The Associations between Depression, Anxiety, Stress, and Academic Performance: A Cross-Sectional Study among University Students

Published: October 30, 2025

Authors

Mutaz Maawia Osman and Esraa Abdelrahman Alim

Keywords
Academic performance, University students, Depression, Anxiety, Stress

Abstract

Background: Depression, anxiety, and stress are common mental health challenges among university students that may negatively influence their academic performance.

Purpose: This study aims to examine the association between depression, anxiety, stress, and academic performance among university students.

Methods: A quantitative cross-sectional design was employed to gather data from 85 students from De Montfort University (Leicester and Dubai campuses) selected through purposive sampling (77.6% female; M_age = 20.4 years). Participants completed the Depression, Anxiety, and Stress Scale (DASS-21) and the Academic Performance Scale (APS). Pearson correlation analyses were used to assess relationships among variables, and simple linear regressions examined the predictive effects of depression, anxiety, and stress on academic performance.

Results:  Academic performance showed significant negative correlations with depression (r = −0.50, p < .01), anxiety (r = −0.47, p < .01), and stress (r = −0.47, p < .01). Depression, anxiety, and stress were strongly interrelated (r = 0.74–0.84), suggesting these psychological difficulties commonly co-occur. Simple linear regression analysis revealed that depression (β = −0.50, p < .001), anxiety (β = −0.47, p < .001), and stress (β = −0.47, p < .001) each significantly predicted poorer academic performance.

Conclusions: Mental health difficulties are prevalent among university students and can adversely impact their academic performance. The results highlight the importance of university-based interventions in supporting students’ emotional well-being and academic success. The findings can be relevant for psychologists, counselors, clinicians, educators, and parents; these stakeholders are encouraged to use strategies that address both cognitive and emotional challenges faced by students.

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How to Cite

Mutaz Maawia Osman and Esraa Abdelrahman Alim. The Associations between Depression, Anxiety, Stress, and Academic Performance: A Cross-Sectional Study among University Students. J. Multidiscip. Res. Healthcare. 2025, 11, 46-53
The Associations between Depression, Anxiety, Stress, and Academic Performance: A Cross-Sectional Study among University Students

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Journal of Multidisciplinary Research in Healthcare by Chitkara University Publications is licensed under a Creative Commons Attribution 4.0 International License.
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