{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:21:33Z","timestamp":1783135293911,"version":"3.54.6"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100003397","name":"Huazhong University of Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003397","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013291","name":"Huazhong University of Science and Technology Tongji Medical College","doi-asserted-by":"publisher","award":["YZ202010"],"award-info":[{"award-number":["YZ202010"]}],"id":[{"id":"10.13039\/501100013291","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jad.2026.122013","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:54:30Z","timestamp":1779432870000},"page":"122013","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Latent profile analysis of stress events and their association with anxiety and depression in first-year graduate students: A stress process theory perspective"],"prefix":"10.1016","volume":"411","author":[{"given":"Xinxin","family":"Qi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiale","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3241-9901","authenticated-orcid":false,"given":"Heng","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.122013_bb0005","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1479-5868-10-34","article-title":"Patterns of neighborhood environment attributes related to physical activity across 11 countries: a latent class analysis","volume":"10","author":"Adams","year":"2013","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"10.1016\/j.jad.2026.122013_bb0010","series-title":"Procedia - Social and Behavioral Sciences, 2nd World Conference on Educational Technology Research","first-page":"1116","article-title":"Validation of coping styles and emotions undergraduate inventory on Romanian psychology students","volume":"83","author":"Anitei","year":"2013"},{"key":"10.1016\/j.jad.2026.122013_bb0015","author":"Avison"},{"key":"10.1016\/j.jad.2026.122013_bb0020","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.socscimed.2015.08.006","article-title":"Cumulative exposure to childhood stressors and subsequent psychological distress. An analysis of US panel data","volume":"142","author":"Bj\u00f6rkenstam","year":"2015","journal-title":"Soc Sci Med"},{"issue":"4","key":"10.1016\/j.jad.2026.122013_bb0025","first-page":"331","article-title":"Social support, type a behavior, and coronary artery disease","volume":"49","author":"Blumenthal","year":"1987","journal-title":"Biopsychosoc. Sci. Med."},{"issue":"2","key":"10.1016\/j.jad.2026.122013_bb0030","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/BF01246098","article-title":"An entropy criterion for assessing the number of clusters in a mixture model","volume":"13","author":"Celeux","year":"1996","journal-title":"J. Classif."},{"issue":"4","key":"10.1016\/j.jad.2026.122013_bb0035","doi-asserted-by":"crossref","DOI":"10.1002\/brb3.2909","article-title":"Global prevalence and trend of anxiety among graduate students: a systematic review and meta-analysis","volume":"13","author":"Chi","year":"2023","journal-title":"Brain Behav."},{"key":"10.1016\/j.jad.2026.122013_bb0040","author":"Chirikov"},{"issue":"8","key":"10.1016\/j.jad.2026.122013_bb0045","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1037\/0003-066X.59.8.676","article-title":"Social relationships and health","volume":"59","author":"Cohen","year":"2004","journal-title":"Am. Psychol."},{"key":"10.1016\/j.jad.2026.122013_bb0050","series-title":"Development and application of the Stress Event Scale for Postgraduate Freshmen","author":"Deng","year":"2020"},{"issue":"3","key":"10.1016\/j.jad.2026.122013_bb0055","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1038\/nbt.4089","article-title":"Evidence for a mental health crisis in graduate education","volume":"36","author":"Evans","year":"2018","journal-title":"Nat. Biotechnol."},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0060","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1186\/s12909-020-02202-5","article-title":"Stress, anxiety, self-efficacy, and the meanings that physical therapy students attribute to their experience with an objective structured clinical examination","volume":"20","author":"Ferreira","year":"2020","journal-title":"BMC Med. Educ."},{"issue":"3","key":"10.1016\/j.jad.2026.122013_bb0065","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2307\/2136617","article-title":"An analysis of coping in a middle-aged community sample","volume":"21","author":"Folkman","year":"1980","journal-title":"J. Health Soc. Behav."},{"issue":"3","key":"10.1016\/j.jad.2026.122013_bb0070","doi-asserted-by":"crossref","DOI":"10.1187\/cbe.21-03-0077","article-title":"PhDepression: examining how graduate research and teaching affect depression in life sciences PhD students","volume":"20","author":"Gin","year":"2021","journal-title":"CBE Life Sci. Educ."},{"key":"10.1016\/j.jad.2026.122013_bb0075","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.puhe.2020.06.014","article-title":"The prevalence of mental distress and association with social changes among postgraduate students in China: a cross-temporal meta-analysis","volume":"186","author":"Guo","year":"2020","journal-title":"Public Health"},{"issue":"5","key":"10.1016\/j.jad.2026.122013_bb0080","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1002\/smi.3045","article-title":"Prevalence and changes in depressive symptoms among postgraduate students: a systematic review and meta-analysis from 1980 to 2020","volume":"37","author":"Guo","year":"2021","journal-title":"Stress. Health"},{"issue":"4","key":"10.1016\/j.jad.2026.122013_bb0085","doi-asserted-by":"crossref","DOI":"10.1187\/cbe.19-03-0060","article-title":"Applying the stress process model to stress\u2013burnout and stress\u2013depression relationships in biomedical doctoral students: a cross-sectional pilot study","volume":"18","author":"Hish","year":"2019","journal-title":"CBE Life Sci. Educ."},{"issue":"2","key":"10.1016\/j.jad.2026.122013_bb0090","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1037\/a0039050","article-title":"The effects of constraints and mastery on mental and physical health: Conceptual and methodological considerations","volume":"30","author":"Infurna","year":"2015","journal-title":"Psychol. Aging"},{"key":"10.1016\/j.jad.2026.122013_bb0095","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2021.710493","article-title":"The frequent stressor and mental health monitoring-paradigm: a proposal for the operationalization and measurement of resilience and the identification of resilience processes in longitudinal observational studies","volume":"12","author":"Kalisch","year":"2021","journal-title":"Front. Psychol."},{"issue":"2","key":"10.1016\/j.jad.2026.122013_bb0100","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1007\/S40037-020-00637-6","article-title":"Burnout and engagement among PhD students in medicine: the BEeP study","volume":"10","author":"Kusurkar","year":"2020","journal-title":"Perspect. Med. Educ."},{"key":"10.1016\/j.jad.2026.122013_bb0105","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jad.2025.02.085","article-title":"The predictive role of sedentary behavior and physical activity on adolescent depressive symptoms: a machine learning approach","volume":"378","author":"Li","year":"2025","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0110","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1080\/87568225.2016.1105657","article-title":"Major differences: variations in undergraduate and graduate student mental health and treatment utilization across academic disciplines","volume":"30","author":"Lipson","year":"2016","journal-title":"J. Coll. Stud. Psychother."},{"key":"10.1016\/j.jad.2026.122013_bb0115","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2023.1101674","article-title":"The influence of job search stress on college students\u2019 addictive social media use: seeking of social support and perceived social support as serial mediators and sense of coherence as a moderator","volume":"14","author":"Mao","year":"2023","journal-title":"Front. Psychol."},{"issue":"sup-1","key":"10.1016\/j.jad.2026.122013_bb0120","first-page":"513","article-title":"Application of Lazarus\u2019s cognitive transactional model of stress-appraisal-coping in an undergraduate mental health nursing programme in the western Cape, South Africa: theory development","volume":"20","author":"Martin","year":"2014","journal-title":"Afr. J. Phys. Health Educ. Recreat. Dance"},{"issue":"4","key":"10.1016\/j.jad.2026.122013_bb0125","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1080\/07294360.2021.1906210","article-title":"Mental health and wellbeing of postgraduate researchers: Exploring the relationship between mental health literacy, help-seeking behaviour, psychological distress, and wellbeing","volume":"41","author":"Moss","year":"2022","journal-title":"Higher Educ. Res. Dev."},{"key":"10.1016\/j.jad.2026.122013_bb0130","doi-asserted-by":"crossref","DOI":"10.1187\/cbe.20-08-0175","article-title":"To cope or not to cope? Characterizing biology graduate teaching assistant (GTA) coping with teaching and research anxieties","author":"Musgrove","year":"2021","journal-title":"CBE Life Sci. Educ. (World)"},{"key":"10.1016\/j.jad.2026.122013_bb0135","series-title":"Introduction to Psychology","author":"Nolen-Hoeksema","year":"2014"},{"issue":"4","key":"10.1016\/j.jad.2026.122013_bb0140","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1080\/10705510701575396","article-title":"Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study","volume":"14","author":"Nylund","year":"2007","journal-title":"Struct. Equ. Model. Multidiscip. J."},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0145","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1108\/SGPE-06-2020-0038","article-title":"Enhancing postgraduate researcher wellbeing through support groups","volume":"12","author":"Panayidou","year":"2021","journal-title":"Stud. Grad. Postdoc. Educ."},{"issue":"2","key":"10.1016\/j.jad.2026.122013_bb0150","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1093\/geronb\/gbp106","article-title":"The life course and the stress process: Some conceptual comparisons","volume":"65B","author":"Pearlin","year":"2010","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"10.1016\/j.jad.2026.122013_bb0155","series-title":"Handbook of the Sociology of Mental Health","first-page":"325","article-title":"Current issues and future directions in research into the stress process","author":"Pearlin","year":"2013"},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0160","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2307\/2136319","article-title":"The structure of coping","volume":"19","author":"Pearlin","year":"1978","journal-title":"J. Health Soc. Behav."},{"key":"10.1016\/j.jad.2026.122013_bb0165","series-title":"Nature Careers Graduate Survey 2022","author":"Research","year":"2022"},{"key":"10.1016\/j.jad.2026.122013_bb0170","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.childyouth.2017.11.029","article-title":"The impact of childhood stressful life events on health and behavior in at-risk youth","volume":"85","author":"Roberts","year":"2018","journal-title":"Child Youth Serv. Rev."},{"key":"10.1016\/j.jad.2026.122013_bb0175","doi-asserted-by":"crossref","unstructured":"Salem, M., & Robenson, J. (n.d.). The impact of socioeconomic factors on mental health: a conceptual framework. Cureus, 17(7), e88244. doi: https:\/\/doi.org\/10.7759\/cureus.88244.","DOI":"10.7759\/cureus.88244"},{"key":"10.1016\/j.jad.2026.122013_bb0180","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.16064","article-title":"The mediating roles of coping styles and academic burnout in the relationship between stressors and depressive symptoms among Chinese postgraduates","volume":"11","author":"Shi","year":"2023","journal-title":"PeerJ"},{"issue":"3","key":"10.1016\/j.jad.2026.122013_bb0185","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1177\/2156869313488121","article-title":"Understanding health disparities: the relevance of the stress process model","volume":"3","year":"2013","journal-title":"Soc. Ment. Health"},{"issue":"10","key":"10.1016\/j.jad.2026.122013_bb0190","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"issue":"2","key":"10.1016\/j.jad.2026.122013_bb0195","doi-asserted-by":"crossref","first-page":"145","DOI":"10.2307\/2136511","article-title":"Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress","volume":"23","author":"Thoits","year":"1982","journal-title":"J. Health Soc. Behav."},{"key":"10.1016\/j.jad.2026.122013_bb0200","series-title":"Handbook of the Sociology of Mental Health","first-page":"301","article-title":"Social integration and support","author":"Turner","year":"1999"},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0205","doi-asserted-by":"crossref","DOI":"10.1080\/2331186X.2024.2326705","article-title":"Dropout in postgraduate programs: a underexplored phenomenon \u2013 a scoping review","volume":"11","author":"Valencia Quecano","year":"2024","journal-title":"Cogent Educ."},{"issue":"5","key":"10.1016\/j.jad.2026.122013_bb0210","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1007\/s10734-023-01061-5","article-title":"The mental labyrinth of postgraduate research: a qualitative study of postgraduate mental health and wellbeing and the impact of the supervisory relationship","volume":"87","author":"White","year":"2024","journal-title":"High. Educ."},{"issue":"7933","key":"10.1016\/j.jad.2026.122013_bb0215","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1038\/d41586-022-03394-0","article-title":"Stress and uncertainty drag down graduate students\u2019 satisfaction","volume":"610","author":"Woolston","year":"2022","journal-title":"Nature"},{"issue":"3","key":"10.1016\/j.jad.2026.122013_bb0220","doi-asserted-by":"crossref","DOI":"10.26689\/ssr.v7i3.10033","article-title":"Investigation and analysis of psychological pressure status of medical postgraduates","volume":"7","author":"Xu","year":"2025","journal-title":"Scientific and Social Research"},{"key":"10.1016\/j.jad.2026.122013_bb0225","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jad.2024.08.181","article-title":"A latent profile analysis and network analysis of anxiety and depression symptoms in Chinese widowed elderly","volume":"366","author":"Xue","year":"2024","journal-title":"J. Affect. Disord."},{"issue":"9","key":"10.1016\/j.jad.2026.122013_bb0230","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0274273","article-title":"Social predictors of doctoral student mental health and well-being","volume":"17","author":"Zhang","year":"2022","journal-title":"PloS One"},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0235","first-page":"215","article-title":"Statistical approaches for testing common method bias:problems and suggestions","volume":"43","author":"Zhonglin","year":"2020","journal-title":"J. Psychol. Sci."},{"issue":"1","key":"10.1016\/j.jad.2026.122013_bb0240","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/1471-2296-11-98","article-title":"The patient health questionnaire-9 for detection of major depressive disorder in primary care: consequences of current thresholds in a crosssectional study","volume":"11","author":"Zuithoff","year":"2010","journal-title":"BMC Fam. Pract."}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726008657?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726008657?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:07:38Z","timestamp":1783134458000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726008657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":48,"alternative-id":["S0165032726008657"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.122013","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Latent profile analysis of stress events and their association with anxiety and depression in first-year graduate students: A stress process theory perspective","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.122013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"122013"}}