Prevalence and Correlates of Depressive Symptoms Among International Students: Implications for University Support Offices
Open accessAbstract
International students often experience significant challenges and difficulties adjusting to their new campus and university environment abroad. As a result, understanding the unique needs of these students has become an important priority for many university administrators and mental health professionals amid growing health concerns faced by members of this community. This study examines the prevalence and correlates of depressive symptoms in a sample of international students enrolled in a mid-size U.S. university. A hierarchical multiple regression model revealed that poor English fluency, increased acculturative stress, and perceived discrimination were associated with higher levels of depressive symptoms, whereas increased social support was associated with lower levels of depressive symptoms. Implications for university administration and support services are discussed.
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In a sample of 490 international students of a US Campus, 45.3% met the clinical cutoff score for depression (CES-D), and 24.7% met the clinical cut-off score for moderate to severe anxiety (BAI).
“For example, in a sample of 490 international students of a US Campus, 45.3% met the clinical cutoff score for depression (Center for Epidemiological Studies-Depression Scale; CES-D), and 24.7% met the clinical cut-of score for moderate to severe anxiety (Beck Anxiety Inventory; BAI). 11”
From Academic stress, mindfulness-related skills and mental health in international university students. (2024) · cites this paper as [11]
Higher levels of acculturative stress have been shown to be associated with more symptoms of depression.
“In addition, higher levels of acculturative stress have been shown to be associated with more symptoms of depression. 11”
From Academic stress, mindfulness-related skills and mental health in international university students. (2024) · cites this paper as [11]
High rates of anxiety and depression have been reported in international students in several countries.
“High rates of anxiety and depression have been reported in international students in several countries. 10,11,14”
From Academic stress, mindfulness-related skills and mental health in international university students. (2024) · cites this paper as [11]
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Strus, J. A., Savard, J., Manaigre, C., Mitchell, T., Gauthier, A., Bourrier, P., Girard, R., & de Moissac, D. (2024) · Quality Advancement in Nursing Education - Avancées en formation infirmière · doi:10.17483/2368-6669.1427 · Cited by 2 · see citing works
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Günal, A. (2020) · Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi · doi:10.21020/husbfd.666842 · Cited by 2 · see citing works
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- Authors
- Shadowen, N. L., Williamson, A. A., Guerra, N. G., Ammigan, R., & Drexler, M. L.
- Affiliations
- University of Delaware (US)
- Children's Hospital of Philadelphia (US)
- University of California, Irvine (US)
- Venue
- Journal of International Students
- Publisher
- STAR Scholars Network
- Published
- 2019-01-11
- Volume
- 9
- Issue
- 1
- Pages
- 129-149
- ISSN
- 2162-3104 (ISSN-L)
- 2166-3750
- OpenAlex
- W2922046034
- Cited by
- 79
- References
- 66
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 18 · 2023: 11 · 2022: 14 · 2021: 11 · 2020: 12 · 2019: 4
- FWCI
- 21.71
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of International Students (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Communication › International Student and Expatriate Challenges
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- international students, depressive symptoms, acculturative stress, perceived discrimination, English fluency, social support, student mental health, university support services, student adaptation
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