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Background: College students, especially during the COVID-19 pandemic, face substantial psychological stress. This study investigates the impact of Tai Chi (TC) practice on anxiety levels and theta oscillatory power activation characteristics among college students, aiming to provide empirical evidence for their psychological well-being. Methods: In this randomized controlled trial with 45 healthy college students, brainwave activity and changes in anxiety levels were measured. A 2 (TC group vs control group)×2 (pre-test vs post-test) factorial design was analyzed to explore TC's regulatory effects on brainwave activity and anxiety. Results: Following 12 weeks of TC practice, the TC group exhibited a significant decrease in state-trait anxiety differences (-6.14±14.33), state anxiety differences (-3.45±7.57), and trait anxiety differences (-2.68±7.43), contrasting with an increase in the control group. Moreover, contrasting with a decrease in the control group, TC group demonstrated significance increased theta oscillatory power in C3, C4, F4, P3, T7, and T8, and a significant negative correlations were observed between state anxiety and F4-θ (r = -0.31, p = 0.04), T7-θ (r = -0.43, p = 0.01), and T8-θ (r = -0.30, p = 0.05). Conclusion: The positive influence of TC on college students' psychological well-being and brain function is evident, leading to reduced anxiety levels and increased theta oscillatory activity. While encouraging further research to delve into the mechanisms of TC on anxiety and theta brainwave characteristics, the study recommends actively promoting TC practice among college students to enhance mental health and address post-pandemic psychological challenges. [ABSTRACT FROM AUTHOR]

The document is a preface to a special issue of the Journal of Mechanics in Medicine & Biology, focusing on the application and progress of biomechanics in medicine. It highlights various research papers that explore topics such as the effects of whole-body vibration exercise on older adults, the use of electrical muscle stimulation in athletic performance, and the application of deep learning models in traditional Chinese medicine. The preface emphasizes the importance of biomechanics in revolutionizing medical science and patient care, inviting readers to explore new developments and potential directions in the field. [Extracted from the article]

AbstractObjective: Examine predictors of alcohol misuse among university students amid the COVID-19 pandemic. Participants: University students who completed the National College Health Assessment III before, during, and after the pandemic lockdown. Methods: Using multivariable logistic regression, we examined associations between psychological functioning, time spent with family and friends, and problematic alcohol use. Results: Alcohol use decreased, and psychological functioning was poorest one year after COVID-19-related university closures. While indicators of psychological functioning started to improve in the second year after the school closures, alcohol use started to increase. Overall stress, spending more time with friends, and fraternity/sorority residence significantly predicted moderate to high risk for alcohol dependence and binge drinking two years post-pandemic. Severe psychological distress (OR= 1.36, CI = 1.22, 1.52, p < 0.001) predicted moderate to high risk for alcohol dependence but not binge drinking. Conclusion: Innovative mental health interventions are needed to reduce alcohol misuse among university students. [ABSTRACT FROM AUTHOR]

This study utilized a multiple case design to explore and uncover the counseling experiences of selected college students of Ramon Magsaysay Memorial Colleges, General Santos City, Philippines, School Year 2023-2024. Five participants were chosen to undergo the in-depth interview. This study utilized the semi-structured interview guide to know the multiple perspectives of the participants to be carefully interviewed. Participants were made to sign informed consents with the assurance of anonymity and confidentiality. The results of the interview were transcribed, translated to produce themes. The following were the key findings that emerged: Stigma and Fear of Judgment, Academic Stress and Overwhelming Anxiety, Coping Strategies and Mechanism, Impact of Counseling Service, Self-Exploration and Personal Growth, Resilience and Empowerment, Importance of the Counselor-Client Relationship, Support System. By addressing stigma, academic pressures, and the multifaceted needs of students while fostering supportive relationships and peer connections, the counseling center can provide more effective and holistic support to college students on their mental health journeys. This study's findings can contribute to landscape college students' mental health and counseling services. These beckon practitioners and institutions to destigmatize mental health concerns, bolster academic support systems, diversify coping strategies, prioritize accessible counseling services, and nurture resilience. [ABSTRACT FROM AUTHOR]

Background: The mental health of college students has been a significant concern in higher education, representing a priority for the institutions. Enhancing effective online interventions could represent excellent support for university counseling services that deal with students' well-being. The present study aimed to evaluate the effectiveness of two online interventions provided by the Counseling and Consultation Service for Students (SACS) of the University of L'Aquila (Italy), namely Videochat with Clinical Mental Health consultation (VCMH) and Therapist-supported Internet Cognitive Behavioral Therapy (TsiCBT), a 12-module asynchronous program for anxiety management. The primary outcome was focused on the emotional well-being of students (GHQ-12). The secondary academic outcome was represented by the attainment of their final degree. Methods: Students requesting help from the SACS between March 2020 and March 2022 during different periods of the COVID-19 pandemic restrictions were asked to fill out a brief structured screening tool and access the PSYDIT.COM platform. Based on their personal preferences, students chose to access one of the two different online interventions: VCMH and Ts-iCBT. Results: Over the two-year duration of this study, 379 students (267 women, 70.4%) contacted the service. Out of 334 students, 72.5% asked to be included in the Ts-iCBT group, whereas 27.5% expressed a preference for the VCMH group. A statistically significant decrease in emotional distress was obtained by both forms of online intervention, highlighting a better outcome for VCMH. In addition to clinical variables, 28.8% of students who completed online interventions attained their degree, with a statistically significantly higher percentage of graduated students in the Ts-iCBT compared to VCMH group. A high proportion of students (37.7% of total sample) dropped out (DO) of digital interventions, with a statistically significant lower rate of dropouts in the VCMH group. Conclusions: The effectiveness of online interventions is extremely promising and yields a growing source of suggestions for use in providing more tailored interventions. Videochats and frequent therapist online contacts would be recommended for more severe psychopathological conditions. Students in conditions of moderate and non-severe emotional distress who feel more able to "manage the problem alone" could be addressed to asynchronous online interventions. [ABSTRACT FROM AUTHOR]

AbstractObjectives: The current study explored whether social support received from either mediated or in-person contact varied among international students depending on the level of social ties (stronger/weaker) with existing support groups. This study also examined whether in-person or computer mediated social support (CMSS) is a better predictor of acculturative stress which might influence mental health of international students. Methods: An online survey was conducted among 179 international students across three U.S. universities. Results: Results showed that international students perceive stronger online social ties compared to in-person social ties, t(125)=– 3.57, p < .001. Stronger ties with CMSS significantly negatively influence acculturative stress compared to in-person social support for international students, (b = −0.24, 95% CI [-0.45, −0.03]). This indicates that as CMSS increases, acculturative stress decreases among international students. Conclusions: This study concludes that online social support groups can positively influence mental health of college student populations, particularly those who feel stressed out. [ABSTRACT FROM AUTHOR]

Background: In 2020, the Coronavirus disease (COVID-19) triggered the latest wave of anti-Asian discrimination. During the first year of the pandemic, symptoms of depression and anxiety increased seven-fold within Asian Pacific Islander Desi American (APIDA) communities. Among this population, APIDA college students were at particularly high risk for mental health challenges due to COVID-19-related racial discrimination. This study examined the association between COVID-19-related racial discrimination and the mental health of APIDA college students, conceptualizing ethnic identity as a moderator in the association. Methods: Secondary analysis was conducted on data from 2,559 APIDA college students aged 18 to 29 who participated in the Fall and Winter/Spring Cohorts of the 2020–2021 Healthy Minds Study (HMS), a non-probability web-based survey administered to students in higher education in the United States. Descriptive statistics, comparative analysis (e.g., Chi-square and t-test), and multivariable linear regression were conducted using STATA 17.1 (StataCorp LLC, College Station, TX). Survey weights were applied in all analyses. Results: There were significant positive associations between COVID-19-related racial discrimination and symptoms of depression (b = 2.15, p < 0.001) and anxiety (b = 1.81, p < 0.001) among the overall sample. Furthermore, a greater sense of ethnic identity was associated with lower symptoms of depression (b = -0.15, p< 0.001) among the overall sample. Finally, ethnic identity buffered the association between COVID-19-related racial discrimination and symptoms of anxiety among East Asian students and symptoms of both depression and anxiety among Native Hawaiian and Pacific Islander students. In contrast, ethnic identity intensified the association between COVID-19-related racial discrimination and symptoms of depression among Filipino students. Conclusions: The research found that COVID-19-related racial discrimination was associated with increased symptoms of depression and anxiety among the full sample of APIDA college students during the first year of the pandemic. Additionally, higher levels of ethnic identity were associated with decreased depression among the entire group. The striking results on the moderating role of ethnic identity among subgroups call for further research on the ethnic identity development of APIDA college students, to help mitigate the effects of racial discrimination within a variety of systemic, complex, and dynamic sociocultural contexts. [ABSTRACT FROM AUTHOR]

Despite growing concern about opioid misuse and mental health of college students, little is known about this population who are at high risk of co-occurrence and unmet needs. This national study aims to estimate the prevalence of opioid misuse, examine correlates with anxiety and depression symptoms, and quantify help-seeking behaviors among U.S. college students. Data come from students in the Healthy Minds Study between 2017 and 2020 (n = 176,191). Validated screening tools assessed mental health symptoms (PHQ-9, GAD-7). Marginal effects of logistic regression models estimate the effect of opioid misuse on mental health symptoms, help-seeking and academic performance. 782 students indicated past month opioid misuse. Student opioid misuse was associated with 24.1 percentage point increase in the probability of screening positive for anxiety/depression (p < 0.001) and 3.6 percentage point increase in the probability of informal help-seeking (p = 0.017). Less than half of students with opioid misuse and a positive depression/anxiety screen received any treatment in the past year. Limitations to this study include: possible non-response bias, as it is unknown whether students with opioid misuse may be differentially-likely to respond to the survey; differing time frame for opioid misuse and mental health questions; and data was collected prior to the COVID-19 pandemic. This large, multi-campus study underlines the need for more partnership between substance use and mental health services on campus. It also highlights that college peers could receive training in ways to best help students who misuse opioids, directing them to on- or off-campus care. • 782 students (0.44 %) indicated past month opioid misuse. • Opioid misuse associated with 24.1 percentage point increase in anxiety/depression. • Opioid misuse associated with 3.6 percentage point increase of informal help-seeking. • <50 % with opioid misuse and anxiety/depression received past-year treatment. [ABSTRACT FROM AUTHOR]

Increasing research examines social determinants of health, including structural oppression and discrimination. Microaggression – subtle/ambiguous slights against one's marginalized identity – is distinct from discrimination, which typically presents as overt and hostile. The current study investigated the comparative effects of each exposure on young adult anxiety, depression, and sleep. Race-stratified analyses investigated patterns across groups. Young adults (N = 48,606) completed the Spring 2022 American College Health Association-National College Health Assessment III. Logistic regressions tested odds of anxiety symptoms, depressive symptoms, and sleep disturbance in association with microaggression and discrimination exposure. Microaggression and discrimination equally predicted increased likelihood of anxiety symptoms (OR Micro = 1.42, OR Discrim = 1.46). Discrimination more strongly predicted depressive symptoms (OR = 1.59) and sleep disturbance (OR = 1.54) than did microaggression (OR Depress = 1.24, OR Sleep = 1.27). Race-stratified analyses indicated stronger associations between the each exposure and poor mental health in Whites than Asian American, Black/African American, and Hispanic or Latino/a/x respondents. Microaggression and discrimination exposure were each assessed using a single item. The outcome measures were not assessed using validated measures of anxiety, depression, and sleep (e.g., GAD-7, MOS-SS); thus results should be interpreted with caution. Analyses were cross-sectional hindering our ability to make causal inferences. The findings provide preliminary evidence that microaggression and discrimination exposure operate on health in distinct ways. Racially marginalized individuals may demonstrate a blunted stress response relative to Whites. Treatment approaches must be tailored to the particular exposures facing affected individuals to maximize benefits. • One in five college students experienced microaggression/discrimination the past year. • Exposure rates were higher in racially marginalized students than in Whites. • Microaggression and discrimination each predicted increased odds of all symptoms. • Pathways from the exposures to anxiety, depression, and sleep varied for microaggression versus discrimination. • Clinicians must proactively address identity-based exposures to advance mental health equity. [ABSTRACT FROM AUTHOR]

The outbreak of COVID-19 had a significant impact on the psychological and behavioral health of college students. However, few studies have systematically explored the relationship between COVID-19 and psychological and behavioral health among college students worldwide. Therefore, the purpose of this study was to explore the impact of COVID-19 on college students' psychological and behavioral health using a knowledge-mapping approach. In total, 796 publications were selected and analyzed to clarify the publication volume and time distribution, core authors, major journals, research institutions, country distributions, research hotspots, and core themes. Since the outbreak of the COVID-19 pandemic in 2019, studies focused on the impact of COVID-19 on college students' psychological and behavioral health showed an increasing trend year by year. The three countries with the highest centrality were Britain (0.34), the United States (0.24), and Mexico (0.13). The five major topics of research were mental health, academic pressure, physical health risks, college students' majors, and daily living habits, with most research concerned with college students' mental health. The visualized burst detection results were combined to identify three cutting-edge research topics in this field: the sustained impact of COVID-19 on college students' mental health, the sustained impact of COVID-19 on medical college students, and the mediating role of college students' mental resilience during COVID-19. We conclude by discussing the implications of our findings. [ABSTRACT FROM AUTHOR]

This document is a collection of abstracts from various research papers in the field of psychology. The abstracts cover a wide range of topics, including the influence of enterprise network tie strength on innovation performance, the impact of third-party logistics procurement models on mental health, and the effects of peer feedback on anxiety and written production. The studies provide valuable insights into their respective fields and offer guidance for further research. Additionally, the document explores the integration of ideological and political courses in higher vocational colleges, consumer satisfaction with agricultural products in live streaming e-commerce, and the impact of psychological factors on economic growth. The studies contribute to a better understanding of these areas and provide policy recommendations for improvement. The document also discusses the psychological depths and moral dimensions of Shakespeare's Macbeth, the factors that influence the educational mindset of college teachers, and the coping strategies of students with cognitive psychological disabilities in mathematics. Furthermore, it explores the development of vocational and technical education based on learning psychology, applies Marx's career choice theory in career perspective education, and examines the impact of social media travel sharing on travelers' behavior. The document also investigates the impact of employee stock ownership plans on employee motivation and company productivity, the professional psychological quality of teachers in Teaching Chinese as a Second Language, and the role of positive emotions in alleviating mental exhaustion among college students. These studies provide valuable insights and recommendations for their respective fields of study. [Extracted from the article]

With the rapid development of information and communications technology, the prevalence of cyberbullying and its influences on mental health among college students have received increasing attention. The purpose of this study was to survey the prevalence of cyberbullying in Chinese college students and to investigate the association between cyberbullying, emotional exhaustion and the perception of collective efficacy. The study sample included 5315 respondents from ten different colleges in Liaoning Province. Their demographic characteristics and characteristics of online behaviors and instruments including a Cyberbullying Scale with 12 items, the Emotional Exhaustion measuring scale, and the Perception of Collective Efficacy Scale, were employed. The prevalence of cyberbullying victimization was 26.45 % (1406/5315). Younger male college students who had more active online lives were more likely to be cyberbullying victims. Binary logistic regression analysis showed that being a cyberbullying victim (odds ratio, OR = 2.188; 95%CI, 1.841–2.600, p < 0.001) was associated with emotional exhaustion. Perceptions of collective efficacy (PCE) is negatively associated with cyberbullying and, thus, alleviate emotional exhaustion and mediate the negative effect of emotional exhaustion after it occurs. Cyberbullying occurs quite frequently among Chinese college students. Cyberbullying is a predictor of emotional exhaustion. PCE play a bidirectional role before and after cyberbullying occurs. Our study highlights the importance of the identification of potential cyberbullying victims and of the provision of early interventions in cyberbullying among Chinese college students to improve their mental health. • The study sample included 5315 respondents from ten different colleges in Liaoning Province. • Cyberbullying occurs quite frequently among Chinese college students. • Cyberbullying victimization n had a significant and positive predictive effect on emotional exhaustion • Perception of Collective Efficacy play a bidirectional role before and after cyberbullying occurs. [ABSTRACT FROM AUTHOR]

College students are at risk of poor mental health and other maladaptive traits such as academic worry, perfectionism, and rumination. This study aimed to examine the effects of a seven-week mobile app-based self-compassion intervention on psychological symptoms and maladaptive cognitive traits in a sample of college students based in Singapore. Using a randomized controlled trial design, a total of 63 participants (mean age = 21.2; 64.2% female) were recruited and randomly assigned to either the self-compassion program (n = 31) or a waitlist control condition (n = 32). The online self-compassion program was administered via the mobile app 29k, which consists of weekly lessons each lasting 30 to 60 min. Outcome measures were administered a week before and after the intervention program. Analyses indicated that compared to participants in the waitlist control condition, participants in the intervention condition reported significantly greater decreases in depressive symptoms, anxiety, and stress. There was also a trend for greater decreases in academic worry in the intervention condition. No significant between-group differences were found on changes in trait self-compassion, perfectionism, or rumination. The results are promising in indicating that app-based self-compassion programs may be effective in improving selected aspects of college students' mental health. Future research could investigate additional features that could be incorporated into mobile app-based interventions, such as synchronous sessions with a trained facilitator, and more targeted content for college students. [ABSTRACT FROM AUTHOR]

With the intensification of social pressure and the enhancement of mental health awareness, the mental health issues of college students have become increasingly prominent, attracting social attention. Mental health counseling services, as an important way to alleviate students’ psychological stress, are facing the dual challenges of a shortage of professionals and growing service demands. In recent years, the application of artificial intelligence (AI) technology in the field of mental health has gradually risen, and its advantages in data analysis, pattern recognition, and natural language processing provide new solutions for mental health counseling services. However, existing research still faces problems such as insufficient understanding and limited emotional interaction capabilities in practical applications. This paper delves into the application of AI technology in mental health counseling services for college students and innovates and improves upon the deficiencies in existing research. The study focuses on two main areas: First, word vector generation technologies based on statistics and language models are used according to different application scenarios, and their effectiveness in the analysis of mental health counseling texts is compared. Second, an improved Seq2Seq model is proposed to enhance the emotional understanding and interaction capabilities of emotional dialogue generation algorithms in mental health counseling. This study not only provides technological support for college mental health counseling services but also opens new research directions and perspectives for the application of AI in the field of mental health. [ABSTRACT FROM AUTHOR]

AbstractObjective: This study explored the relations between campus safety and loneliness among Asian and Asian American college students. We investigated the mediation effect of psychological distress and the moderation effect of COVID-19-related discrimination in these relations. Participants: 1,685 Asian and Asian American college students who participated in the Fall 2020, American College Health Association – National College Health Assessment III survey. Method: The moderated mediation analysis was conducted. Results: The findings revealed a negative correlation between campus safety and both psychological distress (b = −0.05, p < 0.001) and loneliness (b = −0.12, p < 0.001), but this weakened for those experiencing COVID-19 discrimination. Psychological distress consistently mediated the safety-loneliness link regardless of discrimination. Conclusions: The current findings highlight the support from the university for Asian and Asian American college students. The specific implications for practice and policy are discussed. [ABSTRACT FROM AUTHOR]

The mental health of college students in the United States has been a longstanding national concern, which has only been exacerbated by the ongoing COVID‐19 pandemic. The Journey to Wellness Scale (JWS) is a newly developed instrument grounded in empirical research in prevention, positive psychology, resilience, and social‐emotional learning, designed to measure psychological wellbeing in adults, including college students, across 10 dimensions: Adaptability, Initiative, Conscientiousness, Connectedness, Social Competence, Empathy, Optimism, Emotional Self‐Regulation, Mindfulness, and Self‐Efficacy. The JWS, a 60‐item self‐report instrument, requires participants to rate their endorsement of the items on a Likert‐type scale. The current study explored the adequacy of the JWS in measuring psychological wellness by confirmatory factor analysis with a sample of 722 college students. Results indicated that the JWS reliably captured the 10 dimensions and effectively measured overall psychological wellness. These findings support the JWS as a valid tool for assessing psychological wellness in the college student population. Future research directions and implications of the study were discussed. [ABSTRACT FROM AUTHOR]

Introduction: Physical and mental health problems of college students are becoming more prominent, and contact with nature has a positive effect on physical and mental health. This paper investigates the psychological recovery effect of different types of campus green space landscape on college students. From the perspective of college students' perception of campus landscape types, the green space, blue space, gray space and movement space of three universities in Anhui Province are investigated. Methods: Through choose campus landscape types and questionnaires, structural equation modeling (SEM) and mediation modeling were constructed on the role of college students' perception of campus landscape types on psychological recovery. Results: It was found that the level of landscape type perception had a significant effect on the effect of psychological recovery and the generation of pro-social behavior, with no significant gender difference, while psychological recovery also had a positive effect on the generation of pro-social behavior. The study also found that campus landscape type not only directly affect students psychological recovery, but also promote psychological recovery through the mediating role of pro-social behavior. Discussion: The study reveals the effects of campus landscape type on college students' psychological recovery, and pro vides a basis for planning campus of different types. [ABSTRACT FROM AUTHOR]

A quasi-experimental study was conducted to investigate the effects of exposure to interactive and non-interactive virtual nature on stress, mood, and cognitive performance among university students. A control group exposed to a white wall was included, and connectedness to nature was added as a potential covariate. The results showed that exposure to virtual nature, especially interactively, had effects on increasing reported happiness and on reducing stress and tenseness. However, there were no effects on energy, calmness, and the digit span test results. The trail test part a and b results were both improved in the post-exposure measurement in the control group, and part b after exposure to nature non-interactively, but not interactively. The results suggest that exposure to nature through virtual reality can have benefits for some indicators of well-being, and further research is needed to identify the underlying mechanisms and potential effects on other aspects of cognitive functioning. [ABSTRACT FROM AUTHOR]

Poor mental health among young adults in higher education is a growing concern. In recent years, the visibility of racism has sharply risen. Vicarious discrimination is defined as the secondhand witnessing of racism, and given society's increased accessibility to social media and the Internet, addressing indirect violence is urgently needed to inform anti-racism and mental health efforts. The current study examined associations between vicarious discrimination and mental health across a large sample of young college students in the United States. We analyzed data from the Healthy Minds Study (HMS; 2020–2021; N =130,566) and used multivariable logistic regression to examine whether past-year vicarious discrimination was associated with various mental health outcomes, adjusting for age, gender, race/ethnicity, and direct discrimination. The sample was predominantly white (n =31,438, 63.66%) and female-identifying (n =34,313, 69.49%) with an average age of 21.1 years. Approximately 35.9% of the sample endorsed experiencing vicarious discrimination. Vicarious discrimination was associated with greater depression (OR:1.97; 95% CI: [1.86,2.09], p < 0.001), anxiety (OR:1.82; 95% CI: [1.72,1.92], p<0.001), languishing (OR:1.75; 95% CI: [1.65,1.87], p <0.001), perceived need for treatment (OR:2.24; 95% CI: [2.10,2.40], p <0.001), suicidal ideation (OR:1.86; 95% CI: [1.73,2.01], p <0.001), suicide plan (OR:1.91; 95% CI: [1.71,2.14], p<0.001), suicide attempt (OR:1.89; 95% CI: [1.51,2.36], p <0.001), self-injurious behavior (OR:2.0; 95% CI: [1.88,2.12], p <0.001), and loneliness (OR:1.67; 95% CI: [1.58,1.77], p<0.001). Consistent with growing literature, vicarious discrimination was associated with poorer mental health among young college students. Additional research should investigate moderators, mediators, and interventions to support those who may be impacted indirectly by discrimination. • Poor mental health among young adults in higher education is a growing concern. • In recent years, the visibility of racism in the United States has sharply risen. • Vicarious discrimination is the secondhand witnessing of racism towards someone else. • Vicarious discrimination is associated with poorer mental health among college students. • Practice and research could support students impacted vicariously by discrimination. [ABSTRACT FROM AUTHOR]

Background: Tai Chi (TC) holds a unique and valued place in promoting the physical and mental health of college students. Its significance is underscored by its incorporation as a compulsory physical education course in every university in China. TC, with its rich tradition, places a strong emphasis on posture control as a core sports ability. However, the students in Tai Chi Elective Course (TCEC) have very poor posture control ability. This study protocol investigates the potential of Tan Tui (TT) to address these issues, as TT is a fundamental skill for beginners of traditional Chinese martial arts and has a track record of enhancing lower limb strength and balance, making it a promising choice for improving posture control in TCEC. Methods/design: To investigate the impact of different intensities of TT exercises on posture control in TCEC students, we have designed a randomized, double-blind, parallel-controlled trial. Seventy-six students in the TCEC will be randomly divided into low-intensity Tan Tui (LTT), medium-intensity Tan Tui (MTT), and high-intensity Tan Tui exercises group (HTT) and control group (CON), each with 19 people. The LTT group, MTT group, and HTT group will be given different intensity of TT exercises, and the CON group will be given regular TCEC. The intervention period will be 6 weeks (2 times a week, 20 min each time). At baseline (before), 4 weeks of intervention (middle), and 6 weeks of intervention (after), the Unipedal Stance Test (UST), the Star Excursion Balance Test (SEBT), 60°/s angular velocity knee joint flexion and extension relative peak torque (RPT), and knee joint position perception (KJPP) will be evaluated. Discussion: This is the first randomized controlled trial protocol from the perspective of training intensity to evaluate the effect of different intensity of TT exercises on posture control of students in TCEC. Should our research reveal a significant intervention effect, the results will offer preliminary, higher-quality evidence supporting the positive impact of varying intensities of Tan Tui exercises on posture control in TCEC students. Trial registration: Chinese Clinical Trial Registry ChiCTR2000039109. Registered on October 17, 2020. [ABSTRACT FROM AUTHOR]

Introduction: Epidemiological data suggest substantial issues on the mental health of university students worldwide. Self-compassion is associated with lower rates of psychological distress and better positive mental health. Thus, we have developed a app-based intervention based on self-compassion principles targeting the prevention and promotion of mental health in college students. The current pilot study assessed adherence to intervention, preliminary mental health benefits, and satisfaction and acceptability with the app among Brazilian college students. Methods: The study employed a pre-experimental single-group design along with pre-test and post-test assessments (n = 23). A mixed methods approach was utilized to comprehensively assess the outcomes of the intervention. Results: The overall adherence rate for the intervention was 37.87%, with 26.26% of participants successfully completing all modules. Among the 21 outcomes assessed, 15 exhibited statistically significant results. Notably, there was a substantial increase in self-compassion, demonstrating a large effect size (d = 1.15), and a moderate effect size reduction in stress (d = 0.62) and anxiety (d = 0.52). All satisfaction indicators for the intervention received scores above 7. The intervention was well-received by participants who completed it, although a potential barrier identified was the volume of text within the app and the need to adopt a more playful and concise format for the intervention. Discussion: Despite a notable participant dropout, the adherence to intervention aligns with patterns observed in other online interventions conducted in realworld settings. The observed mental health benefits, high satisfaction levels, and positive acceptance underscore the rationale for pursuing a subsequent randomized clinical trial. [ABSTRACT FROM AUTHOR]

AbstractBackground: This exploratory study examined the associations between sociodemographic factors and past-year counseling or therapy use by depression severity among college students with depression. Participants: This cross-sectional analysis included n = 8090 participants from the Healthy Minds Study Winter 2021 Survey. Methods: Main effects and stratified multivariable logistic regression models assessed the relationship between sociodemographic factors and counseling/therapy independently and by depression severity. Results: Depression severity and counseling or therapy use were not independently associated (χ2 = 1.34, p = 0.77). Fourth + year students showed a graded response for past-year counseling/therapy use across depression severity (aOR range: 0.57–0.78, 95% CI range: 0.49–1.24). Males and students living with relatives, and those with stressful financial situations also showed lower odds of past-year counseling/therapy use. Conclusion: Findings indicate vulnerable subpopulations of college students that need support. Future interventions should identify barriers to treatment and pathways to support these students. [ABSTRACT FROM AUTHOR]

AbstractObjective: Mental health of college students is a matter of concern, and counseling centers have experienced a surge in demand and strain on capacity to provide services. This study explored the efficacy of a novel, nature-informed stress management curriculum entitled The Ecology of Resilience delivered via a for-credit general education course. The goals were a more favorable perception of stress and increased sense of bouncing back from stress (resilience). Participants: One hundred fifty-seven junior- and senior-level undergraduates participated in a project spanning three semesters from January 2022 to April 2023. Methods: The Perceived Stress Scale (PSS) and Brief Resilience Scale (BRS) were employed in a pretest/post-test arrangement. Results: PSS scores decreased significantly and BRS scores increased significantly for students enrolled in the course versus a control group. Conclusions: Curricula like the Ecology of Resilience, presented within the contexts of for-credit academic courses, are viable options for addressing student mental health. [ABSTRACT FROM AUTHOR]

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Smartphone addiction is an increasingly severe issue in modern society, particularly impacting the mental health of college students during the COVID-19 pandemic. This study aims to explore the relationship between smartphone addiction and mental health issues among college students, and the mediating and moderating roles of psychological resilience and parental attachment. We employed a cross-sectional study design with 100,097 college Chinese students to examine the relationships between smartphone addiction, mental health (anxiety and depression), and the mediating role of psychological resilience. Parental attachment was assessed as a moderator within these relationships. Data were analyzed using multiple regression and mediation/moderation models, controlling for relevant covariates. Our findings revealed a significant positive correlation between smartphone addiction and both anxiety and depression. Psychological resilience mediated these relationships, suggesting that higher resilience levels can mitigate the negative psychological impacts of smartphone addiction. Additionally, parental attachment moderated the effects of smartphone addiction on psychological outcomes; stronger attachment was associated with less pronounced effects of addiction on anxiety and depression. Specifically, for students with low parental attachment, the predictive effect of smartphone addiction on anxiety and depression was more pronounced, whereas higher attachment levels were protective. • Uses a sample of 90,000+ students, improving generalizability and statistical power. • Reveals a strong link between smartphone addiction, anxiety, and depression during COVID-19. • Shows that resilience mediates, and parental attachment moderates, the mental health impacts of smartphone addiction. [ABSTRACT FROM AUTHOR]

Although social support is strongly related to college students' mental health in the context of COVID‐19, little is known about the academic mechanisms that explain and influence this relationship. This knowledge gap limits our ability to create effective interventions. Our current study extends the previous research by using longitudinal data from 2020 to 2021 and leveraging a unique panel dataset from over 1,500 university students in Israel. By using a cross‐lagged panel model, we examine how the relationship between social support and mental health is partially explained by academic coping, as well as how these relationships differ across perceived teaching quality. We find that academic coping partially explains the relationship between social support and depression for students who perceived higher‐quality instruction but not for students who perceived lower‐quality instruction. Moreover, these relationships are not apparent for anxiety, suggesting that anxiety may relate to out‐of‐school considerations like pandemic‐related health concerns and hardships. We close with implications for policy and practice. [ABSTRACT FROM AUTHOR]

Background: The increase in mental health problems among college students has become a global challenge, with anxiety and depression in particular becoming increasingly prevalent. Positive psychology has gained attention as an important psychological intervention that emphasizes improving mental health by promoting positive emotions and mindfulness. However, with the diversity of reading styles, however, there is a lack of systematic research on these effects. Therefore, this study aims to explore the specific effects of different reading styles on college students' mental health and quality of life based on positive psychology, with the aim of providing more effective interventions and recommendations for improving college students' mental health. Methods: This study used a two-round questionnaire to select students with mental health problems and divided them into four experimental groups with a control group. The study was conducted by distributing questionnaires and experimental interventions, and a total of 2860 valid questionnaires were collected. The study used the Self-Assessment Scale for Anxiety (SAS) and the Self-Depression Scale (SDS) to assess the participants' anxiety and depression levels. In addition, the study used the Physical Composite Score (PCS) and the Mental Composite Score (MCS) to assess the participants' quality of life. SPSS 26.0 was used for data statistics and repeated measures ANOVA was used. Results: Paper text reading and audio reading methods were effective in reducing anxiety levels and improving sleep quality. However, the electronic text reading approach was less effective compared to paper text reading and audio reading, and the video reading approach was not effective in improving depression. In addition, the positive psychology literature reading intervention showed significant improvements in college students' quality of life scores. Conclusion: The results of this study suggest that paper text reading and audio reading modalities have a positive impact on the mental health and quality of life of college students, while e-text reading and video reading modalities are less effective. These findings provide suggestions for college students to choose appropriate reading styles and further demonstrate the effectiveness of positive psychology reading on mental health. These results have important academic and practical implications for promoting mental health and improving quality of life among college students. [ABSTRACT FROM AUTHOR]

Introduction: The mental health (MH) of college students has long been a crucial concern for families, educational institutions, and society. Extensive research has demonstrated the influential role of exercise motivation in shaping MH. However, further investigation is warranted to ascertain which types of exercise motivation may have more influence on the MH of college students. The present study examined the direct effects of five distinct types of exercise motivation, namely health motivation (HM), appearance motivation (APM), fun motivation (FM), ability motivation (ABM), and social motivation (SM) on MH. Additionally, the study explored the potential mediating role of physical exercise (PE) in these relationships. Methods: An cross-sectional study design was employed. A total of 433 Chinese college students participated in the study and completed our questionnaires, which included the Exercise motivation scale (EM scale), the Physical exercise scale (PE scale), and the Mental health scale (MH scale). Results: The findings revealed a significant and positive relationship between all five categories of exercise motivation and the MH of college students. Specifically, FM was found to have the most pronounced impact on MH, followed by HM, ABM, SM, and APM, in descending order of influence. Furthermore, the impacts of HM, FM, ABM, and SM on MH were found to be partially mediated by PE. However, the association between APM and MH was entirely mediated by PE. Discussion: The present study contributes to enhancing the comprehension of the underlying mechanisms behind different exercise motivations in relation to PE and MH. Additionally, it offers practical implications for developing intervention strategies for improving the MH of college students. [ABSTRACT FROM AUTHOR]

Sexual victimization is associated with worse mental health outcomes among LGBQ + adolescents and adults; however, limited work has focused on these relations among emerging adults in college and has not tested mechanisms that might explain these associations. Thus, the current study tested the associations between sexual victimization and mental health outcomes (i.e., anxiety symptoms, depressive symptoms, and posttraumatic stress disorder symptoms) and examined social support and trauma-related drinking as mediators of these associations among diverse LGBQ + college student emerging adults. Additionally, we tested whether findings varied among Students of Color and White Students. Participants included 179 LGBQ + college students (M = 19.48, SD = 0.74) who completed measures of sexual victimization, social support, trauma-related drinking, and mental health. Trauma-related drinking was a significant mediator, such that sexual victimization was associated with greater trauma-related drinking and, in turn, greater anxiety symptoms, depressive symptoms, and posttraumatic stress disorder symptoms. Although social support was not a significant mediator, social support was associated with less anxiety symptoms and less depressive symptoms. Findings did not vary by ethnicity/race. Findings have research and intervention implications by highlighting the ways in which sexual victimization, social support, and trauma-related drinking affect LGBQ + college students' mental health. [ABSTRACT FROM AUTHOR]

The shift to remote learning during the COVID-19 pandemic presented significant mental health challenges for college students, particularly for students with minoritized identities. The current study used quantitative and qualitative methods to examine how psychological distress and barriers to mental healthcare shifted for first-generation college students (FGCS) as the pandemic affected campuses in Spring 2020. FGCS across three college settings (N = 314) responded to surveys in December 2019 and again following the onset of the pandemic in May/June 2020. A sub-sample of 28 participants also provided in-depth interviews . Results showed an increase in depressive symptoms and perceived stress following the onset of the pandemic, with Latinx and female FGCS reporting greater increases in stress compared to other groups. FGCS were significantly less confident in their knowledge about where to seek mental health support following the onset of the pandemic, and mental healthcare utilization dropped significantly as well. Interviews highlighted specific stressors contributing to mental health, as well as key barriers to mental healthcare that intensified during the pandemic. These findings inform our understanding of the mental health needs of college students with minoritized identities, and have implications for policies and procedures around provision of mental health services on university campuses. [ABSTRACT FROM AUTHOR]

While latest research has accepted the importance of mindfulness in mental health, its role in interpersonal well-being receives less attention, including the necessary measurement tools. This study aimed to translate the Relationship Mindfulness Measure (RMM) into Turkish and explore its psychometric properties with unmarried Turkish emerging adults. A total of 191 university students (age range 18–29, M = 22.90, SD = 2.78) in committed romantic relationships participated in this study. The convergent validity analysis revealed a positive relation of RMM with trait mindfulness (r =.47, p <.001) and a negative relation with negative affect (r = −.21, p =.05). Internal and test-retest reliability of RMM was acceptable (α =.78, r =.67). The unidimensional factor structure of 5-item RMM was supported, and no common method variance was observed. Overall, findings indicated that Turkish RMM is a valid and reliable measure to assess emerging adults' relationship mindfulness. [ABSTRACT FROM AUTHOR]

Emerging adulthood is a period of human development ripe for personal identity exploration and a college campus can be a conducive environment for this to take place. Historically, many transition-age adults with intellectual and developmental disabilities (IDD) have been denied access to college, but with the rise in inclusive postsecondary education (IPSE) programs across the country, that is changing. This study uses a combination of semi-structured interviews and photo elicitation discussions with 11 emerging adults enrolled in a southeastern IPSE program to better understand how these individuals understand and express their personal identity as well as the contextual factors contributing to their experiences with personal identity. Using thematic analysis, we uncovered seven salient themes across the data, including a theme related to the complicated nature of the participants' disability identity. [ABSTRACT FROM AUTHOR]

The education of visually impaired students in China has also gone through a developmental stage from "segregated education" to "special education" and then to "inclusive education". In this paper, we take the visually impaired students at Binzhou Medical College, the first university in China to provide higher education for the disabled, as the research object. The study was carried out to investigate the adaptability of visually impaired students, using various research methods such as literature review method, questionnaire method and case study method, we investigated and researched the adaptation of visually impaired students to inclusive education from several aspects such as quality of life, social support, mental health level, self-esteem and self-efficacy study. Finally, the study proposed several countermeasures and suggestions, such as attaching importance to the physical and psychological rehabilitation of visually impaired students, emphasising the inclusive of education and rehabilitation, strengthening the training of professional teachers for visually impaired students, emphasising the complementarity between schools and professions, and improving the employment support service system for visually impaired students, which are of great significance in promoting the development of the cause of inclusive education for visually impaired students and improving the adaptability of inclusive education for visually impaired students. [ABSTRACT FROM AUTHOR]

Objective: College students showed a high prevalence of stress, anxiety, and depression, with medical and nursing students experiencing particularly elevated levels of mental health challenges. Optimism significantly influences overall well-being by promoting a healthy lifestyle and cognitive responses. However, the association of optimism with sleep quality, stress, and mental health in college students remains unexplored. This study aimed to (1) explore the associations of optimism with sleep quality, stress, and mental health and (2) ascertain whether sleep quality and stress mediate the association between optimism and mental health among college students. Methods: A cross-sectional study was conducted using online surveys with students from health science majors at a public university in the northeast United States from September to December 2022. A total of 222 students participated in the study, providing data on sociodemographics, optimism, sleep quality, stress, anxiety, and depression. Parallel and serial mediation models were utilized to examine the potential mediating roles of sleep quality and stress in the association between optimism and mental health. Results: The study found that optimism influences anxiety and depression through both direct and indirect pathways. In line with predictions, the parallel mediation analysis revealed that the impact of optimism on anxiety (βtotal = -0.598, 95% confident interval [CI]: -0.778 to -0.392) and depression (βtotal = -0.724, 95% CI: -0.919 to -0.519) was mediated by stress and sleep quality. Furthermore, the serial mediation models revealed that stress and sleep quality co-mediated the relationship betweenoptimism and anxiety (indirect effect [IE] = -0.074, 95% CI: -0.135 to -0.029) or depression (IE = -0.084, 95% CI: -0.142 to -0.036) in a sequential manner. Conclusion: Optimism was negatively correlated with poor sleep quality, stress, anxiety, and depression. Enhanced optimism was linked to high sleep quality and less stress, anxiety, and depression. These insights emphasize the potential for school-based optimism interventions to improve sleep quality, ameliorate stressrelated concerns, and alleviate mental health challenges in college students. [ABSTRACT FROM AUTHOR]

Background: The long-term impact of COVID-19 on the mental health and well-being of college students, specifically trends over time after full removal of COVID-19 restrictions, has not been well-studied. Methods: Four consecutive cross-sectional surveys were conducted in December 2022 (N = 689), March 2023 (N = 456), June 2023 (N = 300), and November 2023 (N = 601) at a university in Sichuan Province, China. Results: The proportion of students with COVID-19 panic decreased from 95.1 to 77.3% (p < 0.001). The prevalence of moderate anxiety and above decreased from 18 to 13.6% (p < 0.001), and the prevalence of moderate and above depression decreased from 33.1 to 28.1% (p < 0.001), while the prevalence of post-traumatic stress disorder (PTSD) increased from 21.5 to 29.6% (p < 0.005). Further, the proportion of suicidal thoughts increased from 7.7 to 14.8% (p < 0.001). Suicidal thoughts and self-injuries were significantly associated with COVID-19 panic, depression, anxiety, and PTSD. Students who reported being in close contact with COVID-19 patients in the past were more likely to develop PTSD. Further, COVID-19-induced panic was a risk factor for self-injury. Conclusion: One year after the COVID-19 pandemic, the overall mental health of college students was not optimal. Hence, we can conclude that the longterm impacts of COVID-19 on the mental health of college students may have already occurred. To mitigate this impact and prepare for the next major public health event, strengthening college students' mental health curricula and promoting healthy behaviors among college students should be a priority for universities and education authorities. [ABSTRACT FROM AUTHOR]

Meaning in life, which has two possible sources: self-acceptance and social support, is essential to the mental health and development of college students. The current study aims to further clarify the symptom-level relations between meaning in life, self-acceptance, and social support, finding possible ways to improve meaning in the life of college students. Thousand three hundred and forty-eight Chinese college students completed the online questionnaire, including Self-acceptance Questionnaire, Social Support Rating Scale, and Meaning in Life Questionnaire and the data from 1,263 participants was used. Cross-sectional network analysis was used to examine the relation between self-acceptance and social support. We also explored the relation between dimensions of self-acceptance and social support and meaning in life using the flow network. The results show symptom "SlA" (self-acceptance) is the bridge symptom linking self-acceptance and social support. In the flow diagrams, "SlA" is directly and positively associated with the presence of meaning. Objective Support shares the strongest positive association with the search for meaning. The symptom "SIA" may be an important targeting symptom when trying to improve the meaning in life of college students. Additionally, social support is essential for college students to develop meaning in life. [ABSTRACT FROM AUTHOR]

Introduction: The present study investigated whether social-emotional skills in first year college students differed before and after the coronavirus disease (COVID-19) lockdowns. Methods: Participants (N = 1,685) consisted of first year college students (mean age 18.53 years) selected from a broader cohort enrolled in a longitudinal study on college mental health at liberal arts colleges in the United States. In a cohortsequential design, participants completed an online survey assessing social-emotional skills in January of 2018, 2019, 2020, and 2022. Using analysis of covariance, we examined mean differences in social-emotional skills between students who were first years before (January 2018-2020) and after the lockdowns (January 2022), controlling for sociodemographic variables. Results: The post-lockdown group scored significantly lower on emotional control and expressivity and marginally higher on social sensitivity compared to the pre-lockdown group. No group differences in social/emotional expressivity or social control were detected. Discussion: These findings indicate that the COVID-19 lockdowns impaired some, but not all, social-emotional skills in first year college students. Addressing social-emotional skills in college may help to reduce the COVID-19 mental health burden. [ABSTRACT FROM AUTHOR]

Background: Mental health of university students has been impacted during the pandemic, highlighting the importance of understanding its psychosocial determinants. Nevertheless, there has been limited exploration into whether the digital inclusion conditions for remote education could mediate the effects that variables such as resilience, social support, and academic self-efficacy may have on mental health. Considering the above, there is evidence that shows a consistent relationship between resilience, social support and academic selfefficacy on mental health, to the extent that these are psychological variables. On the other hand, digital inclusion, which comprehends a contextual variable, not a psychological one, related to ICT access opportunities and mainly focused on the quality of Internet access, should be analyzed in a differential manner. Objectives: This study seeks to analyze the effect of resilience, social support and academic self-efficacy, on the mental health of a group of Peruvian university students; in addition, it seeks to analyze the mediating role of digital inclusion. Materials and methods: A cross-sectional study was conducted with 3,147 undergraduate students from a private university in Lima, Perú. From August to October 2020, data were collected online through questionnaire, this include The Depression, Anxiety and Stress Scale 21 (DASS-21), The 10-item version of the Connor-Davidson Resilience Scale (CD-RISC10), The Multidimensional Scale of Perceived Social Support (EMASP), The Perceived Self-Efficacy Specific for Academic Situations Scale (EAPESA) and to measure digital inclusion, the Perceived Quality of Internet Access reported by the students. The levels of participants' anxiety, depression and stress were described using frequency and percentage. Pearson Correlation test was used to measure the correlation between the variables and a Path analysis was conducted. Finally, The PROCESS macro for SPSS (Model 4) was applied to examine the mediating effect of the model controlling gender variable. Results: The results revealed significant levels of extremely severe symptoms of anxiety (36.8%), depression (33.4%) and stress (18.1%) among the participants. A path analysis, which indicated that resilience (β = -0.346), social support (β = -0.189), academic self-efficacy (β = -0.060) and digital inclusion β = -0.089) had significant impact on students' General Distress. In addition, digital inclusion plays a partial mediation role with low but significant effect size in the relationship between resilience, social support and self-efficacy with mental health. Conclusion: Mental health of university students during the pandemic shows alarming levels of general or emotional distress. The findings indicate that resilience, social support and self-efficacy protect college students' mental health by reducing general distress. However, the study shows that when there is a digital divide around internet quality the impact of these factors is affected. [ABSTRACT FROM AUTHOR]

Background: Due to the influence of theories, tools, and methodologies in studying well-being, sports science has predominantly focused on subjective well-being, with less attention given to psychological well-being and even less to the integrated study of comprehensive well-being. This study aims to analyze the relationship between yoga exercise intervention and the comprehensive well-being of college students and to explore the mechanism of a yoga exercise intervention to improve the comprehensive well-being of female college students. Methods: With 92 female college students as subjects, the "Comprehensive Well-being Scale" was used, and research methods such as yoga exercise intervention, questionnaire surveys, qualitative analysis, expert interviews, and statistical analysis were employed to investigate the role of a yoga exercise intervention on the comprehensive well-being of female college students. Results: Among the nine dimensions of comprehensive well-being, the three dimensions of subjective well-being and the two dimensions of psychological well-being (health concern and personality growth) of female college students were significantly improved. Additionally, four other dimensions of psychological well-being also showed significant improvement. Furthermore, the improvement in the life satisfaction of female college students' subjective well-being was mainly achieved through yoga meditation, while partner yoga posture practice could help individuals gradually form a stable pattern of altruistic behavior. Conclusion: Yoga exercise intervention can improve the comprehensive wellbeing of female college students and can be an effective counseling method for college students' mental health education. [ABSTRACT FROM AUTHOR]

This study explores the relationship between spirituality, health-protective behavior, and psychological well-being among university students. A sample of 200 students from the University of Haripur, Pakistan, was surveyed using validated instruments to assess these variables. The findings reveal a significant positive correlation between spirituality and psychological well-being, indicating that higher levels of spirituality are associated with better mental health outcomes. Additionally, healthprotective behaviors were found to mediate this relationship, suggesting that students who engage in practices like regular exercise, balanced nutrition, and stress management experience enhanced psychological well-being. These results underscore the importance of integrating spiritual and health-promoting behaviors into university health programs to support holistic student well-being. The study recommends further research to examine these relationships across diverse populations and settings to increase the generalizability of the findings. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the effect of integrating moral education into physical education curricula on students' mental health. To achieve this, a combination of teaching experiments, psychological assessments, surveys, and statistical analyses were employed to examine how moral education integration in physical education could enhance the mental health of 60 college students enrolled in four public physical education classes at a university in 2020. Following a 12-week instructional intervention, the experimental group's mental health scores across various indicators decreased compared to their pre-experiment levels. Post-experiment comparisons between the experimental and control groups revealed significant differences in mental health indicators, with the experimental group exhibiting a greater reduction in scores across all measures. These findings suggest that the incorporation of moral education into physical education effectively fosters positive mental health development among college students. [ABSTRACT FROM AUTHOR]

This research centres on college students and investigates the influence of diverse physical exercise regimens on distinct facets of their mental well-being. Prior scholarship indicates a positive correlation between physical exercise and the mental health enhancement of college students. Physical exercise has been shown to regulate emotions, bolster mental well-being, and mitigate anxiety and depression. Consequently, the primary aim of this study was to scrutinize the impact of physical education on augmenting the mental health of college students within the framework of curriculum ideology and politics. This academic inquiry delves into the ramifications of engaging in three distinct sports activities--basketball, taijiquan, and cheerleading--on the mental well-being of female collegiate participants. The study scrutinizes the impact of exercise duration, exercise cycle, and exercise frequency on various psychological health parameters. Data were meticulously organized and subjected to analysis through the statistical software SPSS 11.5. Employing t-tests and one-way ANOVA, the study examines the psychological health indicators across the three distinct exercise programs, discerning the significance of disparities therein. Upon comparing the psychological health statuses of students before and after engaging in Taijiquan exercises, notable variances emerged across four dimensions: anxiety, terror, paranoia, and psychosis. Particularly noteworthy were the substantial disparities observed in the paranoia dimension. Cheerleading, a sport amalgamating dance and physical fitness set to music, serves as a fervently embraced pursuit among students, symbolizing zeal, youthfulness, and vivacity. Implications and engaging in basketball, Taijiquan, and cheerleading exercises has been found to be efficacious in alleviating anxiety levels among college students. Taijiquan, in particular, exhibits a distinctive efficacy in ameliorating paranoid tendencies, while cheerleading exercises manifest a superior spectrum of improvement factors compared to basketball and Taijiquan routines. Tailoring physical exercise programs to college students' age, gender, and psychological predispositions is imperative for optimizing mood enhancement and overall mental well-being. Individual psychological needs may vary across different time periods, underscoring the importance of selecting appropriate exercise modalities accordingly. Integration of these exercise regimens into university physical education curricula necessitates an augmented allocation of instructional hours, facilitating students' acquisition of requisite skills for autonomous exercise. This approach empowers college students to proficiently utilize their sports acumen and abilities for self-directed physical activity during leisure time, thereby augmenting the efficacy of physical exercise in advancing collegiate health outcomes. [ABSTRACT FROM AUTHOR]

Despite college students' high rates of depression, a large treatment gap remains in which many students in need are not receiving evidence-based care. This pilot randomized controlled trial (RCT) delivered a novel adaptation of Interpersonal Psychotherapy for College Students (IPT-CS) in group modality at a college counseling center. Of 97 students expressing interest, 18 with mild to moderate depression were randomized to IPT-CS or referral-to-usual-care. The nine who initiated IPT-CS treatment had an average 96.67% attendance rate across 10 sessions and rated IPT-CS as satisfactory and accessible. Facilitators also rated IPT-CS as satisfactory, feasible, and faithful to IPT. Group-by-time analyses indicated that IPT-CS, compared to referral-to-usual-care, yielded a pattern of medium to large effects for depression, anxiety, quality of life, social adjustment and support, interpersonal concerns overall, and disconnection/loneliness specifically. As the pilot trial was powered to detect quite large effects, group-by-time analyses only reached statistical significance for depression and social support, as did within-group analyses for quality of life and interpersonal concerns overall. Importantly, reductions in depression and anxiety were clinically significant, dropping from moderate at pre-intervention to mild/no signs at post-intervention. These findings have implications for improving the accessibility, reach, and impact of effective mental health services for college students. [ABSTRACT FROM AUTHOR]

Very little is known about mental health service utilization among Arab and Middle Eastern American (AMEA) college students. We aimed to document AMEA college students' mental health service utilization behaviors and how known predictors shape this utilization. Using data from the 2015–2020 Healthy Minds Study, we examined self-reported diagnosis of depression or anxiety, lifetime use of therapy/psychotropic medications, and current use of therapy/medications among AMEA and non-AMEA white college students. Survey-weighted logistic regression models were fit with AMEA ethnicity as the main exposure and interaction terms to examine effect modification by religiosity, knowledge, beliefs, and stigma around treatment. Compared to non-AMEA white students, AMEA students had reduced odds of reporting diagnosis of depression (adjusted odds ratio, AOR: 0.84, 95% confidence interval, CI: 0.75, 0.94) or anxiety (AOR: 0.79, 95% CI: 0.71, 0.88), of ever attending therapy (AOR: 0.72, 95% CI: 0.65, 0.79), currently attending therapy (AOR: 0.88, 95% CI: 0.77, 0.99), and receiving medication for a mental health diagnosis (AOR: 0.79, 95% CI: 0.71, 0.88). The relationships between Arab ethnicity and mental health service utilization were modified by religiosity, knowledge, beliefs, and personal stigma about treatment. Better documentation on mental health service utilization in AMEA populations is needed in order to improve prevention efforts and service delivery. [ABSTRACT FROM AUTHOR]

As the stages of the COVID-19 pandemic evolved, the symptoms of depression, anxiety, and insomnia have increasingly manifested among Chinese college students. The aim of this study is to investigate the relationships between these symptoms through network analysis among Chinese college students during COVID-19. A three-wave cross-sectional survey was conducted at 22 colleges in Guangdong Province, involving 381,152 students during three specific time intervals: T1 (baseline, February 3 to 10, 2020), T2 (19 months after baseline, June 10 to 18, 2021), and T3 (37 months after baseline, March 15 to April 22, 2023). Depression (PHQ-9), anxiety (GAD-7), and insomnia (YSIS) were used separately. We analyzed two key network indices: "Expected influence" and "Bridge expected influence". Network stability was assessed through a case-dropping bootstrap program. The effective sample sizes for the three periods were as follows: T1 - 164,101 (103,645 females, 63.2 %), T2 - 86,767 (52,146 females, 60.1 %), and T3 - 130,284 (76,720 females, 58.9 %). Across these three periods, the key central symptoms were "Fatigue" (PHQ4), "Restlessness" (GAD5), "Uncontrollable worrying" (GAD2), "Worry too much" (GAD3) and "Sleep insufficiency" (YSIS6). Notably, "Fatigue" (PHQ4), "Restlessness" (GAD5) and "Irritability" (GAD6) consistently served as bridge symptoms. In the T1 and T2 period, "Motor" (PHQ8) acted as a bridge symptom but weakened in T3. Throughout the three periods, the mental health issues among Chinese college students displayed characteristics of somatization within the depression-anxiety-insomnia comorbidity network. Over time, anxiety symptoms appeared to become more prominent. Consequently, this study highlights the importance of accurately identifying and promptly intervening in these core symptoms of mental health among college students, as these symptoms may evolve across different stages of a pandemic. • The symptom network of depression, anxiety and insomnia in college students at different epidemic stages was discussed. • Throughout the three periods, the mental health issues among Chinese college students displayed characteristics of somatization within the depression-anxiety-insomnia comorbidity network. • Over time, anxiety symptoms appeared to become more prominent. [ABSTRACT FROM AUTHOR]

With such high rates of undergraduate sleep problems, students have chosen to take melatonin, an over-the-counter supplement that can facilitate sleep. Questions remain as to the effectiveness of melatonin for sleep problems, and questions have emerged about its impact on mental health. Accordingly, the current study examined how ongoing melatonin usage might impact relative changes in college students' sleep disturbance and ultimately their depressive symptoms. The two-wave (baseline and 2-month follow-up), online sample consisted of 331 undergraduates (86% female; Mage = 21.3, SD = 2.4), who reported on melatonin usage, sleep disturbance, and depressive symptoms. Controlling for sleep hygiene, socio-economic status, and gender, our model demonstrated a significant indirect effect from ongoing melatonin usage to depressive symptoms. Specifically, melatonin consumption predicted relative increases in sleep disturbance, which, in turn, predicted corresponding increases in students' depressive symptoms. Given the increasing prevalence of melatonin usage, the potential for unforeseen consequences remains high. Results suggest that the negative consequences of melatonin use can include both college students' mental health and their sleep. Given the efficacy of addressing sleep problems with cognitive or behavioral strategies, it is essential that student support services highlight alternatives to melatonin and the potential problems associated with its use. [ABSTRACT FROM AUTHOR]

We aimed to examine the role of materialism and perceived social support on the mental health of college students. Participants were 988 college students from Guangdong Province, China (female = 55.77 %; mean age =19.70 years, SD = 1.56 years). They completed surveys on materialism, perceived social support, and mental health. The results showed that there were significant correlations between materialism, social support, and mental health. Not only did materialism directly affect the mental health of college students, but also indirectly through perceived social support. From these findings, student counselling and development services should seek to develop students' values of introspection and benevolence as a counterbalance to materialism, thereby also mitigating the risk for mental health disorders. [ABSTRACT FROM AUTHOR]

Physical exercise plays an important role in promoting college students' mental health, but the mechanism of the effect of physical exercise on mental health is still under investigation. We conducted a survey with 1,168 Chinese college students using stratified cluster random sampling. Physical exercise, social–emotional competency, peer relationships, and mental health were assessed by using standard scales. Physical exercise was found to be positively correlated with mental health. Social–emotional competency and peer relationships had both independent and chain mediating effects on the link between physical exercise and mental health. These results reveal the mechanism of the relationship between physical exercise and mental health, and provide a preliminary basis for studying the causal relationship between them. Our findings also provide practical insights for intervention in and promotion of college students' mental health. [ABSTRACT FROM AUTHOR]