The relationship between depression and adjustment disorder among a clinical sample of college freshmen: the mediating roles of resilience and perceived social support - Scorecard - 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 Scorecard: Exploring the Connection Between Depression and Adjustment Disorder in College Freshmen: The Mediating Effects of Resilience and Social Support Perception

At a Glance

CategoryDetail
ConditionAdjustment Disorder
Key MechanismsDepression, Resilience, Perceived Social Support
Target PopulationCollege Freshmen
Care SettingPediatric Psychology Department

Key Highlights

  • Depression positively correlates with adjustment disorder (r=0.574, p<0.001).
  • Resilience and perceived social support negatively correlate with adjustment disorder (r=-0.653, r=-0.550, both p<0.001).
  • Resilience and perceived social support mediate the relationship between depression and adjustment disorder.
  • Adjustment disorder prevalence is higher in college freshmen compared to the general population.
  • Stressors during the transition to university can exacerbate adjustment problems.

Guideline-Based Recommendations

Diagnosis

  • Adjustment disorder diagnosed based on emotional and behavioral symptoms following identifiable stressors.

Management

  • Focus on enhancing resilience and perceived social support to mitigate adjustment disorder.

Monitoring & Follow-up

  • Regular assessment of depressive symptoms and adjustment difficulties in college freshmen.

Risks

  • Long-term stress can lead to serious consequences, including adjustment disorders.

Patient & Prescribing Data

College freshmen experiencing adjustment disorder and depression.

Incorporate strategies to improve resilience and perceived social support.

Clinical Best Practices

  • Utilize validated scales for assessing depression, resilience, and social support.
  • Implement supportive interventions to enhance social support networks.
  • Monitor mental health closely during the transition to college.

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