Cited by 13Doctoral Education Challenges and SolutionsStudent Stress and CopingHealthcare professionals’ stress and burnout

The DOI matches its Crossref record; 30 of the 34 references it cites were found in a registry or an index, and 4 are not checked yet; 1 of the 71 sources its claims cite were checked for support.

A narrative review of anxiety regulation in PhD students based on Green model

Open access
Ma, Yue, Yu, Ahui, Ma, Haiqi, Zhao, Yang, Liu, Xiaojun, Zhai, Huimin, Gao, Yulin·2024·Frontiers in Psychology

Abstract

To gain a better understanding of the factors that contribute to anxiety among PhD students and the reasons for poor regulation in the current situation, this paper analyses the existing literature on anxiety among PhD students using Green's model. It also compares and evaluates various methods of regulating anxiety. The literature review to extract information on the causes and levels of anxiety, methods and outcomes of anxiety intervention and regulation, and to make comparisons. The study reveals that the phenomenon of PhD students' anxiety has intensified globally in recent years, especially after the end of the epidemic. PhD students experience anxiety due to research pressure, economic pressure, future development, and interpersonal pressure. The main influencing factors are currently the relationship with the supervisor, development prospects, social support, and peer comparison. Among the stress relief methods, the regulation of self-relaxation was found to have better effects on mild anxiety, such as positive thinking, meditation, yoga and physical exercise can be helpful for emotion release then help focus on problem solved. Whereas severe anxiety may require institutional and pharmacological support, also including using psychological therapy such as behavioral cognitive therapy and systematic desensitization methods. For university, competence to provide course-assisted guidance, such as writing groups, peer support, and time management, is also important. Academic communities should pay attention to the guidance on academic fairness. However, PhD students are often unaware of the resources available to them for coping with stress and may not take the initiative to seek psychological counseling or institutional assistance. Therefore, PhD students should receive support from various sources, be guided to express their thoughts, and receive additional education and academic assistance to manage stress. This will enhance their confidence and aid in improving their scientific research.

Verified 2026-11-11 · 4 references not checked yet

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This narrative review applies Green’s PRECEDE-PROCEED model to synthesize literature on PhD student anxiety, its contributing factors, and regulation strategies. It concludes that mild anxiety may respond to self-regulation such as exercise, meditation, and yoga, while severe anxiety often requires institutional, psychological, and pharmacological support.

Key findings

  • PhD anxiety is described as intensifying globally, especially after the epidemic, with pressures from research, economics, future development, and interpersonal relationships; the main influencing factors identified are supervisor relationship, development prospects, social support, and peer comparison.
  • Among epidemiological figures cited, a 2019 *Nature* survey of 6,300 PhD students found 72% of international PhD students were satisfied and 36% sought help for anxiety or depression linked to their PhD, while in China 55% expressed satisfaction and 40% sought help; a Chinese study reported a 24.76% anxiety detection rate among 315 medical doctors.
  • Social/environmental pressures include a 48% increase in Chinese national PhD enrollment from 2009 to 2018 alongside a 22.65% decline in CSSCI publication volume; about 80% of 567 journals examined showed downward publication volume, with 48% decreasing by over 20%.
  • Regulation effects: self-relaxation was found to work better for mild anxiety, while severe anxiety may require institutional and pharmacological support, including behavioral cognitive therapy and systematic desensitization; a 5-day, 30-minute mindfulness meditation program including 15 min of mindfulness practice significantly improved stress coping, reduced anxiety symptoms, and enhanced academic focus.

Methods

  • Narrative review using Green’s PRECEDE-PROCEED model, analyzing influencing factors from PRECEDE and evaluating intervention programs from PROCEED.
  • Searched PubMed, Web of Science, and ProQuest for English-language studies and Wanfang, VIP, and CNKI for Chinese-language studies, using keywords “anxiety” AND “PhD” AND “regulation” from inception to March 2024.
  • Based on PRISMA 2020 identification, 48 studies were included, comprising cross-sectional studies, intervention research, and qualitative interviews; the review reports only three interventional studies, all with small sample sizes and non-RCT designs.

Limitations

  • Stated: the reviewed literature primarily engages case studies, qualitative research, and cross-sectional surveys, identifying only three interventional studies, all noted for small sample sizes and non-RCT designs.
  • Stated: future research should extend to cross-cultural comparative analyses and longitudinal investigations.
  • Evident from the text: the review is narrative rather than a systematic meta-analysis, and no formal quality appraisal of the included 48 studies is described, limiting causal or pooled-effect conclusions.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fpsyg.2024.1351386

Cites

30 of 34 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

50 Own interpretation · 20 Sources not found · 18 No full text of the sources · 16 Check pending · 10 No basis given · 6 Not checked yet · 1 Supported · 1 Own method

Verify all 22 references — free account

Show all 45 claims

  • Probably not a substantial claim. 46
  • It may state two separate claims as one. 50
77 of 77
  • The paper relies on this without support.

    At present, the anxiety of PhD students has not been alleviated, and even the prevalence of anxiety is more serious.

    “But at present, the anxiety of PhD students has not been alleviated, and even the prevalence of anxiety is more serious.”
  • The paper relies on this without support.

    PhD students are often unaware of the resources available to them for coping with stress and may not take the initiative to seek psychological counseling or institutional assistance.

    “However, PhD students are often unaware of the resources available to them for coping with stress and may not take the initiative to seek psychological counseling or institutional assistance.”
  • The paper relies on this without support.

    The Green model is suitable for analyzing anxiety among PhD students.

    “Therefore, this paper uses Green's model for analysis.”
  • The paper relies on this without support.

    The Ministry of Education has regulated tutor guidance for PhD, including specifying the time and frequency of guidance sessions (group meetings).

    “The Ministry of Education has regulated tutor guidance for PhD, including specifying the time and frequency of guidance sessions (group meetings).”
  • The paper relies on this without support.

    These methods may provide some relief for up to 30% of the population.

    “While these methods may provide some relief for up to 30% of the population, PhD students still face significant challenges related to anxiety, social support, and self-regulation.”
  • The paper relies on this without support.

    Currently, it is common for PhD students to experience anxiety and require psychological support and problem-solving assistance.

    “Currently, it is common for PhD students to experience anxiety and require psychological support and problem-solving assistance.”
  • The paper relies on this without support.

    Major universities play a crucial role in providing institutional support for cognitive responses through professional psychological counseling services.

    “Major universities play a crucial role in providing institutional support for cognitive responses through professional psychological counseling services.”
7 of 7

Citations

Cites

Research works printed but not linked: 16

  1. Fan, 2017, A Study on the Relationship Between PhD' Self-Forgiveness and Anxiety
  2. Feng, 2012, Doctoral supervisors, doctoral students, scientific research recapitulation, and miscellaneous talks - Talking about “anxiety” in scientific research, Sci. Technol. Rev.
  3. Feng, 2017, A study on influential factors to psychological anxiety of doctoral students at school based on grounded theory, Graduate Educ. Res., 11, 41, 10.3969/j.issn.2095-1663.2017.03.009 · DOI
  4. Guo, 2019, A sociological Interpretation of the Marital Residual Dilemma of Single Female Doctoral Students
  5. He, 2020, Doctoral students' knowledge anxiety in multidimensional perspective and resolution strategy, Graduate Educ. Res., 22, 22, 10.19834/j.cnki.yjsjy2011.2020.01.04 · DOI
  6. He, 2018, Approaches to the social anxiety of female doctoral students, J. Hebei Norm. Univ, 20, 56, 10.13763/j.cnki.jhebnu.ese.2018.01.009 · DOI
  7. Liu, 2019, Investigation and analysis of the current situation of depression and anxiety symptoms in doctoral students and influencing factors
  8. Liu, 2010, Analysis report on doctoral anxiety cases, Social Psychol. Sci., 25, 112
  9. Lu, 2012, Relationship between psychological health status of doctoral students and social support and coping styles, Chin. J. Health Psychol., 20, 1397
  10. Mao, 2014, Analysis and countermeasures of mental health and stress of doctoral students
  11. Shi, 2019, A case study on the academic stress problem of pervasive doctoral students
  12. Tan, 2018, Current status and influencing factors analysis of psychological health of medical doctoral students, Guangdong Med. J., 39, 443, 10.3969/j.issn.1001-9448.2018.03.031 · DOI
  13. Wang, 2018, Application of the PRECEDE-PROCEED model in health education: a literature review, Chinese Nurs. Manage, 18, 570, 10.3969/j.issn.1672-1756.2018.04.030 · DOI
  14. Wei, 2015, Mechanism research on the influence of doctoral students' psychological capital on scientific research performance
  15. Wu, 2019, Survey of doctoral students' academic emotional status and enhancement strategies, Higher Educ. Expl., 45, 24, 10.3969/j.issn.1673-9760.2019.01.005 · DOI
  16. Xu, 2020, Survey and analysis of anxiety status and influencing factors of doctoral students, Med. J. Chin. People's Liber. Army, 38, 54

Cited by

Metadata

Authors
Ma, Y., Yu, A., Ma, H., Zhao, Y., Liu, X., Zhai, H., & Gao, Y.
Affiliations
  • Macau University of Science and Technology (MO)
  • Sun Yat-sen University (CN)
  • Southern Medical University (CN)
Corresponding author
  • Zhai, Huimin
  • Gao, Yulin
Venue
Frontiers in Psychology
Published
2024-07-09
Volume
15
Pages
1351386-1351386
ISSN
1664-1078 (ISSN-L)
OpenAlex
W4400460116
Cited by
13
References
30
Citations by year
2026: 9 · 2025: 3 · 2024: 1
FWCI
0.61
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Education › Doctoral Education Challenges and Solutions
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
doctoral students, anxiety, anxiety regulation, GREEN model, research pressure, supervisor-student relationship, social support, peer comparison, stress relief method, relaxation techniques, cognitive behavioral therapy, systematic desensitization, psychological counseling, academic support, post-pandemic

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