our study; we did not require students to be diagnosed with depression or to be treated for depression in order to participate. However, we did collect information about whether students had been formally diagnosed with depression and whether they had been treated for depression. After the interview, all participants were sent a link to a short survey that asked them if they had ever been diagnosed with depression and how, if at all, they had ever been treated for depression. A copy of these survey questions can be found in the Supplemental Material. The combined demographic information of the participants is in Table 1 . The demographics for each individual student can be found in the Supplemental Material.

a Students reported the time they had spent in research 6 months before being interviewed and only reported on the length of time of their first research experiences.

b Students were invited to report multiple ways in which they were treated for their depression; other treatments included lifestyle changes and meditation.

c Students were invited to report multiple means of compensation for their research if they had been compensated for their time in different ways.

d Students were asked whether they felt financially stable, particularly during the undergraduate research experience.

e Students reported who they work/worked with most closely during their research experiences.

f Staff members included lab coordinators or lab managers.

g Other focus areas of research included sociology, linguistics, psychology, and public health.

Interview Analysis

The initial interview analysis aimed to explore each idea that a participant expressed ( Charmaz, 2006 ) and to identify reoccurring ideas throughout the interviews. First, three authors (K.M.C., L.E.G., and S.E.B.) individually reviewed a different set of 10 interviews and took detailed analytic notes ( Birks and Mills, 2015 ). Afterward, the authors compared their notes and identified reoccurring themes throughout the interviews using open coding methods ( Saldaña, 2015 ).

Once an initial set of themes was established, two researchers (K.M.C. and L.E.G.) individually reviewed the same set of 15 randomly selected interviews to validate the themes identified in the initial analysis and to screen for any additional themes that the initial analysis may have missed. Each researcher took detailed analytic notes throughout the review of an interview, which they discussed after reviewing each interview. The researchers compared what quotes from each interview they categorized into each theme. Using constant comparison methods, they assigned quotes to each theme and constantly compared the quotes to ensure that each quote fit within the description of the theme ( Glesne and Peshkin, 1992 ). In cases in which quotes were too different from other quotes, a new theme was created. This approach allowed for multiple revisions of the themes and allowed the authors to define a final set of codes; the researchers created a final codebook with refined definitions of emergent themes (the final coding rubric can be found in the Supplemental Material). Once the final codebook was established, the researchers (K.M.C. and L.E.G.) individually coded seven additional interviews (20% of all interviews) using the coding rubric. The researchers compared their codes, and their Cohen’s κ interrater score for these seven interviews was at an acceptable level (κ = 0.88; Landis and Koch, 1977 ). One researcher (L.E.G.) coded the remaining 28 out of 35 interviews. The researchers determined that data saturation had been reached with the current sample and no further recruitment was needed ( Guest et al. , 2006 ). We report on themes that were mentioned by at least 20% of students in the interview study. In the Supplemental Material, we provide the final coding rubric with the number of participants whose interview reflected each theme ( Hannah and Lautsch, 2011 ). Reporting the number of individuals who reported themes within qualitative data can lead to inaccurate conclusions about the generalizability of the results to a broader population. These qualitative data are meant to characterize a landscape of experiences that students with depression have in undergraduate research rather than to make claims about the prevalence of these experiences ( Glesne and Peshkin, 1992 ). Because inferences about the importance of these themes cannot be drawn from these counts, they are not included in the results of the paper ( Maxwell, 2010 ). Further, the limited number of interviewees made it not possible to examine whether there were trends based on students’ demographics or characteristics of their research experiences (e.g., their specific area of study). Quotes were lightly edited for clarity by inserting clarification brackets and using ellipses to indicate excluded text. Pseudonyms were given to all students to protect their privacy.

The Effect of Depressive Symptoms on Undergraduate Research

We asked students to describe the symptoms associated with their depression. Students described experiencing anxiety that is associated with their depression; this could be anxiety that precedes their depression or anxiety that results from a depressive episode or a period of time when an individual has depression symptoms. Further, students described difficulty getting out of bed or leaving the house, feeling tired, a lack of motivation, being overly self-critical, feeling apathetic, and having difficulty concentrating. We were particularly interested in how students’ symptoms of depression affected their experiences in undergraduate research. During the think-aloud interviews that were conducted before the interview study, graduate and undergraduate students consistently described that their depression affected their motivation in research, their creativity in research, and their productivity in research. Therefore, we explicitly asked undergraduate researchers how, if at all, their depression affected these three factors. We also asked students to describe any additional ways in which their depression affected their research experiences. Undergraduate researchers commonly described five additional ways in which their depression affected their research; for a detailed description of each way students’ research was affected and for example quotes, see Table 2 . Students described that their depression negatively affected their productivity in the lab. Commonly, students described that their productivity was directly affected by a lack of motivation or because they felt less creative, which hindered the research process. Additionally, students highlighted that they were sometimes less productive because their depression sometimes caused them to struggle to engage intellectually with their research or caused them to have difficulty remembering or concentrating; students described that they could do mundane or routine tasks when they felt depressed, but that they had difficulty with more complex and intellectually demanding tasks. However, students sometimes described that even mundane tasks could be difficult when they were required to remember specific steps; for example, some students struggled recalling a protocol from memory when their depression was particularly severe. Additionally, students noted that their depression made them more self-conscious, which sometimes held them back from sharing research ideas with their mentors or from taking risks such as applying to competitive programs. In addition to being self-conscious, students highlighted that their depression caused them to be overly self-critical, and some described experiencing imposter phenomenon ( Clance and Imes, 1978 ) or feeling like they were not talented enough to be in research and were accepted into a lab by a fluke or through luck. Finally, students described that depression often made them feel less social, and they struggled to socially engage with other members of the lab when they were feeling down.

The Effect of Undergraduate Research Experiences on Student Depression

We also wanted to explore how research impacted students’ feelings of depression. Undergraduates described how research both positively and negatively affected their depression. In the following sections, we present aspects of undergraduate research and examine how each positively and/or negatively affected students’ depression using embedded student quotes to highlight the relationships between related ideas.

Lab Environment: Relationships with Others in the Lab.

Some aspects of the lab environment, which we define as students’ physical, social, or psychological research space, could be particularly beneficial for students with depression.

Specifically, undergraduate researchers perceived that comfortable and positive social interactions with others in the lab helped their depression. Students acknowledged how beneficial their relationships with graduate students and postdocs could be.

Marta: “I think always checking in on undergrads is important. It’s really easy [for us] to go a whole day without talking to anybody in the lab. But our grad students are like ‘Hey, what’s up? How’s school? What’s going on?’ (…) What helps me the most is having that strong support system. Sometimes just talking makes you feel better, but also having people that believe in you can really help you get out of that negative spiral. I think that can really help with depression.”

Kelley: “I know that anytime I need to talk to [my postdoc mentors] about something they’re always there for me. Over time we’ve developed a relationship where I know that outside of work and outside of the lab if I did want to talk to them about something I could talk to them. Even just talking to someone about hobbies and having that relationship alone is really helpful [for depression].”

In addition to highlighting the importance of developing relationships with graduate students or postdocs in the lab, students described that forming relationships with other undergraduates in the lab also helped their depression. Particularly, students described that other undergraduate researchers often validated their feelings about research, which in turn helped them realize that what they are thinking or feeling is normal, which tended to alleviate their negative thoughts. Interestingly, other undergraduates experiencing the same issues could sometimes help buffer them from perceiving that a mentor did not like them or that they were uniquely bad at research. In this article, we use the term “mentor” to refer to anyone who students referred to in the interviews as being their mentors or managing their research experiences; this includes graduate students, postdoctoral scholars, lab managers, and primary investigators (PIs).

Abby: “One of my best friends is in the lab with me. A lot of that friendship just comes from complaining about our stress with the lab and our annoyance with people in the lab. Like when we both agree like, ‘Yeah, the grad students were really off today, it wasn’t us,’ that helps. ‘It wasn’t me, it wasn’t my fault that we were having a rough day in lab; it was the grad students.’ Just being able to realize, ‘Hey, this isn’t all caused by us,’ you know? (…) We understand the stresses in the lab. We understand the details of what each other are doing in the lab, so when something doesn’t work out, we understand that it took them like eight hours to do that and it didn’t work. We provide empathy on a different level.”

Meleana: “It’s great to have solidarity in being confused about something, and it’s just that is a form of validation for me too. When we leave a lab meeting and I look at [another undergrad] I’m like, ‘Did you understand anything that they were just saying?’ And they’re like, ‘Oh, no.’ (…) It’s just really validating to hear from the other undergrads that we all seem to be struggling with the same things.”

Developing positive relationships with faculty mentors or PIs also helped alleviate some students’ depressive feelings, particularly when PIs shared their own struggles with students. This also seemed to normalize students’ concerns about their own experiences.

Alexandra: “[Talking with my PI] is helpful because he would talk about his struggles, and what he faced. A lot of it was very similar to my struggles. For example, he would say, ‘Oh, yeah, I failed this exam that I studied so hard for. I failed the GRE and I paid so much money to prepare for it.’ It just makes [my depression] better, like okay, this is normal for students to go through this. It’s not an out of this world thing where if you fail, you’re a failure and you can’t move on from it.”

Students’ relationships with others in the lab did not always positively impact their depression. Students described instances when the negative moods of the graduate students and PIs would often set the tone of the lab, which in turn worsened the mood of the undergraduate researchers.

Abby: “Sometimes [the grad students] are not in a good mood. The entire vibe of the lab is just off, and if you make a joke and it hits somebody wrong, they get all mad. It really depends on the grad students and the leadership and the mood that they’re in.”

Interviewer: “How does it affect your depression when the grad students are in a bad mood?”

Abby: “It definitely makes me feel worse. It feels like, again, that I really shouldn’t go ask them for help because they’re just not in the mood to help out. It makes me have more pressure on myself, and I have deadlines I need to meet, but I have a question for them, but they’re in a bad mood so I can’t ask. That’s another day wasted for me and it just puts more stress, which just adds to the depression.”

Additionally, some students described even more concerning behavior from research mentors, which negatively affected their depression.

Julie: “I had a primary investigator who is notorious in the department for screaming at people, being emotionally abusive, unreasonable, et cetera. (…) [He was] kind of harassing people, demeaning them, lying to them, et cetera, et cetera. (…) Being yelled at and constantly demeaned and harassed at all hours of the day and night, that was probably pretty bad for me.”

While the relationships between undergraduates and graduate, postdoc, and faculty mentors seemed to either alleviate or worsen students’ depressive symptoms, depending on the quality of the relationship, students in this study exclusively described their relationships with other undergraduates as positive for their depression. However, students did note that undergraduate research puts some of the best and brightest undergraduates in the same environment, which can result in students comparing themselves with their peers. Students described that this comparison would often lead them to feel badly about themselves, even though they would describe their personal relationship with a person to be good.

Meleana: “In just the research field in general, just feeling like I don’t really measure up to the people around me [can affect my depression]. A lot of the times it’s the beginning of a little spiral, mental spiral. There are some past undergrads that are talked about as they’re on this pedestal of being the ideal undergrads and that they were just so smart and contributed so much to the lab. I can never stop myself from wondering like, ‘Oh, I wonder if I’m having a contribution to the lab that’s similar or if I’m just another one of the undergrads that does the bare minimum and passes through and is just there.’”

Natasha: “But, on the other hand, [having another undergrad in the lab] also reminded me constantly that some people are invested in this and meant to do this and it’s not me. And that some people know a lot more than I do and will go further in this than I will.”

While students primarily expressed that their relationships with others in the lab affected their depression, some students explained that they struggled most with depression when the lab was empty; they described that they did not like being alone in the lab, because a lack of stimulation allowed their minds to be filled with negative thoughts.

Mia: “Those late nights definitely didn’t help [my depression]. I am alone, in the entire building. I’m left alone to think about my thoughts more, so not distracted by talking to people or interacting with people. I think more about how I’m feeling and the lack of progress I’m making, and the hopelessness I’m feeling. That kind of dragged things on, and I guess deepened my depression.”

Freddy: “Often times when I go to my office in the evening, that is when I would [ sic ] be prone to be more depressed. It’s being alone. I think about myself or mistakes or trying to correct mistakes or whatever’s going on in my life at the time. I become very introspective. I think I’m way too self-evaluating, way too self-deprecating and it’s when I’m alone when those things are really, really triggered. When I’m talking with somebody else, I forget about those things.”

In sum, students with depression highlighted that a lab environment full of positive and encouraging individuals was helpful for their depression, whereas isolating or competitive environments and negative interactions with others often resulted in more depressive feelings.

Doing Science: Experiencing Failure in Research, Getting Help, Receiving Feedback, Time Demands, and Important Contributions.

In addition to the lab environment, students also described that the process of doing science could affect their depression. Specifically, students explained that a large contributor to their depression was experiencing failure in research.

Interviewer: “Considering your experience in undergraduate research, what tends to trigger your feelings of depression?”

Heather: “Probably just not getting things right. Having to do an experiment over and over again. You don’t get the results you want. (…) The work is pretty meticulous and it’s frustrating when I do all this work, I do a whole experiment, and then I don’t get any results that I can use. That can be really frustrating. It adds to the stress. (…) It’s hard because you did all this other stuff before so you can plan for the research, and then something happens and all the stuff you did was worthless basically.”

Julie: “I felt very negatively about myself [when a project failed] and pretty panicked whenever something didn’t work because I felt like it was a direct reflection on my effort and/or intelligence, and then it was a big glaring personal failure.”

Students explained that their depression related to failing in research was exacerbated if they felt as though they could not seek help from their research mentors. Perceived insufficient mentor guidance has been shown to be a factor influencing student intention to leave undergraduate research ( Cooper et al. , 2019c ). Sometimes students talked about their research mentors being unavailable or unapproachable.

Michelle: “It just feels like [the graduate students] are not approachable. I feel like I can’t approach them to ask for their understanding in a certain situation. It makes [my depression] worse because I feel like I’m stuck, and that I’m being limited, and like there’s nothing I can do. So then I kind of feel like it’s my fault that I can’t do anything.”

Other times, students described that they did not seek help in fear that they would be negatively evaluated in research, which is a fear of being judged by others ( Watson and Friend, 1969 ; Weeks et al. , 2005 ; Cooper et al. , 2018 ). That is, students fear that their mentor would think negatively about them or judge them if they were to ask questions that their mentor thought they should know the answer to.

Meleana: “I would say [my depression] tends to come out more in being more reserved in asking questions because I think that comes more like a fear-based thing where I’m like, ‘Oh, I don’t feel like I’m good enough and so I don’t want to ask these questions because then my mentors will, I don’t know, think that I’m dumb or something.’”

Conversely, students described that mentors who were willing to help them alleviated their depressive feelings.

Crystal: “Yeah [my grad student] is always like, ‘Hey, I can check in on things in the lab because you’re allowed to ask me for that, you’re not totally alone in this,’ because he knows that I tend to take on all this responsibility and I don’t always know how to ask for help. He’s like, ‘You know, this is my lab too and I am here to help you as well,’ and just reminds me that I’m not shouldering this burden by myself.”

Ashlyn: “The graduate student who I work with is very kind and has a lot of patience and he really understands a lot of things and provides simple explanations. He does remind me about things and he will keep on me about certain tasks that I need to do in an understanding way, and it’s just because he’s patient and he listens.”

In addition to experiencing failure in science, students described that making mistakes when doing science also negatively affected their depression.

Abby: “I guess not making mistakes on experiments [is important in avoiding my depression]. Not necessarily that your experiment didn’t turn out to produce the data that you wanted, but just adding the wrong enzyme or messing something up like that. It’s like, ‘Oh, man,’ you know? You can get really down on yourself about that because it can be embarrassing.”

Commonly, students described that the potential for making mistakes increased their stress and anxiety regarding research; however, they explained that how other people responded to a potential mistake was what ultimately affected their depression.

Briana: “Sometimes if I made a mistake in correctly identifying an eye color [of a fly], [my PI] would just ridicule me in front of the other students. He corrected me but his method of correcting was very discouraging because it was a ridicule. It made the others laugh and I didn’t like that.”

Julie: “[My PI] explicitly [asked] if I had the dedication for science. A lot of times he said I had terrible judgment. A lot of times he said I couldn’t be trusted. Once I went to a conference with him, and, unfortunately, in front of another professor, he called me a klutz several times and there was another comment about how I never learn from my mistakes.”

When students did do things correctly, they described how important it could be for them to receive praise from their mentors. They explained that hearing praise and validation can be particularly helpful for students with depression, because their thoughts are often very negative and/or because they have low self-esteem.

Crystal: “[Something that helps my depression is] I have text messages from [my graduate student mentor] thanking me [and another undergraduate researcher] for all of the work that we’ve put in, that he would not be able to be as on track to finish as he is if he didn’t have our help.”

Interviewer: “Why is hearing praise from your mentor helpful?”

Crystal: “Because a lot of my depression focuses on everybody secretly hates you, nobody likes you, you’re going to die alone. So having that validation [from my graduate mentor] is important, because it flies in the face of what my depression tells me.”

Brian: “It reminds you that you exist outside of this negative world that you’ve created for yourself, and people don’t see you how you see yourself sometimes.”

Students also highlighted how research could be overwhelming, which negatively affected their depression. Particularly, students described that research demanded a lot of their time and that their mentors did not always seem to be aware that they were juggling school and other commitments in addition to their research. This stress exacerbated their depression.

Rose: “I feel like sometimes [my grad mentors] are not very understanding because grad students don’t take as many classes as [undergrads] do. I think sometimes they don’t understand when I say I can’t come in at all this week because I have finals and they’re like, ‘Why though?’”

Abby: “I just think being more understanding of student life would be great. We have classes as well as the lab, and classes are the priority. They forget what it’s like to be a student. You feel like they don’t understand and they could never understand when you say like, ‘I have three exams this week,’ and they’re like, ‘I don’t care. You need to finish this.’”

Conversely, some students reported that their research labs were very understanding of students’ schedules. Interestingly, these students talked most about how helpful it was to be able to take a mental health day and not do research on days when they felt down or depressed.

Marta: “My lab tech is very open, so she’ll tell us, ‘I can’t come in today. I have to take a mental health day.’ So she’s a really big advocate for that. And I think I won’t personally tell her that I’m taking a mental health day, but I’ll say, ‘I can’t come in today, but I’ll come in Friday and do those extra hours.’ And she’s like, ‘OK great, I’ll see you then.’ And it makes me feel good, because it helps me take care of myself first and then I can take care of everything else I need to do, which is amazing.”

Meleana: “Knowing that [my mentors] would be flexible if I told them that I’m crazy busy and can’t come into work nearly as much this week [helps my depression]. There is flexibility in allowing me to then care for myself.”

Interviewer: “Why is the flexibility helpful given the depression?”

Meleana: “Because sometimes for me things just take a little bit longer when I’m feeling down. I’m just less efficient to be honest, and so it’s helpful if I feel like I can only go into work for 10 hours in a week. It declutters my brain a little bit to not have to worry about all the things I have to do in work in addition the things that I need to do for school or clubs, or family or whatever.”

Despite the demanding nature of research, a subset of students highlighted that their research and research lab provided a sense of stability or familiarity that distracted them from their depression.

Freddy: “I’ll [do research] to run away from those [depressive] feelings or whatever. (…) I find sadly, I hate to admit it, but I do kind of run to [my lab]. I throw myself into work to distract myself from the feelings of depression and sadness.”

Rose: “When you’re sad or when you’re stressed you want to go to things you’re familiar with. So because lab has always been in my life, it’s this thing where it’s going to be there for me I guess. It’s like a good book that you always go back to and it’s familiar and it makes you feel good. So that’s how lab is. It’s not like the greatest thing in the world but it’s something that I’m used to, which is what I feel like a lot of people need when they’re sad and life is not going well.”

Many students also explained that research positively affects their depression because they perceive their research contribution to be important.

Ashlyn: “I feel like I’m dedicating myself to something that’s worthy and something that I believe in. It’s really important because it contextualizes those times when I am feeling depressed. It’s like, no, I do have these better things that I’m working on. Even when I don’t like myself and I don’t like who I am, which is again, depression brain, I can at least say, ‘Well, I have all these other people relying on me in research and in this area and that’s super important.’”

Jessica: “I mean, it just felt like the work that I was doing had meaning and when I feel like what I’m doing is actually going to contribute to the world, that usually really helps with [depression] because it’s like not every day you can feel like you’re doing something impactful.”

In sum, students highlighted that experiencing failure in research and making mistakes negatively contributed to depression, especially when help was unavailable or research mentors had a negative reaction. Additionally, students acknowledged that the research could be time-consuming, but that research mentors who were flexible helped assuage depressive feelings that were associated with feeling overwhelmed. Finally, research helped some students’ depression, because it felt familiar, provided a distraction from depression, and reminded students that they were contributing to a greater cause.

We believe that creating more inclusive research environments for students with depression is an important step toward broadening participation in science, not only to ensure that we are not discouraging students with depression from persisting in science, but also because depression has been shown to disproportionately affect underserved and underrepresented groups in science ( Turner and Noh, 1988 ; Eisenberg et al. , 2007 ; Jenkins et al. , 2013 ; American College Health Association, 2018 ). We initially hypothesized that three features of undergraduate research—research mentors, the lab environment, and failure—may have the potential to exacerbate student depression. We found this to be true; students highlighted that their relationships with their mentors as well as the overall lab environment could negatively affect their depression, but could also positively affect their research experiences. Students also noted that they struggled with failure, which is likely true of most students, but is known to be particularly difficult for students with depression ( Elliott et al. , 1997 ). We expand upon our findings by integrating literature on depression with the information that students provided in the interviews about how research mentors can best support students. We provide a set of evidence-based recommendations focused on mentoring, the lab environment, and failure for research mentors wanting to create more inclusive research environments for students with depression. Notably, only the first recommendation is specific to students with depression; the others reflect recommendations that have previously been described as “best practices” for research mentors ( NASEM, 2017 , 2019 ; Sorkness et al. , 2017 ) and likely would benefit most students. However, we examine how these recommendations may be particularly important for students with depression. As we hypothesized, these recommendations directly address three aspects of research: mentors, lab environment, and failure. A caveat of these recommendations is that more research needs to be done to explore the experiences of students with depression and how these practices actually impact students with depression, but our national sample of undergraduate researchers with depression can provide an initial starting point for a discussion about how to improve research experiences for these students.

Recommendations to Make Undergraduate Research Experiences More Inclusive for Students with Depression

Recognize student depression as a valid illness..

Allow students with depression to take time off of research by simply saying that they are sick and provide appropriate time for students to recover from depressive episodes. Also, make an effort to destigmatize mental health issues.

Undergraduate researchers described both psychological and physical symptoms that manifested as a result of their depression and highlighted how such symptoms prevented them from performing to their full potential in undergraduate research. For example, students described how their depression would cause them to feel unmotivated, which would often negatively affect their research productivity. In cases in which students were motivated enough to come in and do their research, they described having difficulty concentrating or engaging in the work. Further, when doing research, students felt less creative and less willing to take risks, which may alter the quality of their work. Students also sometimes struggled to socialize in the lab. They described feeling less social and feeling overly self-critical. In sum, students described that, when they experienced a depressive episode, they were not able to perform to the best of their ability, and it sometimes took a toll on them to try to act like nothing was wrong, when they were internally struggling with depression. We recommend that research mentors treat depression like any other physical illness; allowing students the chance to recover when they are experiencing a depressive episode can be extremely important to students and can allow them to maximize their productivity upon returning to research ( Judd et al. , 2000 ). Students explained that if they are not able to take the time to focus on recovering during a depressive episode, then they typically continue to struggle with depression, which negatively affects their research. This sentiment is echoed by researchers in psychiatry who have found that patients who do not fully recover from a depressive episode are more likely to relapse and to experience chronic depression ( Judd et al. , 2000 ). Students described not doing tasks or not showing up to research because of their depression but struggling with how to share that information with their research mentors. Often, students would not say anything, which caused them anxiety because they were worried about what others in the lab would say to them when they returned. Admittedly, many students understood why this behavior would cause their research mentors to be angry or frustrated, but they weighed the consequences of their research mentors’ displeasure against the consequences of revealing their depression and decided it was not worth admitting to being depressed. This aligns with literature that suggests that when individuals have concealable stigmatized identities, or identities that can be hidden and that carry negative stereotypes, such as depression, they will often keep them concealed to avoid negative judgment or criticism ( Link and Phelan, 2001 ; Quinn and Earnshaw, 2011 ; Jones and King, 2014 ; Cooper and Brownell, 2016 ; Cooper et al. , 2019b ; Cooper et al ., unpublished data ). Therefore, it is important for research mentors to be explicit with students that 1) they recognize mental illness as a valid sickness and 2) that students with mental illness can simply explain that they are sick if they need to take time off. This may be useful to overtly state on a research website or in a research syllabus, contract, or agreement if mentors use such documents when mentoring undergraduates in their lab. Further, research mentors can purposefully work to destigmatize mental health issues by explicitly stating that struggling with mental health issues, such as depression and anxiety, is common. While we do not recommend that mentors ask students directly about depression, because this can force students to share when they are not comfortable sharing, we do recommend providing opportunities for students to reveal their depression ( Chaudoir and Fisher, 2010 ). Mentors can regularly check in with students about how they’re doing, and talk openly about the importance of mental health, which may increase the chance that students may feel comfortable revealing their depression ( Chaudoir and Quinn, 2010 ; Cooper et al ., unpublished data ).

Foster a Positive Lab Environment.

Encourage positivity in the research lab, promote working in shared spaces to enhance social support among lab members, and alleviate competition among undergraduates.

Students in this study highlighted that the “leadership” of the lab, meaning graduate students, postdocs, lab managers, and PIs, were often responsible for establishing the tone of the lab; that is, if they were in a bad mood it would trickle down and negatively affect the moods of the undergraduates. Explicitly reminding lab leadership that their moods can both positively and negatively affect undergraduates may be important in establishing a positive lab environment. Further, students highlighted how they were most likely to experience negative thoughts when they were alone in the lab. Therefore, it may be helpful to encourage all lab members to work in a shared space to enhance social interactions among students and to maximize the likelihood that undergraduates have access to help when needed. A review of 51 studies in psychiatry supported our undergraduate researchers’ perceptions that social relationships positively impacted their depression; the study found that perceived emotional support (e.g., someone available to listen or give advice), perceived instrumental support (e.g., someone available to help with tasks), and large diverse social networks (e.g., being socially connected to a large number of people) were significantly protective against depression ( Santini et al. , 2015 ). Additionally, despite forming positive relationships with other undergraduates in the lab, many undergraduate researchers admitted to constantly comparing themselves with other undergraduates, which led them to feel inferior, negatively affecting their depression. Some students talked about mentors favoring current undergraduates or talking positively about past undergraduates, which further exacerbated their feelings of inferiority. A recent study of students in undergraduate research experiences highlighted that inequitable distribution of praise to undergraduates can create negative perceptions of lab environments for students (Cooper et al. , 2019). Further, the psychology literature has demonstrated that when people feel insecure in their social environments, it can cause them to focus on a hierarchical view of themselves and others, which can foster feelings of inferiority and increase their vulnerability to depression ( Gilbert et al. , 2009 ). Thus, we recommend that mentors be conscious of their behaviors so that they do not unintentionally promote competition among undergraduates or express favoritism toward current or past undergraduates. Praise is likely best used without comparison with others and not done in a public way, although more research on the impact of praise on undergraduate researchers needs to be done. While significant research has been done on mentoring and mentoring relationships in the context of undergraduate research ( Byars-Winston et al. , 2015 ; Aikens et al. , 2017 ; Estrada et al. , 2018 ; Limeri et al. , 2019 ; NASEM, 2019 ), much less has been done on the influence of the lab environment broadly and how people in nonmentoring roles can influence one another. Yet, this study indicates the potential influence of many different members of the lab, not only their mentors, on students with depression.

Develop More Personal Relationships with Undergraduate Researchers and Provide Sufficient Guidance.

Make an effort to establish more personal relationships with undergraduates and ensure that they perceive that they have access to sufficient help and guidance with regard to their research.

When we asked students explicitly how research mentors could help create more inclusive environments for undergraduate researchers with depression, students overwhelmingly said that building mentor–student relationships would be extremely helpful. Students suggested that mentors could get to know students on a more personal level by asking about their career interests or interests outside of academia. Students also remarked that establishing a more personal relationship could help build the trust needed in order for undergraduates to confide in their research mentors about their depression, which they perceived would strengthen their relationships further because they could be honest about when they were not feeling well or their mentors might even “check in” with them in times where they were acting differently than normal. This aligns with studies showing that undergraduates are most likely to reveal a stigmatized identity, such as depression, when they form a close relationship with someone ( Chaudoir and Quinn, 2010 ). Many were intimidated to ask for research-related help from their mentors and expressed that they wished they had established a better relationship so that they would feel more comfortable. Therefore, we recommend that research mentors try to establish relationships with their undergraduates and explicitly invite them to ask questions or seek help when needed. These recommendations are supported by national recommendations for mentoring ( NASEM, 2019 ) and by literature that demonstrates that both social support (listening and talking with students) and instrumental support (providing students with help) have been shown to be protective against depression ( Santini et al. , 2015 ).

Treat Undergraduates with Respect and Remember to Praise Them.

Avoid providing harsh criticism and remember to praise undergraduates. Students with depression often have low self-esteem and are especially self-critical. Therefore, praise can help calibrate their overly negative self-perceptions.

Students in this study described that receiving criticism from others, especially harsh criticism, was particularly difficult for them given their depression. Multiple studies have demonstrated that people with depression can have an abnormal or maladaptive response to negative feedback; scientists hypothesize that perceived failure on a particular task can trigger failure-related thoughts that interfere with subsequent performance ( Eshel and Roiser, 2010 ). Thus, it is important for research mentors to remember to make sure to avoid unnecessarily harsh criticisms that make students feel like they have failed (more about failure is described in the next recommendation). Further, students with depression often have low self-esteem or low “personal judgment of the worthiness that is expressed in the attitudes the individual holds towards oneself” ( Heatherton et al. , 2003 , p. 220; Sowislo and Orth, 2013 ). Specifically, a meta-analysis of longitudinal studies found that low self-esteem is predictive of depression ( Sowislo and Orth, 2013 ), and depression has also been shown to be highly related to self-criticism ( Luyten et al. , 2007 ). Indeed, nearly all of the students in our study described thinking that they are “not good enough,” “worthless,” or “inadequate,” which is consistent with literature showing that people with depression are self-critical ( Blatt et al. , 1982 ; Gilbert et al. , 2006 ) and can be less optimistic of their performance on future tasks and rate their overall performance on tasks less favorably than their peers without depression ( Cane and Gotlib, 1985 ). When we asked students what aspects of undergraduate research helped their depression, students described that praise from their mentors was especially impactful, because they thought so poorly of themselves and they needed to hear something positive from someone else in order to believe it could be true. Praise has been highlighted as an important aspect of mentoring in research for many years ( Ashford, 1996 ; Gelso and Lent, 2000 ; Brown et al. , 2009 ) and may be particularly important for students with depression. In fact, praise has been shown to enhance individuals’ motivation and subsequent productivity ( Hancock, 2002 ; Henderlong and Lepper, 2002 ), factors highlighted by students as negatively affecting their depression. However, something to keep in mind is that a student with depression and a student without depression may process praise differently. For a student with depression, a small comment that praises the student’s work may not be sufficient for the student to process that comment as praise. People with depression are hyposensitive to reward or have reward-processing deficits ( Eshel and Roiser, 2010 ); therefore, praise may affect students without depression more positively than it would affect students with depression. Research mentors should be mindful that students with depression often have a negative view of themselves, and while students report that praise is extremely important, they may have trouble processing such positive feedback.

Normalize Failure and Be Explicit about the Importance of Research Contributions.

Explicitly remind students that experiencing failure is expected in research. Also explain to students how their individual work relates to the overall project so that they can understand how their contributions are important. It can also be helpful to explain to students why the research project as a whole is important in the context of the greater scientific community.

Experiencing failure has been thought to be a potentially important aspect of undergraduate research, because it may provide students with the potential to develop integral scientific skills such as the ability to navigate challenges and persevere ( Laursen et al. , 2010 ; Gin et al. , 2018 ; Henry et al. , 2019 ). However, in the interviews, students described that when their science experiments failed, it was particularly tough for their depression. Students’ negative reaction to experiencing failure in research is unsurprising, given recent literature that has predicted that students may be inadequately prepared to approach failure in science ( Henry et al. , 2019 ). However, the literature suggests that students with depression may find experiencing failure in research to be especially difficult ( Elliott et al. , 1997 ; Mongrain and Blackburn, 2005 ; Jones et al. , 2009 ). One potential hypothesis is that students with depression may be more likely to have fixed mindsets or more likely to believe that their intelligence and capacity for specific abilities are unchangeable traits ( Schleider and Weisz, 2018 ); students with a fixed mindset have been hypothesized to have particularly negative responses to experiencing failure in research, because they are prone to quitting easily in the face of challenges and becoming defensive when criticized ( Forsythe and Johnson, 2017 ; Dweck, 2008 ). A study of life sciences undergraduates enrolled in CUREs identified three strategies of students who adopted adaptive coping mechanisms, or mechanisms that help an individual maintain well-being and/or move beyond the stressor when faced with failure in undergraduate research: 1) problem solving or engaging in strategic planning and decision making, 2) support seeking or finding comfort and help with research, and 3) cognitive restructuring or reframing a problem from negative to positive and engaging in self encouragement ( Gin et al. , 2018 ). We recommend that, when undergraduates experience failure in science, their mentors be proactive in helping them problem solve, providing help and support, and encouraging them. Students also explained that mentors sharing their own struggles as undergraduate and graduate students was helpful, because it normalized failure. Sharing personal failures in research has been recommended as an important way to provide students with psychosocial support during research ( NASEM, 2019 ). We also suggest that research mentors take time to explain to students why their tasks in the lab, no matter how small, contribute to the greater research project ( Cooper et al. , 2019a ). Additionally, it is important to make sure that students can explain how the research project as a whole is contributing to the scientific community ( Gin et al. , 2018 ). Students highlighted that contributing to something important was really helpful for their depression, which is unsurprising, given that studies have shown that meaning in life or people’s comprehension of their life experiences along with a sense of overarching purpose one is working toward has been shown to be inversely related to depression ( Steger, 2013 ).

Limitations and Future Directions

This work was a qualitative interview study intended to document a previously unstudied phenomenon: depression in the context of undergraduate research experiences. We chose to conduct semistructured interviews rather than a survey because of the need for initial exploration of this area, given the paucity of prior research. A strength of this study is the sampling approach. We recruited a national sample of 35 undergraduates engaged in undergraduate research at 12 different public R1 institutions. Despite our representative sample from R1 institutions, these findings may not be generalizable to students at other types of institutions; lab environments, mentoring structures, and interactions between faculty and undergraduate researchers may be different at other institution types (e.g., private R1 institutions, R2 institutions, master’s-granting institutions, primarily undergraduate institutions, and community colleges), so we caution against making generalizations about this work to all undergraduate research experiences. Future work could assess whether students with depression at other types of institutions have similar experiences to students at research-intensive institutions. Additionally, we intentionally did not explore the experiences of students with specific identities owing to our sample size and the small number of students in any particular group (e.g., students of a particular race, students with a graduate mentor as the primary mentor). We intend to conduct future quantitative studies to further explore how students’ identities and aspects of their research affect their experiences with depression in undergraduate research.

The students who participated in the study volunteered to be interviewed about their depression; therefore, it is possible that depression is a more salient part of these students’ identities and/or that they are more comfortable talking about their depression than the average population of students with depression. It is also important to acknowledge the personal nature of the topic and that some students may not have fully shared their experiences ( Krumpal, 2013 ), particularly those experiences that may be emotional or traumatizing ( Kahn and Garrison, 2009 ). Additionally, our sample was skewed toward females (77%). While females do make up approximately 60% of students in biology programs on average ( Eddy et al. , 2014 ), they are also more likely to report experiencing depression ( American College Health Association, 2018 ; Evans et al. , 2018 ). However, this could be because women have higher rates of depression or because males are less likely to report having depression; clinical bias, or practitioners’ subconscious tendencies to overlook male distress, may underestimate depression rates in men ( Smith et al. , 2018 ). Further, females are also more likely to volunteer to participate in studies ( Porter and Whitcomb, 2005 ); therefore, many interview studies have disproportionately more females in the data set (e.g., Cooper et al. , 2017 ). If we had been able to interview more male students, we might have identified different findings. Additionally, we limited our sample to life sciences students engaged in undergraduate research at public R1 institutions. It is possible that students in other majors may have different challenges and opportunities for students with depression, as well as different disciplinary stigmas associated with mental health.

In this exploratory interview study, we identified a variety of ways in which depression in undergraduates negatively affected their undergraduate research experiences. Specifically, we found that depression interfered with students’ motivation and productivity, creativity and risk-taking, engagement and concentration, and self-perception and socializing. We also identified that research can negatively affect depression in undergraduates. Experiencing failure in research can exacerbate student depression, especially when students do not have access to adequate guidance. Additionally, being alone or having negative interactions with others in the lab worsened students’ depression. However, we also found that undergraduate research can positively affect students’ depression. Research can provide a familiar space where students can feel as though they are contributing to something meaningful. Additionally, students reported that having access to adequate guidance and a social support network within the research lab also positively affected their depression. We hope that this work can spark conversations about how to make undergraduate research experiences more inclusive of students with depression and that it can stimulate additional research that more broadly explores the experiences of undergraduate researchers with depression.

Important note

If you or a student experience symptoms of depression and want help, there are resources available to you. Many campuses provide counseling centers equipped to provide students, staff, and faculty with treatment for depression, as well as university-dedicated crisis hotlines. Additionally, there are free 24/7 services such as Crisis Text Line, which allows you to text a trained live crisis counselor (Text “CONNECT” to 741741; Text Depression Hotline , 2019 ), and phone hotlines such as the National Suicide Prevention Lifeline at 1-800-273-8255 (TALK). You can also learn more about depression and where to find help near you through the Anxiety and Depression Association of American website: https://adaa.org ( Anxiety and Depression Association of America, 2019 ) and the Depression and Biopolar Support Alliance: http://dbsalliance.org ( Depression and Biopolar Support Alliance, 2019 ).

ACKNOWLEDGMENTS

We are extremely grateful to the undergraduate researchers who shared their thoughts and experiences about depression with us. We acknowledge the ASU LEAP Scholars for helping us create the original survey and Rachel Scott for her helpful feedback on earlier drafts of this article. L.E.G. was supported by a National Science Foundation (NSF) Graduate Fellowship (DGE-1311230) and K.M.C. was partially supported by a Howard Hughes Medical Institute (HHMI) Inclusive Excellence grant (no. 11046) and an NSF grant (no. 1644236). Any opinions, findings, conclusions, or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the NSF or HHMI.

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Submitted: 4 November 2019 Revised: 24 February 2020 Accepted: 6 March 2020

© 2020 K. M. Cooper, L. E. Gin, et al. CBE—Life Sciences Education © 2020 The American Society for Cell Biology. This article is distributed by The American Society for Cell Biology under license from the author(s). It is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).

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http://orcid.org/0000-0002-8277-9980 David Matthew Edmonds 1 ,
Olga Zayts-Spence 1 ,
Zoë Fortune 1 , 2 ,
http://orcid.org/0000-0002-9524-5638 Angus Chan 1 ,
Jason Shang Guan Chou 1
1 School of English , The University of Hong Kong , Hong Kong , China
2 School of Social Sciences , Heriot-Watt University Dubai , Dubai , UAE
Correspondence to Dr David Matthew Edmonds; edmonds{at}hku.hk

Objectives This scoping review maps the extant literature on students’ and graduates’ mental health experiences throughout their university-to-work transitions. The current review investigates the methodological features of the studies, the main findings, and the theories that the studies draw on to conceptualise mental health and transitions.

Design This project used a scoping review methodology created and developed by Peters and colleagues and the Joanna Briggs Institute. The review searched academic databases and screened existing studies that met predetermined inclusion criteria.

Data sources Seven academic databases and Google Scholar were searched with sets of search terms.

Eligibility The included studies examined participants who were final-year university students or those who had graduated from university within a 3-year period. Studies published in English since 2000 and from any country were included. The review included studies examining the negative dimensions of mental health. The review excluded studies focusing on medical students and graduates.

Data extraction Basic information about the studies and their findings on mental health and university-to-work transitions was retrieved. The findings are presented in tables and in a qualitative thematic summary.

Results The scoping review included 12 studies. Mental health was often not explicitly defined and it’s theoretical foundations were not clearly articulated. The review identified factors, including a lack of social support and economic precarity, as sources of adverse mental health. Other protective factors in these studies—variables that guard against mental health problems—were identified, such as career preparedness and having a good job.

Conclusions Despite the methodological focus on the negative aspects of mental health, people’s mental health experiences during university-to-work transitions are not uniformly negative. Clear conceptualisations of mental health in future studies will aid in developing resources to improve well-being.

Trial registration number This scoping review adhered to a protocol previously published in this journal and that is registered on the Open Science Framework website ( https://osf.io/gw86x ).

mental health
occupational stress

Data availability statement

No data are available.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ .

https://doi.org/10.1136/bmjopen-2023-076729

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STRENGTHS AND LIMITATIONS OF THIS STUDY

A methodological advantage of this project lies in deploying a scoping review methodology, alongside following a well-documented and thorough literature search and screening process. The scoping review’s validity and reliability was ensured by the three reviewers working together, documenting reasons for study inclusion and exclusion, and regularly talking through problems.

The comparatively small number of included studies is a strength because it allows an in-depth examination of the literature base. As such, the review can extend beyond just documenting the studies’ findings and can also investigate their theoretical underpinnings.

The scoping review’s limitations relate to the possibility of missing existing studies and work not published in English before 2000. In addition, our condensed search of Google Scholar means we may have missed relevant grey literature.

The scoping review has a restricted focus on non-medical students and graduates, and thus, this narrow focus may mean that some relevant findings have not been included.

Introduction

People’s lives consist of transition periods as they experience milestones such as marriage, divorce, and relocating to different places. Transitions have previously been defined as ‘sharp discontinuities with the previous life events’ that mark a change in our circumstances (p. 239). 1 One extensively researched transition is when graduates leave tertiary education and begin a career in the workforce—or what has been termed university-to-work transitions. This term implies a somewhat simplistic conceptualisation of transitions—as a linear move from one set of circumstances to another. 2 Research has shown that this period is complex. 2 Some people follow a straightforward transition from graduation, encountering difficulties in their new jobs, to eventually being fully enmeshed in the workplace. 3 Others may instead start their first job and then leave it for another job. 4 Still, others may begin preparing for their career before they graduate, in the form of internships. 2 Thus, university-to-work transitions involve different stages, and people may move between them. 2 4

University-to-work transitions are different according to the group of students and graduates at issue. There is evidence that graduates from some disciplines have different career search strategies. 5 Furthermore, graduates from some disciplines, such as psychology, have lower salaries in their first jobs compared with those from other disciplines. 6 Finally, graduates in medicine (and related fields) experience unique transitions compared to others, for reasons including on-the-job training as part of their education, 7 different and challenging curricula 8 , and facing the psychological demands of dealing with injured or dead patients. 9

The university-to-work transition entails shifts in aspects of students’ and graduates’ lives, including their skills, mindsets, and financial standing. 2 10 Students and graduates navigate these changes in order to succeed in their chosen careers. Transitions are complicated periods, as changing circumstances can lead to changes in one’s personality and psychological well-being. 11 12 One challenge faced by students and graduates is mental health problems. Mental health is a multifaceted term that is understood as a continuum. 13–16 At one end, there is psychological health , including facets such as ‘positive feelings and positive functioning in life’ (p. 208). 16 This review treats mental health as a negative phenomenon—the other side of the continuum—including mental ill health, psychological distress and mental illnesses. 13 17

Mental health is an important issue as it is implicated in low productivity, 18 job loss 19 , and substance abuse 20 in workplaces. Mental health is important during the university-to-work transition because this is a period of existing challenges, with people experiencing changes to their identities, finances, and abilities. 2 10 Students and graduates can face mental health problems throughout the transition. Cassidy and Wright found that around 34% of underemployed graduates could be classified as clinically distressed. 21 Being aware of these mental health issues could help us understand the psychological struggles faced by students and graduates. Such insights could enable universities to allocate their resources to help these vulnerable individuals. Prospective employers should know the mental health struggles of their new employees so that they can create a supportive workplace environment to help them thrive.

Aims and objectives

The scoping review aims to chart the existing research on the mental health outcomes and experiences of students and graduates during the university-to-work transition. The review has three objectives: (1) to examine the methodological features of the studies, (2) to identify the findings about graduates’ and students’ mental health during university-to-work transitions from the examined studies and (3) to investigate the theories used to conceptualise mental health and transitions (the third objective differs from the original published protocol due to the inclusion of an examination of the theories used to conceptualise transitions).

This scoping review strictly adhered to the steps and guidelines provided by other scholars and organisations. 11 22–24 Further methodological details can be found in the published protocol for this review. 13 A scoping review is appropriate because our cursory examination of the extant research base showed that it was small compared with literature on other topics and university-to-work transitions. 13 A systematic review would be too extensive of a methodology for such little research. 25

Stages 1 and 2: finding and choosing the studies

Two tasks constituted the preliminary work for this scoping review. The first task was to operationalise the population, context and concepts in this review. 22 The operationalisation of population refers to the participants in the sample of each included study. 22 Studies meeting the inclusion criteria focused on participants who were (1) final-year undergraduate and postgraduate university students; (2) those people who had graduated from university within the previous 3 years; (3) students from all disciplines except dentistry, nursing, and medicine and (4) those students not suffering from any form of disability. 13 Our scoping review did not include students and graduates from medical fields because of the unique nature of their education and transitions compared with other disciplines that were outlined earlier. 7–9 13 There are existing review papers focusing on medical (and related) students’ and graduates’ mental health during this period 26 27 and reviews of medical students’ mental health generally. 28 29 In relation to the studies’ contexts, those papers published in English since 2000 and from any geographical location qualified for inclusion in the review. 13

The scoping review includes two key concepts. The conceptualisation of mental health focuses on its negative dimensions—namely, mental ill health, psychological disorder, and psychological distress 13 . This definition incorporates mental illnesses, including depression, anxiety, and personality disorders, and psycho-emotional states such as stress, worry, and sadness. 13 The concept of university-to-work transitions was operationalised broadly and encompasses (1) the time period of those students who will leave university within a year; (2) the period of preparation that students and graduates undertake for moving into a career and (3) a period of 3 years postgraduation. 13 The full inclusion and exclusion criteria are outlined in the published protocol. 13

The second task was developing the scoping review’s search terms. Online supplemental file 1 summarises the scoping review’s search strategy. These search term strings were applied to seven online academic databases. Three reviewers searched the databases. The following databases and the accompanying search fields were searched: SSCI (title, abstract, keyword plus), Scopus (title, abstract, keywords), Web of Science (title, abstract, author keywords and keywords plus), CINAHL Plus (title and abstract), ERIC (title and abstract), OVID (abstract) and PSYCINFO (title, abstract and keywords). Google Scholar was also searched. However, Google Scholar has limitations as a database for scoping reviews, including an innumerable number of results, a restricted number of characters for search terms and an inability to use some search operators. 30–32 Some solutions were devised and two searches of Google Scholar were undertaken. In the first search, a condensed string of search terms was used, and each study was individually extracted from the first six pages of results (with 10 results per page) 30–32 . In the second search, some informal online advice was followed, and the software Publish or Perish was used 33 , which allows users to use the software to search Google Scholar and retrieve more studies without having to manually extract each single result. 32 33 The string of search terms used for both searches on Google Scholar can be found in online supplemental appendix 1 . All eight databases were searched in March 2023. After the studies were included in the scoping review, their reference lists were also scanned for other papers (Phase 4 in figure 1 ). Other academics and research collaborators were contacted to request any references that fit the review’s inclusion criteria. 13 Finally, instead of two reviewers initially examining a select number of studies against the inclusion criteria, the reviewers first met to discuss the inclusion and exclusion criteria before searching the databases. 13

Supplemental material

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A diagram showing the process undertaken for the scoping review. Adapted from Moher et al (2009). 35

The citations from the databases were transferred into EndNote V.20 and then into Covidence. 13 Duplicate records of studies were detected by Covidence and manually by the reviewers and then removed. Two reviewers undertook the preliminary screening and the comprehensive screening. 13 During this process, if disagreement occurred about whether a study should be included, the two reviewers discussed how to resolve the problem(s). The workflow in Covidence allowed reviewers to document the reasons why studies were excluded at each stage. A summary of the reasons for exclusion at the stage of comprehensive screening is included in figure 1 . The preliminary screening and comprehensive screening of studies in Covidence resulted in the final 12 studies included in this scoping review. The process of stages 1 and 2 of the scoping review is depicted in figure 1 .

Stage 3: retrieving the data from the studies

Twelve studies satisfied the inclusion criteria, and each of the three reviewers read through these studies and added the relevant details into the data retrieval form that was included in the published protocol. 13 The data retrieval form was developed to identify details from the studies that were relevant to the three research objectives. The details included in the data retrieval form included classificatory information (author and publication date), methodological information (study aims and sample size), mental health findings, and findings about university-to-work-transitions. 13 Thus, the data retrieval form for each study included the information identified by each reviewer. Comments were added when there were conflicting details from each reviewer, which were further resolved through discussion.

Stage 4: analysing the data from the studies

The information from the data retrieval forms formed the basis for the scoping review’s findings. Key details from the studies are shown in both table 1 and 2 of online supplemental file 2 . The latter table includes the relevant findings in relation to mental health. A qualitative thematic analysis of the studies was conducted in both inductive and deductive ways. 34 The qualitative analyses were deductive because they were guided by the research objectives and the data retrieval form, as well as being inductive because we also allowed for the possibility for findings to be generated from our examination of the data.

Patient and public involvement

Our project is not clinically focused and patients were not involved in this study. Nevertheless, this scoping review was one part of a project investigating how the COVID-19 pandemic impacted Hong Kong graduates during their university-to-work transitions. Some stakeholders in this project were involved in aspects of this scoping review. Recent graduates—part of the ‘population’ of interest in the scoping review and project—were involved in the scoping review’s design and implementation. 13 The scoping review’s findings were disseminated in events delivered to stakeholders. Finally, the findings of the scoping review may help inform resources that will be developed to provide to stakeholders to improve students’ and graduates’ mental health during these transitions.

The scoping review process is depicted in figure 1 . 341 studies were located through database searches. Seven studies were found from existing papers that we located for our wider project, and four studies were found from the reference lists of the included papers ( figure 1 ). Our findings are based on the 12 studies that were included in the scoping review. As visible from the reasons for excluding studies ( figure 1 ), 35 we focused on studies that explicitly examined university-to-work transitions. Crucially, at some point in these papers, the studies had some finding(s) related to students’ and graduates’ mental health.

Methodological features of studies

The review’s first objective was to highlight the methodological features of these studies, which are addressed in table 1 of online supplemental file 2 . Starting broadly, several studies were published at the end of the 2000s, with others published throughout the 2010–2019 period. In contrast, 50% of studies (n=6) were published in the last 3 years. Thus, there has recently been an increased interest in the matter of graduates’ mental health during university-to-work transitions. The geographical setting of the studies is limited, with 58% (n=7) of studies conducted in the USA and 33% (n=4) in Europe. Only one study was conducted in Africa, and there was an absence of studies from Asia, the Pacific, and South America. Seventy five percent (n = 9) of studies were cross-sectional designs, and 25% (n = 3) were longitudinal designs. Fifty per cent (n=6) of studies presented solely quantitative findings, and 33% (n=4) of studies presented solely qualitative findings. Seventeen per cent (n=2) of studies presented both quantitative and qualitative findings. Seven studies (58%) used survey methods alone, two studies (17%) used only interviews, two (17%) studies used both surveys and interviews, and one study used participatory research methods. Finally, the studies’ sample sizes ranged from 10 to 5264 people (median sample size of 219.5 people).

One feature evident in table 1 of online supplemental file 2 is the lack of specification in the studies—namely, the authors did not explicitly mention crucial details of some studies. Fifty per cent (n=6) of studies did not mention the timescale of their project—that is, how long it took the authors to collect their data. Forty-two per cent (n=5) of studies did not specify details about the backgrounds of their participants, such as the majors of students and the industries in which graduates worked.

The findings about mental health from each included study are provided in table 2 of online supplemental file 2 . Some studies did not explicitly state how they operationalized mental health. 4 36–40 We included these studies because they did focus on mental health in their findings, but nevertheless, they did not explicitly operationalise it as a variable. Other studies defined mental health through the scales that they used. 21 41 For instance, Yang and Gysbers (2007) operationalized the variable of ‘psychological distress’ (p. 160) as measured by the Brief Symptom Inventory, which assessed the constructs of depression and anxiety. 42 Other studies defined mental health as comprising elements of psychological distress, including negative emotions, 43 anxiety 44 and depression. 45 Finally, there was little uniformity in the scales used to assess mental health, with studies using a variety of scales from the General Health Questionnaire 21 to the State Anxiety Inventory. 44

Findings related to mental health in university-to-work transitions

The review’s second objective was to synthesise the findings in relation to students’ and graduates’ mental health during university-to-work transitions. Some sources of mental health difficulties for students and graduates during these transitions are provided in table 2 of online supplemental file 2 . The absence of social support and economic forces (eg, overqualification and a poor job market) is associated with mental health problems. 36–38 Mental health is also related to other health problems for graduates, for instance, poor mental health is also linked to excessive alcohol consumption. 45

The findings also revealed a temporal dimension to mental health—namely, that there can be different mental health experiences at different points during the transition. Arnold and Rigotti identified different ‘trajectories of mental health’ (p. 724), including one whereby people started the transition with relatively good mental health, but this deteriorated over time. 39 The studies’ findings also reveal what we call ‘prospective negativity’, which relates to students experiencing stress, anxiety, and negative emotions before they even graduate because of the uncertainty associated with the university-to-work transition. 40 42 43 Furthermore, some graduates may experience stress and other mental health problems because of issues with their jobs. 4

Although the inclusion criteria specified a focus on negative mental health, the review also revealed positive dimensions of mental health. For instance, traits and variables such as optimism and career preparedness appear to offer some protection against adverse mental health. 21 36 42 Furthermore, obtaining a desired job is associated with lower psychological distress for graduates. 21 Finally, some studies found that graduates can achieve a state of relative psychological well-being as time passes and they gain experience in their jobs. 4 21

Theoretical and epistemological foundations

The review’s third objective was to unpack the theories used to conceptualise mental health and transitions. Some studies did not specify the theories that they used to conceptualise mental health. 21 37 40 43 45 One reason for the omission of the theoretical foundations of mental health was that, in most studies, it was not the primary variable that was examined. In fact, the studies examined a range of variables, from choice in underemployment, 38 to employability, 44 to substance abuse. 45 Indeed, mental health was sometimes an ancillary focus of the analyses. Alternatively, mental health was one dimension of the theories used to explain other variables in a study. For example, Okay-Somerville and colleagues' (2022) theoretical framework of a ‘graduate identity perspective (on) employability’ (p. 545) included psycho-emotional well-being as one dimension of graduates’ employability. 44 Finally, one study developed its own theory of university-to-work transitions, which was characterised by distinct mental health outcomes at the different stages. 4

Only three studies explicitly stated how they defined transitions in a substantive way. 4 41 42 For most studies, we had to surmise from other information that was provided—such as the participant inclusion criteria—in order to arrive at a definition. Based on these ‘educated guesses’, one can infer that graduation from university indicates the transition’s beginning, which also involves a sustained period characterised by employment or job searching. Some studies acknowledge that the period prior to graduation is also important in these transitions, and thus, examined those students in their final year of undergraduate study. 21 40 44

The word transition implies a linear concept—shifting from one discrete stage of life to another. However, some studies have acknowledged that university-to-work transitions are not necessarily linear. 40 45 Indeed, Aronson et al (2015) found that the university-to-work transition is an unstable period characterised by ‘frequent job changes’ (p. 1099). 37 Glassburn (2020) found that 63% of her interviewees indicated that they had changed jobs during their transition. 4 These findings imply that there can be smaller ‘transitions’ within the wider period. In addition, Glassburn (2020) provided the only staged model of transition among the studies, specifically focusing on graduates from a Master of Social Work programme. 4 Each phase of this transition model is characterised by unique mental health profiles. For instance, in the ‘sinking or swimming’ phase (p. 148), graduates experience excessive psychological distress, and in the ‘treading water phase’ (p. 151), graduates deal with burnout. 4

Relative to mental health, it is arguably the case that there is a stronger theoretical grounding for transitions. Some studies did not mention the theories they used to conceptualise university-to-work transitions. 21 Yet, there were diverse theoretical frameworks in these studies in relation to transitions. The studies drew on human capital theory, 40 organisational socialisation theory, 37 adaptation theory, 39 conservation of resources theory 39 and existing theoretical frameworks around resilience, 36 40 adaptability 36 and employability. 44 These observations highlight the varied intellectual traditions involved in studying university-to-work transitions.

Discussion and conclusions

This scoping review mapped the research on the mental health experiences and outcomes for students and graduates during the university-to-work transition. The goal was to identify the methodological characteristics of these studies. One conclusion is that this literature is fragmented because there are only 12 studies from different disciplines. Furthermore, not all of the studies directly focused on mental health. Rather, mental health was sometimes a secondary focus. The lack of an exclusive focus on mental health in some studies is understandable, as this is a period of empirical interest for many different reasons, such as employment and the skills needed in the workplace. Nevertheless, a sustained focus on future studies on mental health would be beneficial, as it could identify the unique features of mental health outcomes during this period.

Another methodological feature of these studies was multiple absences. First, there was an absence of studies from outside the USA and Europe. It is imperative to understand this topic in the context of the Global South and other ‘peripheries’. 46 The mental health outcomes for graduates in these geographical settings may be different owing to the diverse cultural norms and stigma surrounding mental health. 47 48 Mental health may be understood and conceptualised differently across cultures, and thus, we may have an incomplete picture of the culturally specific mental health challenges for graduates during university-to-work transitions. Second, there was an absence of clear definitions of the concepts of mental health and transitions in some studies. There should be systematicity in how concepts are defined in order to allow direct comparison across studies. A ‘shared vocabulary’ would allow researchers to understand whether references to mental health in one study are equivalent in conceptual and empirical terms to other studies. Researchers should make explicit their conceptualisations of mental health and transitions, and address questions such as, does the definition of mental health incorporate emotions, how long does a university-to-work transition last, and what are some of the features of this period of life?

A second goal was to identify the findings regarding the mental health of graduates and students during these transitions. In line with our inclusion criteria, the included studies found that people experienced mental ill health during this period. Yet, some of the studies also identified graduates’ positive psycho-emotional experiences in these transitions and some of the variables that protect against mental health problems. These findings underscore that university-to-work transitions do not necessarily have negative mental health impacts on students and graduates. The positive side of mental health during these transitions provides a more complete picture and enables others to create effective resources to intervene through the identification of protective factors.

The third goal was to investigate the theoretical foundations of mental health and university-to-work transitions. The review revealed that transition is not a uniform concept that relates to a linear change from student to worker. The university-to-work transition can be complicated by socioeconomic upheavals, such as the Great Recession 37 and the COVID-19 pandemic, 43 and differential access to material and social resources. 38 44 The findings reveal the idiosyncratic nature of the trajectories during this period, 41 the varying length between each stage 4 and the unstable nature of employment. 37 Thus, university-to-work transitions are processual in nature, with the ideal type being the linear change, but the reality is more complicated. Definitions of transitions should allow for movement throughout stages and delimit when these stages begin and end. In all, the scoping review reveals the complexity of the notion of transitions. Theoretical clarity on transitions benefits an understanding of mental health by clarifying issues including the variation in mental health outcomes at different points in the transition, and identifying times when students and graduates are at higher risk of psychological distress.

Future research should better conceptualise mental health and transitions, which would benefit stakeholders. To begin with, transitions and clarifying their exact time period(s) would aid universities in better targeting resources to support students’ and graduates’ mental health. If the university-to-work transition starts in the final year of education, then universities could direct tailor support directly to those students. Clarifying this time period would be beneficial to employers as it would provide them with insights into interventions and for how long they may need to support new hires.

This scoping review has some limitations, particularly, in its scope. 13 The review was limited to research published since 2000, which was set because of the reasoning that it would provide the most up-to-date work. 13 There may well be seminal work on this topic during prior decades that was missed. The review excluded studies not published in English, which perhaps led to an absence of work from the Global South. Thus, the review arguably provides a culturally limited understanding of mental health during university-to-work transitions. The small number of studies from a diverse range of disciplines is also a limitation as it means that the conclusions are somewhat disparate. A final limitation is that we did not include studies focusing on medical (and related) students and graduates. As such, there may be certain findings that were missed as a result.

The job market is subject to the whims of the economy, which could adversely impact people’s mental health during the university-to-work transition. This review provides insights into this research base and identifies the existing findings and gaps. Understanding this issue of societal importance provides concrete avenues for universities, employers and students to develop resources to bolster psychological well-being and prepare them for successful transitions.

Ethics statements

Patient consent for publication.

Not applicable.

Ethics approval

Our scoping review did not need ethical clearance because it did not use materials from human participants. In addition, it was focused on materials that are publicly available. Nevertheless, the scoping review is part of a wider project that received ethical approval from the University of Hong Kong's Human Research Ethics Committee (ethics code: EA200104).

Acknowledgments

We thank Brandon Kong for his work on the protocol for this review. We thank Afina Nafisah Jasmine and Apple Hui Min Kwok for their assistance during the revisions. We also extend our thanks to the reviewers and editors for their valuable comments on improving this manuscript.

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Contributors OZS and ZF conceptualised the research project, decided on the scoping review topic, supervised the scoping review and drafted and edited the paper. DME, AC and JSGC conducted the scoping review and drafted the paper. OZS is the guarantor of this paper and project.

Funding The scoping review is part of a project that received funding from the Research Grants Council Collaborative Research Fund (CRF), Hong Kong (The Educational, Social and Health Impacts of the COVID-19 Pandemic on University Graduates Transitioning to the Workforce in Hong Kong; grant no. C7086-21G). We thank the Hong Kong Research Grants Council Collaborative Research Fund for their funding in making this article open access. The funders have no role in the design, undertaking or writing of this scoping review.

Competing interests None declared.

Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

Provenance and peer review Not commissioned; externally peer reviewed.

Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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Published: 15 April 2024

How would you describe a mentally healthy college student based on Chinese culture? A qualitative research from the perspective of college students

Mingjia Guo 1 ,
Xiaoming Jia 1 &
Wenqian Wang 1

BMC Psychology volume 12 , Article number: 207 ( 2024 ) Cite this article

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Promoting college students’ mental health remains a significant concern, necessitating a clear understanding of what constitutes good mental health. Variations in the conceptualizations of mental health across cultures, typically derived from academic and authoritative perspectives, have overlooked insights from laypeople. This study aims to investigate the characteristics of mentally healthy college students within Chinese cultural contexts, emphasizing perspectives provided by college students themselves.

Undergraduates with self-reported mental health scores ≥ 7 were randomly selected for in-depth interviews. The sample ( N = 17, 59% female) had a mean age of 20.82 ± 1.33 years and represented diverse regions, backgrounds, and academic fields. Thematic analysis was used in the analysis of the qualitative data, involving initial coding to identify 168 manifestations of mental health among college students, followed by categorizing them into 18 characteristics through focused coding. These characteristics were then organized into five themes via core coding. The Delphi method was utilized to validate the themes with 3 experts, ensuring the trustworthiness of the final findings.

Eighteen characteristics of mentally healthy college students emerged from the interviews, categorized into 5 themes: (1)Value Pursuit (i.e. Having a sense of responsibility and mission and being willing to dedicate oneself to the country at any time.); (2)Life Attitude (i.e. Staying positive and having the ability and quality to cope with hardships.); (3)Interpersonal Ideals (i.e., Showing filial respect to parents appropriately.); (4)Behavior Ability(i.e., Studying diligently and learning well.); and (5)Self-cultivation (i.e., Possessing good qualities advocated by Confucianism, Buddhism, and Taoism coexist harmoniously.). Most of these characteristics directly reflect traditional Chinese culture or culture that has changed with the times. At the same time, some are a reflection of modern Chinese new culture.

Conclusions

On the whole, the characteristics of mentally healthy college students are diverse and with rich connotations, focusing on the individual’s relationship with the country, family, and others, and are good expressions of Chinese cultural features, such as the balance of Yin and Yang, the coexistence of Confucianism, Buddhism, and Taoism, and highlight moral attributes. In essence, these traits hold profound importance in advancing the mental health of Chinese college students.

Peer Review reports

The period of undergraduate study is vital for individual development, physical and mental growth, knowledge reserve, and health literacy development. For undergraduate students, they are in the process of transitioning from late adolescence to early adulthood, navigating various physical, psychological, and social changes [ 1 ]. After entering the university, undergraduates, especially first-year students, are prone to various maladaptation problems due to changes in their living and learning environments [ 2 ]. Notably, a recent nationwide survey of 48,789 undergraduate students from 31 provinces and cities of China showed that 24.17% of undergraduates were at risk of depression, and 49.58% were at risk of anxiety [ 3 ].

Some studies have shown that these psychological problems are related to culture. As a Chinese proverb goes, “Nothing is more important than learning.” Before university, Chinese students focused solely on their studies, with their parents managing all aspects of life [ 4 ]. Consequently, they may lack the ability to independently resolve problems, particularly when confronted with many challenges in university life, often feeling helpless. Furthermore, admission to university is considered an honor to ancestors and a source of pride for parents in Chinese culture [ 5 ]. Attaining good grades and securing an ideal career post-graduation are seen as ways for college students to fulfill their filial duties, like supporting their parents, thus imposing familial and communal pressures.

Cultural influences also play a role in the mental health of college students. Wang et al. (2016) investigated how traditional Chinese philosophies—such as relationship harmony (advocated by Confucianism), dialectical coping (from Taoism), and non-attachment (rooted in Buddhism)—impact college students’ mental health. Their research demonstrated these philosophies’ negative correlation with psychological distress and negative emotions while displaying positive correlations with self-esteem, positive emotions, meaning of life, and happiness [ 6 ]. Another study indicated that Chinese college students scoring higher in Zhongyong thinking exhibit lower anxiety and depressive symptoms, along with higher self-esteem and life satisfaction, versus those with lower scores [ 7 ].

Since culture and mental health are mutually embedded [ 8 ], different cultures may interpret the same things differently. For instance, in Western cultures, pursuing a college education is often viewed as an individual pursuit, whereas in collectivist China, but in China, higher education is commonly sought to elevate social status and offer enhanced financial support to parents, such as securing a comfortable retirement home. In times of conflict, individuals in Chinese society tend to adopt the principle of “taking a step back and yielding vastness and spaciousness to others” [ 9 ], prioritizing long-term harmony over immediate gains by favoring conflict avoidance over confrontation. The values of “harmony is precious” and the practice of “forbearance” are revered in China, whereas in Western societies, it may be considered unhealthy, with individuals opting for direct expression of discontent [ 10 ].

In China, only 8% of the population hold bachelor’s degrees [ 11 ], and college students are seen as the nation’s hope and future [ 12 ], underscoring a heightened focus on their mental health. To enhance the mental health of Chinese college students effectively, it is imperative to grasp the cultural nuances defining mental health across various contexts.

Mental health has always been a focus in the field of psychology. Researchers from diverse backgrounds have extensively investigated mental health within various cultural frameworks. This includes the development of nuanced interpretations and pertinent theories regarding mental health across different cultural settings [ 13 , 14 ]. Moreover, scholars have localized measurement tools through meticulous adaptations [ 1 , 15 , 16 , 17 ] and delved into understanding the impact mechanisms between mental health and its associated determinants [ 18 , 19 ]. In terms of the connotation of mental health, aside from the various approaches of counseling and psychotherapy have their interpretations and definitions of mental health, various organizations and scholars have also put forward different perspectives of mental health from multifaceted viewpoints, clearly demonstrating the impact of culture.

According to the Concise Encyclopaedia Britannica, mental health is defined as “the state of optimal functioning of the individual psyche within the limits of its own and environmental conditions, but not as an absolute state of perfection” [ 20 ]. Meeks and Heit describe mental health as “the ability to perceive and express one’s emotions and state of mind; mental health is the ability to accept reality as it is” [ 21 ]. Meanwhile, Ryan and Deci propose that mental health involves “the ability to feel effective and agile, e.g., to have full self-fulfillment” [ 22 ]. The World Health Organization defines mental health as “a state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can make a contribution to his or her community” [ 23 ]. These definitions illustrate how Western culture emphasizes individual capabilities, states of being, and overall well-being, focusing on fulfilling potential, fostering self-esteem, and reflecting a culture centered on the individual.

In the Dictionary of Psychology (Chinese version), mental health was defined as “a good state in which the individual’s mental state (e.g., general adaptability, soundness of personality) remains normal or at a good level, and in which harmony is maintained within the self (e.g., self-awareness, self-control, self-experience) and between the self and the environment” [ 24 ]. According to Zhang and Yang, mental health contains objective and subjective components [ 25 ]. An individual’s mental health is mainly expressed by the relationship between the individual and others in a group, so it contains social meaning. Hu suggests that mental health is about “following one’s heart and not exceeding the rules,” which has both its individual (developmental and autonomous) and social (adaptive and normative) aspects [ 26 ]. Yip defines mental health as a direction that suggests self-discipline and obedience to social order to maintain inner balance and external harmony with others [ 27 ]. Specifically, individuals can maintain this balance and harmony across three levels: personal, interpersonal, and moral/ethical. These definitions underscore Chinese scholars’ emphasis on the social aspects of the individual in conjunction with the proper functioning of mental faculties. They highlight Chinese culture’s focus on harmony, interpersonal relationships, societal connections, and moral/ethical considerations.

In summary, concepts and understandings of mental health are closely tied to culture [ 28 ], reflecting that the connotations of mental health defined by different cultural contexts can vary to some extent. Then, how is mental health related to culture? The theory of sociocultural models (TSCM) provides a perspective on the interaction between culture and the individual mind [ 29 ].

The primary thesis of the theory of sociocultural models (TSCM) is that the human mind and culture mutually constitute each other. During continued interactions, individuals internalize the social culture into their psychological realities to regulate their actions and interactions. Conversely, community members will externalize the psychological reality through enactment and instantiation, creating new social cultures through social interactions and co-construction with the existing social culture. The dialectical interactions of these two aspects constitute the mechanism of the sociocultural regulation of human actions and the construction of the sociocultural reality [ 29 ]. Consequently, social culture dictates varying expectations for mental health standards, while the characteristics associated with mental health are also culturally rooted and reflect social culture. Simultaneously, societal depictions of mentally healthy individuals contribute to the evolution of novel cultural norms in a reciprocal manner.

The Chinese culture has a long history of rich mental health concepts deeply rooted in philosophies such as Confucianism, Buddhism, and Taoism. Confucianism seeks to go into the society( Rushi ), i.e., “To ordain conscience for Heaven and Earth, to secure life and fortune for the populace, to carry on lost teachings of ancient sages, to build peace for posterity” (Zhang Zai: Heng Qu Yi Shuo ). When encountering setbacks, Confucianism advocates being adaptable to circumstances and maintaining mental health by being resilient and motivated. Taoism seeks to transcend the world( Chaoshi ) and advocates “letting go.”When encountering difficulties, people maintain mental health by going with the flow and doing what they should do. The philosophy also underscores the importance of balancing Yin and Yang, enabling individuals to perceive challenges holistically by acknowledging both positive and negative aspects. Buddhism seeks to jump out of the material world( Chushi ) and advocate “being free of worried thoughts” when encountering difficulties. As Hui Neng(the Sixth Patriarch of Zen) said in the Tan Jing, “Since everything is naught, where can dust gather?” Individuals can cope better with difficulties if they have a mindset that looks down on gains and losses and that everything is nothingness.

Popular anecdotes and proverbs in Chinese culture also dictate criteria for individuals’ mental health. For instance, the “Three Feet of Space” tale narrates an incident from ancient China where the Guo family faced a boundary dispute with their neighbor during house construction. Upon hearing of this issue, patriarch Guo Pu wisely proposed, “Sending letters a thousand miles just for a wall; why not give him three feet?” This led to the Guo family’s compromise, and finally, both families conceded three feet of space from their walls. This narrative underscores the cultural emphasis on fostering interpersonal harmony through mutual accommodation, viewing discordant relationships as signs of poor mental health.

Contemporary scholars have also endeavored to directly integrate key concepts from Chinese traditional culture into psychological counseling and therapy. Yang and his colleagues(2002) [ 30 ] created Taoist Cognitive Therapy to facilitate cognitive restructuring in psychologically distressed individuals by directly applying the 32 characteristics of the Taoist principle of health, that is: “Benefit without harm, but not disputing; abstinent contentment with little selfishness and desire; under the knowledge and the place, let gentleness overcome rigidity; recover the original simplicity, let it be.” Liu(2023) posits that “unity of universe and human” in Chinese culture is a core idea of mental health [ 31 ]. He pointed out that the psychological phenomenon corresponding to this concept is psychological nothingness. By fusing modern psychotherapy with the concept of “unity of universe and human,” Liu developed the technique of “Moving symptom’s symbol to nothingness” to fulfill the healing role of Chinese culture. These endeavors establish a robust framework for comprehending mental health through the lens of Chinese cultural perspectives.

Over the years, numerous scholars have delved into the attributes of mentally healthy college students. Prominent among these is Wang and Zhang’s widely recognized framework, which outlines eight characteristics drawing from personal experience: understanding and accepting oneself; accepting others and dealing well with them; facing reality squarely and accepting it; loving life and enjoying work; being able to coordinate and control emotions and being in a good state of mind; having a complete and harmonious personality; having normal intelligence; and having age-appropriate mental behavior [ 32 ]. However, this work has predominantly focused on psychological cognition, emotion, and intention, with limited consideration of the cultural context, particularly the influence of Chinese culture on mental health.

Subsequently, scholars such as Zeng and Lei, incorporating social, ethical, and moral perspectives, proposed a culturally nuanced framework emphasizing four main traits in mentally healthy college students: positive and controllable emotions, good moral values, comfortable coping with schoolwork, and healthy social interaction [ 33 ]. While valuable, this perspective primarily mirrors researchers’ subjective experiences and authority-driven viewpoints. It neglects insights from laypeople, omits identification of the aspects of Chinese culture showcasing characteristics of mentally healthy college students, and lacks differentiation between mentally healthy college students and other demographic groups. Consequently, there is a demand for exploring innovative methodologies to scrutinize the attributes of mentally healthy college students, particularly focusing on characteristics within Chinese culture.

Currently, there are various research paradigms for the study of mental health. Jiang (2004) categorized them and concluded that there are two main principles in evaluating mental health: the majority principle and the elite principle [ 34 ]. The majority principle refers to a research paradigm that selects research subjects through large samples and measures whether individuals deviate from the norm through the principle of statistical normal distribution [ 35 ]. An example is applying the Chinese version of Symptom Checklist-90 (SCL-90), one of the most often used self-report symptom inventories to measure the mental health of college students, and individuals scoring exceeding the norm were considered abnormal [ 36 ].

The elite principle refers to a research paradigm that focuses on elite samples, namely a small number of relatively outstanding individuals in the whole population who are at the tip of one side of the normal distribution, and primarily employs qualitative research methods to derive research findings [ 35 ]. For example, Maslow researched some great people in Western history( i.e., self-actualized people) using qualitative research methods such as biographical analysis, depicted 15 characteristics of self-actualized people, that is, “more efficient perception of reality and more comfortable relations with it,” “acceptance (self, others, nature),” “spontaneity; simplicity; naturalness,” “problem centering,” “the quality of detachment; the need for privacy,” “continued freshness of appreciation,” “autonomy; independence of culture and environment; will; active agents,” “the mystic experience: the peak experience,” “gemeinschaftsgefuhl,” “interpersonal relations,” “the democratic character structure,” “discrimination between means and ends, between good and evil,” “philosophical, unhostile sense of humor,” “creativeness,” “resistance to enculturation; the transcendence of any particular culture” [ 37 ].

Maslow’s findings profoundly influenced research on mental health definitions, standards, and interventions. While some researchers have embraced the characteristics of self-actualized people as an ideal standard of mental health [ 38 ], others have leveraged these characteristics by focusing on exceptional psychological qualities rather than normative behavioral performance [ 39 ], and many of these characteristics have been used as ideal indicators of mental health for the promotion of mental health among college students [ 40 ]. Additionally, these characteristics and the conditions that promote or inhibit self-actualization are also applied in methods and paths of healthy human development [ 41 ]. Furthermore, specific characteristics such as a “philosophical, unhostile sense of humor” have been directly applied by researchers to enhance humor quality among college students facing stress and embarrassment, aiming to uphold their mental well-being [ 42 ].

Despite significant value in both theory and practice, Maslow’s study is based on the Western culture and is not aimed at a specific group of college students. Consequently, its direct relevance to enhancing the mental well-being of Chinese college students may be limited, necessitating further investigation into mental health within the framework of Chinese culture. Nonetheless, Maslow’s study of the elite samples of self-actualized people also provides a new research paradigm for mental health research, which has greatly inspired this study.

In the past, most studies on the mental health of college students used quantitative studies based on the majority principle. While some qualitative studies inquiries delved into the characteristics of mentally healthy college students, these studies often focused on specific subgroups like those who experienced being left behind [ 43 ] or childhood trauma [ 44 ]. A gap exists in the mental health characteristics based on the Chinese culture of college students who are the elite samples, i.e., those who exhibit very good mental health. By utilizing the elite principle paradigm, researchers can gain insights into and depict the mental health characteristics of college students within the context of Chinese culture, with the ultimate aim of delineating the mental health characteristics of college students specific to this cultural framework.

This study will apply the elite principle to examine college students with very good mental health. Through a distinctly Chinese cultural lens, this research aims to delineate what mentally healthy college students look like and what characteristics they show. By focusing on college students’ personal experiences and Chinese culture, this study positions college students as knowledge generators, employing a qualitative research approach to uncover the characteristics of mentally healthy college students. The objective is to achieve a new understanding of college students’ mental health based on Chinese culture and provide a theoretical basis for new mental health standards and a reference for promoting, cultivating, and intervening in college students’ mental health.

In this study, mental health refers to the good psychological state of an individual. College students refer to the group of students who are receiving professional higher education. Chinese culture refers to the culture created by the Chinese over thousands of years of development, from ancient times to the present [ 45 ].

The study applied a participatory, exploratory, qualitative design. Qualitative methods are suitable for exploring the meaning of phenomena or life events to the interviewees and their inherent experiences from the subjectivity of the interviewees [ 46 ]. It also emphasizes the participants as a generator of knowledge and the acquisition of significant experiences from the participants [ 47 ]. Thus, it can help researchers to gain a deeper understanding of community members in a specific cultural-historical context. Moreover, qualitative methods hold particular promise for prioritizing participants’ voices, and they contribute to understanding human interaction with the environment in development and helping researchers build and expand new concepts and theories in specific cultural-historical contexts [ 48 ]. This study used semi-structured individual in-depth interviews to explore the characteristics of mentally healthy college students based on Chinese culture. Moreover, the procedure of the study is shown in Fig. 1 .

The procedure of the study

The development of the interview outline

The qualitative data for this study was collected through semi-structured interviews. Interviews serve as a tool to help reveal and understand participants’ perspectives and experiences. The interview outline for this study was based on the theory of sociocultural models [ 29 ], focusing on how the interviewed college students understood Chinese culture and which cultures were internalized as characteristics of mentally healthy college students.

The interview outline in the pre-interview includes questions such as “What do you think is mental health? What do you think a ‘mentally healthy’ college student is like? You can use yourself or your classmates as examples.” “What do you think is Chinese culture? What is your understanding of Chinese culture?” “What do you think is related to college students’ mental health in Chinese culture?” (Appendix 1 ).

Participant recruitment and selection

The selection criteria for the participants were: i) undergraduate students enrolled in colleges; ii) having a very good psychological status, with a self-assessment of mental health of 7 or more (out of 10); and iii) self-assessment anxiety/depression scores within the normal range.

The study recruited participants through postings in contact groups and forums among different colleges. Undergraduates who satisfied the selection criteria volunteered to participate in the study. At the time of self-referral, enrolled students rated their mental health with the term “Out of ten, how would you rate your mental health?” as well as filled out self-rated anxiety and depression scales [ 49 , 50 ].

The reasons for considering selection criteria are as follows. Firstly, the research objective is to identify the mental health characteristics of college students with good mental health. Therefore, following the elite principle and referencing Maslow’s self-actualization research paradigm [ 37 ], we have chosen exceptionally mentally healthy college students as elite samples for study. Given that statistical analysis commonly regards the top 27% as the criterion for high-score groups [ 51 , 52 ], a score of 7 out of 10 indicates high mental health levels. Consequently, the study interviewed college students scoring at least 7 points. Secondly, to eliminate individuals with significant biases in the self-assessment of mental health and those potentially experiencing psychological issues, we utilized scores from self-rating scales for depression and anxiety to exclude possible candidates with underlying psychological disorders.

Eventually, 17 college students who met the criteria were selected for interviews in this study. The selection of participants considered factors that might influence college students to develop different understandings of Chinese cultures, such as upbringing, family environment, and educational experiences. The total number of participants was determined based on thematic saturation, i.e., no significant themes emerged with new respondents [ 53 , 54 ]. Finally, 17 undergraduate students volunteered to participate in the formal interviews, and the self-reported mental health score of the interviewees was 8.11(SD = 0.90) (out of 10). Among the participants, seven were male, and ten were female. Their ages ranged from 19 to 23 years old (mean age = 20.82, SD = 1.33 years), five interviewees were from Double World-Class Project Universities in China, and 5 were first-year students, two sophomores, eight juniors, and two seniors. Participants came from different regions of China; 4 grew up in north China, 1 in northwest China, 2 in southwest China, 2 in south China, 1 in east China, and 7 in central China; 1 from an ethnic minority. 65% were from urban areas, and 29% had no siblings. Additional information on parents’ education level and occupation is shown in Table 1 .

After the interviews, participants were thanked for their participation and contribution and were offered 30 RMB (about 4 dollars) for participating.

The finalization of the interview outline

Before the formal interviews, three college students (one male and two female) who met the selection criteria were pre-interviewed, and the interview outline was adjusted based on the pre-interviews. Specifically, the researchers adjusted ambiguous expressions. For example, in the pre-interview, the researchers found that if they asked the interviewees, “What do you think is related to college students’ mental health in Chinese culture?” They answered how Chinese culture affects college students’ mental health rather than the characteristics of mentally healthy college students based on Chinese culture. Therefore, we adjusted the question to “What a ‘mentally healthy’ college student is like based on Chinese culture? You can take yourself or your classmates as an example” to obtain the characteristics of mental health that reflect Chinese culture. A formal interview outline was eventually formed (Appendix 2 ).

Data collection and analysis

The qualitative data was collected through in-depth personal interviews with eligible college students. Each interview lasted between 50- 100 min and was conducted by the researcher (MG), who possessed a doctoral background in psychology, had received training in qualitative research methods, and had three years of experience working in mental health education in universities. All participants signed informed consent forms prior to the interviews. In total, 1252 min of interviews were conducted with 17 participants, which were then manually transcribed by MG, resulting in 289,000 words of interview transcripts.

To accurately ascertain the true meaning expressed by the participants, this study employed manual analysis within the research team to code and analyze the interview transcripts word by word and sentence by sentence. Under the guidance of XJ (a clinical and counseling psychology professor), the research team completed all data analysis work. In addition to MG and WW, the team members included two doctoral students who are also full-time university psychological counselors and two master’s students specializing in mental health education.

The data analysis was conducted using thematic analysis [ 55 ]. The steps are as follows: first, the researcher transcribed each of the digitally recorded interviews, immersed within the data, and repeatedly read through the 289,000-word interview transcripts. Second, researchers identified meaningful texts and created open codes. Each meaningful sentence was marked with a “code number,” totaling 1,889. The study used “F” to represent female interviewees and “M” for male participants. The first number represents the interview orders of interviewees; the second number represents the order of the meaningful statements in the interview. For example, “M5-40” represents the 40th word, sentence, or paragraph spoken by the fifth male interviewee. Third, after contemplating the open codes repeatedly, 168 manifestations of mentally healthy college students were derived through initial coding. These manifestations were then summarized to establish 18 characteristics of psychologically healthy university students via focused coding. Subsequently, these 18 characteristics were further classified through core coding to derive five main themes. Fourth, we checked the themes and adjusted their structure until they met internal homogeneity and external heterogeneity criteria. Fifth, we defined and named the themes; 18 characteristics were obtained and coded into five themes.

The Delphi expert evaluation

Subsequently, three experts were invited to assess the appropriateness of naming, defining, and classifying the identified 18 characteristics and five themes above. These experts are professors in clinical and counseling psychology from institutions such as Beijing University of Chinese Medicine, with in-depth research in Chinese culture and mental health. They have published numerous related monographs and academic papers, such as “When Psychological Counseling Meets Traditional Culture” and “Mind Operations in Meditation.”

The evaluation comprised two rounds. The first round involved a focused group interview where the three experts individually reviewed each theme, characteristic, and original interview data, offering suggestions for revision. They generally approved of the theme divisions and most characteristics, with two main modifications: 1) the integration and categorization of specific characteristics, such as the initial characteristic “Having a pleasant disposition,” which was deemed by experts to contribute to a comfortable interpersonal state and thus was incorporated into “Interpersonal harmony and comfort.” 2) Adjustments to specific nomenclature, such as refining “Showing filial respect to parents” to “Showing filial respect to parents appropriately” to better emphasize the nuance of the characteristic.

The revised results were resent to the three experts for a second round of evaluation, leading to a consensus with no further modifications suggested, thus finalizing the research findings.

The trustworthiness of the data

Trustworthiness was achieved in several ways.

First, to minimize personal biases to the greatest extent possible, the researchers continuously reflect at each stage of the research project, remaining attentive to the influence of their own experiences and biases throughout all research and analysis phases. For instance, MG utilized a reflective journal [ 56 ] to document personal perspectives after each interview, consistently reminding herself to avoid preconceived notions.

Second, the selection of participants considered factors that might influence college students to develop different understandings of Chinese cultures to ensure the diversity of the participants. And, the total number of participants was determined based on thematic saturation [ 53 , 54 ]. In this study, after interviewing the F8(the 14th interviewee), no new significant themes emerged. Then, three more interviews were conducted (F9, F10, M7), and no significant themes emerged with the new respondents.

Third, the research performed investigator triangulation [ 57 ]. Independent researchers completed comparative analyses of individual findings, organized regular research team meetings to compare the analyses, and identified relevant themes. Moreover, XJ frequently reviewed interviews conducted by MG, her reactions to interviews, and the formulation of results. All the researchers discussed the coding and the corresponding original text until a consensus was obtained to bolster the study’s credibility and dependability.

Fourth, external audits are conducted to foster the accuracy or validity of a research study [ 57 ]. The research invited three experts above who have made achievements in Chinese culture and mental health to assess the appropriateness of naming, defining, and classifying the characteristics and themes in order to enhance the reliability of research findings.

College students’ understanding of Chinese culture

The interviewees’ understanding of Chinese culture was focused on the following four main aspects, and the participant’s identifier follows quotations.

Firstly, Chinese culture is undoubtedly distinct from other countries. For example, F1 believes that “Chinese culture is not just some fixed dynasties in history, or language, or what some literati or educators or some people said, it refers to some patterns of behavior or some ideas that distinguish people from other countries” (F1-66) and is unique to China (M3-110).

Secondly, Chinese culture includes both traditional and modern Chinese new cultures (e.g., revolutionary spirit, M2-95, M4-151, M7-85). Moreover, it is argued that Chinese culture is the essence of what has been left behind through history, including all aspects that have been handed down from ancient times to the present (M1-99; M5-128), and that it is a continuous transmission (F2-72, F4-92, F5-170, F7-137; F9-181; M6-132) and a fusion of the old and the new (F7-142). Chinese culture is implicitly formed and constantly influences and permeates everyone or their lives (F3-134; F7-138; M1-102; M3-111).

Thirdly, Chinese culture is a macro concept, encompassing both intangible and physical aspects. Intangible aspects include thoughts, spirits, and qualities (M2-95, M4-151, M5-131). The physical component includes not only literary works such as poetry (as perceived by all respondents) but also Chinese language and writing (Chinese characters, F2-75; oracle bone inscriptions, F9-184; calligraphy, F2-77, F5-170, F8-94), architecture (F3-148; F10-98), costume (F3-141; F10-101), and folkloric performances (drama, F2 -74; shadow puppets, F5-168; martial arts, F7-141), gastronomy (M5-132), art (painting, F8-93; paper-cutting, M1-100, M2-96, F5-169; china, M2-97; F2-75), traditional festivals and customs (M3-107; F3-138; F5-166; F7-140; F0-97. M7-87) and many others.

Fourthly, some important historical and modern figures mainly reflect Chinese culture’s ideological and spiritual aspects. For example, the famous statesman and literary figure Wen Tianxiang of the late Southern Song dynasty, whose poems “Everyone must die; let me but leave a loyal heart shining in the pages of history books” showed the interviewees his righteousness (M4-122), resilient, his moral integrity (F6-77), and his fearlessness in dedicating his life to his country (M2-72). There is also Zhou Enlai’s ambitious pursuit of “Reading for the rise of China” (M4-62), Mao Zedong’s sense of family and country and the importance he attached to learning (M5-43), and Qian Xuesen’s strict demands on himself during his research (M4-126). The interviewees also made many references to literary figures, such as Li Bai, a poet of the Tang dynasty, whom several interviewees mentioned for his free and ease in the face of frustration (M2-92, M6-30), and his ability to show his spontaneous side in life and learn things spontaneously(M5-54). As well as the ambition of Du Fu showed in his poem “When you are standing on the peak, you are on top of the world” (M5-36), and his sense of responsibility (M1-91, F3-56) reflected in his other poem, “To Emperor Yao and Shun, and to make the customs simple again” (M1-91, F3-56). They also talked about Su Shi’s open-mindedness (F8-79; M6-9) and cheerfulness (M5-29) in the face of adversity, who is a famous poet, calligrapher, gourmet, and hydraulic expert in the Northern Song Dynasty; and also the inner peace(M6-15) and indifference (F3-53) of Tao Yuanming (a famous idyllic poet in the Eastern Jin Dynasty) from his poem “I pick fence side asters at will; carefree I see the southern hill,” and so on.

In addition, the spirit of Chinese culture is also reflected in some allusions and some historical events in ancient and modern times, for example, “Mencius’ mother moves her home three times to better her son’s education” (F1-60), “Che Yin makes use of the light of fireflies or the reflected light by the snow to study” and “Kuang Heng dug a small hole on the wall in order to get some light from the neighbor’s house to read books” (F1-61; F8-34). These allusions convey the importance of studying hard even when conditions are limited. Also, the revolutionary spirit of the May Fourth Movement shows that young people are not afraid of sacrifice (M4-29), and the New Democratic and Industrial Revolution embodied the unity of the Chinese people (M7-91).

Characteristics of mentally healthy college students based on Chinese culture

There are eighteen characteristics of mentally healthy college students based on participants’ understanding of Chinese culture as described above, which is coded into five core themes: (1) value pursuit, (2) life attitude, (3) interpersonal ideal, (4) behavior ability, and (5) self-cultivation. It can be seen that the vast majority of the mental health characteristics reflect traditional Chinese culture, which is constantly being passed down and changed, with the remainder reflecting the influence of modern Chinese culture. The five themes and corresponding characteristics are shown in Table 2 . The results are presented below, and the participant’s identifier follows quotations.

Value pursuit

Value pursuit refers to an individual’s understanding and practice of life ideals and beliefs after integrating social consciousness, such as worldview, life view, and values. Participants described that mentally healthy college students based on Chinese culture have strong beliefs and goal pursuits of contributing to the motherland. They exhibit profound loyalty towards their motherland, viewing its service as their sacred duty, and are steadfast in their resolve to contribute through bold exploration, even in the face of daunting challenges or the prospect of personal sacrifice. This theme directly reflects the Chinese Confucian culture of “Self-cultivation is the starting point of several steps moving outward. The next step is managing family affairs, followed by governing the state. The final step is moving to provide peace and sound governance to all under heaven” and “To be the first in the country to worry about the affairs of the state and the last to enjoy oneself.” The following three subthemes were identified regarding students’ value pursuit.

(1) Loving their motherland and identifying with their culture

First and foremost, mentally healthy college students love their country and are firmly convinced that they want to identify with it. Twelve interviewees emphasize that mentally healthy college students should embody love for their country, cultural identification, and a profound sense of belonging and national pride. On the one hand, they are patriotic and loyal to their motherland and have high moral characters. For example, one participant said, “ like the patriotism in Yue Fei (a famous military man, strategist, calligrapher, poet, and national hero in Chinese history, and was the first of the Four generals rebuilding the Song dynasty). His patriotism and loyalty are also what a mentally healthy college student should have ” (#M6-54).

On the other hand, they identify with the country, nation, and culture from the heart and are proud of the motherland. Another participant said, “ Mentally healthy college students should have a real sense of cultural identity. Furthermore, a Chinese should identify with the traditional Chinese culture …… ” (#F3-110).

(2) Having a sense of responsibility and mission and being willing to dedicate oneself to the country at any time

In addition, mentally healthy college students have a firm sense of mission and responsibility to the motherland. Ten interviewees assert that mentally healthy college students should exhibit a sense of national responsibility, ambitious aspirations, and a readiness to devote themselves to their homeland wholeheartedly. Mentally healthy college students should have ambitious ambitions. As M1-75 said: “ ‘To ordain conscience for Heaven and Earth, to secure life and fortune for the populace, to carry on lost teachings of ancient sages, to build peace for posterity’ (Zhang Zai: Heng Qu Yi Shuo), which can also reflect the looks of a mentally healthy college student. ”

The most important thing is to be willing to contribute to their motherland, even at the expense of oneself. Another participant said, “ Mentally healthy college students do not think about personal gains and losses too much but put their country and nation before themselves, ……, ‘Death is not my concern should it benefit the country. How can I pick and choose for my loss or gains?’ (Lin Zexu) …… ” (#M7-22).

(3) Daring to criticize, explore, and innovate

At the same time, mentally healthy college students have the quest and conviction to keep climbing to the top. Sixteen interviewees believe that mentally healthy college students are enterprising, daring to criticize, explore, and innovate to contribute to their country’s development. Mentally healthy college students are active, enterprising, and have goals and plans. One participant said, “ I think mentally healthy college students should have goals and plans for themselves ” (#M6-3). They also have critical thinking and exploratory spirit and will keep innovating. As F7 said, “ If you are a mentally healthy college student, you also need some innovative spirit to break through …… ” (#F7-59). Also, they are willing to explore and contribute to the country’s development, as M4 said: “ Mentally healthy college students should be like Qian Xuesen (also known as Tsien Hsue-she), who has a strong spirit of patriotism. He devoted himself to scientific research, and after countless attempts and explorations, he finally launched the first atomic bomb for China …… ” (#M4-124).

Life Attitude

Life attitude is an individual’s understanding and reaction to things that happen in daily life. Participants highlighted that maintaining a positive, optimistic, dialectical, and open-minded stance towards setbacks and challenges is a key characteristic of mentally healthy college students. This theme directly reflects Chinese culture: “Someday, with my sail piercing the clouds, I will mount the wind, break the waves, and traverse the vast, rolling sea.” and “It is blessed to suffer losses.” The following four subthemes regarding students’ life attitudes were identified.

(1) Loving life and being positive

Mentally healthy college students hold positive attitudes about life. Fourteen interviewees believe that mentally healthy college students exhibit optimistic attitudes toward life. Mentally healthy college students approach life optimistically, viewing it as brimming with hope. As F9 mentioned, “ I think I am mentally healthy because I am quite positive and optimistic about life, and I will face it positively even if there are some bad things ” (#F9-149). Moreover, they love life and experience life from their heart, “ I think mentally healthy college students can live a good life. Particularly, they can still maintain a love for life, have something they want to do, have the energy to fight or to live. ” (#M2-2). They always think life is full of meaning. As F1 said, “ I think some of the cases (of mental ill health) are because they have lost hope in life and do not want to do anything ” (#F1-47).

(2) Staying positive and having the ability and quality to cope with hardships

Mentally healthy college students possess a positive attitude towards suffering and setbacks. All interviewees believe that mentally healthy college students have a positive view and the qualities of coping with suffering when facing life difficulties. They will not shy away from adversity; instead, they proactively address issues, surmount obstacles, and manage them with composure. When facing difficulties or setbacks, mentally healthy college students maintain constructive beliefs. As one participant said: “ ‘Just as heaven keeps moving forward vigorously, a man of virtue should strive continuously to strengthen himself’ (The Change of Book). And ‘When Heaven intends to confer a great responsibility upon a person, it first visits his mind and will with suffering, toils his sinews and bones, subjects his body to hunger, exposes him to poverty and confounds his projects. Through this, his mind is stimulated, his nature strengthened, and his inadequacies repaired’ (Mencius). A mentally healthy college student should be like as described in these statements. ” (#F9-25).

They also exhibit the qualities to cope with hardships, such as striving continuously to strengthen themselves, being indomitable, resilient, enterprising, and so on. “ I think indomitable also reflects the self-control mentioned earlier, that is, they will not give up even after experiencing more difficulties ” (#M4-136).

Furthermore, they can analyze and resolve problems amid adversity and challenges, effectively overcoming them. “ For a long time, when my friends and I encounter setbacks, crises, or challenges, I always use this phrase to encourage myself and others to handle it calmly, ‘to be unchanged in front of the collapse of the mountain Tai, and to face danger without being surprised when it suddenly comes in front of you.’ ” (#M7-6).

(3) Being flexible and dialectical

Mentally healthy college students have a dialectical attitude towards life. Ten interviewees noted that mentally healthy college students demonstrate critical thinking skills by approaching situations objectively, comprehensively, and dialectically. These dialectical concepts, attitudes, and behaviors when facing negative things in life are also characteristics of mentally healthy college students. One participant said, “ Mentally healthy college students should be as objective and comprehensive as possible when dealing with things ” (#F3-118). They do not dwell on the present and have a positive attitude toward the future, “ There are plenty of fish in the sea. Do not miss the whole forest because of a tree. Even if you are sad about a breakup, do not cling to the past, but try to live a new life ” (#M7-12).

Furthermore, they think dialectically and believe that all sufferings have its reward. As F1 said: “ A saying goes that ‘Someday This Pain Will Be Useful to You,’ which means that it is not always bad to suffer Loss; think long term. For example, one may sometimes feel that their interests are being threatened in interpersonal relationships. However, if they are particularly concerned about this, it will make them uncomfortable, while if they are generous or forgiving, their heart will become more open ” (#F1-24).

(4) Being inclusive and broad-minded

Mentally healthy college students have an open-minded attitude toward life. Sixteen interviewees believe mentally healthy college students are tolerant, broad-minded, and open-minded. Both for themselves and others, mentally healthy college students hold tolerant attitudes. A participant said, “ I may lack a little tolerance for others because I am always strict with myself, so I may sometimes be strict with others. So, from this point of view, I think my mental health level needs to be further improved ” (#M2-79). They are broad-minded (“ Be magnanimous, as the saying goes, ‘A prime minister’s mind should be broad enough for poling a boat,’ which is a sign of college students’ mental health, advising people to look at whatever things a little more openly ”, #F6-34).

Moreover, even in the face of life’s misfortunes, they are also very liberal and open-minded, able to accept them openly. As M6 mentioned, “ One should also have positive and healthy perceptions. Su Shi, a famous poet, calligrapher, gourmet, and hydraulic expert in the Northern Song Dynasty, openly accepted the fact that he was deprived of his official position. Instead of being depressed daily, he lived an easy and interesting life, free and relaxed ” (#M6-9).

Interpersonal ideal

Interpersonal ideals refer to the pursuit and aspiration of individuals to achieve the best in interpersonal communication and good relationships. According to these interviewees, the characteristics of mentally healthy college students can be divided into general and specific interpersonal relationships. Regarding general interpersonal relationships, mentally healthy college students are friendly and kind, and their interactions with others are harmonious and comfortable. When navigating specific relationships like those with parents, they are filial but have rational thinking; in terms of friendship and romantic partnerships, they pursue ideal and pure relationships. This theme is a direct reflection of Chinese culture: “benevolence,” “harmony is precious,” “The relations between men of virtue are plain like water,” “filial piety,” and so on. The following four subthemes were identified regarding students’ interpersonal ideals.

1） Being benevolent and kind

Mentally healthy college students are benevolent and kind in their interactions with others. Thirteen interviewees believe mentally healthy college students are kind-hearted, compassionate, sincere, caring, and helping others without discrimination. Mentally healthy college students are benevolent and have compassion for others; as M7 mentioned, “ When I met beggars on the road, …… whether they are pretending or be, I am always willing to give them some money…… ” (#M7-54). They are kind-hearted (“ I think a person should be at least kind-hearted; he may have that kind of empathy inside, have that kind of emotion for either other people or animals, ……, and have a softer heart, which also reflects the mental health of college students ,” #F6-45). They treat people gently and friendly (“ Laozi and Confucius look gentler than others, I feel that this characteristic in them also indicates the mental health of college students ,” #M3-73).

Furthermore, they are helpful and kind to others. As one participant said, “ Imagine this: You’re in a crowd, and a bike tumbles to the ground. Everyone is looking around, unsure of what happened. Now, you’re caught in a bind: Should you lend a hand or stay back to avoid being wrongly accused? Despite the chance of misunderstanding, I feel it’s crucial to step up and help. Ignoring the situation just doesn’t sit right with me—it goes against everything I believe in. ” (#F5-161).

2） Interpersonal harmony and comfort

Mentally healthy college students have a harmonious and comfortable interpersonal state. All interviewees agree that mentally healthy college students exhibit pleasant character and interpersonal adeptness, adhere to fundamental Chinese cultural values, and maintain a more harmonious and comfortable relational environment compared to their peers. Mentally healthy college students experience interpersonal harmony and comfort; one interviewee said, “ A mentally healthy college student has better interpersonal relationships, ……and has a comfortable social state ” (#F1-17). In interpersonal interaction, they prioritize harmony (“ I quite agree with the saying ‘Peace is of paramount importance. Since we are studying together, it is important to take care of each other and try to understand each other ”, #M3-49). Besides, they have good interpersonal interactions (“ ones’ mental health, I think, also shows more in whether they can deal with interpersonal relationships with people around them, …… whatever kind of people may meet, they can deal with the relationship well ”, #F6-9).

Moreover, they appreciate others (“ If other people have gained a certain amount of academic achievement, …… if he is (mentally) healthy, he may be happy for others’ success, achievement ”, #M7-33). Also, they can resolve conflicts or contradictions in interpersonal relationships (“ There is no perfect person; for example, if they cause harm to others, they can recognize their mistakes and apologize timely and honestly ,” #M6-101).

Furthermore, they follow many guidelines to create a harmonious and comfortable interpersonal state. As F3 mentioned, “ I think, when it comes to some unimportant things, it is important not to bother others like that…… one should have the sense of proportion ” (#F3-39).

3） Having a soul mate

Mentally healthy college students seek to have a soul mate in specific friendships or romantic partnerships. Nine interviewees suggest that mentally healthy college students possess the ability and quality to communicate and empathize with others on a deep spiritual level and form corresponding friendships or romantic relationships. Whether in friendship or romantic relationships, mentally healthy college students have the correct attitude toward interaction, as F8 said, “ For example, Zeng Gong and Wang Anshi (both politicians of the Northern Song Dynasty), …… They become good friends for life not based on interests, but on their appreciation of each other, and the same values, which I think mental health of college students should always be ” (#F8-67).

They emphasize the spiritual level of communication more than pursuing each other’s company. They have a more high-quality and pure relationship, in friendship or romantic relationships. As F6 said: “ ‘The friendship of a noble person is as pure as water.’ (Chuang-Tzu). Put simply, relationships should be genuine and straightforward, free from fame-seeking or ulterior motives; Just like the story of Boya and Ziqi, mentally healthy students might find a companion who truly gets them, connecting on a spiritual and empathetic level…… ” (#F6-38). It is the same with romantic relationships, as M6 mentioned, “ When you read the poem of Su Shi, for example, ‘Ten years parted, one living, one dead; Not thinking; Yet never forgetting; A thousand Li from her lonely grave; I have nowhere to tell my grief……’ The affection between him and his wife is so deep that it is enviable ” (#M6-42).

4） Showing filial respect to parents appropriately

Mentally healthy college students have rational conceptions of filial piety towards their parents and appropriate, respectful behavior. Eleven interviewees believe mentally healthy college students are filial and rational in their interactions with their parents. Mentally healthy college students show filial piety to their parents appropriately. On the one hand, they practice filial piety by accompanying their parents, communicating more with them, caring for them, repaying them, and so on. As F5 mentioned, “ ‘Our bodies—to every hair and bit of skin—are received by us from our parents’ (Xiao Jing). Mentally healthy college students are grateful and respectful, often care for their parents, and spend more time with them ” (#F5-109).

On the other hand, they also have rational thinking rather than unprincipled obedience regarding filial piety’s “cognition” aspect. As one participant said, “ Not just any kind of filial piety, that is, you should have your thinking and judgment…… ” (#F3-105). Another participant said, “ Proper filial piety is an aspect of college students’ mental health, not that they are obedient to their parents. When they disagree with parents, they can communicate more with parents and let themselves be understood ” (#M5-102).

Behavior ability

Behavior ability refers to the ability of an individual to behave appropriately. According to these interviewees, mentally healthy college students have a variety of behavioral abilities, such as adapting to different environments, learning well, and regulating their emotions. This theme directly reflects the Chinese culture: “Those who obey heaven survive, and those who defy heaven perish,” “learn without thinking is reckless, think without learning is dangerous,” and “When joy, anger, sorrow, and happiness are not yet expressed as a response to other things, they are in a state of balance. When they are expressed in words and deeds by the rites, harmony is achieved. “The following three subthemes were identified regarding students’ behavior ability.

(1) Adapting to the environment

Mentally healthy college students can adapt to the environment. Seven interviewees believe that mentally healthy college students can adapt to different environments. Adaptability is reflected on the one hand in the interpersonal aspects (“ There is also the adaptation to the university environment. Mentally healthy college students can integrate into groups and clubs, and actively participate in club activities ”, #F2-16). Also, they can adapt to different environments (“ I think social adaptability is quite important…… I went to work part-time this summer, but I feel that I have just been exposed to it ”, #F9-10). Moreover, they also show adaptability to adversity (“ I think mentally healthy college students also can adapt to adversity…… ”, #M5-70).

(2) Studying diligently and learning well

Mentally healthy college students can learn well. Thirteen interviewees suggest that mentally healthy college students exhibit a positive learning attitude, take ownership of their learning, maintain a continuous learning process, and demonstrate good study habits. They learn earnestly and diligently and have good learning attitudes (“ College students with good mental health will keep learning, have the initiative to learn, down-to-earth. Moreover, if they work by fits and starts (Cao Xueqin: The Dream of Red Mansions), there will not be a good result ”, #F5-64).

They also actively take responsibility for learning. As F10 said, “ Responsibility is fundamental. The primary task for students is studying. One should stay in one’s lane ” (#F10-83). Besides, they are good at learning (“ I think Lu Xun, who gave up medicine to pursue literature, …… has a powerful ability to learn ”, #F9-71). In addition, they study diligently and accumulate knowledge. As M2 mentioned, “ Since I have to prepare for the entrance examination, I have to memorize words and take lessons every day. That is, ‘But unless you pile up little steps, you can never journey a thousand li; unless you pile up tiny streams, you can never make a river or a sea.’ (Hsun-Tzu: Encouraging Learning), …… I realized that what I do daily is important ”, #M2-93).

(3) Being emotionally appropriate and can regulate emotions

Mentally healthy college students can regulate and manage their emotions. Nine interviewees posit that mentally healthy students display emotional appropriateness and stability, promptly and effectively managing their emotions. Emotions are often regarded as the signal light of mental health. Thus, mentally healthy college students are emotionally appropriate and relatively stable, “ A mentally healthy college student should be emotionally stable, …… ‘The master was mild, and yet dignified; majestic, and yet not fierce; respectful, and yet easy’ (The Analects). One should have a suitable emotion in which state ” (#F3-78).

Moreover, when encountering adverse events, they have the ability to regulate their emotions. As one participant mentioned, “ A mentally healthy college student can control his emotions and regulate his emotions ” (#F6-1). At the same time, they can adjust themselves in appropriate and healthy ways in time, “ when he meets some bad things, he can just communicate with others, exercise…… instead of drinking or even hurting himself ” (#F8-10).

Self-cultivation

Self-cultivation refers to the inner quality or state an individual constantly improves or achieves through long-term efforts and cultivation. According to the interviewees, mentally healthy college students advocate the continuous improvement of self-cultivation. They try to possess many excellent qualities of Confucianism, Buddhism, and Taoism and perfect them daily by having clear and objective self-knowledge and constantly reflecting on themselves to improve their cultivation. This is a direct reflection of the Chinese culture of “no end to learning” and “Seeing the virtuous and thinking of the wise, seeing the unwise and introspecting”, and so on. The following four subthemes regarding students’ self-cultivation were identified.

(1) Having an objective, positive perception of oneself and can accept one’s mediocrity

The constant improvement of mentally healthy college students’ self-cultivation first requires a clear perception of oneself. Eleven interviewees believe mentally healthy college students have a positive, comprehensive, and clear understanding of themselves. They know their strengths and weaknesses and can accept their mediocre and weak sides, “ For example, an Olympic weightlifter, he can only lift 50 pounds, but he had to go lift 100 pounds…… A mentally healthy person should clearly understand themselves and do according to one’s abilities… ”, #F8-33). They also have a positive view of themselves, “ ‘All things in their being are good for something’ (Li Bai: Invitation to Wine); one should not think too lightly of themselves when disillusioned. They can certainly play their usefulness in life, cannot improperly belittle oneself ” (#F9-35). Furthermore, they can also accept their mediocrity and weakness, “ I think there is also a significant point, which is to accept their mediocrity gradually…… ” (#F1-8).

(2) Being confident and also modest

The constant improvement of mentally healthy college students’ self-cultivation also requires an objective perception of oneself. Thirteen interviewees believe that mentally healthy college students are confident and able to stick to what they believe is correct while also being modest. According to a participant, mentally healthy college students believe in themselves, “ This point of believing in oneself in Qian Xuesen is probably also what a mentally healthy college student should have…… ”, #M4-128). They are assertive and can stand firm on their ideas (“ When faced with two choices, mentally healthy college students listen to others’ opinions and at the same time stick to their ow n,” #F4-77). At the same time, they are also modest (“ A saying goes that, ‘Modesty helps one go forward, whereas conceit makes one lag.’ In my opinion, mentally healthy students may not be so proud of themselves……”, #F5-36). Furthermore, they are not overly confident or modest (“Both confidence and modesty in a mentally healthy college student are appropriate and balanced, that is, I think it is necessary to be confident but also modest……, ” #F7-109).

(3) Focusing on introspection and contemplation to align with the sages

Mentally healthy college students improve themselves through constant introspection. Ten interviewees believe mentally healthy college students focus on introspection and are strict with themselves. They constantly check the gaps to seek progress and expand their horizon. Specifically, mentally healthy college students often reflect on themselves (“ ‘I daily examine myself on three points……’ (The Analects) which I think reflects the mental health of college students, that is, whether you are doing your best in the team…… ”, F2-35). They are also strict with themselves, “ As the sayings go, ‘You cannot expect a better world without cleaning your room first,’ although Du Fu (a famous poet of the Tang Dynasty) is said to be very talented, if one cannot do small things well, like cleaning the house, he can do nothing else well ” (#M5-52).

Moreover, they make constant progress and look to the virtuous, “ ‘When you see a person of virtue and capability, you should think of emulating and equaling the person; when you see a person of low caliber, you should reflect on your weak points’ (The Analects). Mentally healthy people also constantly learn from the strengths of others and reflect on their weaknesses ” (#M2-34).

(4) Possessing good qualities advocated by Confucianism, Buddhism, and Taoism, which coexist harmoniously

The highest level of self-cultivation for mentally healthy college students is to possess many good qualities of Confucianism, Buddhism, and Taoism, which together become the characteristics of mentally healthy college students. Sixteen interviewees suggest that mentally healthy college students exhibit strong moral characteristics and virtues from Confucianism, Buddhism, and Taoism, all coexisting harmoniously. Mentally healthy college students have the excellent qualities of Taoism, such as being calm and bland, indifferent to fame and fortune, and peaceful and happy. As the participants said, “ This sense of ordinariness, which I think may also be a necessity for mental health…… ” (#F7- 34); “ Mentally healthy college students are calm and relaxed, take the rough with the smooth; they have confidence in themselves and take it easy ” (#M7-35).

Moreover, they have the excellent virtues of Confucianism, such as benevolence, righteousness, rites, wisdom, and good faith. As F3 said, “ Mentally healthy college students must be good in these virtues, like ‘loyalty, filial piety, rites, wisdom, good faith, and courage’…… ” (#F3-90). Another participant mentioned, “ After comparing so many fictional characters, it is hard for me to use words to describe him (Qiao Feng), …… very filial and loyal, very righteous, …… doing things very fairly, … … ”, #M6-59).

Besides, they also obtain the main qualities of Buddhism, such as gratitude and kindness (“ ‘Moral character can be built by accumulating goodness’ (Hsun-Tzu: Encouraging Learning). A mentally healthy college student does good deeds, such as attending activities as a volunteer…… ” #F2-30). As F9 said, “ Also, mentally healthy college students often remember others’ kindness and are grateful, and then be nice to others, as the saying goes, ‘You throw a peach to me, I give you a white jade for friendship.’ (The Book of Songs) ”, #F9 -112).

The study identified five themes and 18 characteristics of mentally healthy college students within Chinese culture. These characteristics are deeply rooted in Chinese traditions, highlighting yin-yang balance and moral cultivation. They related closely to college students’ identity, learning stage, and age. Contrasting with characteristics of other cultural backgrounds, they showcase the impact of Chinese culture on college students, validating and expanding the theory of sociocultural models.

Comparison with previous studies

Firstly, compared to existing research on the characteristics of mentally healthy college students, this study presents novel findings and unique insights. Consistent with other related studies rooted in Chinese culture, both this study and previous research accentuate that the characteristics of mentally healthy college students encompass facets such as self-awareness, interpersonal relationships, emotional regulation, and positive learning traits. For instance, Wang (1992) posited that mentally healthy college students exhibit characteristics focusing on self-awareness, interpersonal adeptness, and emotional regulation [ 32 ]. Similarly, Zeng (2021) described the characteristics of mentally healthy college students, highlighting their emotional state, academic performance, and interpersonal skills [ 33 ].

Some characteristics revealed in our study diverge from those proposed in prior research concerning their specific connotations. Taking emotional regulation as an example, the research of Zeng (2021) and Wang (1992) primarily emphasized affirming positive emotions. They depicted mentally healthy college students as “positively emotional and controllable” or “possess the capacity to coordinate and manage emotions effectively, sustaining a positive mood.” In contrast, the characteristic identified in this study of “being emotionally appropriate and can regulate emotions” not only encompasses positive emotions but also includes negative feelings, emphasizing the timely and moderate expression of both. This directly reflects the Confucian concept of “Zhongyong” (doctrine of the mean) in Chinese culture, which advocates for moderation in all things, whether positive or negative. Therefore, it is evident that college students’ mental health is closely intertwined with the concept of moderation. Individuals can achieve mental health in various aspects by expressing emotions moderately, whether positive or negative.

Furthermore, this study has identified characteristics not previously mentioned by Chinese scholars, such as “showing filial respect to parents appropriately.” Filial piety is a unique social behavior within Chinese culture, embodying a comprehensive and intricate ethical framework [ 58 ]. Chinese society dramatically emphasizes family values, where treating parents well and acknowledging their upbringing is paramount. Therefore, if one is not filial, one cannot be said to be mentally healthy. However, with the evolution of societal norms, the essence of filial piety has transformed. Recent research reveals that contemporary society no longer adheres to traditional interpretations of filial piety solely through obedience to parents [ 59 ]. This shift signifies that mentally healthy college students now approach filial piety differently, manifesting altered perspectives, attitudes, and behaviors toward this concept. In ancient China, departing from one’s hometown to pursue education and personal growth was discouraged, as staying by one’s parents’ side was deemed the epitome of filial piety. As Confucius stated, “While the father and mother are living, do not wander afar” ( The Analects ). However, today, individuals are encouraged to venture afar to contribute meaningfully to their country and society [ 60 ]. As a result, modern manifestations of filial piety among mentally healthy college students involve not just reverence, care, and support for their parents but also underscore the significance of preserving autonomy and independence while fulfilling their familial duties.

Secondly, upon comparing our findings with research from other cultural backgrounds, it becomes apparent that our results diverge significantly from those of Western culture but align closely with research outcomes from Africa and Asia.

In the West, the understanding of mental health emphasizes enhancing personal belonging, satisfaction, and well-being, which is very different from Chinese culture, which emphasizes self-sacrifice and self-elimination [ 61 ]. Although this study was conducted in a qualitative study of a group of college students in very good mental health, a research perspective similar to Maslow’s research on self-actualizers, there were significant differences in the specific characteristics of these healthy individuals in different cultures. In particular, this study did not address the characteristics of self-actualizers noted by Maslow, such as “the mystic experience: the peak experience” and “philosophical, unhostile sense of humor,” which emphasize excellent personal features. The characteristics identified from this study emphasize individuals’ relationships with the country and family. Such as “loving their motherland and identifying with their culture,” “having a sense of responsibility and mission and being willing to dedicate oneself to the country at any time,” and “Showing filial respect to parents appropriately.” These characteristics are the direct expression of Chinese culture in terms of devoting oneself to the country and being filial to parents, which were not found in the results of Maslow’s study.

On the other hand, this study aligns more closely with research findings from African and Asian cultural backgrounds. For example, in the view of caregivers in Africa and Asia, mentally healthy individuals are people who contribute to the community and spend an enjoyable time in groups [ 28 ]. Thus, college students with good mental health can meet precise requirements at different levels: the individual and others, the individual and the family, and the individual and the nation, which is more of a relationship-oriented “big self” [ 62 ].

Thirdly, this research’s findings correspond with certain facets of the 24 character strengths and 6 virtues outlined in positive psychology, yet they also reveal disparities in specific aspects.

With the burgeoning of the positive psychology movement, some researchers have suggested that people with good mental health are not articulated merely as the absence of mental illness but as people who possess positive qualities, such as being highly resilient and well-being [ 63 ]. Seligman and colleagues summarized 6 virtues and 24 character strengths contributing to a good life [ 64 ], which have garnered wide attention. A point of convergence is that some positive psychological qualities emphasized by the characteristics identified in this study align with those highlighted in positive psychology. For instance, the characteristic of “being benevolent and kind” identified in this study emphasizes that mentally healthy college students are compassionate and kind. Similarly, one of the 6 virtues in positive psychology is humanity, which also focuses on kindness.

Nonetheless, notable distinctions exist between this study and the character strengths or virtues proposed by positive psychology. Firstly, in terms of the connotation of similar qualities, there are variations between the two. For example, the quality of “modesty” as a traditional Chinese virtue holds different implications than the Western perspective on “humility.” Modesty in Chinese culture carries much richer connotations than in the West, and core characteristics such as being open-minded, down-to-earth, and striving for improvement are unique to Chinese culture [ 65 ]. Additionally, while positive psychology views humility as an important but standalone character strength, this study found that mentally healthy college students are “being confident and also modest,” with modesty and confidence blending and coexisting harmoniously. This aligns with the encouragement of self-esteem, confidence, and self-improvement among the younger generation in China in recent years [ 66 ]. However, Chinese people still highly value modesty as a virtue while simultaneously emphasizing confidence. These seemingly contradictory qualities of confidence and modesty are valued, reflecting the dynamic balance of “yin and yang” in Chinese culture [ 67 ].

More importantly, this study has uncovered additional positive qualities beyond the 24 character strengths, such as “being inclusive and broad-minded”.These qualities carry strong moral attributes; in other words, possessing these moral qualities is essential for mental health. Confucianism emphasizes social morality, self-cultivation, and the development of a gentleman-like sage personality [ 68 ]. Self-cultivation is the basis for the ethical construction of family and society to perfect the ideal personality of governing the state and pacifying the world. The concept of “sageliness within and kingliness without” underscores this philosophy [ 69 ]. The characteristic “being inclusive and broad-minded” implies that mentally healthy college students exhibit tolerant and open-minded attitudes, embracing the principles of “Harmony, but Not Uniformity” and “The sea admits hundreds of rivers for its capacity to hold”(Chinese idioms) when encountering diverse viewpoints or adversity. Therefore, a mentally healthy college student possesses virtues such as tolerance and open-mindedness, showcasing solid moral values. In essence, college students’ mental health is intertwined with their moral attributes. A mentally healthy individual must embody essential moral qualities, which serve as markers of their overall well-being. Acknowledging the significance of moral virtues in defining and nurturing mental health among college students is crucial.

Validation and extension to the theory of sociocultural models

Firstly, this study validates the theory of sociocultural models. On one hand, this study confirms how culture influences individual psychology as proposed in the theory of sociocultural models. In this study, psychological entities represent the characteristics of mentally healthy college students that guide their thoughts, behaviors, and attitudes. According to the findings of this study, Chinese traditional culture plays a significant role in shaping these characteristics. For example, the patriotic sentiments of important historical figures such as Wen Tianxiang and Yue Fei, as well as the thoughts of traditional Chinese culture such as “Death is not my concern should it benefit the country. How can I pick and choose for my loss or gains?” (Lin Zexu: Two poems for family members on the way to the garrison ”) and “To ordain conscience for Heaven and Earth, to secure life and fortune for the populace, to carry on lost teachings of ancient sages, to build peace for posterity’ (Zhang Zai: Heng Qu Yi Shuo ) are internalized in the characteristics of “Having a sense of responsibility and mission and being willing to dedicate oneself to the country at any time.” The country cultivates college students as pillars of talent, and Confucianism teaches “To be the first in the country to worry about the affairs of the state and the last to enjoy oneself.” (Fan Zhongyan: The Yueyang Tower ). Thus, studying is not only for personal development but also for a sense of responsibility and contribution to the country, which arguably demonstrates the mental health characteristics of the specific group of college students with distinct traditional Chinese cultural connotations. Such findings align with the theory of sociocultural models, emphasizing how people internalize societal culture into their psychological entities to regulate their psychological activities.

On the other hand, this study validates how individual psychology externalizes and promotes the generation of new culture as proposed in the theory of sociocultural models. During China’s modernization, people have realized that only by daring to break through the shackles of existing ideas and exploring innovative development opportunities can the country move forward and develop sustainably. Many people have overcome difficulties and carried out the revolution, construction, and innovation in constructing Chinese socialism. Their love for the country and their sense of mission made them always meet the challenges of national reconstruction with high morale and perseverance [ 70 ]. Especially since the reform and opening-up, people’s minds have been fundamentally liberated, and the spring of scientific and technological progress has been ushered in. Their precious spiritual wealth, such as the characteristic of “daring to criticize, explore, and innovate,” has facilitated the development of new cultures like Chinese revolutionary and socialist cultures in modern times. Such findings align with the theory of sociocultural models, highlighting how group members externalize their psychological entities and transform them into new social cultures through social interactions and co-construction with existing social cultures.

Secondly, this study expands the content of the theory of sociocultural models. Due to a lack of specific pathways depicting the interaction between culture and psychology in the theory of sociocultural models, this study found that the significant carriers of interaction between culture and individual psychology are the spiritual world presented by historical and modern figures mentioned by the interviewees, as well as tangible worlds such as Chinese characters, poetry, martial arts, and art. These aspects of Chinese culture are internalized by college students as part of their psychological entities, guiding their words and actions and also shaping their perception of mental health. Conversely, the psychological entities of college students, such as the emergence of new concepts like “daring to criticize, explore, and innovate” in the construction of a new China, are transformed into emerging cultures, such as Chinese socialist culture through the role of figures like Qian Xuesen and stories as carriers.

Strengths, limitations, and future research

This study possesses several strengths. Firstly, it is the first attempt to systematically explore the characteristics of college students’ mental health entirely based on Chinese culture. The 18 identified characteristics directly convey or reflect aspects of Chinese culture, significantly enriching the comprehension of college students’ mental well-being within the context of Chinese culture. Secondly, the study adheres to the elite principle research paradigm by using elite samples as participants. Consequently, the outcomes comprehensively delineate the characteristics of mentally healthy college students possessing an excellent psychological state rooted in Chinese culture. These findings not only provide an ideal model for nurturing mental health among college students but also engender fresh insights into mental well-being, culminating in a novel benchmark for mental health standards. Thirdly, this study delves into the unique characteristics of mentally healthy college students within Chinese culture from the students’ firsthand experiences. In contrast, prior scholars predominantly offered personal opinions on the characteristics of mentally healthy individuals based on their experiences, lacking the direct perspectives of college students.

This study also has some limitations. As a qualitative study, the nature of this research inherently limits the applications of its conclusions. Focused primarily on college students, generalizing the findings to other groups in China (such as civil servants) may be constrained. Moreover, this study exclusively examines Chinese college students without conducting cross-cultural research. The absence of direct comparative studies fails to highlight variations in mentally healthy characteristics across diverse cultures. For instance, the absence of a comparative study between Chinese and students from other cultures (such as American college students) hindered exploration into the distinctive characteristics and differences of mentally healthy college students from varying cultures. Consequently, extrapolating the results of this study to other cultural contexts also has its limitations. Despite some similarities between Chinese culture and certain cultures in Asia and Africa, direct inferences also have significant constraints.

Furthermore, in terms of understanding culture, there is no conclusive definition of what culture is and what Chinese culture is. Scholars have put forward many understandings and definitions of Chinese culture from different perspectives. Understanding and defining Chinese culture are still in the exploratory stage, which challenges this study. The researcher’s understanding and mastery of existing relevant knowledge are somewhat limited regarding the formation of research results and the depth of analysis and discussion.

Future research could consider the following aspects. Firstly, a comparative study of the characteristics of mentally healthy people in different cultural groups can be conducted. Since individualistic/collectivistic cultures influence Americans and Chinese to be more expressive of private selves/collective selves, and religious cultures also influence individual self-esteem [ 71 ] and form religious selves [ 72 ]. Therefore, some comparative studies with students from different cultural backgrounds can be conducted in the future. For example, a comparative study with three groups of college students from the United States, China, and India can be considered to compare whether there are differences in the characteristics of mentally healthy college students from different cultures. Secondly, some quantitative studies can be considered. For example, future research could refine specific characteristics identified in the study, like “being flexible and dialectical,” for more specific operational definitions and develop a scale to measure the mental health of different groups to validate how these characteristics are manifested in university students or other groups so that more further research could be conducted using this new scale, which may help facilitate replication of the findings. Thirdly, based on continuous learning and accumulation of Chinese culture, future research can do in-depth excavation and exploration of the manifestation and nature of these mental health characteristics. For example, future research could select the characteristics reflecting the culture of filial piety or Zhongyong culture and explore how these cultures change and develop into mental health characteristics with the development of science and technology, the change of social structure, and the collision of Chinese and Western cultures, which may also be of great significance.

Practical implications

The Chinese culture has rich treasure resources and cultivated Chinese character traits, characteristics, and lifestyles. The results of this study show that many attitudes, ideas, and behaviors espoused by Chinese culture are manifestations of mental health. In particular, this study found the characteristics of mentally healthy college students based on Chinese culture, which is culturally applicable and more suitable for promoting the mental health of Chinese college students and can provide essential references and bases for mental health education and clinical practice.

On the one hand, this study can provide an overall theoretical framework for developing mental health courses for college students. Mental health courses are the most important and direct form of mental health education for college students in China, and they are also the primary way to improve the psychological quality of college students. The Ministry of Education requires colleges and universities to offer mandatory public courses on mental health for undergraduate students [ 73 ]. However, current mental health courses for Chinese college students rely mainly on Western mental health-related definitions, theories, and techniques for delivery [ 74 , 75 ]. The five themes and 18 characteristics discovered in this study are systematic, providing a comprehensive and systematic theoretical basis for college students’ mental health courses.

In particular, the five themes discovered in this study—values pursuit, life attitude, interpersonal ideals, behavioral ability, and self-cultivation—can be employed as the central pillars for teaching and setting objectives in a college student mental health course rooted in Chinese culture. Furthermore, the 18 identified characteristics can form each lesson’s fundamental content and learning goals, establishing a comprehensive framework. For instance, the characteristics “being confident and also modest” can be one of the key topics under the theme of “self-cultivation.” By comparing Western views of mental health (focused on confidence) with Chinese beliefs (valuing both confidence and modesty) and blending students’ self-awareness with Chinese cultural insights, the course can delve into the importance of confidence and modesty in Chinese culture. Strategies for cultivating these characteristics can be discussed, shedding light on the unique aspects of mental health development among college students within Chinese cultural contexts.

Secondly, this research offers valuable insights for fostering healthy personalities among college students in psychological counseling methods from the perspective of Chinese culture. On the one hand, this study has a guiding significance for setting goals in psychological counseling. Psychological counseling has traditionally emphasized decreasing negative emotions and boosting positive ones. Nevertheless, this study serves as a reminder for counselors to reassess this counseling objective. Throughout the counseling process, counselors should not only focus on diminishing negative emotions but also be wary of potential complications stemming from excessive positive emotions, stressing the importance of a moderate expression of positive and negative emotions.

On the other hand, the discoveries of this study could serve as a wellspring of inspiration for crafting indigenous approaches to psychological counseling. This research reveals that mentally healthy college students possess the characteristic “possessing good qualities advocated by Confucianism, Buddhism, and Taoism coexist harmoniously.” Within Chinese culture, the symbiotic interplay among Confucianism, Buddhism, and Taoism stands out as a cornerstone [ 76 ], where these philosophies coexist compatibly and mutually influence each other in shaping Chinese characters [ 77 ]. Future scholars might devise counseling methodologies rooted in the principle of harmonious coexistence found within Confucianism, Buddhism, and Taoism, potentially empowering individuals to bolster their mental health through these culturally embedded psychological counseling approaches.

This study explores the characteristics of mental health of college students with good psychological states from the perspective of Chinese culture and finds 18 characteristics, based on which five themes are formed: value pursuit, life attitude, interpersonal ideal, behavior ability, and self-cultivation. The 18 characteristics are typical of Chinese culture or its features, focusing on multi-level relationships with others, parents, and the country. They are also typical of Chinese culture with moral attributes, an emphasis on self-cultivation, a balance of Yin and Yang, and the coexistence of Confucianism, Buddhism, and Taoism. These findings help enrich the research on culture and mental health, highlight the Chinese cultural connotations of mental health, and help form an ideal standard of mental health for college students. Findings can serve as a theoretical foundation for improving the mental well-being of Chinese college students, act as a guiding light for enhancing students’ mental health, and be integrated directly into the mental health curriculum as course content. Mental health education activities based on these findings can help promote, maintain, and cultivate college students’ mental health literacy and healthy personalities to fulfill their potential and become the pillars of the nation.

Availability of data and materials

The datasets for this study are not readily available because they consist of interview data, for which confidentiality cannot be safeguarded. Therefore, the data will not be made available. Requests to access the datasets should be directed to XJ, [email protected].

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Acknowledgements

We appreciate Professor Tianjun Liu from Beijing University of Chinese Medicine, Professor Jianjun Zhu, and Professor Ming Li from Beijing Forestry University for their support in assessing the appropriateness of naming, defining, and classifying the 18 characteristics and five themes. We thank our research team and participants who shared their experiences and made this study possible. We thank Dr. Xiaofang Yao at Federation University Australia and Dr. Lixian Tu at Shanghai University of Political Science and Law for their support throughout the English translation.

This study is support by the BIT Research and Innovation Promoting Project (Grant No. 2022YCXY053).

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MG conducted the interviews, analyzed the data and wrote the manuscript under the guidance of XJ. XJ formulated this study and contributed to editing of the manuscript and critical revisions. WW assisted with the writing and editing of the final manuscript. All authors contributed to manuscript revision, read, and approved the submitted version.

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Guo, M., Jia, X. & Wang, W. How would you describe a mentally healthy college student based on Chinese culture? A qualitative research from the perspective of college students. BMC Psychol 12 , 207 (2024). https://doi.org/10.1186/s40359-024-01689-7

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College students
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ISSN: 2050-7283

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The development and evolution of the research topic on the mental health of college students: A bibliometric review based on CiteSpace and VOSviewer

Affiliations.

1 School of Marxism, Zhejiang University of Technology, Hangzhou, China.
2 School of Humanities and Social Sciences, Beihang University, Beijing, China.
3 College of Foreign Languages, Zhejiang University of Technology, Hangzhou, China.
4 School of Management, Zhejiang University of Technology, Hangzhou, China.
5 Department of Education Information Technology, Faculty of Education, East China Normal University, Shanghai, China.
PMID: 38638989
PMCID: PMC11024628
DOI: 10.1016/j.heliyon.2024.e29477

Background: With the advances in society and in response to changing times, college students have had to face multiple challenges. These challenges frequently affect the mental health of college students, leading to significant consequences for their social lives, personal well-being, and academic achievements, thereby attracting extensive societal attention. Therefore, examining the current status of research topics related to the mental health of college students can assist academia in dissecting the influencing factors and seeking solutions at their source or through early intervention. This can contribute to a better understanding of and effectively address this challenge.

Method: CiteSpace and VOSviewer were used to conduct a bibliometric analysis of 1609 journal articles indexed in the Web of Science (WoS) database over the past two decades (2000-2022), which helped identify the current state of research and hot topics in the field based on development trends. Furthermore, this study analyzes and discusses the core authors, high-productivity countries and organizations, key journals, and keyword clustering in this field. This study clarifies the current research landscape, analyzes evolving trends based on developmental trajectories, and identifies forefront research hotspots. This study provides scholars with reference research directions and ideas for conducting subsequent studies.

Results: Since the beginning of the 21st century, research on college students' mental health has increased, especially in the past three years, and due to the impact of the COVID-19 pandemic and online distance learning, the number of publications has increased rapidly. With the increase in attention and publication volume, the countries and organizations contributing papers as well as core journals have all started to take shape. Cluster and evolution analyses found that several stable research topics have been formed in this research field, and many new and diverse topics are continuously emerging with time.

Conclusion: and prospect: The findings prove that the field of college students' mental health has begun to take shape, gradually shifting from conceptual research to the implementation of specific interventions. However, whether specific interventions are effective and how effective they are require further investigation.

Keywords: Bibliometrics; CiteSpace; Higher education; Mental health; VOSviewer.

55 research questions about mental health

Last updated

11 March 2024

Reviewed by

Brittany Ferri, PhD, OTR/L

Research in the mental health space helps fill knowledge gaps and create a fuller picture for patients, healthcare professionals, and policymakers. Over time, these efforts result in better quality care and more accessible treatment options for those who need them.

Use this list of mental health research questions to kickstart your next project or assignment and give yourself the best chance of producing successful and fulfilling research.

Why does mental health research matter?

Mental health research is an essential area of study. It includes any research that focuses on topics related to people’s mental and emotional well-being.

As a complex health topic that, despite the prevalence of mental health conditions, still has an unending number of unanswered questions, the need for thorough research into causes, triggers, and treatment options is clear.

Research into this heavily stigmatized and often misunderstood topic is needed to find better ways to support people struggling with mental health conditions. Understanding what causes them is another crucial area of study, as it enables individuals, companies, and policymakers to make well-informed choices that can help prevent illnesses like anxiety and depression.

How to choose a strong mental health research topic

As one of the most important parts of beginning a new research project, picking a topic that is intriguing, unique, and in demand is a great way to get the best results from your efforts.

Mental health is a blanket term with many niches and specific areas to explore. But, no matter which direction you choose, follow the tips below to ensure you pick the right topic.

Prioritize your interests and skills

While a big part of research is exploring a new and exciting topic, this exploration is best done within a topic or niche in which you are interested and experienced.

Research is tough, even at the best of times. To combat fatigue and increase your chances of pushing through to the finish line, we recommend choosing a topic that aligns with your personal interests, training, or skill set.

Consider emerging trends

Topical and current research questions are hot commodities because they offer solutions and insights into culturally and socially relevant problems.

Depending on the scope and level of freedom you have with your upcoming research project, choosing a topic that’s trending in your area of study is one way to get support and funding (if you need it).

Not every study can be based on a cutting-edge topic, but this can be a great way to explore a new space and create baseline research data for future studies.

Assess your resources and timeline

Before choosing a super ambitious and exciting research topic, consider your project restrictions.

You’ll need to think about things like your research timeline, access to resources and funding, and expected project scope when deciding how broad your research topic will be. In most cases, it’s better to start small and focus on a specific area of study.

Broad research projects are expensive and labor and resource-intensive. They can take years or even decades to complete. Before biting off more than you can chew, consider your scope and find a research question that fits within it.

Read up on the latest research

Finally, once you have narrowed in on a specific topic, you need to read up on the latest studies and published research. A thorough research assessment is a great way to gain some background context on your chosen topic and stops you from repeating a study design. Using the existing work as your guide, you can explore more specific and niche questions to provide highly beneficial answers and insights.

Trending research questions for post-secondary students

As a post-secondary student, finding interesting research questions that fit within the scope of your classes or resources can be challenging. But, with a little bit of effort and pre-planning, you can find unique mental health research topics that will meet your class or project requirements.

Examples of research topics for post-secondary students include the following:

How does school-related stress impact a person’s mental health?

To what extent does burnout impact mental health in medical students?

How does chronic school stress impact a student’s physical health?

How does exam season affect the severity of mental health symptoms?

Is mental health counseling effective for students in an acute mental crisis?

Research questions about anxiety and depression

Anxiety and depression are two of the most commonly spoken about mental health conditions. You might assume that research about these conditions has already been exhausted or that it’s no longer in demand. That’s not the case at all.

According to a 2022 survey by Centers for Disease Control and Prevention (CDC), 12.5% of American adults struggle with regular feelings of worry, nervousness, and anxiety, and 5% struggle with regular feelings of depression. These percentages amount to millions of lives affected, meaning new research into these conditions is essential.

If either of these topics interests you, here are a few trending research questions you could consider:

Does gender play a role in the early diagnosis of anxiety?

How does untreated anxiety impact quality of life?

What are the most common symptoms of anxiety in working professionals aged 20–29?

To what extent do treatment delays impact quality of life in patients with undiagnosed anxiety?

To what extent does stigma affect the quality of care received by people with anxiety?

Here are some examples of research questions about depression:

Does diet play a role in the severity of depression symptoms?

Can people have a genetic predisposition to developing depression?

How common is depression in work-from-home employees?

Does mood journaling help manage depression symptoms?

What role does exercise play in the management of depression symptoms?

Research questions about personality disorders

Personality disorders are complex mental health conditions tied to a person’s behaviors, sense of self, and how they interact with the world around them. Without a diagnosis and treatment, people with personality disorders are more likely to develop negative coping strategies during periods of stress and adversity, which can impact their quality of life and relationships.

There’s no shortage of specific research questions in this category. Here are some examples of research questions about personality disorders that you could explore:

What environments are more likely to trigger the development of a personality disorder?

What barriers impact access to care for people with personality disorders?

To what extent does undiagnosed borderline personality disorder impact a person’s ability to build relationships?

How does group therapy impact symptom severity in people with schizotypal personality disorder?

What is the treatment compliance rate of people with paranoid personality disorder?

Research questions about substance use disorders

“Substance use disorders” is a blanket term for treatable behaviors and patterns within a person’s brain that lead them to become dependent on illicit drugs, alcohol, or prescription medications. It’s one of the most stigmatized mental health categories.

The severity of a person’s symptoms and how they impact their ability to participate in their regular daily life can vary significantly from person to person. But, even in less severe cases, people with a substance use disorder display some level of loss of control due to their need to use the substance they are dependent on.

This is an ever-evolving topic where research is in hot demand. Here are some example research questions:

To what extent do meditation practices help with craving management?

How effective are detox centers in treating acute substance use disorder?

Are there genetic factors that increase a person’s chances of developing a substance use disorder?

How prevalent are substance use disorders in immigrant populations?

To what extent do prescription medications play a role in developing substance use disorders?

Research questions about mental health treatments

Treatments for mental health, pharmaceutical therapies in particular, are a common topic for research and exploration in this space.

Besides the clinical trials required for a drug to receive FDA approval, studies into the efficacy, risks, and patient experiences are essential to better understand mental health therapies.

These types of studies can easily become large in scope, but it’s possible to conduct small cohort research on mental health therapies that can provide helpful insights into the actual experiences of the people receiving these treatments.

Here are some questions you might consider:

What are the long-term effects of electroconvulsive therapy (ECT) for patients with severe depression?

How common is insomnia as a side effect of oral mental health medications?

What are the most common causes of non-compliance for mental health treatments?

How long does it take for patients to report noticeable changes in symptom severity after starting injectable mental health medications?

What issues are most common when weaning a patient off of an anxiety medication?

Controversial mental health research questions

If you’re interested in exploring more cutting-edge research topics, you might consider one that’s “controversial.”

Depending on your own personal values, you might not think many of these topics are controversial. In the context of the research environment, this depends on the perspectives of your project lead and the desires of your sponsors. These topics may not align with the preferred subject matter.

That being said, that doesn’t make them any less worth exploring. In many cases, it makes them more worthwhile, as they encourage people to ask questions and think critically.

Here are just a few examples of “controversial” mental health research questions:

To what extent do financial crises impact mental health in young adults?

How have climate concerns impacted anxiety levels in young adults?

To what extent do psychotropic drugs help patients struggling with anxiety and depression?

To what extent does political reform impact the mental health of LGBTQ+ people?

What mental health supports should be available for the families of people who opt for medically assisted dying?

Research questions about socioeconomic factors & mental health

Socioeconomic factors—like where a person grew up, their annual income, the communities they are exposed to, and the amount, type, and quality of mental health resources they have access to—significantly impact overall health.

This is a complex and multifaceted issue. Choosing a research question that addresses these topics can help researchers, experts, and policymakers provide more equitable and accessible care over time.

Examples of questions that tackle socioeconomic factors and mental health include the following:

How does sliding scale pricing for therapy increase retention rates?

What is the average cost to access acute mental health crisis care in [a specific region]?

To what extent does a person’s environment impact their risk of developing a mental health condition?

How does mental health stigma impact early detection of mental health conditions?

To what extent does discrimination affect the mental health of LGBTQ+ people?

Research questions about the benefits of therapy

Therapy, whether that’s in groups or one-to-one sessions, is one of the most commonly utilized resources for managing mental health conditions. It can help support long-term healing and the development of coping mechanisms.

Yet, despite its popularity, more research is needed to properly understand its benefits and limitations.

Here are some therapy-based questions you could consider to inspire your own research:

In what instances does group therapy benefit people more than solo sessions?

How effective is cognitive behavioral therapy for patients with severe anxiety?

After how many therapy sessions do people report feeling a better sense of self?

Does including meditation reminders during therapy improve patient outcomes?

To what extent has virtual therapy improved access to mental health resources in rural areas?

Research questions about mental health trends in teens

Adolescents are a particularly interesting group for mental health research due to the prevalence of early-onset mental health symptoms in this age group.

As a time of self-discovery and change, puberty brings plenty of stress, anxiety, and hardships, all of which can contribute to worsening mental health symptoms.

If you’re looking to learn more about how to support this age group with mental health, here are some examples of questions you could explore:

Does parenting style impact anxiety rates in teens?

How early should teenagers receive mental health treatment?

To what extent does cyberbullying impact adolescent mental health?

What are the most common harmful coping mechanisms explored by teens?

How have smartphones affected teenagers’ self-worth and sense of self?

Research questions about social media and mental health

Social media platforms like TikTok, Instagram, YouTube, Facebook, and X (formerly Twitter) have significantly impacted day-to-day communication. However, despite their numerous benefits and uses, they have also become a significant source of stress, anxiety, and self-worth issues for those who use them.

These platforms have been around for a while now, but research on their impact is still in its infancy. Are you interested in building knowledge about this ever-changing topic? Here are some examples of social media research questions you could consider:

To what extent does TikTok’s mental health content impact people’s perception of their health?

How much non-professional mental health content is created on social media platforms?

How has social media content increased the likelihood of a teen self-identifying themselves with ADHD or autism?

To what extent do social media photoshopped images impact body image and self-worth?

Has social media access increased feelings of anxiety and dread in young adults?

Mental health research is incredibly important

As you have seen, there are so many unique mental health research questions worth exploring. Which options are piquing your interest?

Whether you are a university student considering your next paper topic or a professional looking to explore a new area of study, mental health is an exciting and ever-changing area of research to get involved with.

Your research will be valuable, no matter how big or small. As a niche area of healthcare still shrouded in stigma, any insights you gain into new ways to support, treat, or identify mental health triggers and trends are a net positive for millions of people worldwide.

Get started today

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In CDC survey, 37% of U.S. high school students report regular mental health struggles during COVID-19 pandemic

Many high school students have reported experiencing mental health challenges during the coronavirus outbreak, according to recently published survey findings from the Centers for Disease Control and Prevention (CDC). High school students who are gay, lesbian or bisexual, as well as girls, were especially likely to say their mental health has suffered during the pandemic.

This analysis explores U.S. high school students’ self-reported mental health challenges during the COVID-19 pandemic. It expands on Pew Research Center surveys that have explored U.S. adults’ mental health difficulties during this time. Not all of the survey questions asked specifically about mental health during the pandemic.

This analysis relies on the Center for Disease Control and Prevention’s Adolescent Behaviors and Experiences Survey (ABES), which was conducted from January to June 2021 to assess students’ health-related behaviors and experiences during the COVID-19 pandemic. ABES surveyed high school students in grades 9-12 attending U.S. public and private schools. More information about the survey and its methodology can be found on the CDC’s website.

The results from this one-time survey are not directly comparable to previous CDC surveys on these topics.

Overall, 37% of students at public and private high schools reported that their mental health was not good most or all of the time during the pandemic, according to the CDC’s Adolescent Behaviors and Experiences Survey , which was fielded from January to June 2021. In the survey, “poor mental health” includes stress, anxiety and depression. About three-in-ten high school students (31%) said they experienced poor mental health most or all of the time in the 30 days before the survey. In addition, 44% said that, in the previous 12 months, they felt sad or hopeless almost every day for at least two weeks in a row such that they stopped doing some usual activities. (Not all of the survey questions asked specifically about mental health during the pandemic.)

A bar chart showing that among high schoolers in the U.S., girls and LGB students were the most likely to report feeling sad or hopeless in the past year

High school students who are gay, lesbian or bisexual reported higher rates of mental health stresses than their heterosexual (straight) peers. The share of LGB high schoolers who said their mental health was not good most of the time or always during the pandemic was more than double that of heterosexual students (64% vs. 30%). More than half of LGB students (55%) said they experienced poor mental health at least most of the time in the 30 days before the survey, while 26% of heterosexual teens said the same. And about three-quarters of LGB high schoolers (76%) said they felt sad or hopeless almost daily for at least two weeks such that they stopped doing some of their usual activities, compared with 37% of heterosexual students.

There were also differences by gender. About half of high school girls (49%) said their mental health was not good most of the time or always during the COVID-19 outbreak – roughly double the share of boys who said this (24%). And roughly four-in-ten girls (42%) reported feeling this way in the 30 days before the survey; 20% of boys said the same. About six-in-ten high school girls (57%) reported that at some point in the 12 months before taking the survey (in the first half of 2021) they felt sad or hopeless almost every day for at least two weeks in a row such that they stopped doing some usual activities, compared with 31% of high school boys who said this.

LGB high schoolers were also more likely than their heterosexual peers to have sought mental health care – including treatment or counseling for alcohol or drug use – via telemedicine during the COVID-19 pandemic. Around one-in-five LGB students (19%) said they received treatment this way at some point during the pandemic, compared with 6% of heterosexual students. Girls were more likely than boys to have received mental health care through telemedicine (10% vs. 7%, respectively).

Pandemic-related disruptions to schooling, socializing and family life have created a situation that the U.S. surgeon general has described as a “ youth mental health crisis ,” with high rates of teens experiencing distress. But public health experts had called attention to teen mental health even before the coronavirus outbreak. For instance, a separate CDC survey conducted in 2015 found that LGB teens were at greater risk of depression than their heterosexual peers. And a Pew Research Center analysis of pre-pandemic data from the National Survey for Drug Use and Health showed teenage girls were more likely than their male peers to report recent experiences with depression , as well as to receive treatment for it.

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A Simple Method for Assessing the Mental Health Status of Students in Higher Education

Éva bíró.

1 Division of Health Promotion, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4028 Debrecen, Hungary; [email protected]

Róza Ádány

2 Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4028 Debrecen, Hungary

Karolina Kósa

Mental health problems are common among students in higher education all over the world, so identifying those who are at higher risk would allow the targeted provision of help. Our goal was to develop an assessment tool to identify students at risk for vulnerable mental health status. This tool was created from the 12-item General Health Questionnaire and Antonovsky’s abbreviated sense of coherence scale and was tested to distinguish between those with high or low mental resilience. Predictive ability was characterized by likelihood ratios taking the Beck Depression Inventory and perceived health as references. One-quarter (95% CI 21.1% to 29.7%) of the students had been in vulnerable mental health characterized by low sense of coherence and high distress, whereas 28.4% (95% CI 24.2% to 33.1%) seemed resilient, having high sense of coherence and low distress. The high negative predictive value of the assessment tool reliably identified resilient students in comparison with both the Beck Depression Inventory (98.6%) and perceived health status (83.9%). Use of the assessment tool is recommended for students to distinguish between those at decreased and increased risk in terms of mental health. Mental health services should be offered to students at higher risk.

1. Introduction

Early adulthood is a critical period in terms of developing the habits, self-image and social relations that are characteristic of individuals in adult life. Approximately three-fourths of all lifetime mental disorders start by the mid-20s, and the median age for substance disorders falls between 18 and 29 years of age [ 1 ].

Almost half of college-age youth had a psychiatric disorder according to an USA study, the most prevalent being some type of anxiety disorder. While the adjusted prevalence of substance use between college students and their non-college peers was no different, the former were significantly less likely to receive treatment for alcohol and drug use disorders compared to their peers not in college [ 2 ]. Another, more recent USA study found depression to be the most prevalent condition, with 17% of college students screening positive for depression [ 3 ]. Studies from countries other than the USA also support the notion that college students have a higher burden of mental distress [ 4 ] compared to their peers. This was shown among medical students in 29 studies conducted in Europe and English-speaking countries outside of North America [ 5 ]. A survey of 32% of colleges in the UK found an increase of students with disclosed mental health issues in the past 3 years [ 6 ]. Mental health problems have been prevalent in college students, including substance use, anxiety and mood disorders [ 7 ].

In spite of the increasing numbers of students suffering from mental health problems [ 8 , 9 ], attitudes towards seeking mental health services have become negative among American university students over the past 40 years [ 10 ]. Nearly one-fifth of college students thought that it was better not to disclose mental illness according to a recent study [ 11 ]. Moreover, current mental health practices are misguided [ 12 ] because they tend to focus only on those who already have mental disorders whereas the majority of new cases arise from the general population, so more effective mass population strategies should be followed [ 13 ]. That is, non-stigmatizing services should be offered to those not yet having manifest signs of a mental disorder who are most likely to benefit from them.

Early identification and stratification of youth at various levels of risk enables the development of targeted interventions. Resilient groups (those at decreased risk) could be identified by the salutogenic approach of Antonovsky which focuses on the generalized resistance resources of individuals facilitating their capacity to effectively cope with stressors. Antonovsky’s sense of coherence (SoC) reflects a person’s view of life and capacity to respond to stressful situations, contributing to health [ 14 , 15 ]. Strong positive relation between SoC and perceived good health as well as mental health [ 16 , 17 ] and physical health [ 18 ] have been uncovered. The salutogenic approach could be applied in universities by focusing attention to vulnerable students while also offering help to resilient and effectively coping students in case they need it [ 19 ].

Mental health problems, if left unrecognized and untreated, may result in failed exams or dropping out, and even in attempted or completed suicide as well as engagement in risky behaviors leading to serious injury, disability, or death [ 20 ]. Identification of resilient students as opposed to those who exhibit signs of mental strain at an early stage would enable a more effective use of limited resources by addressing problems as early as possible among those in greatest need to prevent the development of full-blown mental problems.

Based on the results of previous [ 21 , 22 ] and present surveys, and in line with the recommendation of Huppert regarding the use of an universal approach to reduce the number of people with mental disorders [ 12 ], we aimed at developing an assessment tool to identify vulnerable as well as resilient college students in terms of mental health problems.

2. Materials and Methods

2.1. study population.

A cross-sectional study was carried out among students of public health, nursery education, and physiotherapy of the University of Debrecen, Hungary in 2008, 2009 and 2010, respectively. The study population consisted of all full-time students registered at the courses of public health ( N = 194), nursery education ( N = 168) and physiotherapy at years 1–3 ( N = 153).

Data of the general population were taken from a mental health survey representative of the adult Hungarian population that was carried out in a sample of 1200 persons by the Median Polling Institute in 2010 following a multistage stratified cluster sampling.

2.2. Data Collection

The timing of data collection on mental health is critical among university students because their stress level fluctuates during the academic year. A potential source of bias might be excessive stress close to or during the exam period, so data were collected in mid-semester in order to reduce this type of bias. Each student was invited in person after class to fill a paper-based, self-administered, anonymous questionnaire. The distribution and recollection of questionnaires was carried out by student volunteers from courses not involved in the survey in order to avoid any pressure for participation.

The research was carried out in accordance with the Helsinki Declaration. Ethical permission was issued by the Regional and Institutional Commission on Research Ethics of the Medical and Health Science Centre of the University of Debrecen, Hungary (DEOEC RKEB/IKEB: 2506-2006). The students were informed in writing and in person that participation was anonymous and voluntary, and they had the right to refuse to participate. The participants had given verbal consent for their data to be used in the research. No personal data were collected so a consent form was not requested to be signed by the ethics committee.

Scales of the Questionnaire

The questionnaire was similar to those used in previous surveys among medical students [ 22 ] and future teachers [ 21 ] and included scales on mental health (sense of coherence, psychological distress, perceived stress, depression, social support; the scales for perceived stress and depression were not included in the questionnaire for public health students), perceived health, health locus of control (how much can do for own health), demographic (age, sex, residence) and socioeconomic data (parents’ educational level, family’s economic status). Items not referred separately were taken from the tool of the Hungarian National Health Interview Survey (HNHIS) of 2003 [ 23 ]. The full questionnaire took around 15–20 min to fill.

Sense of coherence was measured by the abbreviated 13-item scale (SoC-13) [ 24 ] which had been validated in Hungarian [ 25 ]. Items were answered on a 7-point Likert scale; the total score varied between 13 and 91. Higher scores indicate greater sense of coherence.

The 12-item version of the General Health Questionnaire (GHQ-12) was used to detect psychological distress. Questions were answered on a 4-point Likert scale. Cases were detected by scoring in the simplest manner [ 26 ] which assigns a score of 1 to each symptom, while lack of a particular symptom is scored by 0 so that the total score varies between 0 and 12. Total score above 4 was set as the threshold indicating notable psychological distress, identical to that used in the Hungarian National Health Interview Survey of 2003 [ 27 ].

The 9-item Hungarian version of the Beck Depression Inventory (BDI) was used to assess depression [ 28 ]. Scores below 9 indicated no depression; scores between 10 to 18 indicated mild depression; scores between 19–25 indicated moderate depression; scores above 25 estimated severe depression.

The questionnaire of the mental health survey of the general population included demographic items as well as the SoC-13 and the GHQ-12 scales.

2.3. Statistical Methods

Data were entered into a Microsoft Excel database. Data entry as well as the full database were checked and cleaned by removing inconsistent answers. Data from all three student groups (public health, nursery education, physiotherapy) were merged into one database and analyzed together. Intercooled Stata 10.0 for Windows was used for data transformation and analysis. Categorical variables were analyzed by the chi-squared test and Fisher’s exact test. Results were compared to that of a representative survey of the Hungarian adult population using the two-sample test of proportion.

Available case analysis was used since less than 5% of the data were missing for all variables, and data were assumed to be missing completely at random based upon the result of Little’s test ( p = 0.401). Sensitivity analysis was not performed for handling of missing data.

3.1. Demographic and Socioeconomic Data

A total of 412 of the potentially eligible 515 students were present at the time of the data collection and all of them agreed to participate in the study. Three records were deleted after data checking because less than one-quarter of the questions were filled out. The overall response rate was 79.4% ( n = 409). Mean age of the sample was 20.81 years (SD: 1.99; min. 18, max. 41); the majority (98.5%) being under 26 years of age. All three courses were dominated by females, but their proportion was significantly lower among public health students (83.5%) compared to the two other groups (students of nursery education, 96.9%; physiotherapy, 93.1%; p < 0.05). The sex ratio was representative of the students at these courses. Respondents were representative by study year for each course. Detailed demographic and socioeconomic data are shown in Table 1 .

Demographic and socioeconomic data of the participants.

Features of the total sample are marked with bold.

3.2. Creating a Composite Indicator for Assessment

The basic concept of the assessment tool was that it should assess both the positive and the negative aspects of mental health in a non-stigmatizing manner. GHQ has been widely used as a screening device for identifying minor psychiatric disorders in the general population, but it reflects a deficit-based approach to mental health. Antonovsky’s salutogenic concept is oriented to resilience, so combining the two tools provides a more balanced assessment of mental status.

A composite indicator of mental well-being was created from sense of coherence ( n = 399) and psychological distress ( n = 402) to assess mental health. For SoC, there is no threshold below which it could be considered too low or not normal, therefore—in line with previous studies [ 29 , 30 , 31 , 32 , 33 ]—after defining tertiles of the total score, SoC scores at the highest tertile (above 65 points) were considered normal, whereas scores in the two other tertiles as low. As to psychological distress, the cut-off value of 5 points was used to identify those who were not distressed. A composite indicator for mental status was created from the categories of SoC and GHQ using a 2 × 2 table with the following categories: (1) resilient (normal SoC, normal GHQ); (2) vulnerable (low SoC, high GHQ); (3) non-classifiable: normal SoC and high GHQ; or (4) non-classifiable: low SoC with normal GHQ ( Table 2 ).

Creation of a composite indicator for assessing mental status in students.

In order to check the predictive ability of our assessment tool, positive (LR+) and negative (LR−) likelihood ratios were calculated based on the Bayes theorem considering the BDI score and perceived health as reference. The BDI-9, SoC-13 and GHQ-12 scores were available for 256 students; perceived health, SoC-13 and GHQ-12 were known for 393 students. BDI categories reflecting moderate and severe depression (over 18 points) were combined to identify those at-risk (mentally vulnerable); those who scored below 19 points were defined not at risk after Kopp and her co-workers [ 28 ]. Perceived health was dichotomized into categories of having good or very good vs. fair or less than fair perceived health. LR was used because it does not require dichotomization so all four categories (including the two non-classifiable risk categories with conflicting SoC and GHQ results, Table 2 ) were used to calculate the LR. Nonparametric ROC analysis was performed to calculate the area under the curve (AUC).

3.3. Mental Status of the Students Assessed with a New Composite Indicator

The assessment capacity of the composite indicator created from sense of coherence and psychological distress was tested as described above. Based on the assessment tool, four groups of students could be identified, as shown in Table 3 , of which two groups showed congruent results according to GHQ-12 and SoC-13 alike. More than one-quarter (28.4%, 95% CI 24.2% to 33.1%) of students could be defined as being resilient, that is, having good mental health with normal sense of coherence and low distress. Vulnerable students had low sense of coherence along with high levels of distress, comprising one-quarter (25.1%, 95% CI 21.1% to 29.7%) of the participants. Two other groups with inconsistent results captured 46.5% of the students: 44.2% of them had low sense of coherence and normal levels of distress; 2.3% had normal sense of coherence and high levels of distress. There was a significant gender difference in resilience (normal SoC, normal GHQ) with almost twice as many resilient males (43.2%, 95% CI 28.2% to 59.6%) compared to females (27.0%, 95% CI 22.7% to 31.9%; p = 0.038).

Mental well-being of students assessed with the composite indicator.

3.4. Mental Status of the Students Compared to the General Population

The proportion of vulnerable students (low SoC and high GHQ) was compared to 18- to 25-year-olds in the general population and was found to be three times higher (25.1% vs. 7.9%; p < 0.001) ( Table 4 ). There was no significant gender difference regarding the proportion of those at risk in the general population (males: 9.8%, females 6.4%; p = 0.559) and there was also no difference between at-risk male students and their peers in the general population (13.5% vs. 9.8%; p = 0.605). The proportion of vulnerable female students was nearly four times higher compared to their peers in the general population (26.2% vs. 6.4%; p = 0.003).

Mental well-being of 18–25-year-old Hungarian adults assessed with the composite indicator.

3.5. Predictive Ability of the Composite Indicator

The LR+ of the composite indicator was 2.61, meaning that the prevalence of vulnerable mental status was 2.61 times higher among depressed students compared to students who were not depressed (positive post-test probability = 0.405). LR− was 0.054 producing a negative post-test probability of 0.014. Accordingly, students who scored depressed by the BDI would be 18 times less frequently categorized as resilient by the composite index compared to those without symptoms of depression. The positive predictive value of the assessment tool calculated with the above data proved to be 40.5% as opposed to the negative predictive value of 98.6%. The LR for those who had low SoC and normal stress was 1.05 showing that this combination is more frequent among depressed students. The AUC was 0.743 (95% CI 0.683–0.803).

The predictive ability of the new assessment tool against BDI was compared with the predictive ability of the GHQ and SoC alone. For GHQ-12, the positive predictive value was 36.6% while the negative predictive value was 86.8%. For SoC-13, the positive predictive value was 29.6% and the negative predictive value was 98.8%.

Among students with bad subjective health, the prevalence of vulnerable mental status was 2.6 times higher compared to students who were in good health (LR+ = 2.60, positive post-test probability was 0.606). LR− was 0.32 producing a negative post-test probability of 0.161. This shows that students in bad subjective health would be 3 times less frequently categorized as resilient by the composite index compared to those with good health. The positive predictive value of the assessment tool calculated with the above data proved to be 60.6% as opposed to the negative predictive value of 83.9%. The LR for those who had low SoC and normal stress was 1.02 showing that this combination is more frequent among students with bad health. The AUC was 0.687 (95% CI 0.637–0.736).

The predictive ability of the new assessment tool against bad subjective health was compared to the predictive ability of the GHQ and SoC alone. In case of GHQ, the positive predictive value was 58.3%, while the negative predictive value was 70.9%. For SoC, the positive predictive value was 45.9% and the negative predictive value was 82.6%.

4. Discussion

Using the new assessment tool, nearly 30% of students were identified as resilient with normal SoC and low GHQ. Mental health was considered worrisome for those who had low SoC and high GHQ. This vulnerable category captured almost one-quarter of the study population, which is in line with another study where the proportion of those who had any mental health problem was similar (33.8% [ 34 ]).

Students with normal sense of coherence and low levels of mental distress can be considered mentally resilient according to our assessment tool. Of all resilient students, 98.6% were identified as not depressed by the Beck Depression Inventory. Of those who were defined mentally vulnerable (with low sense of coherence and high levels of mental distress), only 40.5% scored as depressed by the BDI. There was not one student in the high BDI score group who would have had high SoC and high stress, pointing to the protective effect of higher levels of SoC in relation to depression even in distressed people. Of the resilient students, 83.9% perceived their health as good.

Our assessment tool can reliably distinguish between students who are in reasonably good mental health or can be considered resilient, and those who are at increased risk and need further attention and targeted support during their studies. Our assessment tool can be reliably used to identify vulnerable students in a reasonably simple and non-stigmatizing manner that allows the provision of timely and targeted support and help during their studies.

4.1. Strengths and Limitations

An advantage of the present survey was its wide scope (inclusion of all students of three courses) and high response rate that was representative of the students by sex and study year.

The timing of data collection on mental health is critical among university students because their stress level strongly fluctuates during the academic year. In order to avoid measuring further increased stress before or during the exam period, data were collected in mid-semester when stress related to the examination period is at its lowest.

A considerable strength of our assessment tool is that it approaches mental status not only from a negative (deficit) but also from a positive (resource) perspective. The salience of our approach is reflected by identifying only one depressed student among those who had a normal sense of coherence (1.3%).

Our assessment tool has a low negative post-test probability, that is, high negative predictive value. However, predictive ability is limited by the fact that calculations were based on a reference test (BDI) with screening rather than diagnostic features. Nevertheless, BDI demonstrates a high internal consistency, with alpha coefficients of 0.86 and 0.81 for psychiatric and non-psychiatric populations, respectively [ 35 ]. The predictive ability of this assessment tool is more favorable compared to using the GHQ or SoC alone.

4.2. Mental Health Screening in Practice

The new assessment tool measuring sense of coherence and psychological distress could be offered to students in an anonymous manner, followed by evaluation and individualized online messages on recommended services and support options. Compared to the validity of other similar screening tests, the features of our assessment test are acceptable, especially if compared to the depression screening tool (BDI). The screening for depression in adults over 18 years of age is recommended by the US Preventive Services Task Force [ 36 ]. However, the positive predictive value of BDI was 54% and the negative predictive value was 99% in a study in which the prevalence of major depression was similar to that in our study [ 37 ]. Furthermore, comparing our results to a previous study where GHQ-12 alone was used to detect depression, both the positive (40.5% vs. 27.8%) and the negative (98.6% vs. 97.1%) predictive values of our assessment tool were higher [ 38 ].

Time alone does not seem to solve mental problems in college students as they tend to persist even after 2 years of follow-up [ 39 ]. There have been initiatives for reaching out to college students with mental problems, but these focused on depression [ 40 , 41 ] and the prevention of suicide [ 42 ].

In another type of initiative aiming at increasing the uptake of clinical services, the University of Washington developed a web-based system for students to self-screen for anxiety, depression, attention-deficit/hyperactivity disorder, alcohol use and eating disorder. The system logged more than 2700 visits, 1003 screening sessions and 438 referral requests in 17 months showing that such a system can increase care-seeking. However, the system requires an elaborate IT background with secure data repositories and processes of data exchange that must be supported by a sufficiently staffed primary care center capable of handling all incoming referrals [ 43 ].

Currently there is no recommendation for the screening of vulnerable students in higher education. Screening only for depression among students would miss many in need of help, such as those struggling with anxiety or substance abuse [ 7 ].

5. Conclusions

Since mental health problems are common among those in helping professions, and mental health problems burden students disproportionately more than their peers [ 22 , 44 , 45 ], the best time to take action seems to be during their years in college. Considering the help-avoiding attitude of students [ 46 ] and the perennial lack of resources to deal with mental problems at almost all institutes of higher education, we propose the assessment of mental health of students using the GHQ-12 and SoC-13 scales combined as described above. The tool has the advantage of having a balanced focus on mental health from an aspect of vulnerability as well as of resilience; it reliably separates those who are psychologically definitely at risk from those who can be considered reasonably resilient. Moreover, it is simple to use and avoids stigmatization. The test could be easily adapted to an online format, and based on its results, respondents could get detailed personalized advice on available supportive services, tailoring the message to their level of risk. A computerized risk assessment followed by personalized message would yield immediate help and might facilitate the uptake of preventive services while avoiding stigmatization and the overburdening of preventive services. An online mental health support system can be a viable alternative or supplement to university counselling services [ 47 , 48 ]. Routine administration of our assessment test would enable the monitoring of mental problems among college students and enhance seeking help, diagnosis and treatment as recommended [ 7 ].

Acknowledgments

The authors wish to thank Ágnes Nagy and Zsanett Sipos, master’s students of health promotion at the Faculty of Public Health who carried out data collection among the physiotherapy students; Lajos Olvasztó, a public health student at the Faculty of Public Health who carried out data collection among nursery education students; Laura Eszter Jenei and Andrea Bettina Siket, public health students at the Faculty of Public Health who carried out data collection among students of public health; and Zoltán Vokó for his useful methodological comments.

Author Contributions

Conceptualization, K.K. and É.B.; methodology, É.B. and K.K.; formal analysis, É.B. and K.K.; project administration, É.B.; visualization, É.B. and K.K.; writing—original draft preparation, É.B.; writing—review and editing, K.K. and R.Á.; supervision, R.Á.; funding acquisition, R.Á.

For data collection, funding was provided by the NKFP1-00003/2005 project of the Ministry of Education, Hungary. Data evaluation was carried out in the framework of GINOP-2.3.2-15-2016-00005 project. This project is co-financed by the European Union under the European Regional Development Fund. The funders had no role in the design of the study; in the collection, analysis, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Conflicts of Interest

The authors declare no conflict of interest.

Most Homeless Americans Are Battling Mental Illness

By Ernie Mundell HealthDay Reporter

WEDNESDAY, April 17, 2024 (HealthDay News) -- Two-thirds of homeless people are experiencing some form of mental health disorder, a large, new review of data on the subject.

The analysis found that men who are homeless are more likely to be battling mental illness than women, although rates were high for both genders compared to the general population.

There are signs that rates of mental illness may be on the rise among homeless populations, especially in the United States and Canada, said researchers led by Rebecca Barry , a postdoctoral researcher at the University of Calgary in Canada.

"The most common mental disorders included substance use disorders, antisocial personality disorders, major depression and general mood disorders," Barry and colleagues reported April 17 in the journal JAMA Psychiatry .

U.S. Cities With the Most Homelessness

Her team looked at thousands of published studies worldwide on homelessness and mental illness. They settled on 85 of the most rigorous studies.

Overall, more than 48,000 homeless individuals were included in those studies, which were largely based in affluent countries such as the United States, Canada and Germany.

The mental health of participants in the studies was assessed using standard psychiatric tests.

Barry's team found that, overall, 67% of homeless people currently have some form of mental illness, while 77% were found to have experienced mental illness at least sometime during their lives.

Rates of current mental illness were significantly higher among men (67%) than women (57%), as were lifetime rates of mental illness (86% for men, 69% for women).

These numbers are much higher than rates of mental illness seen in the general population, where the latest data suggests that 13% to 15% of people currently battle some form of psychiatric illness.

According to the new study, rates of bipolar disorder among homeless people were over eight times higher than that seen among people generally (8% vs 0.7%). Similarly high (or even higher) rates were seen for antisocial personality disorder, psychotic disorders, post-traumatic stress disorder (PTSD), major depression, substance abuse and mood disorders.

The number of mentally ill people living on the streets or in shelters could also be rising, Barry's team added.

They noted a "higher prevalence of mental health disorders among people experiencing homelessness among studies published more recently."

That could reflect recent improvements in mental illness diagnoses among the homeless, of course.

On the other hand, it could also reflect increasing societal stressors that are forcing people with mental illness onto the streets.

It's possible that "people with mental health disorders are increasingly likely to experience homelessness due to factor like housing inaffordability, limited mental health care access, low income or challenges reintegrating [with society] after mental health treatment," Barry's team wrote.

They believe these factors could be contributing to the fact that, "North America has the highest mental health disorder prevalence among people experiencing homelessness."

What can be done?

According to the study authors, "housing first" initiatives aimed at finding permanent homes for people are important, but so are "assertive community treatment" programs, where people in need receive comprehensive, coordinated mental health services from a variety of sources.

Such programs have "demonstrated effectiveness in reducing mental health disorder severity and homelessness among people with persistent and difficult to treat mental health disorders," the researchers said.

More information

There's more on help for the homeless and mentally ill at the Substance Abuse and Mental Health Services Administration .

SOURCE: JAMA Psychiatry , April 17, 2024

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Topic 4: Investigating the Relationship between Mental illness and Suicides- A case study of UK's Young Adults.

COVID-19 Mental Health Research Topics

Topic 2: Mental health and psychological resilience during COVID-19

Topic 3: The mental health of children and families during COVID-19

Topic 4: Mental wellbeing of patients during the Coronavirus pandemic

Best Mental Health Topics for Your Dissertation in the Year 2023

Topic 2: Hematopoietic device reaction in ophthalmology patient’s radiation therapy

Topic 3: Psychological effects of cyberbullying Vs. physical bullying: A counter study

Topic 4: Whether or not predictive processing is a theory of perceptual consciousness?

Topic 5: Importance of communication in a relationship

Topic 6: Eating and personality disorders

Topic 7: Analysis of teaching, assessment, and evaluation of students and learning differences

Topic 8: Social and psychological effects of virtual networks

Topic 9: The role of media in provoking aggression

Best Mental Health Topics for Your Dissertation in the Year 2022

Topic 2: The contemporary practical management approach to treating personality disorders

Topic 3: How is Prozac being used in the modern-day to treat self-diagnosed depression?

Topic 4: Are women more prone to suffer from mental disorders than men: Comparative analysis

Topic 5: The impact of breakups on the mental health of men?

Topic 6: A theoretical analysis of the Impact of emotional attachment on mental health?

Topic 7: How do social media friendships contribute to poor mental health?

Topic 8: What role do parents play in ensuring the mental well-being of their children?

Topic 9: A study on the mental health of soldiers returning from Iraq?

Topic 10: How the contemporary media practices in the UK are leading to mental health problems?

Topic 11: What is the impact of television advertising on the mental development of children in the UK?

Topic 12: How deteriorating mental health can have an Impact on physical health?

Topic 13: The relationship between unemployment and mental health

Topic 14: The mental health problems of prisoners in the United Kingdom

Topic 15: Mental well-being of industry workers in China

Topic 16: Is the provision of mental health care services in the United Kingdom effective?

Topic 17: What are the mental health problems the minorities in the United Kingdom face?

Topic 18: The impact the Coronavirus has had on the mental health of the Chinese people

Topic 19: How to create change in mental health organisations in China?

Topic 20: Addressing the mental health concerns of the Syrian refugees in the UK

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