The impact of academic stress on psychological well-being: A case study of international students at Northeast Normal University

Published: Nov 6, 2025

Abstract:

Purpose: This research aims to examine the impact of academic stress on the psychological well-being of international students at Northeast Normal University. By analyzing stressors such as academic workload, language barriers, and cultural adjustments, the research seeks to understand how these factors contribute to anxiety and overall mental health.

Methods: A quantitative correlational design was employed focusing on international students at Northeast Normal University, China. Using the Perception of Academic Stress (PAS) Scale and the Psychological Well-Being (PWB) Scale, data were collected from 80 respondents (40 males and 40 females) through a Google Form questionnaire. SPSS was used for descriptive, correlation, and regression analyses to determine the relationship between academic stress dimensions—academic expectation, examination, and self-perception—and psychological well-being.

Results: The findings reveal that both academic stress and psychological well-being are moderately high among international students, with academic stress explaining 43.1% of the variance in psychological well-being. Self-perception emerged as the most significant predictor, emphasizing its critical role in stress management and mental health. No significant gender differences were found, but age showed a significant relationship with academic stress.

Conclusion: Academic stress significantly affects the mental health of international students, with self-perception playing a vital role in coping. Institutions should prioritize interventions that enhance self-awareness and psychological resilience.

Limitations: The study focuses on one institution with a limited sample, restricting generalizability.

Contribution: The study offers empirical insights into academic stress predictors and supports universities in designing culturally sensitive mental health and academic support programs for international students.

Keywords:
1. Academic Stress
2. Psychological Well-being
3. International Students
4. Self-Perception
Authors:
1 . Bong Kim Ki
https://orcid.org/0009-0000-7396-5960
2 . San Su Su San
https://orcid.org/0009-0008-1634-797X
3 . Nuruddin Ahmed Masud
https://orcid.org/0000-0002-8989-1115
4 . MST Taherun Nesa Subarna
https://orcid.org/0000-0002-1150-3282
5 . Hasan Mahmudul
https://orcid.org/0000-0002-3489-7333
6 . Hyok Ra Song
https://orcid.org/0009-0003-6043-947X
How to Cite
Ki, B. K., San, S. S. S. ., Masud, N. A., Subarna, M. T. N., Mahmudul, H., & Song, H. . R. . (2025). The impact of academic stress on psychological well-being: A case study of international students at Northeast Normal University. Journal of Social, Humanity, and Education, 6(1), 55–71. https://doi.org/10.35912/jshe.v6i1.2863

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Issue & Section
Author Biographies

Bong Kim Ki, Northeast Normal University, Changchun, China

Faculty of Education

San Su Su San, Northeast Normal University, Changchun, China

Faculty of Education

Nuruddin Ahmed Masud, Huzhou University, Huzhou, China

School of Teacher Education

MST Taherun Nesa Subarna, Huzhou University, Huzhou, China

School of Teacher Education

Hyok Ra Song, Northeast Normal University, Changchun, China

Faculty of Education

References

    Akram, H., & Yingxiu, Y. (2019). The Academic Experience of 1st Year International Students at Northeast Normal University: A Case Study of Northeast Normal University, Changchun, China. Education Quarterly Reviews, 2(1), 106-115. doi:https://doi.org/10.31014/aior.1993.02.01.43

    Alkhawaldeh, A., Al Omari, O., Al Aldawi, S., Al Hashmi, I., Ann Ballad, C., Ibrahim, A., . . . ALBashtawy, M. (2023). Stress Factors, Stress Levels, And Coping Mechanisms Among University Students. The Scientific World Journal, 2023(1), 2026971. doi:https://doi.org/10.1155/2023/2026971

    Ansari, S., Khan, I., & Iqbal, N. (2025). Association of stress and emotional well-being in non-medical college students: A systematic review and meta-analysis. Journal of Affective Disorders, 368, 200-223. doi:https://doi.org/10.1016/j.jad.2024.09.029

    Asamoah, M. K., Kwablah, E., & Amoah, A. (2024). University Learners’ Educational Experience Survey: A Gender Dimensional Analysis. Cogent Social Sciences, 10(1), 2312654. doi:https://doi.org/10.1080/23311886.2024.2312654

    Baghoori, D., Roduta Roberts, M., & Chen, S.-P. (2024). Mental Health, Coping Strategies, And Social Support Among International Students At A Canadian University. Journal of American college health, 72(8), 2397-2408. doi:https://doi.org/10.1080/07448481.2022.2114803

    Bashir, A., & Khalid, R. (2022). Determinants Of Psychological Adjustment Of Pakistani International Students. Cogent education, 9(1), 2113214. doi:https://doi.org/10.1080/2331186x.2022.2113214

    Bayoumy, H. M. M., Sedek, H., Omar, H., & Ayman, S. (2023). Investigating The Relationship Of Sleep Quality And Psychological Factors Among Health Professions Students. International Journal of Africa Nursing Sciences, 19, 100581. doi:https://doi.org/10.1016/j.ijans.2023.100581

    Bedewy, D., & Gabriel, A. (2015). Examining Perceptions Of Academic Stress And Its Sources Among University Students: The Perception Of Academic Stress Scale. Health psychology open, 2(2), 2055102915596714. doi:https://doi.org/10.1177/2055102915596714

    Blasco?Belled, A., & Alsinet, C. (2022). The Architecture Of Psychological Well?Being: A Network Analysis Study Of The Ryff Psychological Well?Being Scale. Scandinavian journal of psychology, 63(3), 199-207. doi:https://doi.org/10.1111/sjop.12795

    Brunsting, N. C., Zachry, C., Liu, J., Bryant, R., Fang, X., Wu, S., & Luo, Z. (2021). Sources Of Perceived Social Support, Social-Emotional Experiences, And Psychological Well-Being Of International Students. The Journal of Experimental Education, 89(1), 95-111. doi:https://doi.org/10.1080/00220973.2019.1639598

    Castro-Sánchez, M., Ramiro-Sánchez, T., García-Mármol, E., & Chacón-Cuberos, R. (2022). The Association Of Trait Emotional Intelligence With The Levels Of Anxiety, Stress And Physical Activity Engagement Of Adolescents. Revista Latinoamericana de Psicología, 54, 130-139. doi:https://doi.org/10.14349/rlp.2022.v54.15

    Chen, C. X., Zhang, J.-h., Li, S. X., Chan, K. C. C., Li, A. M., Kong, A. P. S., . . . Chan, N. Y. (2024). Secular Trends In Sleep And Circadian Problems Among Adolescents In Hong Kong: From 2011-2012 To 2017-2019. Sleep Medicine, 117, 62-70. doi:https://doi.org/10.1016/j.sleep.2024.03.003

    Chen, H., Zhang, W., JIANG, T., & LAI, C. (2025). Between Two Worlds: The Impact of Sociocultural Acculturation on the Psychological Well-being. International Journal of Asian Education, 6(2), 176-186. doi:https://doi.org/10.46966/ijae.v6i2.462

    Choy, B., Arunachalam, K., Taylor, M., & Lee, A. (2021). Systematic Review: Acculturation Strategies And Their Impact On The Mental Health Of Migrant Populations. Public Health in Practice, 2, 100069. doi:https://doi.org/10.1016/j.puhip.2020.100069

    Chung, J.-H., & Park, Y.-S. (2024). A Study On The Relationship Between Academic Stress And Mental Health Among High School Students In South Korea. Research and Advances in Education, 3(1), 54-65. doi:https://doi.org/10.56397/rae.2024.01.06

    Córdova Olivera, P., Gasser Gordillo, P., Naranjo Mejía, H., La Fuente Taborga, I., Grajeda Chacón, A., & Sanjinés Unzueta, A. (2023). Academic Stress As A Predictor Of Mental Health In University Students. Cogent education, 10(2), 2232686. doi:https://doi.org/10.1080/2331186x.2023.2232686

    Coronel-Santos, M. A., & Rodríguez-Macías, J. C. (2022). Integral Definition And Conceptual Model Of Mental Health: Proposal From A Systematic Review Of Different Paradigms. Frontiers in Sociology, 7, 978804. doi:https://doi.org/10.3389/fsoc.2022.978804

    Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches: Sage publications.

    Deb, S., Strodl, E., & Sun, H. (2015). Academic Stress, Parental Pressure, Anxiety And Mental Health Among Indian High School Students. International Journal of Psychology and Behavioral Science, 5(1), 26-34. doi:https://doi.org/10.5923/j.ijpbs.20150501.04

    Deng, Y., Cherian, J., Khan, N. U. N., Kumari, K., Sial, M. S., Comite, U., . . . Popp, J. (2022). Family And Academic Stress And Their Impact On Students' Depression Level And Academic Performance. Frontiers in psychiatry, 13, 869337. doi:https://doi.org/10.3389/fpsyt.2022.869337

    Deshpande, A. G., Johnson, J. R., Casta, A. M., Marien, M. S., & Reiff, M. (2024). The Impact Of A Mindfulness-Based Stress Reduction Program On University Students’ Mental Health: A Mixed-Methods Evaluation. Journal of American college health, 72(9), 3791-3801. doi:https://doi.org/10.1080/07448481.2023.2198028

    Dorsey, A., Scherer, E., Eckhoff, R., & Furberg, R. (2022). Measurement of human stress: a multidimensional approach. RTI Press. doi:https://doi.org/10.3768/rtipress.2022.op.0073.2206

    Elhami, A., & Roshan, A. (2024). The History of Acculturation: A review article. Social Sciences, Humanities and Education Journal (SHE Journal), 5(1), 180-196. doi:https://doi.org/10.25273/she.v5i1.19330

    Firth-Cozens, J. (2023). A Perspective On Stress And Depression Understanding Doctors' Performance (pp. 22-37): CRC Press.

    Frajerman, A., Chaumette, B., Krebs, M.-O., & Morvan, Y. (2022). Mental Health In Medical, Dental And Pharmacy Students: A Cross-Sectional Study. Journal of affective disorders reports, 10, 100404. doi:https://doi.org/10.1016/j.jadr.2022.100404

    Franzen, J., Jermann, F., Ghisletta, P., Rudaz, S., Bondolfi, G., & Tran, N. T. (2021). Psychological Distress And Well-Being Among Students Of Health Disciplines: The Importance Of Academic Satisfaction. International journal of environmental research and public health, 18(4), 2151. doi:https://doi.org/10.3390/ijerph18042151

    Freire, C., Ferradás, M. D. M., Valle, A., Núñez, J. C., & Vallejo, G. (2016). Profiles Of Psychological Well-Being And Coping Strategies Among University Students. Frontiers in Psychology, 7, 1554. doi:https://doi.org/10.3389/fpsyg.2016.01554

    Galvan, M. C., & Galvan, J. L. (2024). Writing Literature Reviews: A Guide For Students Of The Social And Behavioral Sciences: Routledge.

    Gao, X. (2023). Academic Stress And Academic Burnout In Adolescents: A Moderated Mediating Model. Frontiers in Psychology, 14, 1133706. doi:https://doi.org/10.3389/fpsyg.2023.1133706

    Geeraert, N., Demes, K. A., & Ward, C. (2021). Sojourner Expectations: Are They Met And Does It Matter If They’re Not? International Journal of Intercultural Relations, 84, 27-40. doi:https://doi.org/10.1016/j.ijintrel.2021.06.004

    Graves, B. S., Hall, M. E., Dias-Karch, C., Haischer, M. H., & Apter, C. (2021). Gender Differences In Perceived Stress And Coping Among College Students. PloS one, 16(8), e0255634. doi:https://doi.org/10.1371/journal.pone.0255634

    Hansen, H. R., Shneyderman, Y., McNamara, G. S., & Grace, L. (2021). Assessing Acculturative Stress Of International Students At A Us Community College International Students At Us Community Colleges (pp. 118-132): Routledge.

    Hitches, E., Woodcock, S., & Ehrich, J. (2022). Building Self-Efficacy Without Letting Stress Knock It Down: Stress And Academic Self-Efficacy Of University Students. International Journal of Educational Research Open, 3, 100124. doi:https://doi.org/10.1016/j.ijedro.2022.100124

    Janoff-Bulman, R., & Berger, A. R. (2021). The Other Side Of Trauma: Towards A Psychology Of Appreciation Loss And Trauma (pp. 29-44): Routledge.

    Jiménez-Mijangos, L. P., Rodríguez-Arce, J., Martínez-Méndez, R., & Reyes-Lagos, J. J. (2023). Advances And Challenges In The Detection Of Academic Stress And Anxiety In The Classroom: A Literature Review And Recommendations. Education and Information Technologies, 28(4), 3637-3666. doi:https://doi.org/10.1007/s10639-022-11324-w

    Johansen, R., Espetvedt, M. N., Lyshol, H., Clench-Aas, J., & Myklestad, I. (2021). Mental Distress Among Young Adults–Gender Differences In The Role Of Social Support. BMC Public Health, 21(1), 2152. doi:https://doi.org/10.1186/s12889-021-12109-5

    Kaur, S. (2014). Impact Of Academic Stress On Mental Health: A Study Of School Going Adolescents. Global Journal for Research Analysis, 3(5), 27-29. doi:https://doi.org/10.15373/22778160/MAY2014/11

    Klerman, E. B., Barbato, G., Czeisler, C. A., & Wehr, T. A. (2021). Can People Sleep Too Much? Effects Of Extended Sleep Opportunity On Sleep Duration And Timing. Frontiers in physiology, 12, 792942. doi:https://doi.org/10.3389/fphys.2021.792942

    Koo, K. K., & Nyunt, G. (2022). Mom, Asian International Student, Doctoral Student, And In-Between: Exploring Asian International Doctoral Student Mothers' Mental Well-Being. Journal of College Student Development, 63(4), 414-431. doi:https://doi.org/10.1353/csd.2022.0035

    Lavoie-Tremblay, M., Sanzone, L., Aubé, T., & Paquet, M. (2022). Sources Of Stress And Coping Strategies Among Undergraduate Nursing Students Across All Years. Canadian Journal of Nursing Research, 54(3), 261-271. doi:https://doi.org/10.1177/08445621211028076

    Masud, N. A., Mensah, J., Subarna, M. T. N., & Hasan, M. (2023). A Comprehensive Review Of International Students' Perceptions Of The Learning Environment In Relation To Academic Achievement. Journal of Social, Humanity, and Education, 3(3), 219-236. doi:https://doi.org/10.35912/jshe.v3i3.1434

    Masuda, A., Allen, G. K., Liu, C., & Tully, E. C. (2021). The Roles Of Self-Concealment And Perceived Racial And Ethnic Discrimination In General Psychological Distress Among Racial And Ethnic Minority College Students In The United States. International Journal for the Advancement of Counselling, 43(4), 472-488. doi:https://doi.org/10.1007/s10447-021-09441-1

    McCusker, K., & Gunaydin, S. (2015). Research Using Qualitative, Quantitative Or Mixed Methods And Choice Based On The Research. Perfusion, 30(7), 537-542. doi:https://doi.org/10.1177/0267659114559116

    Mulyadi, S., Rahardjo, W., & Basuki, A. H. (2016). The Role Of Parent-Child Relationship, Self-Esteem, Academic Self-Efficacy To Academic Stress. Procedia-Social and Behavioral Sciences, 217, 603-608. doi:https://doi.org/10.1016/j.sbspro.2016.02.063

    Naushad, R. B. (2022). Differential Effects Of Socio-Economic Status And Family Environment Of Adolescents On Their Emotional Intelligence, Academic Stress And Academic Achievement. IJERI: International Journal of Educational Research and Innovation(17), 101-120. doi:https://doi.org/10.46661/ijeri.5148

    Obbarius, N., Fischer, F., Liegl, G., Obbarius, A., & Rose, M. (2021). A Modified Version Of The Transactional Stress Concept According To Lazarus And Folkman Was Confirmed In A Psychosomatic Inpatient Sample. Frontiers in Psychology, 12, 584333. doi:https://doi.org/10.3389/fpsyg.2021.584333

    Oberg, K. (1960). Cultural Shock: Adjustment To New Cultural Environments. Practical anthropology(4), 177-182. doi:https://doi.org/10.1177/009182966000700405

    Ormrod, J. E. (2023). Practical Research: Design And Process: ERIC.

    Oyewobi, L. O., Bolarin, G., Oladosu, N. T., & Jimoh, R. A. (2021). Influence Of Stress And Coping Strategies On Undergraduate Students' Performance. Journal of Applied Research in Higher Education, 13(4), 1043-1061. doi:https://doi.org/10.1108/jarhe-03-2020-0066

    Pavarini, G., Booysen, C., Jain, T., Lai, J., Manku, K., Foster-Estwick, A., . . . Philip-Joe, K. (2023). Agents Of Change For Mental Health: A Survey Of Young People’s Aspirations For Participation Across Five Low-And Middle-Income Countries. Journal of Adolescent Health, 72(1), S96-S104. doi:https://doi.org/10.1016/j.jadohealth.2021.10.037

    Phan, H. P., & Ngu, B. H. (2021). Optimization: An Attempt To Establish Empirical Evidence For Theoretical And Practical Purposes. European journal of psychology of education, 36(2), 453-475. doi:https://doi.org/10.1007/s10212-020-00484-3

    Pozos-Radillo, B. E., de Lourdes Preciado-Serrano, M., Acosta-Fernández, M., de los Ángeles Aguilera-Velasco, M., & Delgado-García, D. D. (2014). Academic Stress As A Predictor Of Chronic Stress In University Students. Psicología educativa, 20(1), 47-52. doi:https://doi.org/10.1016/j.pse.2014.05.006

    Reddy, K. J., Menon, K. R., & Thattil, A. (2018). Academic Stress And Its Sources Among University Students. Biomedical and pharmacology journal, 11(1), 531-537. doi:https://doi.org/10.13005/bpj/1404

    Riera-Serra, P., Navarra-Ventura, G., Castro, A., Gili, M., Salazar-Cedillo, A., Ricci-Cabello, I., . . . Gomez-Juanes, R. (2024). Clinical Predictors Of Suicidal Ideation, Suicide Attempts And Suicide Death In Depressive Disorder: A Systematic Review And Meta-Analysis. European archives of psychiatry and clinical neuroscience, 274(7), 1543-1563. doi:https://doi.org/10.1007/s00406-023-01716-5

    Sala, S., Amadei, A. M., Beylot, A., & Ardente, F. (2021). The Evolution Of Life Cycle Assessment In European Policies Over Three Decades. The International Journal of Life Cycle Assessment, 26(12), 2295-2314. doi:https://doi.org/10.1007/s11367-021-01893-2

    Shafique, Z., Syed, F., Naz, S., Urooj, S., Khan, S., & Javed, S. (2021). Assessment Of Factors Affecting The Sleep Hygiene Of Medical Students In Bahawalpur, Pakistan: A Cross-Sectional Study. Sleep Science, 14(03), 273-279. doi:https://doi.org/10.5935/1984-0063.20200063

    Shkulaku, R. (2015). Student's Stress In Higher Education Institutions: A Critical Review Of Foreign Literatures And The Ones In Albania. European Scientific Journal.

    Shrestha, J., Khan, R. K., McClintock, S., DeGroote, J., & Zeman, C. L. (2023). Correlations Between Educational Struggle, Toxic Sites By School District And Demographic Variables, With Geographical Information System Projections. International journal of environmental research and public health, 20(24), 7160. doi:https://doi.org/10.3390/ijerph20247160

    Sobkowiak, P. (2021). Developing Intercultural Identity On A Sojourn Abroad: A Case Study. Studia Anglica Posnaniensia, 56(1), 149-179. doi:https://doi.org/10.2478/stap-2021-0029

    Suh, H. N., Pigott, T., Rice, K. G., Davis, D. E., & Andrade, A. C. (2023). Meta-Analysis Of The Relationship Between Self-Critical Perfectionism And Depressive Symptoms: Comparison Between Asian American And Asian International College Students. Journal of Counseling Psychology, 70(2), 203. doi:https://doi.org/10.1037/cou0000653

    Tajvar, M., Atashbahar, O., Ahmadizadeh, E., & Shaqura, I. (2024). Exploring The Level And Sources Of Stress Among International Students In An Iranian University. Journal of International Students, 14(4), 781-800. doi:https://doi.org/10.32674/jis.v14i4.6650

    Teh, C. K., Ngo, C. W., binti Zulkifli, R. A., Vellasamy, R., & Suresh, K. (2015). Depression, Anxiety And Stress Among Undergraduate Students: A Cross Sectional Study. Open Journal of Epidemiology, 5(4), 260-268. doi:http://dx.doi.org/10.4236/ojepi.2015.54030

    Wang, Y., King, R. B., Wang, F., & Leung, S. O. (2021). Need-Supportive Teaching Is Positively Associated With Students' Well-Being: A Cross-Cultural Study. Learning and Individual Differences, 92, 102051. doi:https://doi.org/10.1016/j.lindif.2021.102051

    Waqas, A., Khan, S., Sharif, W., Khalid, U., & Ali, A. (2015). Association Of Academic Stress With Sleeping Difficulties In Medical Students Of A Pakistani Medical School: A Cross Sectional Survey. PeerJ, 3, e840. doi:https://doi.org/10.7717/peerj.840

    Yiming, Y., Shi, B., Kayani, S., & Biasutti, M. (2024). Examining The Relationship Between Self-Efficacy, Career Development, And Subjective Wellbeing In Physical Education Students. Scientific Reports, 14(1), 8551. doi:https://doi.org/10.1038/s41598-024-59238-6

    Yu, B., & Leung, Y. W. (2024). Establishing Ties Or Strengthening Friendships? Students' Use Of Online Social Networks In Intercultural Friendship Development. Information Technology & People, 37(2), 815-834. doi:https://doi.org/10.1108/itp-01-2022-0035

    Zhang, C., Shi, L., Tian, T., Zhou, Z., Peng, X., Shen, Y., . . . Ou, J. (2022). Associations Between Academic Stress And Depressive Symptoms Mediated By Anxiety Symptoms And Hopelessness Among Chinese College Students. Psychology Research and Behavior Management, 15, 547-556. doi:https://doi.org/10.2147/prbm.s353778

  1. Akram, H., & Yingxiu, Y. (2019). The Academic Experience of 1st Year International Students at Northeast Normal University: A Case Study of Northeast Normal University, Changchun, China. Education Quarterly Reviews, 2(1), 106-115. doi:https://doi.org/10.31014/aior.1993.02.01.43
  2. Alkhawaldeh, A., Al Omari, O., Al Aldawi, S., Al Hashmi, I., Ann Ballad, C., Ibrahim, A., . . . ALBashtawy, M. (2023). Stress Factors, Stress Levels, And Coping Mechanisms Among University Students. The Scientific World Journal, 2023(1), 2026971. doi:https://doi.org/10.1155/2023/2026971
  3. Ansari, S., Khan, I., & Iqbal, N. (2025). Association of stress and emotional well-being in non-medical college students: A systematic review and meta-analysis. Journal of Affective Disorders, 368, 200-223. doi:https://doi.org/10.1016/j.jad.2024.09.029
  4. Asamoah, M. K., Kwablah, E., & Amoah, A. (2024). University Learners’ Educational Experience Survey: A Gender Dimensional Analysis. Cogent Social Sciences, 10(1), 2312654. doi:https://doi.org/10.1080/23311886.2024.2312654
  5. Baghoori, D., Roduta Roberts, M., & Chen, S.-P. (2024). Mental Health, Coping Strategies, And Social Support Among International Students At A Canadian University. Journal of American college health, 72(8), 2397-2408. doi:https://doi.org/10.1080/07448481.2022.2114803
  6. Bashir, A., & Khalid, R. (2022). Determinants Of Psychological Adjustment Of Pakistani International Students. Cogent education, 9(1), 2113214. doi:https://doi.org/10.1080/2331186x.2022.2113214
  7. Bayoumy, H. M. M., Sedek, H., Omar, H., & Ayman, S. (2023). Investigating The Relationship Of Sleep Quality And Psychological Factors Among Health Professions Students. International Journal of Africa Nursing Sciences, 19, 100581. doi:https://doi.org/10.1016/j.ijans.2023.100581
  8. Bedewy, D., & Gabriel, A. (2015). Examining Perceptions Of Academic Stress And Its Sources Among University Students: The Perception Of Academic Stress Scale. Health psychology open, 2(2), 2055102915596714. doi:https://doi.org/10.1177/2055102915596714
  9. Blasco?Belled, A., & Alsinet, C. (2022). The Architecture Of Psychological Well?Being: A Network Analysis Study Of The Ryff Psychological Well?Being Scale. Scandinavian journal of psychology, 63(3), 199-207. doi:https://doi.org/10.1111/sjop.12795
  10. Brunsting, N. C., Zachry, C., Liu, J., Bryant, R., Fang, X., Wu, S., & Luo, Z. (2021). Sources Of Perceived Social Support, Social-Emotional Experiences, And Psychological Well-Being Of International Students. The Journal of Experimental Education, 89(1), 95-111. doi:https://doi.org/10.1080/00220973.2019.1639598
  11. Castro-Sánchez, M., Ramiro-Sánchez, T., García-Mármol, E., & Chacón-Cuberos, R. (2022). The Association Of Trait Emotional Intelligence With The Levels Of Anxiety, Stress And Physical Activity Engagement Of Adolescents. Revista Latinoamericana de Psicología, 54, 130-139. doi:https://doi.org/10.14349/rlp.2022.v54.15
  12. Chen, C. X., Zhang, J.-h., Li, S. X., Chan, K. C. C., Li, A. M., Kong, A. P. S., . . . Chan, N. Y. (2024). Secular Trends In Sleep And Circadian Problems Among Adolescents In Hong Kong: From 2011-2012 To 2017-2019. Sleep Medicine, 117, 62-70. doi:https://doi.org/10.1016/j.sleep.2024.03.003
  13. Chen, H., Zhang, W., JIANG, T., & LAI, C. (2025). Between Two Worlds: The Impact of Sociocultural Acculturation on the Psychological Well-being. International Journal of Asian Education, 6(2), 176-186. doi:https://doi.org/10.46966/ijae.v6i2.462
  14. Choy, B., Arunachalam, K., Taylor, M., & Lee, A. (2021). Systematic Review: Acculturation Strategies And Their Impact On The Mental Health Of Migrant Populations. Public Health in Practice, 2, 100069. doi:https://doi.org/10.1016/j.puhip.2020.100069
  15. Chung, J.-H., & Park, Y.-S. (2024). A Study On The Relationship Between Academic Stress And Mental Health Among High School Students In South Korea. Research and Advances in Education, 3(1), 54-65. doi:https://doi.org/10.56397/rae.2024.01.06
  16. Córdova Olivera, P., Gasser Gordillo, P., Naranjo Mejía, H., La Fuente Taborga, I., Grajeda Chacón, A., & Sanjinés Unzueta, A. (2023). Academic Stress As A Predictor Of Mental Health In University Students. Cogent education, 10(2), 2232686. doi:https://doi.org/10.1080/2331186x.2023.2232686
  17. Coronel-Santos, M. A., & Rodríguez-Macías, J. C. (2022). Integral Definition And Conceptual Model Of Mental Health: Proposal From A Systematic Review Of Different Paradigms. Frontiers in Sociology, 7, 978804. doi:https://doi.org/10.3389/fsoc.2022.978804
  18. Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches: Sage publications.
  19. Deb, S., Strodl, E., & Sun, H. (2015). Academic Stress, Parental Pressure, Anxiety And Mental Health Among Indian High School Students. International Journal of Psychology and Behavioral Science, 5(1), 26-34. doi:https://doi.org/10.5923/j.ijpbs.20150501.04
  20. Deng, Y., Cherian, J., Khan, N. U. N., Kumari, K., Sial, M. S., Comite, U., . . . Popp, J. (2022). Family And Academic Stress And Their Impact On Students' Depression Level And Academic Performance. Frontiers in psychiatry, 13, 869337. doi:https://doi.org/10.3389/fpsyt.2022.869337
  21. Deshpande, A. G., Johnson, J. R., Casta, A. M., Marien, M. S., & Reiff, M. (2024). The Impact Of A Mindfulness-Based Stress Reduction Program On University Students’ Mental Health: A Mixed-Methods Evaluation. Journal of American college health, 72(9), 3791-3801. doi:https://doi.org/10.1080/07448481.2023.2198028
  22. Dorsey, A., Scherer, E., Eckhoff, R., & Furberg, R. (2022). Measurement of human stress: a multidimensional approach. RTI Press. doi:https://doi.org/10.3768/rtipress.2022.op.0073.2206
  23. Elhami, A., & Roshan, A. (2024). The History of Acculturation: A review article. Social Sciences, Humanities and Education Journal (SHE Journal), 5(1), 180-196. doi:https://doi.org/10.25273/she.v5i1.19330
  24. Firth-Cozens, J. (2023). A Perspective On Stress And Depression Understanding Doctors' Performance (pp. 22-37): CRC Press.
  25. Frajerman, A., Chaumette, B., Krebs, M.-O., & Morvan, Y. (2022). Mental Health In Medical, Dental And Pharmacy Students: A Cross-Sectional Study. Journal of affective disorders reports, 10, 100404. doi:https://doi.org/10.1016/j.jadr.2022.100404
  26. Franzen, J., Jermann, F., Ghisletta, P., Rudaz, S., Bondolfi, G., & Tran, N. T. (2021). Psychological Distress And Well-Being Among Students Of Health Disciplines: The Importance Of Academic Satisfaction. International journal of environmental research and public health, 18(4), 2151. doi:https://doi.org/10.3390/ijerph18042151
  27. Freire, C., Ferradás, M. D. M., Valle, A., Núñez, J. C., & Vallejo, G. (2016). Profiles Of Psychological Well-Being And Coping Strategies Among University Students. Frontiers in Psychology, 7, 1554. doi:https://doi.org/10.3389/fpsyg.2016.01554
  28. Galvan, M. C., & Galvan, J. L. (2024). Writing Literature Reviews: A Guide For Students Of The Social And Behavioral Sciences: Routledge.
  29. Gao, X. (2023). Academic Stress And Academic Burnout In Adolescents: A Moderated Mediating Model. Frontiers in Psychology, 14, 1133706. doi:https://doi.org/10.3389/fpsyg.2023.1133706
  30. Geeraert, N., Demes, K. A., & Ward, C. (2021). Sojourner Expectations: Are They Met And Does It Matter If They’re Not? International Journal of Intercultural Relations, 84, 27-40. doi:https://doi.org/10.1016/j.ijintrel.2021.06.004
  31. Graves, B. S., Hall, M. E., Dias-Karch, C., Haischer, M. H., & Apter, C. (2021). Gender Differences In Perceived Stress And Coping Among College Students. PloS one, 16(8), e0255634. doi:https://doi.org/10.1371/journal.pone.0255634
  32. Hansen, H. R., Shneyderman, Y., McNamara, G. S., & Grace, L. (2021). Assessing Acculturative Stress Of International Students At A Us Community College International Students At Us Community Colleges (pp. 118-132): Routledge.
  33. Hitches, E., Woodcock, S., & Ehrich, J. (2022). Building Self-Efficacy Without Letting Stress Knock It Down: Stress And Academic Self-Efficacy Of University Students. International Journal of Educational Research Open, 3, 100124. doi:https://doi.org/10.1016/j.ijedro.2022.100124
  34. Janoff-Bulman, R., & Berger, A. R. (2021). The Other Side Of Trauma: Towards A Psychology Of Appreciation Loss And Trauma (pp. 29-44): Routledge.
  35. Jiménez-Mijangos, L. P., Rodríguez-Arce, J., Martínez-Méndez, R., & Reyes-Lagos, J. J. (2023). Advances And Challenges In The Detection Of Academic Stress And Anxiety In The Classroom: A Literature Review And Recommendations. Education and Information Technologies, 28(4), 3637-3666. doi:https://doi.org/10.1007/s10639-022-11324-w
  36. Johansen, R., Espetvedt, M. N., Lyshol, H., Clench-Aas, J., & Myklestad, I. (2021). Mental Distress Among Young Adults–Gender Differences In The Role Of Social Support. BMC Public Health, 21(1), 2152. doi:https://doi.org/10.1186/s12889-021-12109-5
  37. Kaur, S. (2014). Impact Of Academic Stress On Mental Health: A Study Of School Going Adolescents. Global Journal for Research Analysis, 3(5), 27-29. doi:https://doi.org/10.15373/22778160/MAY2014/11
  38. Klerman, E. B., Barbato, G., Czeisler, C. A., & Wehr, T. A. (2021). Can People Sleep Too Much? Effects Of Extended Sleep Opportunity On Sleep Duration And Timing. Frontiers in physiology, 12, 792942. doi:https://doi.org/10.3389/fphys.2021.792942
  39. Koo, K. K., & Nyunt, G. (2022). Mom, Asian International Student, Doctoral Student, And In-Between: Exploring Asian International Doctoral Student Mothers' Mental Well-Being. Journal of College Student Development, 63(4), 414-431. doi:https://doi.org/10.1353/csd.2022.0035
  40. Lavoie-Tremblay, M., Sanzone, L., Aubé, T., & Paquet, M. (2022). Sources Of Stress And Coping Strategies Among Undergraduate Nursing Students Across All Years. Canadian Journal of Nursing Research, 54(3), 261-271. doi:https://doi.org/10.1177/08445621211028076
  41. Masud, N. A., Mensah, J., Subarna, M. T. N., & Hasan, M. (2023). A Comprehensive Review Of International Students' Perceptions Of The Learning Environment In Relation To Academic Achievement. Journal of Social, Humanity, and Education, 3(3), 219-236. doi:https://doi.org/10.35912/jshe.v3i3.1434
  42. Masuda, A., Allen, G. K., Liu, C., & Tully, E. C. (2021). The Roles Of Self-Concealment And Perceived Racial And Ethnic Discrimination In General Psychological Distress Among Racial And Ethnic Minority College Students In The United States. International Journal for the Advancement of Counselling, 43(4), 472-488. doi:https://doi.org/10.1007/s10447-021-09441-1
  43. McCusker, K., & Gunaydin, S. (2015). Research Using Qualitative, Quantitative Or Mixed Methods And Choice Based On The Research. Perfusion, 30(7), 537-542. doi:https://doi.org/10.1177/0267659114559116
  44. Mulyadi, S., Rahardjo, W., & Basuki, A. H. (2016). The Role Of Parent-Child Relationship, Self-Esteem, Academic Self-Efficacy To Academic Stress. Procedia-Social and Behavioral Sciences, 217, 603-608. doi:https://doi.org/10.1016/j.sbspro.2016.02.063
  45. Naushad, R. B. (2022). Differential Effects Of Socio-Economic Status And Family Environment Of Adolescents On Their Emotional Intelligence, Academic Stress And Academic Achievement. IJERI: International Journal of Educational Research and Innovation(17), 101-120. doi:https://doi.org/10.46661/ijeri.5148
  46. Obbarius, N., Fischer, F., Liegl, G., Obbarius, A., & Rose, M. (2021). A Modified Version Of The Transactional Stress Concept According To Lazarus And Folkman Was Confirmed In A Psychosomatic Inpatient Sample. Frontiers in Psychology, 12, 584333. doi:https://doi.org/10.3389/fpsyg.2021.584333
  47. Oberg, K. (1960). Cultural Shock: Adjustment To New Cultural Environments. Practical anthropology(4), 177-182. doi:https://doi.org/10.1177/009182966000700405
  48. Ormrod, J. E. (2023). Practical Research: Design And Process: ERIC.
  49. Oyewobi, L. O., Bolarin, G., Oladosu, N. T., & Jimoh, R. A. (2021). Influence Of Stress And Coping Strategies On Undergraduate Students' Performance. Journal of Applied Research in Higher Education, 13(4), 1043-1061. doi:https://doi.org/10.1108/jarhe-03-2020-0066
  50. Pavarini, G., Booysen, C., Jain, T., Lai, J., Manku, K., Foster-Estwick, A., . . . Philip-Joe, K. (2023). Agents Of Change For Mental Health: A Survey Of Young People’s Aspirations For Participation Across Five Low-And Middle-Income Countries. Journal of Adolescent Health, 72(1), S96-S104. doi:https://doi.org/10.1016/j.jadohealth.2021.10.037
  51. Phan, H. P., & Ngu, B. H. (2021). Optimization: An Attempt To Establish Empirical Evidence For Theoretical And Practical Purposes. European journal of psychology of education, 36(2), 453-475. doi:https://doi.org/10.1007/s10212-020-00484-3
  52. Pozos-Radillo, B. E., de Lourdes Preciado-Serrano, M., Acosta-Fernández, M., de los Ángeles Aguilera-Velasco, M., & Delgado-García, D. D. (2014). Academic Stress As A Predictor Of Chronic Stress In University Students. Psicología educativa, 20(1), 47-52. doi:https://doi.org/10.1016/j.pse.2014.05.006
  53. Reddy, K. J., Menon, K. R., & Thattil, A. (2018). Academic Stress And Its Sources Among University Students. Biomedical and pharmacology journal, 11(1), 531-537. doi:https://doi.org/10.13005/bpj/1404
  54. Riera-Serra, P., Navarra-Ventura, G., Castro, A., Gili, M., Salazar-Cedillo, A., Ricci-Cabello, I., . . . Gomez-Juanes, R. (2024). Clinical Predictors Of Suicidal Ideation, Suicide Attempts And Suicide Death In Depressive Disorder: A Systematic Review And Meta-Analysis. European archives of psychiatry and clinical neuroscience, 274(7), 1543-1563. doi:https://doi.org/10.1007/s00406-023-01716-5
  55. Sala, S., Amadei, A. M., Beylot, A., & Ardente, F. (2021). The Evolution Of Life Cycle Assessment In European Policies Over Three Decades. The International Journal of Life Cycle Assessment, 26(12), 2295-2314. doi:https://doi.org/10.1007/s11367-021-01893-2
  56. Shafique, Z., Syed, F., Naz, S., Urooj, S., Khan, S., & Javed, S. (2021). Assessment Of Factors Affecting The Sleep Hygiene Of Medical Students In Bahawalpur, Pakistan: A Cross-Sectional Study. Sleep Science, 14(03), 273-279. doi:https://doi.org/10.5935/1984-0063.20200063
  57. Shkulaku, R. (2015). Student's Stress In Higher Education Institutions: A Critical Review Of Foreign Literatures And The Ones In Albania. European Scientific Journal.
  58. Shrestha, J., Khan, R. K., McClintock, S., DeGroote, J., & Zeman, C. L. (2023). Correlations Between Educational Struggle, Toxic Sites By School District And Demographic Variables, With Geographical Information System Projections. International journal of environmental research and public health, 20(24), 7160. doi:https://doi.org/10.3390/ijerph20247160
  59. Sobkowiak, P. (2021). Developing Intercultural Identity On A Sojourn Abroad: A Case Study. Studia Anglica Posnaniensia, 56(1), 149-179. doi:https://doi.org/10.2478/stap-2021-0029
  60. Suh, H. N., Pigott, T., Rice, K. G., Davis, D. E., & Andrade, A. C. (2023). Meta-Analysis Of The Relationship Between Self-Critical Perfectionism And Depressive Symptoms: Comparison Between Asian American And Asian International College Students. Journal of Counseling Psychology, 70(2), 203. doi:https://doi.org/10.1037/cou0000653
  61. Tajvar, M., Atashbahar, O., Ahmadizadeh, E., & Shaqura, I. (2024). Exploring The Level And Sources Of Stress Among International Students In An Iranian University. Journal of International Students, 14(4), 781-800. doi:https://doi.org/10.32674/jis.v14i4.6650
  62. Teh, C. K., Ngo, C. W., binti Zulkifli, R. A., Vellasamy, R., & Suresh, K. (2015). Depression, Anxiety And Stress Among Undergraduate Students: A Cross Sectional Study. Open Journal of Epidemiology, 5(4), 260-268. doi:http://dx.doi.org/10.4236/ojepi.2015.54030
  63. Wang, Y., King, R. B., Wang, F., & Leung, S. O. (2021). Need-Supportive Teaching Is Positively Associated With Students' Well-Being: A Cross-Cultural Study. Learning and Individual Differences, 92, 102051. doi:https://doi.org/10.1016/j.lindif.2021.102051
  64. Waqas, A., Khan, S., Sharif, W., Khalid, U., & Ali, A. (2015). Association Of Academic Stress With Sleeping Difficulties In Medical Students Of A Pakistani Medical School: A Cross Sectional Survey. PeerJ, 3, e840. doi:https://doi.org/10.7717/peerj.840
  65. Yiming, Y., Shi, B., Kayani, S., & Biasutti, M. (2024). Examining The Relationship Between Self-Efficacy, Career Development, And Subjective Wellbeing In Physical Education Students. Scientific Reports, 14(1), 8551. doi:https://doi.org/10.1038/s41598-024-59238-6
  66. Yu, B., & Leung, Y. W. (2024). Establishing Ties Or Strengthening Friendships? Students' Use Of Online Social Networks In Intercultural Friendship Development. Information Technology & People, 37(2), 815-834. doi:https://doi.org/10.1108/itp-01-2022-0035
  67. Zhang, C., Shi, L., Tian, T., Zhou, Z., Peng, X., Shen, Y., . . . Ou, J. (2022). Associations Between Academic Stress And Depressive Symptoms Mediated By Anxiety Symptoms And Hopelessness Among Chinese College Students. Psychology Research and Behavior Management, 15, 547-556. doi:https://doi.org/10.2147/prbm.s353778