Mood Emot 2021 Nov; 19(3): 85-93
Stress Coping and Resilience in College Students with Depression
Dahni Kim , MD, Bo-Hyun Yoon , MD, PhD, Young-Hwa Sea , MD, Hangoeunbi Kang , MD, Kyungmin Kim , MD, Jye-Heon Song , MD, Suhee Park , MD
Department of Psychiatry, Naju National Hospital, Naju, Korea
Correspondence to: Bo-Hyun Yoon, MD, PhD
Department of Psychiatry, Naju National Hospital, 1328-31 Senam-ro, Sanpo-myeon, Naju 58213, Korea
TEL +82-61-330-4102 FAX +82-61-330-4155 E-mail ORCID
Young-Hwa Sea, MD
Department of Psychiatry, Naju National Hospital, 1328-31 Senam-ro, Sanpo-myeon, Naju 58213, Korea
TEL +82-61-330-4151 FAX +82-61-330-4150 E-mail ORCID
Received: October 1, 2021; Revised: October 28, 2021; Accepted: November 5, 2021; Published online: November 30, 2021.
© Korean Society for Affective Disorders. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Depression is increasing among college students in general. Moreover, almost one-third of college students have been reported to suffer from depression. Thus, this study aimed to assess differences in stress coping strategies and resilience between depressed and normal-mood groups among college students.
Methods: A total of 3,306 college students participated in this study. The students responded to a questionnaire that included questions of the Center for Epidemiologic Studies Depression (CES-D) scale, stress coping scale (SCS), and brief resilience scale. Logistic regression analysis was conducted to evaluate the impact of variables on depression.
Results: Using the CES-D (cutoff score ≥21), 423 (12.8%) college students were classified as depressed. Adjusting for individual demographic factors, the SCS results of the students with depression showed significantly higher scores in emotion-focused coping (p<0.001), wishful thinking (p<0.001), and lower problem-focused coping (p<0.001) than the normal-mood group. Moreover, they presented lower resilience scores. Students who had emotion-focused coping (odds ratio [OR], 1.11; p<0.001) and lower resilience scores (OR, 0.76; p<0.001) were associated with higher CES-D scores.
Conclusion: The study findings revealed significant differences between the depressed and normal-mood groups in terms of stress coping skills and resilience, suggesting the need for promoting stress coping strategies and resilience to lower depression-related problems among college students.
Keywords: Depression; Coping skills; Resilience, psychological; Health services, student

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