{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:34:17Z","timestamp":1787664857216,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP 22K03098"],"award-info":[{"award-number":["JP 22K03098"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We analyzed university students' mental health to inform culturally tailored interventions within university counseling services, focusing on race and religion as key variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were collected over 5 years from students at X University attending their first counseling session (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20099373). Participants completed the Counseling Center Assessment of Psychological Symptoms (CCAPS). Differences in CCAPS scores were examined using a one\u2010way multivariate analysis of variance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Asian American students had high depression and hostility scores, whereas White students had lower distress scores. Asian American students scored the highest in potential thought disturbance and suicidal thoughts. Hindu and Jewish students scored the highest and lowest in depression, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>University students' mental health varies significantly by race and religion, underscoring the importance of culturally competent interventions within university counseling centers. This highlights the need for implementing targeted and tailored mental health strategies among diverse student populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70209","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T05:56:33Z","timestamp":1759125393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mental health status at initial counseling sessions among US university students: A comparative analysis by race and religion"],"prefix":"10.1002","volume":"4","author":[{"given":"Nicole","family":"Nagib","sequence":"first","affiliation":[{"name":"College of Public Health University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2922-9277","authenticated-orcid":false,"given":"Ryo","family":"Horita","sequence":"additional","affiliation":[{"name":"Health Administration 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