Chinese international student stress and coping: A pilot study of acceptance and commitment therapy

Abstract

China has become a leading source of international college students for Western countries. Given Chinese students’ increasingly large contribution to the college population in host countries, their specific needs in mental health should be addressed. Studies across different countries indicate that international college students face higher levels of psychological distress compared to domestic students. However, there is little research investigating the effects of culturally sensitive interventions for their stress management.In the current study, we designed a culturally relevant Acceptance and Commitment Therapy (ACT) small group intervention focused on helping these students manage stress relevant to studying abroad. An evaluation of its feasibility, acceptability, and effectiveness using data from eight participants indicated that the ACT intervention was well-received. Statistically significant reductions in depression, stress, anxiety, and symptoms were observed at post evaluation and follow-up evaluation. Cultural implications and practical implications for working with a Chinese population were discussed.