Effects of Differential Stress and Mental Health on Substance Use among College Students

Authors

DOI:

https://doi.org/10.47679/jopp.8113232026

Keywords:

substance use, college stress, anxiety, depression

Abstract

Substance use among college students is often seen as a coping mechanism for some students who are prone to extreme stress, depression, or anxiety. Multiple forms of stress become the leading factors that push students toward substance use. This study tests the effects of college stressors, depression, and anxiety on substance use among college students. The results are based on the data that were collected using a 101-item questionnaire administered to 302 college students at a public university in the Midwest U.S.A. Using Logistic Regression as the primary data analysis technique, the findings of this study show that social stressors and time management stressors are the most significant predictors of substance use among college students. On the other hand, students scored very low on both depression and anxiety scales. These findings suggest that, in this context, depression and anxiety are not strong predictors of substance use among college students.

Author Biographies

Avdi Avdija, Indiana State University School of Criminology and Security Studies

Avdi Avdija is a Professor of Criminology and Security Studies at the Indiana State University. Dr. Avdija has been teaching policing, crime analysis, criminal investigation, and research methods courses at ISU since 2010. His research interests include community police effectiveness, evidence-based policing, crime prevention strategies and tactics, and methods of criminal investigation, including techniques of interrogation, and criminal profiling. Dr. Avdija has published 41 research articles/book chapters in various academic journals and two books. His current research interest includes testing the effectiveness of eyewitness identification methods, evaluation of correctional programs, and crime trends forecasting models. He has published widely, including articles in Journal of Police Strategies and Management, Criminal Justice Studies, Justice Policy Journal, Applied Psychology in Criminal Justice, etc. Email: [email protected]

Arif Akgul, Old Dominion University Sociology and Criminal Justice

Arif Akgul is an Associate Professor at the Old Dominion University. At ODU, Dr. Akgul teaches Cyber-criminology courses, as well as criminal justice courses. Prior to ODU, Dr. Akgul has worked at the Indiana State University for seven years, where he taught courses in the Intelligence Analysis program. Dr. Akgul has published a number of research articles in variety of publication outlets. He has served as the Chief Research Officer in the Office of Sponsored Programs for several years. His research agenda includes drug policies, migration and crime, as well as transnational crimes.

References

Allan, C. A. (1995). Alcohol Problems and Anxiety Disorders–A Critical Review. Alcohol & Alcoholism, 30(2), 145-151. https://doi.org/10.1093/oxfordjournals.alcalc.a045708.

American College Health Association. (2012). Reference group executive summary Fall 2011. Hanover, MD. Retrieved https://www.acha.org/documents/ncha/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Fall2011.pdf

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Anders, K. (2011). Stress and family relationships among college students. Poster presented at the 39th Annual Western Pennsylvania Undergraduate Psychology Conference, New Wilmington, PA.

Arria, A. M., Caldeira, K. M., Kasperski, S. J., O'Grady, K. E., Vincent, K. B., Griffiths, R. R., & Wish, E. D. (2010). Increased alcohol consumption, nonmedical prescription drug use, and illicit drug use are associated with energy drink consumption among college students. Journal of addiction medicine, 4(2), 74–80. https://doi.org/10.1097/ADM.0b013e3181aa8dd4

Arria, A. M., & DuPont, R. L. (2010). Nonmedical prescription stimulant use among college students: why we need to do something and what we need to do. Journal of addictive diseases, 29(4), 417–426. https://doi.org/10.1080/10550887.2010.509273

Arria, A. M., Caldeira, K. M., Bugbee, B. A., Vincent, K. B., & O'Grady, K. E. (2015). The academic consequences of marijuana use during college. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 29(3), 564–575. https://doi.org/10.1037/adb0000108

Avdija, A. S.. (2018). College Stress: Testing the Unidimensionality of a Standardized Stress Measuring Inventory Designed to Assess Stress among. Children and Teenagers, 1(2), 68. https://doi.org/10.22158/ct.v1n2p68

Avdija A. (2022). Substance use and Stress-Induced Cognitive Impairment: The Causes of Anxiety and Depression among College Students. Journal of drug education, 51(3-4), 70–81. https://doi.org/10.1177/00472379221148384

Avdija, A. S., & Roy, S. (2013). Occupational exhaustion among prison staff: Multivariate analysis of correlates associated with emotional exhaustion. International Journal of Research in Social Sciences, 2(4), 1-12.

Baghurst, T., & Kelley, B. C. (2014). An examination of stress in college students over the course of a semester. Health promotion practice, 15(3), 438–447. https://doi.org/10.1177/1524839913510316

Barbayannis, G., Bandair, M., Zheng, X., Baquerizo, H., Pecor, K. W., & Ming, X. (2022). Academic stress and mental well-being in college students: Correlations, affected groups, and COVID-19. Frontiers in Psychology, 13, 886344. https://doi.org/10.3389/fpsyg.2022.886344

Batts, K. R. (2015). Association between subthreshold depression and alcohol misuse among college students. Unpublished Dissertation, North Carolina State University, Raleigh.

Beck, A. T., & Steer, R. A. (1990). Manual for the Beck anxiety inventory. San Antonio, TX: Psychological Corporation.

Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of affective disorders, 173, 90–96. https://doi.org/10.1016/j.jad.2014.10.054

Brady, K. T., & Randall, C. L. (1999). Gender differences in substance use disorders. The Psychiatric clinics of North America, 22(2), 241–252. https://doi.org/10.1016/s0193-953x(05)70074-5

Brady, K. T., & Sinha, R. (2005). Co-occurring mental and substance use disorders: The neurobiological effects of chronic stress. American Journal of Psychiatry, 162(8), 1483–1493. https://doi.org/10.1176/appi.ajp.162.8.1483

Broman, C. L. (2005). Stress, race and substance use in college. College Student journal, 39(2), 340-352.

Book, S. W., & Randall, C. L. (2002). Social anxiety disorder and alcohol use. Alcohol Research & Health, 26(2), 130-135.

Buckner, J. D., Heimberg, R. G., Ecker, A. H., & Vinci, C. (2013). A biopsychosocial model of social anxiety and substance use. Depression and anxiety, 30(3), 276–284. https://doi.org/10.1002/da.22032

Cotto, J. H., Davis, E., Dowling, G. J., Elcano, J. C., Staton, A. B., & Weiss, S. R. (2010). Gender effects on drug use, abuse, and dependence: a special analysis of results from the National Survey on Drug Use and Health. Gender medicine, 7(5), 402–413. https://doi.org/10.1016/j.genm.2010.09.004

Cox, B. J., Norton, G. R., Swinson, R. P., & Endler, N. S. (1990). Substance abuse and panic-related anxiety: a critical review. Behaviour research and therapy, 28(5), 385–393. https://doi.org/10.1016/0005-7967(90)90157-e

Cranford, J. A., Eisenberg, D., & Serras, A. M. (2009). Substance use behaviors, mental health problems, and use of mental health services in a probability sample of college students. Addictive behaviors, 34(2), 134–145. https://doi.org/10.1016/j.addbeh.2008.09.004

Cunningham-Williams, R. M., Jones, B. D., Butler-Barnes, S. T., Wells, A. A., Williams Woodson, S. L., Johnson, S. D., & Pilar, M. R. (2020). Stress, stressors, and substance use: Differential risk for hookah use among African American college students. Journal of ethnicity in substance abuse, 19(2), 289–310. https://doi.org/10.1080/15332640.2018.1511492

DeSantis, A. D., Webb, E. M., & Noar, S. M. (2008). Illicit use of prescription ADHD medications on a college campus: A multimethodological approach. Journal of American College Health, 57(3), 315–324. https://doi.org/10.3200/JACH.57.3.315-324.

Dhingra, S. S., Kroenke, K., Zack, M. M., Strine, T. W., & Balluz, L. S. (2011). PHQ-8 Days: a measurement option for DSM-5 Major Depressive Disorder (MDD) severity. Population health metrics, 9, 11. https://doi.org/10.1186/1478-7954-9-11

Dishion, T. J., & Tipsord, J. M. (2011). Peer contagion in child and adolescent social and emotional development. Annual Review of Psychology, 62, 189–214. https://doi.org/10.1146/annurev.psych.093008.100412

Shiraly, R., Jazayeri, S. A., Seifaei, A., Jeihooni, A. K., & Griffiths, M. D.. (2024). Suicidal thoughts and behaviors among untreated illicit substance users: a population-based study. Harm Reduction Journal, 21(1). https://doi.org/10.1186/s12954-024-01015-9

Ford, J. A., & Arrastia, M. C. (2008). Pill-poppers and dopers: a comparison of non-medical prescription drug use and illicit/street drug use among college students. Addictive behaviors, 33(7), 934–941. https://doi.org/10.1016/j.addbeh.2008.02.016

Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-seeking and access to mental health care in a university student population. Medical Care, 45(7), 594–601. https://doi.org/10.1097/MLR.0b013e31803bb4c1

Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry, 164(10), 1476–1488. https://doi.org/10.1176/appi.ajp.2007.07030504

Garlow, S. J., Rosenberg, J., Moore, J. D., Haas, A. P., Koestner, B., Hendin, H., & Nemeroff, C. B. (2008). Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depression and anxiety, 25(6), 482–488. https://doi.org/10.1002/da.20321

Mengistie, K. M., & Berhanu, K. Z. (2025). Depression and substance abuse among university students. Medicine, 104(9), e41671. https://doi.org/10.1097/MD.0000000000041671

Ham, L. S., Zamboanga, B. L., Bacon, A. K., & Garcia, T. A. (2009). Drinking motives as mediators of social anxiety and hazardous drinking among college students. Cognitive behaviour therapy, 38(3), 133–145. https://doi.org/10.1080/16506070802610889

Hingson, R. W., Heeren, T., Zakocs, R. C., Kopstein, A., & Wechstler, H. (2002). Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18-24. Journal of studies on alcohol, 63(2), 136–144. https://doi.org/10.15288/jsa.2002.63.136

Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2006). Monitoring the future: National results on adolescent drug use. National Institute on Drug Abuse, Bethesda, MD. U.S. Department of Health and Human Services.

Kaminer, Y., & Winters, K. C. (2011). Clinical manual of adolescent substance abuse treatment. Arlington, VA: American Psychiatric Publishing, Inc.

Khan, S., & Khan, R.A. (2017). Chronic stress leads to anxiety and depression. Annals Psychiatry Mental Health 5(1), 1091. https://doi.org/10.47739/2374-0124/1091

Kloos, A., Weller, R. A., Chan, R., & Weller, E. B. (2009). Gender differences in adolescent substance abuse. Current psychiatry reports, 11(2), 120–126. https://doi.org/10.1007/s11920-009-0019-8

Knight, J. R., Wechstler, H., Kuo, M., Seibring, M., Weitzman, E. R., & Schuckit, M. A. (2002). Alcohol abuse and dependence among U.S. college students. Journal of studies on alcohol, 63(3), 263–270. https://doi.org/10.15288/jsa.2002.63.263

Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617

Koychev, I., & Ebmeier, K. P. (2015). Anxiety in older adults often goes undiagnosed. Practitioner, 260(1789), 17-20.

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of affective disorders, 114(1-3), 163–173. https://doi.org/10.1016/j.jad.2008.06.026

Kurt, D. G. (2015). Suicide risk in college students: The effects of Internet addiction and drug use. Kuram ve Uygulamada Eğitim Bilimleri/Educational Sciences: Theory & Practice, 15(4), 841–848.

Lakhan, S. E., & Kirchgessner, A. (2012). Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: Misuse, cognitive impact, and adverse effects. Brain and Behavior, 2(5), 661–677. https://doi.org/10.1002/brb3.78

Lesure-Lester, G. (2001). Dating competence, social assertion and social anxiety among college students. College Student Journal, 35(2), 317-320. https://link.gale.com/apps/doc/A77399639/AONE?u=anon~97807aa6&sid=googleScholar&xid=422c057e

Levy, S. J. L., Williams, J. F., Ryan, S. A., Gonzalez, P. K., Patrick, S. W., Quigley, J., Siqueira, L., Smith, V. C., & Walker, L. R.. (2016). Substance Use Screening, Brief Intervention, and Referral to Treatment. Pediatrics, 138(1), e20161211–e2016. https://doi.org/10.1542/peds.2016-1211

Lewinsohn, P. M., Gotlib, I. H., & Seeley, J. R. (1995). Adolescent psychopathology: IV. Specificity of psychosocial risk factors for depression and substance abuse in older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(9), 1221–1229. https://doi.org/10.1097/00004583-199509000-00021

Li, P., Yang, J., Zhou, Z., Zhao, Z., & Liu, T.. (2022). The influence of college students' academic stressors on mental health during COVID-19: The mediating effect of social support, social well-being, and self-identity. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.917581

Lipson, S, K., Gaddis, S. M., Heinze, J., Beck, K., & Eisenberg, D. (2015). Variations in Student Mental Health and Treatment Utilization Across US Colleges and Universities. Journal of American college health : J of ACH, 63(6), 388–396. https://doi.org/10.1080/07448481.2015.1040411

Lofgran, S. (2019). Substance abuse among college students in the United States. Ballard Brief, 9(1), 1-18. https://scholarsarchive.byu.edu/ballardbrief/vol2019/iss3/5

Mahmoud, J. S., Staten, R., Hall, L. A., & Lennie, T. A. (2012). The relationship among young adult college students' depression, anxiety, stress, demographics, life satisfaction, and coping styles. Issues in mental health nursing, 33(3), 149–156. https://doi.org/10.3109/01612840.2011.632708

Maier, L. J., Liechti, M. E., Herzig, F., & Schaub, M. P. (2013). To dope or not to dope: neuroenhancement with prescription drugs and drugs of abuse among Swiss university students. PloS one, 8(11), e77967. https://doi.org/10.1371/journal.pone.0077967

Marshal, M. P., & Molina, B. S. (2006). Antisocial behaviors moderate the deviant peer pathway to substance use in children with ADHD. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 35(2), 216–226. https://doi.org/10.1207/s15374424jccp3502_5

Mason, W. A., Kosterman, R., Haggerty, K. P., Hawkins, J. D., Redmond, C., Spoth, R. L., & Shin, C. (2008). Dimensions of adolescent alcohol involvement as predictors of young-adult major depression. Journal of studies on alcohol and drugs, 69(2), 275–285. https://doi.org/10.15288/jsad.2008.69.275

McCabe, S. E., Knight, J. R., Teter, C. J., & Wechsler, H. (2005). Non-medical use of prescription stimulants among US college students: Prevalence and correlates from a national survey. Addiction, 100(1), 96–106. https://doi.org/10.1111/j.1360-0443.2005.00944.x

McCabe, S. E., Morales, M., Cranford, J. A., Delva, J., McPherson, M. D., & Boyd, C. J. (2007). Race/ethnicity and gender differences in drug use and abuse among college students. Journal of ethnicity in substance abuse, 6(2), 75–95. https://doi.org/10.1300/J233v06n02_06

Miller, B. E., Miller, M. N., Verhegge, R., Linville, H. H., & Pumariega, A. J. (2002). Alcohol misuse among college athletes: self-medication for psychiatric symptoms?. Journal of drug education, 32(1), 41–52. https://doi.org/10.2190/JDFM-AVAK-G9FV-0MYY

Mirowsky, J., & Ross, C. E. (1992). Age and depression. Journal of Health and Social Behavior, 33(3), 187–205. https://doi.org/10.2307/2137349

Misra, R., & McKean, M. (2000). College students’ academic stress and its relation to their anxiety, time management, and leisure satisfaction. American Journal of Health Studies, 16(1), 41–51.

Newbury-Birch, D., Lowry, R. J., & Kamali, F. (2002). The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. British dental journal, 192(11), 646–649. https://doi.org/10.1038/sj.bdj.4801448

Oberleitner, L. M., Tzilos, G. K., Zumberg, K. M., & Grekin, E. R. (2011). Psychotropic drug use among college students: patterns of use, misuse, and medical monitoring. Journal of American college health : J of ACH, 59(7), 658–661. https://doi.org/10.1080/07448481.2010.521960

Oster-Aaland, L., Lewis, M. A., Neighbors, C., Vangsness, J., & Larimer, M. E. (2009). Alcohol poisoning among college students turning 21: do they recognize the symptoms and how do they help?. Journal of studies on alcohol and drugs. Supplement, (16), 122–130. https://doi.org/10.15288/jsads.2009.s16.122

Palmer, R. S., McMahon, T. J., Moreggi, D. I., Rounsaville, B. J., & Ball, S. A. (2012). College Student Drug Use: Patterns, Concerns, Consequences, and Interest in Intervention. Journal of college student development, 53(1), 10.1353/csd.2012.0014. https://doi.org/10.1353/csd.2012.0014

Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress on students in secondary school and higher education. International Journal of Adolescence and Youth, 25(1), 104–112. https://doi.org/10.1080/02673843.2019.1596823

Pettit, M. L., & DeBarr, K. A. (2011). Perceived stress, energy drink consumption, and academic performance among college students. Journal of American College Health, 59(5), 335–341. https://doi.org/10.1080/07448481.2010.510163

van Praag H. M. (2004). Can stress cause depression?. Progress in neuro-psychopharmacology & biological psychiatry, 28(5), 891–907. https://doi.org/10.1016/j.pnpbp.2004.05.031

Putwain, D. W., Woods, K. A., & Symes, W. (2010). Personal and situational predictors of test anxiety of students in post-compulsory education. The British journal of educational psychology, 80(Pt 1), 137–160. https://doi.org/10.1348/000709909X466082

Razykov, I., Ziegelstein, R. C., Whooley, M. A., & Thombs, B. D. (2012). The PHQ-9 versus the PHQ-8--is item 9 useful for assessing suicide risk in coronary artery disease patients? Data from the Heart and Soul Study. Journal of psychosomatic research, 73(3), 163–168. https://doi.org/10.1016/j.jpsychores.2012.06.001

Rice, K. G., & Van Arsdale, A. C. (2010). Perfectionism, perceived stress, drinking to cope, and alcohol-related problems among college students. Journal of Counseling Psychology, 57(4), 439–450. https://doi.org/10.1037/a0020221

Rimsza, M. E., & Moses, K. S. (2005). Substance abuse on the college campus. Pediatric clinics of North America, 52(1), 307–xii. https://doi.org/10.1016/j.pcl.2004.10.008

Schuckit M. A. (2006). Comorbidity between substance use disorders and psychiatric conditions. Addiction (Abingdon, England), 101 Suppl 1, 76–88. https://doi.org/10.1111/j.1360-0443.2006.01592.x

Schulenberg, J. E., Patrick, M. E., Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Miech, R. A. (2021). Monitoring the Future national survey results on drug use, 1975–2020: Volume II, college students and adults ages 19–60. Institute for Social Research, University of Michigan.

Sinha R. (2001). How does stress increase risk of drug abuse and relapse?. Psychopharmacology, 158(4), 343–359. https://doi.org/10.1007/s002130100917

Sinha R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences, 1141, 105–130. https://doi.org/10.1196/annals.1441.030

Ste-Marie, C., Gupta, R., & Derevensky, J. L. (2006). Anxiety and Social Stress Related to Adolescent Gambling Behavior and Substance Use. Journal of Child & Adolescent Substance Abuse, 15(4), 55–74. https://doi.org/10.1300/J029v15n04_03

Stewart, S. H., Karp, J., Pihl, R. O., & Peterson, R. A. (1997). Anxiety sensitivity and self-reported reasons for drug use. Journal of substance abuse, 9, 223–240. https://doi.org/10.1016/s0899-3289(97)90018-3

Sun, J., Buys, N., Stewart, D., & Shum, D. (2011). Mediating effects of coping, personal belief, and social support on the relationship among stress, depression, and smoking behaviour in university students. Health Education, 111(2), 133–146. https://doi.org/10.1108/09654281111108544

Sussman, S., Pentz, M. A., Spruijt-Metz, D., & Miller, T. (2006). Misuse of "study drugs:" prevalence, consequences, and implications for policy. Substance abuse treatment, prevention, and policy, 1, 15. https://doi.org/10.1186/1747-597X-1-15

Swisher, J. D., Shute, R. E., & Bibeau, D. (1984). Assessing drug and alcohol abuse: An instrument for planning and evaluation. Measurement and Evaluation in Counseling and Development, 17(2), 91–97. https://doi.org/10.1080/07481756.1984.12022752

Teter, C. J., McCabe, S. E., LaGrange, K., Cranford, J. A., & Boyd, C. J. (2006). Illicit use of specific prescription stimulants among college students: prevalence, motives, and routes of administration. Pharmacotherapy, 26(10), 1501–1510. https://doi.org/10.1592/phco.26.10.1501

Turner, J. C., Leno, E. V., & Keller, A. (2013). Causes of Mortality Among American College Students: A Pilot Study. Journal of college student psychotherapy, 27(1), 31–42. https://doi.org/10.1080/87568225.2013.739022

Galaif, E. R., Chou, C.-P., Sussman, S., & Dent, C. W.. (1998). Depression, Suicidal Ideation, and Substance Use Among Continuation High School Students. Journal of Youth and Adolescence, 27(3), 275–299. https://doi.org/10.1023/a:1022898919257

Voelker R. (2004). Stress, sleep loss, and substance abuse create potent recipe for college depression. JAMA, 291(18), 2177–2179. https://doi.org/10.1001/jama.291.18.2177

Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic Advances from the Brain Disease Model of Addiction. The New England journal of medicine, 374(4), 363–371. https://doi.org/10.1056/NEJMra1511480

Watkins, W. C. (2016). Prescription Drug Misuse Among College Students: A Comparison of Motivational Typologies: A Comparison of Motivational Typologies. Journal of Drug Issues, 46(3), 216-233. https://doi.org/10.1177/0022042616632268

Weyandt, L. L., Oster, D. R., Marraccini, M. E., Gudmundsdottir, B. G., Munro, B. A., Rathkey, E. S., & McCallum, A. (2016). Prescription stimulant medication misuse: Where are we and where do we go from here?. Experimental and clinical psychopharmacology, 24(5), 400–414. https://doi.org/10.1037/pha0000093

White, A., & Hingson, R. (2013). The burden of alcohol use: excessive alcohol consumption and related consequences among college students. Alcohol research: current reviews, 35(2), 201–218. https://doi.org/10.35946/arcr.v35.2.11

Wittchen H. U. (2002). Generalized anxiety disorder: prevalence, burden, and cost to society. Depression and anxiety, 16(4), 162–171. https://doi.org/10.1002/da.10065

Yang, L., Zhao, Y., Wang, Y., Liu, L., Zhang, X., Li, B., & Cui, R. (2015). The Effects of Psychological Stress on Depression. Current neuropharmacology, 13(4), 494–504. https://doi.org/10.2174/1570159x1304150831150507

Yazedjian, A., Toews, M. L., & Navarro, A. (2009). Exploring parental factors, adjustment, and academic achievement among White and Hispanic college students. Journal of College Student Development, 50(4), 458–467. https://doi.org/10.1353/csd.0.0080

Downloads

Published

2026-01-02

How to Cite

Avdija, A., & Akgul, A. (2026). Effects of Differential Stress and Mental Health on Substance Use among College Students. Journal of Psychological Perspective, 8(1), 1–12. https://doi.org/10.47679/jopp.8113232026

Issue

Section

Empirical Research

Citation Check

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.