Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life
Open accessAbstract
The onset of most lifetime mental disorders occurs during adolescence, and the years in college, as the final stage of adolescence in a broad sense, deserve attention in this respect. The psychological well-being of undergraduate students can influence not only their academic and professional success, but also the development of society as a whole. Although previous studies suggested psychiatric disorders are common in the adult population, there was little consistent information available about undergraduate students’ mental health problems. This research aimed to describe the changes in depression, anxiety, and stress of Chinese full-time undergraduate students as they experienced university life using the Depression Anxiety Stress Scales-21 (DASS-21). The main conclusions of our study were as follows: (1) on average, students’ severity scores of depression during the four academic years varied between 7.22 and 7.79, while stress scores ranged from 9.53 to 11.68. However, the anxiety scores of college students in the first three years turned out to be 7.40, 7.24 and 7.10, respectively, slightly overtaking the normal threshold of 7. These results indicated that Chinese college students, in general, were mentally healthy with regard to depression and stress, but their average anxiety levels were beyond normal in the first three years. (2) As for the proportions of students with different degrees of severity, approximately 38% to 43% of college students were above the normal level of anxiety, about 35% above the normal level of depression, and around 20% to 30% above the normal level of stress. (3) There were significant differences in the psychological health states of students of different years, especially among the sophomores, juniors, and seniors; the highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years. The findings suggested that colleges and universities need to pay special attention to psychologically unhealthy students, and with concerted efforts by the government, formulate mental health policies in the prevention, detection, and treatment of students’ psychiatric disorders, rather than just focusing on their average levels of mental health.
AI snapshot
Written from the paper’s full text.
TL;DR
This longitudinal panel study tracked a 2008 cohort of Chinese undergraduates across four years and found average depression and stress within normal ranges, but average anxiety above the normal threshold in the first three years. It also found significant differences in psychological well-being across academic years, with the highest depression, anxiety, and stress scores generally appearing in the first or second year and some improvement later.
Key findings
- Average depression scores varied between 7.22 and 7.79 across the four academic years, and stress scores ranged from 9.53 to 11.68, both within normal cutoffs; anxiety scores were 7.40, 7.24, and 7.10 in the first three years, slightly above the normal threshold of 7, then fell to 6.63 in the senior year.
- Approximately 38% to 43% of students were above the normal level of anxiety, about 35% above the normal level of depression, and around 20% to 30% above the normal level of stress.
- The highest average scores of depression, anxiety, and stress all appeared in the first or second year; sophomores had relatively high depression and stress, while freshmen had relatively high anxiety.
- Multiple group analysis showed significant differences in psychological well-being across years: no significant difference between freshman and sophomore years, but significant differences between sophomore and junior years and between junior and senior years (p < 0.05 for the structural covariances and measurement residuals models in the sophomore–junior comparison, and p < 0.05 for all three models in the junior–senior comparison).
Methods
- Data came from the Beijing College Student Panel Survey (BCSPS) of the China Education Panel Survey; the 2008 cohort was randomly chosen from students admitted to 15 Beijing universities and tracked for four consecutive years from June 2009 to June 2012. The effective sample size was 1401 (650 females, 751 males), with follow-up rates of 95.27%, 94.66%, and 90.58% in the latter three rounds.
- Psychological well-being was measured with the Depression Anxiety Stress Scales-21 (DASS-21), a self-report measure of depression, anxiety, and stress; scores were multiplied by two to compare with conventional severity cutoffs. Scale reliability coefficients were 0.813 for depression, 0.766 for anxiety, and 0.812 for stress.
- Analyses used descriptive statistics and multiple group analysis, including unconstrained, factor-loading, structural-covariance, and measurement-residual invariance models to test differences across academic years.
Limitations
- Stated limitations: Not stated in the paper.
- Evident from the text: the sample is a single 2008 cohort of full-time undergraduates from 15 Beijing universities, so findings may not generalize to other regions, cohorts, or non-full-time students.
- Evident from the text: DASS-21 is a self-report symptom-severity measure rather than a clinical diagnosis, and the fourth wave was conducted entirely online, which may affect response conditions.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 13 cited sources checked · 0 supported · 0 flagged
- Findingown data
Around 35 percent of college students had above the normal levels of depression.
“while around 35 percent had above the normal levels of depression.”
- Also stated in: § Abstract · plain
“about 35% above the normal level of depression”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Also stated in: § Abstract · plain
- Findingown data
More than 60 percent of students had a normal level of depression in the four years of college.
“We noticed that more than 60 percent of students had a normal level of depression in the four years of college, while 12 to 17 percent of students suffered from moderate depression.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Students who suffered from moderate stress accounted for approximately 7 percent to 12 percent.
“Students who suffered from moderate stress accounted for approximately 7 percent to 12 percent, while two to five percent struggled with severe stress on campus, and less than 1.1 percent had extremely severe stress.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
There were significant differences in the psychological health states of students of different years, especially among the sophomores, juniors, and seniors.
“There were significant differences in the psychological health states of students of different years, especially among the sophomores, juniors, and seniors; the highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
There was no significant difference in students' psychological well-being between the freshman and sophomore years.
“The results showed that there was no significant difference in students’ psychological well-being in the freshman and sophomore years, indicated by the measurement weights model, structural covariances model, and measurement residuals complete invariance model (p > 0.05).”
Quote in the paperSubstantial claim
- Findingown data
The χ2 difference test between the structural covariances model and the measurement residuals complete invariance model was significant.
“The χ2 difference test between the structural covariances model and the measurement residuals complete invariance model was significant (χ2 (9) = 169.996, p < 0.05).”
Quote in the paperSubstantial claim - Findingown data
There were significant differences in psychological well-being among different years in college.
“revealing that there were significant differences in psychological well-being among different years in college.”
Quote in the paperSubstantial claim - Findingown data
Unique variances of each item were different in different academic years.
“The χ2 difference test between these two constrained models was also significant (χ2 (3) = 47.522, p < 0.05). This suggested that, apart from the factor loadings, unique variances of each item were also different in different academic years.”
Quote in the paperNot a substantial claim - Findingown data
The second model, holding all factor loadings invariant, was acceptable.
“The second model, holding all factor loading invariants, proved to be acceptable (χ2 (6) = 43.823, p < 0.05; NFI = 0.995; NNFI = 0.991; CFI = 0.995; RMSEA = 0.034).”
Quote in the paperSubstantial claim - Findingown data
The percentage of students experiencing anxiety was noticeably high in their freshmen year.
“The percentage of students experiencing anxiety was noticeably high in their freshmen year while a larger ratio of junior students had extremely severe anxiety.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
A larger ratio of junior students had extremely severe anxiety.
“The percentage of students experiencing anxiety was noticeably high in their freshmen year while a larger ratio of junior students had extremely severe anxiety.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Students whose stress scores surpassed the clinical cutoff values constituted about 20 to 30 percent of the total.
“In addition, students whose stress scores surpassed the clinical cutoff values constituted about 20 to 30 percent of the total.”
- Also stated in: § Abstract · plain
“around 20% to 30% above the normal level of stress”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Also stated in: § Abstract · plain
- Findingown data
Students with normal levels of anxiety represented more than 55 percent of the total.
“Students with normal levels of anxiety represented more than 55 percent of the total.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingreasoning
Chinese college students experienced more mental problems in the freshman and sophomore years.
“Generally, Chinese college students experienced more mental problems in the freshman and sophomore years.”
Quote in the paperSubstantial claim - Findingown data
The factor loadings (λ1, λ2, λ3) increased gradually from year one to year four.
“According to the base model, the λ1, λ2, and λ3 increased gradually from year one to year four”
Quote in the paperSubstantial claim - Findingown data
About two to five percent of students experienced severe depression.
“About two to five percent of students experienced severe depression, and less than two percent of students struggled with extremely severe depression.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingnone given
In China, the average DASS scores only indicated certain anxiety problems among college students.
“However, the study in the UK considered university a time of heightened distress, while in China the average DASS scores only indicated certain anxiety problems among college students.”
Quote in the paperSubstantial claim - Findingown data
On average, students' stress scores during the four academic years ranged from 9.53 to 11.68.
“while the stress scores ranged from 9.53 to 11.68.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
In the senior year, the mean anxiety score fell to 6.63.
“In the senior year, anxiety seemed to be relieved to some degree, with the mean score falling to 6.63.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Around 20 percent of students had moderate anxiety.
“However, 8 to 13 percent of students suffered from mild anxiety, and around 20 percent had moderate anxiety.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Mental health states between the junior and senior years differed significantly.
“A similar pattern applied to the comparison between the junior and senior years (p < 0.05 for all three models).”
Quote in the paperSubstantial claim - Findingown data
Throughout college, students suffered more from stress compared with depression and anxiety.
“It was noteworthy that throughout college, students suffered more from stress compared with depression and anxiety.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Students with severe or extremely severe anxiety constituted four to six percent.
“Students with severe or extremely severe anxiety constituted four to six percent.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Less than two percent of students struggled with extremely severe depression.
“About two to five percent of students experienced severe depression, and less than two percent of students struggled with extremely severe depression.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Mental health states between the sophomore and junior years differed significantly.
“Nevertheless, the mental health states between the sophomore and junior years differed significantly, with p < 0.05 for the structural covariances model and the measurement residuals complete invariance model.”
Quote in the paperSubstantial claim - Findingown data
The error variances (e1, e2, e3) showed a downward trend from year one to year four.
“while the general trends of e1, e2, and e3 were downward”
Quote in the paperSubstantial claim - Findingown data
Approximately 38 to 43 percent of college students had above the normal levels of anxiety.
“approximately 38 to 43 percent of college students had above the normal levels of anxiety, while around 35 percent had above the normal levels of depression.”
- Also stated in: § Abstract · plain
“approximately 38% to 43% of college students were above the normal level of anxiety, about 35% above the normal level of depression, and around 20% to 30% above the normal level of stress.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Also stated in: § Abstract · plain
- Findingown data
Over 70 percent of students in college experienced normal levels of stress.
“over 70 percent of students in college experienced normal levels of stress.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Less than 1.1 percent of students had extremely severe stress.
“and less than 1.1 percent had extremely severe stress.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
8 to 13 percent of students suffered from mild anxiety.
“However, 8 to 13 percent of students suffered from mild anxiety, and around 20 percent had moderate anxiety.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
The factor loadings of all year groups were different.
“The χ2 difference test between the baseline model and the measurement weights model was significant (χ2 (6) = 43.823, p < 0.05), suggesting that the factor loadings of all year groups were different.”
Quote in the paperSubstantial claim - Findingown data
On average, students' severity scores of depression during the four academic years varied between 7.22 and 7.79.
“On average, students’ severity scores of depression during the four academic years varied between 7.22 and 7.79, while the stress scores ranged from 9.53 to 11.68.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
Two to five percent of students struggled with severe stress on campus.
“while two to five percent struggled with severe stress on campus, and less than 1.1 percent had extremely severe stress.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
12 to 17 percent of students suffered from moderate depression.
“while 12 to 17 percent of students suffered from moderate depression.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
- Findingown data
The model constraining both factor loadings and variances equally across years was acceptable.
“In the subsequent model, both factor loadings and variances were constrained equally across years, and the result showed that this was also acceptable (χ2 (9) = 91.346, p < 0.05; NFI = 0.989; NNFI = 0.986; CFI = 0.99; RMSEA = 0.04).”
Quote in the paperSubstantial claim - Findingown data
A relatively large ratio of freshmen suffered from anxiety.
“A relatively large ratio of freshmen suffered from anxiety”
Quote in the paperSubstantial claim - Findingown data
There were significant differences between sophomore, junior and senior students.
“There were significant differences between sophomore, junior and senior students”
Quote in the paperSubstantial claim - Findingown data
Chinese college students suffered from anxiety beyond normal levels in the first three years.
“but they suffered from anxiety beyond normal levels in the first three years.”
Quote in the paperSubstantial claim - Findingown data
The highest average scores of depression, anxiety, and stress appeared either in the first or second year.
“To be more specific, the highest average scores of depression, anxiety, and stress appeared either in the first or second year.”
Quote in the paperSubstantial claim - Findingown data
Chinese college students were on average mentally healthy with regards to stress and depression.
“First, Chinese college students were on average mentally healthy with regards to stress and depression”
Quote in the paperSubstantial claim - Findingown data
Approximately 20 to 40 percent of college students suffered from different degrees of depression, anxiety, and stress.
“Second, approximately 20 to 40 percent of college students suffered from different degrees of depression, anxiety, and stress.”
Quote in the paperNot a substantial claim - Findingown data
During their sophomore year, students tended to experience more stress and depression.
“during their sophomore year, students tended to experience more stress and depression.”
Quote in the paperSubstantial claim - Premisecitation
Students who dropped out due to financial burden tended to have poor mental and physical health.
“and students who dropped out due to financial burden tended to have poor mental and physical health [28].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Jessop, 2005, The impact of financial circumstances on student health, Br. J. Health Psychol. source
Not checked in the free run.
- Interpretationown data
The anxiety situation improved over time from year one to year four.
“For the anxiety scale, freshman students scored 3.70 on average, and the scores decreased gradually from year one to year four, indicating that this situation improved over time.”
Quote in the paperSubstantial claim - Interpretationcitation
The changing trend of students' psychological well-being in China differs from that in the US.
“In addition, the changing trend of students’ psychological well-being in China differs from that in the US.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] Chen, 2002, Identifying factors influencing mental health development of college students in China, Soc. Behav. Personal. Int. J. source
Not checked in the free run.
- Interpretationown data
Anxiety seemed to be relieved to some degree in the senior year.
“In the senior year, anxiety seemed to be relieved to some degree, with the mean score falling to 6.63.”
Quote in the paperNot a substantial claim - Interpretationown data
Students in their sophomore year suffered the most from stress compared to other years.
“It was apparent that students in their sophomore year suffered the most from stress compared to other years.”
Quote in the paperNot a substantial claim - Interpretationown data
After comparing with cutoff values, college students in general were mentally healthy with regard to depression and stress scales.
“After comparing with the cutoff values in Table 2, it was evident that college students, in general, were mentally healthy with regard to depression and stress scales.”
Quote in the paperSubstantial claim - Interpretationown data
Depression, anxiety, and stress are better measures of psychological well-being for students over time.
“revealing depression, anxiety, stress to be better measures of psychological well-being for students over time.”
Quote in the paperSubstantial claim - Premisereasoning
There is a dearth of detailed analysis and comparisons of the mental health status of college students over the four-year span, especially in a Chinese context.
“Thus, there is a dearth of detailed analysis and comparisons of the mental health status of college students over the four-year span, especially in a Chinese context.”
Quote in the paperSubstantial claim - Interpretationcitation
Financial difficulties should be deemed as one major source of negative emotions.
“Therefore, financial difficulties should be deemed as one major source of negative emotions.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Sophomores had a higher risk of suffering from depression.
“It was evident that sophomores had a higher risk of suffering from depression.”
Quote in the paperNot a substantial claim - Interpretationcitation
The disparity in psychological well-being between Chinese and UK students can mainly be credited to financial concerns.
“We suppose that this disparity can mainly be credited to financial concerns.”
Quote in the paperNot a substantial claim - Premisecitation
Financial pressure is a significant negative linear predictor of psychological health.
“Previous studies showed that financial pressure was a significant negative linear predictor of psychological health [26,27]”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [26] Beiter, 2015, The prevalence and correlates of depression, anxiety, and stress in a sample of college students, J. Affect. Disord. source
Not checked in the free run.
- cites [27] Andrews, 2004, The relation of depression and anxiety to life-stress and achievement in students, Br. J. Psychol. source
Not checked in the free run.
- Premisecitation
In the US, juniors and seniors scored higher on depression, anxiety, and stress scales compared with freshmen.
“By contrast, in the US, juniors and seniors scored higher on depression, anxiety, and stress scales compared with freshmen, and students’ top three concerns were academic performance, the pressure to succeed and post-graduation plans [25].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] Chen, 2002, Identifying factors influencing mental health development of college students in China, Soc. Behav. Personal. Int. J. source
Not checked in the free run.
- Interpretationown data
As they entered the last two years of college life, their situation seems to have taken a favorable turn.
“As they entered the last two years of college life, their situation seems to have taken a favorable turn.”
Quote in the paperSubstantial claim - Interpretationreasoning
The psychological disparity among students in different years is due to grade differences, rather than the inapplicability of the DASS-21 scale across years.
“We attribute the psychological disparity to grade differences, rather than the inapplicability of DASS-21 scale across years, for mainly two reasons.”
Quote in the paperSubstantial claim- The authors state this as an assumption: The DASS-21 can be applied to examine students in different years.
- Interpretationreasoning
The differences in measurement results indicated that students' mental status experienced changes over time.
“Therefore, the differences in the measurement results indicated that students’ mental status experienced changes over time.”
Quote in the paperSubstantial claim - Interpretationreasoning
American students need to cope with relatively higher academic stress than Chinese students during college.
“Therefore, during college, American students need to cope with relatively higher academic stress than Chinese students.”
Quote in the paperSubstantial claim- Rests on an assumption: Most Chinese universities have strict requirements for students’ national college entrance examination scores, while in the US, college students face intense pressure on meeting graduation requirements, rather than admission thresholds.
- Interpretationown data
Students' mental health situation improved over time from sophomore to senior years.
“showing that their mental health situation had improved over time.”
Quote in the paperSubstantial claim
- May combine two claims. 14
- The quote only partly states this claim. 1
- Classified as probably not a substantial claim. 11
May combine two claims.
Findingown dataThe anxiety scores in the first three years were 7.40, 7.24 and 7.10, respectively, slightly overtaking the normal threshold of 7.
“Nevertheless, the anxiety scores in the first three years turned out to be 7.40, 7.24 and 7.10, respectively, slightly overtaking the normal threshold of 7.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
May combine two claims.
Findingown dataFor the anxiety scale, freshman students scored 3.70 on average, and the scores decreased gradually from year one to year four.
“For the anxiety scale, freshman students scored 3.70 on average, and the scores decreased gradually from year one to year four, indicating that this situation improved over time.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
May combine two claims.
Findingown dataA larger proportion of students reported having mild depression in their sophomore year while moderate depression was more likely to be seen in the senior year.
“A larger proportion of students reported having mild depression in their sophomore year while moderate depression was more likely to be seen in the senior year.”
Quote in the paperNot a substantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
May combine two claims.
Findingown dataFactor loadings, unique variances, and factor variances were different across years.
“Overall, these results indicated that the factor loadings, unique variances, and factor variances were different across years”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSophomore students endured relatively high levels of depression and stress, with mean scores reaching up to 5.84 and 3.89, respectively.
“Sophomore students endured relatively high levels of depression and stress, with mean scores reaching up to 5.84 and 3.89, respectively.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
May combine two claims.
Findingown dataThe highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years.
“the highest score of depression, anxiety, and stress all appeared in the first or second year on average, but some improvements were achieved in the third and last years.”
Quote in the paperSubstantial claim- Rests on an assumption: Students lost to follow-up do not differ systematically in mental health from those retained.
May combine two claims. The quote only partly states this claim.
Findingown dataThere were statistically significant differences in psychological well-being between year 1 and 3, year 1 and 4, and year 2 and 4.
“This indicated that strictly speaking, i.e., by holding factor loadings, variances and residuals as invariant, there were statistically significant differences between the latter three years.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationDepression, anxiety, and stress are significant indicators of psychological well-being.
“Indeed, depression, anxiety, and stress are deemed as significant indicators of psychological well-being [13].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] Teh, 2015, Depression, anxiety and stress among undergraduate students: A cross sectional study, Open J. Epidemiol. source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationThe DASS-21 is an effective measure of negative emotions in Chinese people.
“The widely recognized Depression Anxiety Stress Scales-21 (DASS-21) is an effective measure of negative emotions in Chinese people [10,11].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [10] Quek, T., Ho, C., Choo, C., Nguyen, L., Tran, B., and Ho, R. (2018). Misophonia in Singaporean psychiatric patients: A cross-sectional study. Int. J. Environ. Res. Public Health, 15. source
Not checked in the free run.
- cites [11] Ho, C.S., Tan, E.L., Ho, R., and Chiu, M.Y. (2019). Relationship of anxiety and depression with respiratory symptoms: Comparison between depressed and non-depressed smokers in Singapore. Int. J. Environ. Res. Public Health, 16. source
Not checked in the free run.
May combine two claims.
Interpretationown dataStudents in their first year of college tended to suffer more from anxiety, while in the sophomore year they experienced relatively high levels of stress and depression.
“Descriptive statistics showed that students in their first year of college tended to suffer more from anxiety, while in the sophomore year they experienced relatively high levels of stress and depression.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Premisenone givenExisting literature on college students' psychological distress mainly used cross-sectional data, and the few longitudinal studies often had a small sample size with participants mostly from a single university.
“In general, existing literature regarding the psychological distress of college students mainly used cross-sectional data, and the few longitudinal studies often had a small sample size, with participants mostly from a single university.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Premisenone givenThere was little consistent information available about undergraduate students' mental health problems.
“Although previous studies suggested psychiatric disorders are common in the adult population, there was little consistent information available about undergraduate students’ mental health problems.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningSophomores may be confronted with intense pressure from study compared to previous semesters, which may lead to higher stress and even depression.
“Moreover, given the curriculum organization in Chinese universities, which usually set general courses in the first year and introduce more specialized courses from the second year, sophomores may be confronted with intense pressure from study compared to the previous semesters. This may inevitably lead to higher stress and even depression.”
Quote in the paperNot a substantial claim- Rests on an assumption: Chinese universities usually set general courses in the first year and introduce more specialized courses from the second year.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe main groups at this age are college students in many countries.
“The onset of most lifetime mental disorders occurs before young adulthood [46], and the main groups at this age are college students in many countries.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Kessler, 2007, Age of onset of mental disorders: A review of recent literature, Curr. Opin. Psychiatry source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningFreshman students' anxiety may be partly caused by adjustment disorders, especially when students are separated from their parents and friends and have to orient themselves to new environments.
“For freshman students, their anxiety may be partly caused by adjustment disorders, especially when students are separated from their parents and friends and have to orient themselves to new environments.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataOn average, Chinese college students suffered from above-normal levels of anxiety in the first three years, but they stayed mentally healthy with mean scores of depression and stress in the normal range.
“On average, Chinese college students suffered from above-normal levels of anxiety in the first three years, but they stayed mentally healthy with mean scores of depression and stress in the normal range.”
- Also stated in: § Abstract · hedged
“These results indicated that Chinese college students, in general, were mentally healthy with regard to depression and stress, but their average anxiety levels were beyond normal in the first three years.”
Quote in the paperSubstantial claim- Rests on an assumption: The 2008 cohort of students from 15 Beijing universities is representative of Chinese full-time undergraduate students generally.
- Also stated in: § Abstract · hedged
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe DASS-21 has been widely recognized for its reliability and different forms of validity in a range of studies from different countries with different samples.
“The DASS-21 has been widely recognized for its reliability and different forms of validity in a range of studies from different countries with different samples [42,43].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [42] Osman, 2012, The depression anxiety stress Scales—21 (DASS-21): Further examination of dimensions, scale reliability, and correlates, J. Clin. Psychol. source
Not checked in the free run.
- cites [43] Oei, 2013, Using the depression anxiety stress scale 21 (DASS-21) across cultures, Int. J. Psychol. source
Not checked in the free run.
May combine two claims.
Study design and conductown dataFor this study, the scale reliability coefficients of depression, anxiety, and stress were 0.813, 0.766, and 0.812, respectively, indicating good validity of the DASS measurement.
“For this study, the scale reliability coefficients of depression, anxiety, and stress were 0.813, 0.766, and 0.812, respectively, indicating good validity of the DASS measurement.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe mental states of college students deteriorated from the freshman to sophomore year, with some improvements in the last two years.
“In sum, the mental states of college students deteriorated from the freshman to sophomore year, with some improvements in the last two years.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe onset of most lifetime mental disorders occurs before young adulthood.
“The onset of most lifetime mental disorders occurs before young adulthood [46], and the main groups at this age are college students in many countries.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Kessler, 2007, Age of onset of mental disorders: A review of recent literature, Curr. Opin. Psychiatry source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataParticipants of the BCSPS were randomly chosen from students admitted to 15 universities in 2006 and 2008.
“Participants of the survey were randomly chosen from students admitted to 15 universities in the years of 2006 and 2008, and these two cohorts were tracked for four consecutive years from June 2009 to June 2012.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductcitationThe follow-up rate of the latter three rounds was 95.27%, 94.66%, and 90.58%, respectively, with very few sample losses.
“the follow-up rate of the latter three rounds was 95.27%, 94.66%, and 90.58%, respectively, with very few sample losses [41].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [41] Liu, X., Gao, X., and Ping, S. (2019). Post-1990s College Students Academic Sustainability: The Role of Negative Emotions, Achievement Goals, and Self-efficacy on Academic Performance. Sustainability, 11. source
Not checked in the free run.
May combine two claims.
Interpretationown dataChinese college students were mentally healthy on average, while the psychological health states of freshmen and sophomores warrants more attention.
“With the above analysis, we can conclude that Chinese college students were mentally healthy on average, while the psychological health states of freshmen and sophomores warrants more attention.”
Quote in the paperSubstantial claim- Rests on an assumption: The 2008 cohort of students from 15 Beijing universities is representative of Chinese full-time undergraduate students generally.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenThe overall optimistic situation of the psychological state of college students may be due to their weak perception about changes in their external social environment.
“Furthermore, it is worth noting that the overall optimistic situation of the psychological state of colleges students may be due to their weak perception about changes in their external social environment.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
The 2008 cohort of students from 15 Beijing universities is representative of Chinese full-time undergraduate students generally.
“On average, Chinese college students suffered from above-normal levels of anxiety in the first three years, but they stayed mentally healthy with mean scores of depression and stress in the normal range.”
The paper relies on this without support.
Students lost to follow-up do not differ systematically in mental health from those retained.
“the follow-up rate of the latter three rounds was 95.27%, 94.66%, and 90.58%, respectively, with very few sample losses [41].”
The paper relies on this without support.
The 2009-2012 cohort's experiences are generalizable to current Chinese college students.
“These results indicated that Chinese college students, in general, were mentally healthy with regard to depression and stress, but their average anxiety levels were beyond normal in the first three years.”
The paper relies on this without support.
Chinese universities usually set general courses in the first year and introduce more specialized courses from the second year.
“given the curriculum organization in Chinese universities, which usually set general courses in the first year and introduce more specialized courses from the second year”
The paper relies on this without support.
Chinese college students usually pay much lower tuition for undergraduate study compared to their counterparts in the UK.
“Chinese college students usually pay much lower tuition for undergraduate study compared to their counterparts in the UK”
The paper relies on this without support.
Economic aids in China are relatively more accessible regarding both its simpler application process and also its better chance of success.
“the economic aids in China are relatively more accessible regarding both its simpler application process and also its better chance of success”
The paper relies on this without support.
Chinese parents are more commonly seen to pay the costs of higher education of their children, while UK students have to bear the financial burden mostly by themselves.
“Chinese parents are more commonly seen to pay the costs of higher education of their children, while UK students have to bear the financial burden mostly by themselves.”
The paper relies on this without support.
Most Chinese universities have strict requirements for students’ national college entrance examination scores, while in the US, college students face intense pressure on meeting graduation requirements, rather than admission thresholds.
“most Chinese universities have strict requirements for students’ national college entrance examination scores, while in the US, college students face intense pressure on meeting graduation requirements, rather than admission thresholds”
The paper relies on this without support.
Previous literature on college students’ psychological well-being was generally based on cross-sectional data.
“Previous literature on college students’ psychological well-being was generally based on cross-sectional data”
The authors state this as an assumption.
The DASS-21 can be applied to examine students in different years.
“First, the DASS-21 enjoys worldwide recognition in measuring levels of depression, anxiety, and stress, so we assume that it can be applied to examine students in different years [50,51,52,53,54].”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
University students represent a particularly vulnerable group prone to adopting unhealthy lifestyles that increase the risk of developing NCDs.
“University students represent a particularly vulnerable group prone to adopting unhealthy lifestyles that increase the risk of developing NCDs [9, 10].”
From Psychometric validation and measurement invariance of the Health-Promoting Lifestyle Profile II in Honduran university students (2025) · cites this paper as [9]
The Introduction (page unavailable) describes college students as psychologically disadvantaged and says negative emotions may affect their lifestyle. It does not say students are particularly prone to adopting unhealthy lifestyles or that those lifestyles increase their risk of NCDs. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentχ²(6) = 43.823reported p < .05 · recomputed p < .001
“χ2 (6) = 43.823, p < .05”
- Consistentχ²(9) = 91.346reported p < .05 · recomputed p < .001
“χ2 (9) = 91.346, p < .05”
- Consistentχ²(3) = 47.522reported p < .05 · recomputed p < .001
“χ2 (3) = 47.522, p < .05”
- Consistentχ²(18) = 261.342reported p < .05 · recomputed p < .001
“χ2 (18) = 261.342, p < .05”
- Consistentχ²(9) = 169.996reported p < .05 · recomputed p < .001
“χ2 (9) = 169.996, p < .05”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Sophomore depression and stress scores conflict with the reported ranges
MinorThe sophomore scores are presented as original scores, which the paper says are doubled for interpretation. Doubling the stated depression and stress scores gives 11.68 and 7.78, respectively-both outside the paper's reported four-year ranges for those measures. The two sophomore scores appear to have been reversed.
“Sophomore students endured relatively high levels of depression and stress, with mean scores reaching up to 5.84 and 3.89, respectively.”
“students’ severity scores of depression during the four academic years varied between 7.22 and 7.79, while the stress scores ranged from 9.53 to 11.68.”
Cites
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523 · see citing works
Henry, J. D., & Crawford, J. R. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29657 · Cited by 5,801 · see citing works
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(18)30022-1 · Cited by 3,666 · see citing works
Age of onset of mental disorders: a review of recent literature
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & ??st??n, T. B. (2007) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32816ebc8c · Cited by 3,457 · see citing works
(2011) · Cited by 2,664 · see citing works
Depression Anxiety Stress Scales
Lovibond, S. H., & Lovibond, P. F. (2011) · PsycTESTS Dataset · doi:10.1037/t01004-000 · Cited by 2,416 · see citing works
Structural Equation Modeling with Mplus: Basic Concepts, Applications, and Programming
Byrne, B. M. (2013) · doi:10.4324/9780203807644 · Cited by 2,063 · see citing works
The prevalence and correlates of depression, anxiety, and stress in a sample of college students
Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.10.054 · Cited by 2,030 · cited 4× · see citing works
“Beiter et al. (2015) found that compared with freshmen, juniors and seniors scored higher on depression, anxiety and stress scales [26].”
BackgroundResultInfluentialMental health problems and help-seeking behavior among college students
Hunt, J., & Eisenberg, D. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.08.008 · Cited by 1,949 · see citing works
Prevalence of Depression in the Community from 30 Countries between 1994 and 2014
Lim, G. Y., Tam, W. W., Lu, Y., Ho, C. S., Zhang, M. W., & Ho, R. C. (2018) · Scientific Reports · doi:10.1038/s41598-018-21243-x · Cited by 1,557 · see citing works
Social consequences of psychiatric disorders, I: Educational attainment
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1026 · Cited by 1,370 · see citing works
Stigma and Help Seeking for Mental Health Among College Students
Eisenberg, D., Downs, M. F., Golberstein, E., & Zivin, K. (2009) · Medical Care Research and Review · doi:10.1177/1077558709335173 · Cited by 1,193 · see citing works
Osman, A., Wong, J. L., Bagge, C. L., Freedenthal, S. L., Gutierrez, P. M., & Lozano, G. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21908 · Cited by 1,097 · see citing works
Toward a new definition of mental health
Galderisi, S., Heinz, A., Kastrup, M. C., Beezhold, J. N., & Sartorius, N. (2015) · World Psychiatry · doi:10.1002/wps.20231 · Cited by 952 · see citing works
The relation of depression and anxiety to life-stress and achievement in students
Andrews, B., & Wilding, J. M. (2004) · British Journal of Psychology · doi:10.1348/0007126042369802 · Cited by 919 · see citing works
Prevalence of depression amongst medical students: A meta-analysis
Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016) · Medical Education · doi:10.1111/medu.12962 · Cited by 855 · see citing works
Mental health in adolescence: is America's youth flourishing?
Keyes, C. L. M. (2006) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.76.3.395 · Cited by 796 · see citing works
Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups
Norton, P. J. (2007) · Anxiety, Stress, & Coping · doi:10.1080/10615800701309279 · Cited by 708 · see citing works
Changes in undergraduate students’ psychological well‐being as they progress through university
Bewick, B., Koutsopoulou, G., Miles, J., Slaa, E., & Barkham, M. (2010) · Studies in Higher Education · doi:10.1080/03075070903216643 · Cited by 597 · see citing works
Using the Depression Anxiety Stress Scale 21 (DASS‐21) across cultures
Oei, T. P. S., Sawang, S., Goh, Y. W., & Mukhtar, F. (2013) · International Journal of Psychology · doi:10.1080/00207594.2012.755535 · Cited by 566 · see citing works
The social consequences of psychiatric disorders, III: probability of marital stability
Kessler, R. C., Walters, E. E., & Forthofer, M. S. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.8.1092 · Cited by 518 · see citing works
Exploring the association between childhood and adolescent obesity and depression: A meta-analysis
Quek, Y., Tam, W. W. S., Zhang, M. W. B., & Ho, R. C. M. (2017) · Obesity Reviews · doi:10.1111/obr.12535 · Cited by 503 · see citing works
A longitudinal study of studentsʼ depression at one medical school
Rosal, M. C., Ockene, I. S., Ockene, J. K., Barrett, S. V., Ma, Y., & Hebert, J. R. (1997) · Academic Medicine · doi:10.1097/00001888-199706000-00022 · Cited by 464 · see citing works
Long-term stability of depression, anxiety, and stress syndromes.
Lovibond, P. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.3.520 · Cited by 417 · see citing works
Wang, P. S., Simon, G. E., Avorn, J., Azocar, F., Ludman, E. J., McCulloch, J., Petukhova, M. Z., & Kessler, R. C. (2007) · JAMA · doi:10.1001/jama.298.12.1401 · Cited by 408 · see citing works
Wahed, W. Y. A., & Hassan, S. K. (2016) · Alexandria Journal of Medicine · doi:10.1016/j.ajme.2016.01.005 · Cited by 405 · see citing works
Long-term stability of depression, anxiety, and stress syndromes.
Lovibond, P. F. (1998) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.107.3.520 · Cited by 403 · see citing works
Szabó, M. (2010) · Journal of Adolescence · doi:10.1016/j.adolescence.2009.05.014 · Cited by 400 · see citing works
Prevalence of depression among nursing students: A systematic review and meta-analysis
Tung, Y.-J., Lo, K. K.-H., Ho, R., & Tam, W. S. W. (2018) · Nurse Education Today · doi:10.1016/j.nedt.2018.01.009 · Cited by 380 · see citing works
Weitzman, E. R. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000120885.17362.94 · Cited by 362 · see citing works
Depression and suicide ideation among students accessing campus health care
Mackenzie, S., Wiegel, J. R., Mundt, M., Brown, D., Saewyc, E., Heiligenstein, E., Harahan, B., & Fleming, M. (2011) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2010.01077.x · Cited by 323 · see citing works
Mental Health as a Complete State: How the Salutogenic Perspective Completes the Picture
Keyes, C. L. M. (2013) · Springer eBooks · doi:10.1007/978-94-007-5640-3_11 · Cited by 304 · see citing works
Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study
Teh, C. K., Ngo, C. W., Zulkifli, R. A. B., Vellasamy, R., & Suresh, K. (2015) · Open Journal of Epidemiology · doi:10.4236/ojepi.2015.54030 · Cited by 169 · see citing works
Comorbidity of Mood Disorders: A Longitudinal Prospective Study
Angst, J. (1996) · The British Journal of Psychiatry · doi:10.1192/s0007125000298383 · Cited by 160 · see citing works
Loya, F., Reddy, R., & Hinshaw, S. P. (2010) · Journal of Counseling Psychology · doi:10.1037/a0021113 · Cited by 158 · see citing works
Mental health issues amongst medical students in Asia: a systematic review [2000-2015].
(2016) · Europe PMC (PubMed Central) · doi:10.3978/j.issn.2305-5839.2016.02.07 · Cited by 139 · see citing works
Mental and physical health in students: The role of economic circumstances
Roberts, R. E., Golding, J. B., Towell, T., Reid, S., Woodford, S., Vetere, A., & Weinreb, I. (2000) · British Journal of Health Psychology · doi:10.1348/135910700168928 · Cited by 136 · see citing works
Perceived Social Support as Moderator of Perfectionism, Depression, and Anxiety in College Students
Zhou, X., Zhu, H., Zhang, B., & Cai, T. (2013) · Social Behavior and Personality: an international journal · doi:10.2224/sbp.2013.41.7.1141 · Cited by 114 · see citing works
The impact of financial circumstances on student health
Jessop, D. C., Herberts, C., & Solomon, L. (2005) · British Journal of Health Psychology · doi:10.1348/135910705x25480 · Cited by 102 · see citing works
Misophonia in Singaporean Psychiatric Patients: A Cross-Sectional Study
Quek, T. C., Ho, C. S., Choo, C. C., Nguyen, L. H., Tran, B. X., & Ho, R. C. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15071410 · Cited by 102 · see citing works
Zlomke, K. R. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.06.003 · Cited by 96 · see citing works
Ho, C. S. H., Tan, E. L. Y., Ho, R., & Chiu, M. Y.-L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16010163 · Cited by 89 · see citing works
Chin, W. W., Mills, A., Steel, D. J., & Schwarz, A. (2016) · Springer proceedings in mathematics & statistics · doi:10.1007/978-3-319-40643-5_20 · Cited by 62 · see citing works
Liu, X., Gao, X., & Ping, S. (2019) · Sustainability · doi:10.3390/su11030775 · Cited by 58 · see citing works
Self-citationHữu, S. N., Nguyen, L. H., Vu, G. T., Nguyen, C. T., Le, T. H. T., Tran, B. X., Latkin, C. A., Ho, C. S. H., & Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16030305 · Cited by 50 · see citing works
Ho, R., Chua, A. N., Tran, B. X., Choo, C. C., Husain, S. F., Vu, G. T., McIntyre, R. S., & Ho, C. S. H. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15102073 · Cited by 44 · see citing works
Lu, Y., Ho, R., Lim, T. K., Kuan, W. S., Goh, D. Y. T., Mahadevan, M., Sim, T. B., Ng, T. P., & Bever, H. P. S. V. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.01.007 · Cited by 35 · see citing works
Socioeconomic Vulnerability to Depressive Symptoms in Patients with Chronic Hepatitis B
Vu, T. M. T., Le, T. V., Dang, A. K., Nguyen, L. H., Nguyen, B. C., Tran, B. X., Latkin, C. A., Ho, C. S. H., & Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16020255 · Cited by 34 · see citing works
Tan, S. H., Tang, C. S., Ng, W. W. N., Ho, C. S. H., & Ho, R. (2015) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2015.10.010 · Cited by 32 · see citing works
College Student Stress and Mental Health: Examination of Stigmatic Views on Mental Health Counseling
Holland, D., & Wheeler, H. (2016) · Opus: Research & Creativity (Indiana University – Purdue University Fort Wayne) · Cited by 31 · see citing works
Identifying factors influencing mental health development of college students in China
Tao, C., Yongyi, B., Zongfu, M., Rappe, P., Edwards, G. D., & Shinfuku, N. (2002) · Social Behavior and Personality An International Journal · doi:10.2224/sbp.2002.30.6.547 · Cited by 26 · see citing works
Ramsay, J. E., Yang, F., Pang, J. S., Lai, C. M., Ho, R., & Mak, K. (2013) · Journal of Health Psychology · doi:10.1177/1359105313504441 · Cited by 19 · see citing works
DASS21: A Useful Tool in the Psychological Profile Evaluation of Dialysis Patients
Liu, W. J., Musa, R., Chew, T. F., Lim, C. T. S., Morad, Z., & Bujang, M. A. (2017) · The American Journal of the Medical Sciences · doi:10.1016/j.amjms.2017.11.015 · Cited by 15 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Wei, 2017, Research progress on family factors of depression for college students, China J. Health Psychol., 25, 1752
Cited by
Sorted by citations
Gao, W., Ping, S., & Liu, X. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.121 · Cited by 851 · see citing works
Self-citationBarbayannis, G., Bandari, M., Zheng, X., Baquerizo, H., Pecor, K. W., & Ming, X. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.886344 · Cited by 773 · see citing works
Ma, Z., Zhao, J., Li, Y., Chen, D., Wang, T., Zhang, Z., Chen, Z., Yu, Q., Jiang, J., Fan, F., et al. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796020000931 · Cited by 437 · see citing works
Self-citationFaisal, R. A., Jobe, M. C., Ahmed, O., & Sharker, T. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-020-00458-y · Cited by 275 · see citing works
Rogowska, A. M., Павлова, Ю., Kuśnierz, C., Ochnik, D., Боднар, І., & Petrytsa, P. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9113494 · Cited by 168 · see citing works
Zhang, C., Shi, L., Tian, T., Zhou, Z., Peng, X., Shen, Y., Li, Y., & Ou, J. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s353778 · Cited by 175 · see citing works
Liu, X., Guo, Y.-X., Zhang, W., & Gao, W. (2022) · World Journal of Psychiatry · doi:10.5498/wjp.v12.i7.860 · Cited by 168 · see citing works
Self-citationRogowska, A. M., Ochnik, D., Kuśnierz, C., Jakubiak, M., Schütz, A., Held, M. J., Arzenšek, A., Benatov, J., Berger, R., Korchagina, E. V., et al. (2021) · BMC Public Health · doi:10.1186/s12889-021-12288-1 · Cited by 84 · see citing works
Gao, W., Luo, Y., Cao, X., & Liu, X. (2022) · Journal of Research in Personality · doi:10.1016/j.jrp.2022.104202 · Cited by 84 · see citing works
Self-citationTang, L., & Zhu, X. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1332909 · Cited by 74 · see citing works
Rogowska, A. M., Kuśnierz, C., & Ochnik, D. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10174025 · Cited by 80 · see citing works
Liu, X., Zhang, Y., Gao, W., & Cao, X. (2023) · Humanities and Social Sciences Communications · doi:10.1057/s41599-023-02252-2 · Cited by 82 · see citing works
Self-citationDoes Low Self-Esteem Predict Anxiety Among Chinese College Students?
Liu, X., Cao, X., & Gao, W. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s361807 · Cited by 69 · see citing works
Self-citationJiménez-Mijangos, L. P., Rodríguez-Arce, J., Martínez-Méndez, R., & Lagos, J. J. R. (2022) · Education and Information Technologies · doi:10.1007/s10639-022-11324-w · Cited by 61 · see citing works
Artificial intelligence-assisted psychosis risk screening in adolescents: Practices and challenges
Cao, X., & Liu, X. (2022) · World Journal of Psychiatry · doi:10.5498/wjp.v12.i10.1287 · Cited by 65 · see citing works
Self-citationJiang, Y., Lu, C., Chen, J., Miao, Y., Li, Y., & Deng, Q. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084713 · Cited by 62 · see citing works
Only Children Were Associated with Anxiety and Depressive Symptoms among College Students in China
Cheng, S., Jia, C.-X., & Wang, Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17114035 · Cited by 57 · see citing works
Gunasekera, G., Liyanagamage, N., & Fernando, M. (2021) · The International Journal of Management Education · doi:10.1016/j.ijme.2021.100491 · Cited by 60 · see citing works
Gavurová, B., Ivanková, V., Rigelský, M., Mudarri, T., & Miovský, M. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.859107 · Cited by 57 · see citing works
Alhamed, . A. (2023) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2023.02.010 · Cited by 70 · see citing works
Cao, C.-H., Dang, C.-Y., Zheng, X., Chen, W.-G., Chen, I., & Gamble, J. H. (2023) · Healthcare · doi:10.3390/healthcare11050700 · Cited by 50 · see citing works
Huang, N., Qiu, S., Alizadeh, A., & Wu, H. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093237 · Cited by 46 · see citing works
Öztürk, F. Ö., & Kerman, K. T. (2022) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2022.09.006 · Cited by 44 · see citing works
Spătaru, B., Podina, I. R., Tulbure, B. T., & Maricutoiu, L. P. (2024) · Stress and Health · doi:10.1002/smi.3450 · Cited by 61 · see citing works
Alshammari, T. K., Alseraye, S., Alqasim, R., Rogowska, A. M., Al-Rasheed, N. M., & Alshammari, M. A. (2022) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2022.01.010 · Cited by 46 · see citing works
Reta, Y., Ayalew, M., Yeneabat, T., & Bedaso, A. (2020) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s235416 · Cited by 42 · see citing works
Luo, Y., Gao, W., & Liu, X. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.877343 · Cited by 41 · see citing works
Self-citationLuo, M.-M., Hao, M., Li, X.-H., Liao, J., Wu, C.-M., & Wang, Q. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1326582 · Cited by 40 · see citing works
Liu, X., Ji, X., & Zhang, Y. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e15750 · Cited by 39 · see citing works
Self-citationYu, Y., Yan, W., Yu, J., Xu, Y., Wang, D., & Wang, Y. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.842378 · Cited by 37 · see citing works
Wu, X., Zhang, W., Li, Y., Zheng, L., Liu, J., Jiang, Y., & Peng, Y. (2024) · PLoS ONE · doi:10.1371/journal.pone.0295118 · Cited by 36 · see citing works
The relationship between resilience, anxiety, and depression in Chinese collegiate athletes
Lyu, C., Ma, R., Hager, R. L., & Porter, D. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.921419 · Cited by 36 · see citing works
Pal, R., Adhikari, D., Heyat, M. B. B., Guragai, B., Lipari, V., Ballester, J. B., Díez, I. D. L. T., Abbas, Z., & Lai, D. (2022) · Bioengineering · doi:10.3390/bioengineering9120793 · Cited by 35 · see citing works
Cheng, W. L. S., Chow, P. P. K., Wong, F. M. F., & Ho, M. M. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1234354 · Cited by 34 · see citing works
Fernández, M. F. P., Cadaveira, F., Tinajero, C., & González, M. S. R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17020542 · Cited by 33 · see citing works
Yang, T., Guo, Z., Zhu, X., Liu, X., & Guo, Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1204285 · Cited by 34 · see citing works
Self-citationBert, F., Ferrara, M., Boietti, E., Langiano, E., Savatteri, A., Scattaglia, M., Moro, G. L., Leombruni, P., Vito, E. D., & Siliquini, R. (2020) · Psychological Reports · doi:10.1177/0033294120984441 · Cited by 32 · see citing works
Cheng, S., An, D., Yao, Z.-Y., Liu, J. J. W., Ning, X., Wong, J. P., Fung, K. P.-L., Vahabi, M., Poon, M. K.-L., Yamada, J., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18041850 · Cited by 32 · see citing works
University Students’ Coping Strategies to Manage Stress: A Scoping Review
Waterhouse, P., & Samra, R. (2025) · Educational Review · doi:10.1080/00131911.2024.2438888 · Cited by 54 · see citing works
Yang, W., Sun, R., Wang, C., Chen, J., Zhang, C., Yu, J., & Liu, H. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04972-w · Cited by 30 · see citing works
Helminen, E. C., Scheer, J. R., Edwards, K. M., & Felver, J. C. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.058 · Cited by 30 · see citing works
Time Use and Cognitive Achievement among Adolescents in China: Depression Symptoms as Mediators
Cao, X., & Liu, X. (2023) · Journal of Intelligence · doi:10.3390/jintelligence11050088 · Cited by 30 · see citing works
Self-citationLiu, X.-Q., Zhang, Y., Cao, X.-J., & Gao, W.-J. (2023) · Current Psychology · doi:10.1007/s12144-023-05184-x · Cited by 30 · see citing works
Self-citationThe importance of belonging for well-being in college students
Romeo, I., Harold Stanislaw, A., McCreary, J., & Hawley, M. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000057 · Cited by 28 · see citing works
Petchamé, J., Iriondo, I., & Azanza, G. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159615 · Cited by 28 · see citing works
Zhang, W., Gao, W., & Liu, X. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e09723 · Cited by 27 · see citing works
Self-citationGuo, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1545370 · Cited by 29 · see citing works
Association of sleep with mental health in Chinese high school students: a cross‐sectional study
Xue, B., Xue, Y., Zheng, X., Shi, L., Liang, P., Dong, F., Xiao, S., Zhang, J., Qin, Z., Xu, Y., et al. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13697 · Cited by 25 · see citing works
Online-Based Survey on College Students’ Anxiety During COVID-19 Outbreak
Han, W., Xu, L., Niu, A., Jing, Y., Qin, W., Zhang, J., Jing, X., & Wang, Y. (2021) · Psychology Research and Behavior Management · doi:10.2147/prbm.s298539 · Cited by 24 · see citing works
Calandri, E., Graziano, F., Begotti, T., Cattelino, E., Gattino, S., Rollero, C., & Fedi, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.643088 · Cited by 25 · see citing works
Psychological well-being and its associated factors among university students in Sichuan, China
Wan, J., Wee, L. H., Siau, C. S., & Wong, Y. H. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1473871 · Cited by 39 · see citing works
Wattanapisit, A., Rahman, H. A., Car, J., Mumin, K. H. A., de la Cruz, M. H. T. O., Chia, M., Rosenberg, M., Ho, M. R., Chaiyasong, S., Mahmudiono, T., et al. (2022) · BMC Public Health · doi:10.1186/s12889-022-14233-2 · Cited by 22 · see citing works
Liu, C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.994209 · Cited by 21 · see citing works
Wang, M., & Lyu, B. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1344989 · Cited by 20 · see citing works
The effectiveness of PERMA model education on university students’ well-being
Sedeh, S. D., & Aghaei, A. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_840_23 · Cited by 20 · see citing works
Servidio, R. C., Abbate, C. S., Costabile, A., & Boca, S. (2022) · Healthcare · doi:10.3390/healthcare10060974 · Cited by 19 · see citing works
Wang, W., Xu, H., Li, S., Jiang, Z., Sun, Y., & Wan, Y. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1281847 · Cited by 18 · see citing works
Gao, D., Xiang, Q., Lu, G., Tong, J., Jiang, W., Yu, X., Wang, R., Lv, Z., & Li, D. (2022) · BMC Psychology · doi:10.1186/s40359-022-00934-1 · Cited by 17 · see citing works
Lü, Y., Tan, X., Lang, R., Wang, T., & Li, K. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06006-5 · Cited by 23 · see citing works
Sun, X., Jahangir, A., Alghamdi, A. A., & Liu, F. (2025) · Scientific Reports · doi:10.1038/s41598-025-24013-8 · Cited by 25 · see citing works
Nogueira, M. J., & Sequeira, C. (2024) · Healthcare · doi:10.3390/healthcare12111085 · Cited by 17 · see citing works
Shi, Y. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.911841 · Cited by 22 · see citing works
Yang, Z., Wang, Y., Xia, L., Zheng, Y., & Feng, Z. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214685 · Cited by 16 · see citing works
Huang, H., Song, Q., Chen, J., Zeng, Y., Wang, W., Jiao, B., Lin, J., Li, Y., Zhang, R., Ma, L., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.825198 · Cited by 15 · see citing works
Chinese university students’ help-seeking behaviors when faced with mental health challenges
Ning, X., Huang, S., Hilario, C. T., Yamanda, J., Vahabi, M., Poon, M. L., Yao, Z., Fung, K. P.-L., Cheng, S., Gao, J., et al. (2024) · Journal of Mental Health · doi:10.1080/09638237.2024.2361259 · Cited by 17 · see citing works
He, T., Tu, C. C., & Bai, X. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.948214 · Cited by 14 · see citing works
Linking sedentary behavior and mental distress in higher education: a cross-sectional study
Subirón‐Valera, A. B., Rodríguez‐Roca, B., Calatayud, E., Gómez‐Soria, I., Andrade-Gómez, E., & Marcén-Román, Y. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1205837 · Cited by 14 · see citing works
Brinholi, F. F., Vasupanrajit, A., Semeão, L. D. O., Michelin, A. P., Matsumoto, A. K., Almulla, A. F., Tunvirachaisakul, C., Barbosa, D. S., & Maes, M. H. J. (2024) · Neuroscience · doi:10.1016/j.neuroscience.2024.06.003 · Cited by 14 · see citing works
Camacho, C. R., & Delgado, M. G. (2025) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe15080163 · Cited by 25 · see citing works
Pang, H., & Qiao, Y. (2022) · Education and Information Technologies · doi:10.1007/s10639-022-11267-2 · Cited by 13 · see citing works
ÇELİK, D. Ö. (2025) · Behavioral Sciences · doi:10.3390/bs15030314 · Cited by 12 · see citing works
Backhaus, I., Fitri, M., Esfahani, M., Ngo, H. T., Lin, L.-J., Yamanaka, A., Alhumaid, M. M., Qin, L., Khan, A., Fadzullah, N. ’., et al. (2023) · Asia Pacific Journal of Public Health · doi:10.1177/10105395231172311 · Cited by 12 · see citing works
Alotaibi, N. M., Alkhamis, M. A., Alrasheedi, M., Alotaibi, K., Alduaij, L., Alazemi, F., Alfaraj, D., & Alrowaili, D. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21030245 · Cited by 12 · see citing works
Zeng, Y., Qiu, S., Alizadeh, A., & Liu, T. (2021) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2021.015937 · Cited by 12 · see citing works
Castillo-Díaz, M. A., Martínez, M. C., Periañez, C. A. H., & Sauceda-Acosta, D. (2024) · Health Promotion International · doi:10.1093/heapro/daae082 · Cited by 15 · see citing works
Rodrigues, D. D. S., da Cruz, D. M. C., Nascimento, J. S., & Cid, M. F. B. (2022) · Cadernos Brasileiros de Terapia Ocupacional · doi:10.1590/2526-8910.ctoao252833051 · Cited by 10 · see citing works
Ewing, L., & Hamza, C. A. (2023) · Journal of Youth and Adolescence · doi:10.1007/s10964-023-01738-1 · Cited by 10 · see citing works
Social Anxiety Disorder among Undergraduate Students
Obadeji, A., & Kumolalo, B. F. (2022) · World Social Psychiatry · doi:10.4103/wsp.wsp_3_22 · Cited by 9 · see citing works
Wen, Q., Zhou, Q., Ye, H., Guo, Q., Shan, J., & Huang, Z. (2024) · Buildings · doi:10.3390/buildings14061790 · Cited by 9 · see citing works
Person-Specific Analyses of Smartphone Use and Mental Health: Intensive Longitudinal Study
Cerit, M., Lee, A. Y., Hancock, J. T., Miner, A. S., Cho, M.-J., Muise, D., Torres, A., Haber, N., Ram, N., Robinson, T. N., et al. (2025) · JMIR Formative Research · doi:10.2196/59875 · Cited by 9 · see citing works
Habe, K., Dobrota, S., & Ercegovac, I. R. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1275818 · Cited by 12 · see citing works
Farshbaf‐Khalili, A., Monshikarimi, A., Shakouri, S. K., Jafarilar, N., & Ghassab‐Abdollahi, N. (2021) · Journal of Lifestyle Medicine · doi:10.15280/jlm.2021.11.1.23 · Cited by 9 · see citing works
Köslich-Strumann, S., Strumann, C., & Voltmer, E. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280462 · Cited by 9 · see citing works
Katsarou, E. C., & Chatzipanagiotou, P. (2025) · Education Sciences · doi:10.3390/educsci15010057 · Cited by 8 · see citing works
Dong, C., Wei, Y., & Zhao, J. (2025) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1471_24 · Cited by 8 · see citing works
Chakroun, N., Izaute, M., & Fall, E. (2021) · Personality and Individual Differences · doi:10.1016/j.paid.2021.110976 · Cited by 8 · see citing works
Mental health of undergraduate distance learners: a cross-sectional study
Gamage, G. G. H. M., & Herath, H. M. C. J. (2021) · AAOU Journal/AAOU journal · doi:10.1108/aaouj-08-2021-0097 · Cited by 8 · see citing works
Johannes, C., Roman, N. V., Onagbiye, S. O., Titus, S., & Leach, L. L. (2024) · Physical Activity and Health · doi:10.5334/paah.367 · Cited by 8 · see citing works
Measurement Properties and Optimal Cutoff Point of the WHO-5 Among Chinese Healthcare Students
Yang, N., Ma, H., Huang, M., Lau, E. Y. Y., Fong, D., Wang, M., Wang, P., Xu, S., Xu, J., Jiang, C., et al. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s437219 · Cited by 8 · see citing works
Zhang, Q., Li, Y., & Lin, C. (2024) · Buildings · doi:10.3390/buildings14092756 · Cited by 7 · see citing works
Guo, Y., Yue, F., Lu, X.-Y., Sun, F.-Y., Hu, X.-L., & Jia, Y.-N. (2024) · Scientific Reports · doi:10.1038/s41598-024-75769-4 · Cited by 7 · see citing works
Alsayed, S., Hashish, E. A. A., Bajamal, E. Z., Aldhafeeri, N. A., Alanazi, M. R., Timraz, S. M., & Bahanshal, S. (2025) · BMC Medical Education · doi:10.1186/s12909-025-08229-w · Cited by 7 · see citing works
Wei, K., & Jianhao, H. (2023) · Educational Research and Reviews · doi:10.5897/err2023.4336 · Cited by 7 · see citing works
Wu, X., Kim, K. Y., & Jian, Z. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1363065 · Cited by 7 · see citing works
Tuan, P. V. (2020) · Humanities & Social Sciences Reviews · doi:10.18510/hssr.2020.83143 · Cited by 7 · see citing works
Depression, anxiety, and stress among students of Sriwijaya University
Habibah, U., Syakurah, R. A., Ikhsan, D. S., Zulissetiana, E. F., & Aini, S. (2021) · Indigenous Jurnal Ilmiah Psikologi · doi:10.23917/indigenous.v6i3.12629 · Cited by 7 · see citing works
ElBarazi, A. S., Mohamed, F., Mabrok, M., Adel, A., Abouelkheir, A., Ayman, R., Mustfa, M., Elmosallamy, M., Yasser, R., & Mohamed, F. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_264_23 · Cited by 6 · see citing works
Yang, F., Gao, Y., & Liu, F. (2025) · Scientific Reports · doi:10.1038/s41598-025-17317-2 · Cited by 6 · see citing works
Challenges University Students Face while Studying away from Hometown: A Cross-Sectional Study
Medani, K., Alqadhibi, M. A., Almutairi, A., Asiree, R. H., Silsilah, M. A., Almutairi, K. N., & Sami, W. (2024) · Journal of Pharmacy And Bioallied Sciences · doi:10.4103/jpbs.jpbs_719_23 · Cited by 6 · see citing works
Zhang, C., Zhao, L., Dong, T., Zhao, J., Gao, C., & Zhao, F. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1361632 · Cited by 6 · see citing works
- Authors
- Liu, X., Ping, S., & Gao, W.
- Affiliations
- Peking University (CN)
- Department of Public Policy & Management, Guangzhou Administration School, Guangzhou 510070, China
- Corresponding author
- Gao, Wenjuan
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2019-08-10
- Volume
- 16
- Issue
- 16
- Pages
- 2864
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC6719208
- OpenAlex
- W2969073395
- Semantic Scholar
- e8fa0f322cb4ddaa886981f06afab8dcd7e605e5
- Cited by
- 261
- References
- 53
- Citations by year
- 2026: 31 · 2025: 44 · 2024: 55 · 2023: 41 · 2022: 48 · 2021: 28 · 2020: 13 · 2019: 1
- FWCI
- 40.98
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Planning Project of Guangdong Philosophy and Social Science (GD18XGL60)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- psychological well-being, undergraduate students, college student life, depression, anxiety, stress, mental health, Chinese university students, academic year differences, DASS-21, mental health policy
- MeSH terms
- Anxiety, China, Depression, Female, Humans, Male, Mental Health, Stress, Psychological, Students, Universities
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review