{"id":"https://openalex.org/W7166707491","doi":"https://doi.org/10.1136/bmjph-2025-003663","title":"Mental health illnesses and university life satisfaction among medical students in post-conflict Syria: a cross-sectional study","display_name":"Mental health illnesses and university life satisfaction among medical students in post-conflict Syria: a cross-sectional study","publication_year":2026,"publication_date":"2026-04-01","ids":{"openalex":"https://openalex.org/W7166707491","doi":"https://doi.org/10.1136/bmjph-2025-003663","pmid":"https://pubmed.ncbi.nlm.nih.gov/42403580","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13331028"},"language":"en","primary_location":{"id":"doi:10.1136/bmjph-2025-003663","doi":"https://doi.org/10.1136/bmjph-2025-003663","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-003663","pdf_url":"https://bmjpublichealth.bmj.com/content/4/2/e003663.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://bmjpublichealth.bmj.com/content/4/2/e003663.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139642048","display_name":"Monzer Keblawy","orcid":"https://orcid.org/0000-0002-9075-2446","observed_orcids":["https://orcid.org/0000-0002-9075-2446"]},"institutions":[{"id":"https://openalex.org/I107575416","display_name":"University of Aleppo","ror":"https://ror.org/03mzvxz96","country_code":"SY","type":"education","lineage":["https://openalex.org/I107575416"]}],"countries":["SY"],"is_corresponding":true,"raw_author_name":"Monzer Keblawy","raw_affiliation_strings":["Internal Medicine, Aleppo University Hospital, Aleppo, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0000-0002-9075-2446","affiliations":[{"raw_affiliation_string":"Internal Medicine, Aleppo University Hospital, Aleppo, Syrian Arab Republic","institution_ids":["https://openalex.org/I107575416"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119742027","display_name":"Alaa Alsarhan","orcid":"https://orcid.org/0009-0003-2773-0572","observed_orcids":["https://orcid.org/0009-0003-2773-0572"]},"institutions":[{"id":"https://openalex.org/I107575416","display_name":"University of Aleppo","ror":"https://ror.org/03mzvxz96","country_code":"SY","type":"education","lineage":["https://openalex.org/I107575416"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Alaa Alsarhan","raw_affiliation_strings":["Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0009-0003-2773-0572","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic","institution_ids":["https://openalex.org/I107575416"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126319342","display_name":"Ali Taghi","orcid":"https://orcid.org/0009-0000-6156-7041","observed_orcids":["https://orcid.org/0009-0000-6156-7041"]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Ali Taghi","raw_affiliation_strings":["Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0009-0000-6156-7041","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic","institution_ids":["https://openalex.org/I875646752"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115439628","display_name":"Mais Alreem Basel Mohaisen","orcid":"https://orcid.org/0009-0003-7228-3492","observed_orcids":["https://orcid.org/0009-0003-7228-3492"]},"institutions":[{"id":"https://openalex.org/I4405254749","display_name":"Al-Sham Private University","ror":"https://ror.org/026csjr38","country_code":"SY","type":"education","lineage":["https://openalex.org/I4405254749"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Mais Alreem Mohaisen","raw_affiliation_strings":["Al-Sham Private University, Damascus, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0009-0003-7228-3492","affiliations":[{"raw_affiliation_string":"Al-Sham Private University, Damascus, Syrian Arab Republic","institution_ids":["https://openalex.org/I4405254749"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117756054","display_name":"Mohammad Atia","orcid":"https://orcid.org/0009-0005-3795-403X","observed_orcids":["https://orcid.org/0009-0005-3795-403X"]},"institutions":[{"id":"https://openalex.org/I4405254749","display_name":"Al-Sham Private University","ror":"https://ror.org/026csjr38","country_code":"SY","type":"education","lineage":["https://openalex.org/I4405254749"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Mohammad Ibrahim Atia","raw_affiliation_strings":["Al-Sham Private University, Damascus, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0009-0005-3795-403X","affiliations":[{"raw_affiliation_string":"Al-Sham Private University, Damascus, Syrian Arab Republic","institution_ids":["https://openalex.org/I4405254749"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109768939","display_name":"Ahmad Abdul Hakim Alhamid","orcid":"https://orcid.org/0009-0002-6478-314X","observed_orcids":["https://orcid.org/0009-0002-6478-314X"]},"institutions":[{"id":"https://openalex.org/I4403928194","display_name":"Al-Hawash Private University","ror":"https://ror.org/04e7j0a18","country_code":"SY","type":"education","lineage":["https://openalex.org/I4403928194"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Ahmad Alhamid","raw_affiliation_strings":["Al Hawash Private University, Hawash, Syrian Arab Republic"],"raw_orcid":"https://orcid.org/0009-0002-6478-314X","affiliations":[{"raw_affiliation_string":"Al Hawash Private University, Hawash, Syrian Arab Republic","institution_ids":["https://openalex.org/I4403928194"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5139655910","display_name":"Collaborators group","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I107575416","display_name":"University of Aleppo","ror":"https://ror.org/03mzvxz96","country_code":"SY","type":"education","lineage":["https://openalex.org/I107575416"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Collaborators group","raw_affiliation_strings":["University of Aleppo, Aleppo, Syrian Arab Republic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Aleppo, Aleppo, Syrian Arab Republic","institution_ids":["https://openalex.org/I107575416"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5139642048"],"corresponding_institution_ids":["https://openalex.org/I107575416"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"2","first_page":"e003663","last_page":"e003663"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/university-life-satisfaction","display_name":"university life satisfaction","score":0.9710000157356262},{"id":"https://openalex.org/keywords/medical-students","display_name":"medical students","score":0.9679999947547913},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.8970000147819519},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9980000257492065},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":1.0},{"id":"https://openalex.org/keywords/stress","display_name":"stress","score":0.9559999704360962},{"id":"https://openalex.org/keywords/syrian-universities","display_name":"Syrian universities","score":0.6050000190734863},{"id":"https://openalex.org/keywords/mental-health-interventions","display_name":"mental health interventions","score":0.6060000061988831},{"id":"https://openalex.org/keywords/financial-situation","display_name":"financial conditions","score":0.5680000185966492},{"id":"https://openalex.org/keywords/grade-point-average","display_name":"grade point average","score":0.8270000219345093},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.7409999966621399}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7031000256538391},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6255999803543091},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5738999843597412},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5698999762535095},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.5616000294685364},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.557699978351593},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4925999939441681},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.48750001192092896},{"id":"https://openalex.org/C2780945536","wikidata":"https://www.wikidata.org/wiki/Q1117179","display_name":"Life satisfaction","level":2,"score":0.47940000891685486},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4440000057220459},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.43369999527931213},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.42080000042915344},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.390500009059906},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3425000011920929},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3269999921321869},{"id":"https://openalex.org/C2777274743","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Mental distress","level":3,"score":0.3156999945640564},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.31040000915527344},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.29100000858306885},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.2809000015258789},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.28049999475479126},{"id":"https://openalex.org/C2780015598","wikidata":"https://www.wikidata.org/wiki/Q3500368","display_name":"Psychological stress","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C122816508","wikidata":"https://www.wikidata.org/wiki/Q1916597","display_name":"Medical psychology","level":3,"score":0.25690001249313354},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.25380000472068787}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1136/bmjph-2025-003663","doi":"https://doi.org/10.1136/bmjph-2025-003663","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-003663","pdf_url":"https://bmjpublichealth.bmj.com/content/4/2/e003663.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},{"id":"pmid:42403580","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42403580","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ public health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13331028","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13331028/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:3369978b509742e3832ae116792c8d8b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/3369978b509742e3832ae116792c8d8b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Public Health, Vol 4, Iss 2 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjph-2025-003663","doi":"https://doi.org/10.1136/bmjph-2025-003663","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-003663","pdf_url":"https://bmjpublichealth.bmj.com/content/4/2/e003663.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306230","display_name":"American Heart Association","ror":"https://ror.org/013kjyp64"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166707491.pdf","grobid_xml":"https://content.openalex.org/works/W7166707491.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1998374179","https://openalex.org/W2092862146","https://openalex.org/W2141674457","https://openalex.org/W2508324979","https://openalex.org/W2560290367","https://openalex.org/W2615784653","https://openalex.org/W2755370251","https://openalex.org/W2803191377","https://openalex.org/W2981906970","https://openalex.org/W3088546900","https://openalex.org/W3189587449","https://openalex.org/W4285495672","https://openalex.org/W4288758543","https://openalex.org/W4296824312","https://openalex.org/W4365514449","https://openalex.org/W4387569147","https://openalex.org/W4396666492","https://openalex.org/W4400539794","https://openalex.org/W4402496228","https://openalex.org/W4408805891"],"related_works":["https://openalex.org/W2755370251","https://openalex.org/W4417445901","https://openalex.org/W2615784653","https://openalex.org/W7135400947","https://openalex.org/W4404831328","https://openalex.org/W7203673152","https://openalex.org/W4395048908","https://openalex.org/W3139643485","https://openalex.org/W4388723924","https://openalex.org/W2883794092"],"abstract_inverted_index":{"Background:":[0],"Medical":[1],"students":[2,39,73,120,168],"are":[3],"a":[4],"population":[5],"highly":[6],"vulnerable":[7],"to":[8,12],"psychological":[9,27,87,130,173,206],"distress":[10,88,211],"due":[11],"their":[13],"demanding":[14],"academic":[15,123],"environment.":[16],"In":[17],"Syria,":[18],"the":[19,183],"prolonged":[20],"conflict":[21],"has":[22],"further":[23],"exacerbated":[24],"educational":[25,196],"and":[26,40,46,56,61,71,86,91,109,125,139,144,157,191,204,212,224],"challenges.":[28],"This":[29],"study":[30],"evaluates":[31],"University":[32],"Life":[33],"Satisfaction":[34,84],"(ULS)":[35],"among":[36,118,215],"Syrian":[37,63,166,195],"medical":[38,167,216],"its":[41],"association":[42],"with":[43,127,163,177],"depression,":[44],"anxiety":[45,107,142],"stress.":[47],"Methods:":[48],"A":[49,65],"cross-sectional":[50],"survey":[51],"was":[52,98,115],"conducted":[53],"between":[54,137],"March":[55],"May":[57],"2025":[58],"across":[59],"public":[60],"private":[62],"universities.":[64],"total":[66],"of":[67,104,172],"700":[68],"medical,":[69],"dental":[70],"pharmacy":[72],"completed":[74],"an":[75],"online":[76],"questionnaire":[77],"assessing":[78],"demographic":[79],"variables,":[80],"ULS":[81,97,114,138,214],"(The":[82],"Campus":[83],"Scale)":[85],"(Depression,":[89],"Anxiety":[90],"Stress":[92],"Scales-21).":[93],"Results:":[94],"Moderate":[95],"overall":[96],"reported":[99,169],"(mean=2.95\u00b10.65).":[100],"Severe-to-extremely":[101],"severe":[102],"levels":[103,171],"depression":[105,140],"(35.0%),":[106],"(29.4%)":[108],"stress":[110,145],"(29.8%)":[111],"were":[112,160],"observed.":[113],"significantly":[116,161],"lower":[117,178],"females,":[119],"in":[121,194],"later":[122],"years":[124],"those":[126,176],"poor":[128],"prior":[129],"diagnoses.":[131],"Results":[132],"revealed":[133],"negative":[134],"correlational":[135,221],"relationships":[136,222],"(r=-0.333),":[141],"(r=-0.171)":[143],"(r=-0.240)":[146],"(p<0.001).":[147],"Regression":[148],"analysis":[149],"indicated":[150],"that":[151],"grade":[152],"point":[153],"average,":[154],"financial":[155],"status":[156],"depressive":[158],"symptoms":[159],"associated":[162],"ULS.":[164,179],"Conclusion:":[165],"concerning":[170],"distress,":[174],"particularly":[175],"These":[180,218],"findings":[181],"highlight":[182],"urgent":[184],"need":[185],"for":[186],"targeted":[187],"mental":[188],"health":[189],"interventions":[190],"systemic":[192],"improvements":[193],"environments.":[197],"Enhancing":[198],"student":[199],"engagement,":[200],"improving":[201],"campus":[202],"facilities":[203],"integrating":[205],"support":[207],"services":[208],"help":[209],"reduce":[210],"improve":[213],"students.":[217],"results":[219],"reflect":[220],"only":[223],"do":[225],"not":[226],"establish":[227],"causality.":[228]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-07-01T00:00:00"}
