The relationship between depression and adjustment disorder among a clinical sample of college freshmen: the mediating roles of resilience and perceived social support - Report - MDSpire

The relationship between depression and adjustment disorder among a clinical sample of college freshmen: the mediating roles of resilience and perceived social support

  • By

  • Shuai Zhang

  • Xiaoli Fan

  • Xinyue Shao

  • Zhao Dong

  • Yunyun Qiao

  • Xueli Guo

  • Hongwei Zhang

  • Hua Guo

  • Lingzi Fan

  • June 5, 2026

  • 0 min

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Clinical Report: Exploring the Connection Between Depression and Adjustment Disorder

Overview

Expand on the mediating roles of resilience and perceived social support in the relationship between depression and adjustment disorder.

Background

Incorporate statistics or references to studies that highlight the prevalence of adjustment disorders in college freshmen.

Data Highlights

VariableCorrelationp-value
Depression and Adjustment Disorderr=0.574p<0.001
Resilience and Adjustment Disorderr=-0.653p<0.001
Perceived Social Support and Adjustment Disorderr=-0.550p<0.001

Key Findings

  • Depression is positively correlated with adjustment disorder (r=0.574, p<0.001).
  • Resilience negatively correlates with adjustment disorder (r=-0.653, p<0.001).
  • Perceived social support negatively correlates with adjustment disorder (r=-0.550, p<0.001).
  • Depression positively predicts adjustment disorder (β=0.278, P<0.001).
  • Resilience negatively predicts adjustment disorder (β=-0.459, P<0.001).
  • Perceived social support negatively predicts adjustment disorder (β=-0.364, P<0.001).

Clinical Implications

Clinicians should consider the roles of resilience and perceived social support when assessing and treating college freshmen with depression and adjustment disorders. Interventions aimed at enhancing resilience and fostering social support networks may mitigate the impact of depression on adjustment disorders in this population.

Conclusion

Make the conclusion more actionable by emphasizing the need for targeted interventions.

Related Resources & Content

  1. BMC Psychiatry, 2025 -- Unravelling associations of personality traits, emotion regulation strategies, coping styles, and psychopathology with suicide risk in university students: a network perspective
  2. BMC Psychiatry, 2025 -- The association between positive school climate and school identification and probable depression among Chinese adolescents: serial mediation mechanisms via resilience, mindfulness, and loneliness
  3. Frontiers in Psychiatry, 2026 -- Associations between parenting styles and depressive symptoms in college students: a sequential mediation model and a preliminary randomized study
  4. WHO, 2024 -- Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders
  5. APA, 2024 -- DSM-5-TR Update
  6. BMC Psychiatry (Springer) — Psychological symptoms, comorbidities and symptom items associated with self-reported mental health needs in college students
  7. Recommendation: Depression and Suicide Risk in Adults: Screening | United States Preventive Services Taskforce
  8. Overview | Depression in adults: treatment and management | Guidance | NICE
  9. Management of Major Depressive Disorder (MDD) (2022) - VA/DOD Clinical Practice Guidelines
  10. Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders (CDDR)
  11. AMERICAN PSYCHIATRIC ASSOCIATION ™DSM-5-TR® Update
  12. Social support and psychological adjustment: A quantitative synthesis of 60 meta-analyses - PubMed
  13. Frontiers | The bidirectional relationship between depression and perceived social support among college freshmen: evidence from longitudinal and daily diary methods
  14. Effects of social media use on depressive symptoms among Chinese university students: the mediating roles of self-esteem and social support
  15. Association of stress and resilience in college students: A systematic review and meta-analysis - ScienceDirect
  16. The efficacy of a stress mindset intervention on psychosocial health and daily stress processes in college students - PubMed
  17. Efficacy of the internet-based intervention "Cultivating our resilience" (CORE) for improving resilience and coping strategies in university students: A randomized controlled trial - PubMed
  18. Optimization of a Mobile Transdiagnostic Emotion Regulation Intervention for University Students: A Micro-Randomized Trial - PubMed
  19. JPA | Brief mental health education course efficacy on resilience among first-year college students: A cluster-randomized controlled trial

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