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

To examine the association between depression and adjustment disorder in college freshmen and investigate the mediating roles of resilience and perceived social support.

Key Findings:
  • No significant differences in adjustment disorder based on gender, age, only child status, childhood trauma experience, and educational level.
  • Depression showed a strong positive correlation with adjustment disorder (r=0.574, p<0.001).
  • Resilience (r=-0.653, p<0.001) and perceived social support (r=-0.550, p<0.001) were negatively correlated with adjustment disorder.
  • Depression positively predicted adjustment disorder (β=0.278, P<0.001), while resilience (β=-0.459, P<0.001) and perceived social support (β=-0.364, P<0.001) negatively predicted adjustment disorder.
Interpretation:

The impact of depression on adjustment disorder is partially mediated by resilience and perceived social support, indicating that depression contributes to adjustment disorder both directly and indirectly.

Limitations:
  • The study is cross-sectional, limiting causal inferences.
  • The sample is limited to a specific clinical population of college freshmen, which may not be generalizable.
Conclusion:

The findings support a model where depression affects adjustment disorder through the erosion of personal resilience and perceptions of social support.

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