Document Type : Research paper


1 Department of Public Health, Daffodil International University, Mirpur Road, Dhanmondi, Dhaka 1207, Bangladesh

2 School of Allied Health, Anglia Ruskin University, Essex, UK


Background: Depression is the second major cause of disability and is a principal source of disease burden worldwide which is quite common among international students.
Aim: This study explored the depression and its associated factors among international students of a private university in Bangladesh.
Methods: This cross-sectional study was conducted among 149 international students at a private university in Dhaka, Bangladesh using the Center for Epidemiologic Studies Depression (CES-D 10) Scale.
Results: The prevalence of depressive symptoms among international students was 47.7%. Students’ age, marital status, satisfaction with living conditions and problems concerning studies, food, homesickness, finances, accommodation, and health were significantly associated with depression.
Conclusion: This study concluded that there is an unmet need for psychological support for international students studying in Bangladesh. Appropriate support services should be directed to them to help and to overcome the challenges they face.


Main Subjects

Andrews, B. and Wilding, J.M. 2004. The relation of depression and anxiety to life‐stress and achievement in students. British Journal of Psychology, 95(4), pp. 509–521. 
Al-Qaisy, L.M. 2011. The relation of depression and anxiety in academic achievement among group of university students. International Journal of Psychology and Counselling, 3(5), pp. 96–100. 
Brown, L., Edwards, J. and Hartwell, H. 2010. A taste of the unfamiliar. Understanding the meanings attached to food by international postgraduate students in England. Appetite, 54(1), pp. 202–207. 
Chow, H.P. 2005. Life satisfaction among university students in a Canadian prairie city: A multivariate analysis. Social indicators research, 70(2), pp. 139–150. 
Christie, H., Munro, M. and Rettig, H. 2002. Accommodating students. Journal of Youth Studies, 5(2), pp. 209–235. 
CESD-R (2004). CES-D Scale. [Online] Available from: [Accessed on 15/06/2015] 
Eskanadrieh, S., Liu, Y., Yamashina, H., Kono, K., Arai, A., Lee, R.B. and Tamashiro, H., 2012. Depressive symptoms among international university students in northern Japan: Prevalence and associated factors. Kokusai Hoken Iryo (Journal of International Health), 27(2), pp. 165–170. 
Hahn, Z.L.2010. Coping with acculturative stress and depression among international students: A cultural perspective (Doctoral dissertation, University of Pennsylvania). 
Ibrahim, A. K., Kelly, S. J., Adams, C. E. and Glazebrook, C. 2013. A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47 (3), 391–400. 
Inaba, A., Thoits, P.A., Ueno, K., Gove, W.R., Evenson, R.J. and Sloan, M., 2005. Depression in the United States and Japan: gender, marital status, and SES patterns. Social science & medicine, 61(11), pp. 2280–2292. 
Jones, R.C., 2008. The effects of depressed mood on academic outcomes in adolescents and young adults (Doctoral dissertation, University of South Florida). 
Khan, M.S., Mahmood, S., Badshah, A., Ali, S.U. and Jamal, Y.2006. Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. Journal-Pakistan Medical Association, 56(12), p. 583. 
Khawaja, N., & Dempsey, J. 2007. Psychological Distress in International University Students: An Australian Study. Australian Journal of Guidance and Counselling, 17(1), 13–27. 
Khurshid, S., Parveen, Q., Yousuf, M.I. and Chaudhry, A.G. 2015. Effects of depression on students’ academic performance. Science International, 27(2), pp. 1619–1624. 
Kwon, Y. 2009. Factors Affecting International Students’ Transition To Higher Education Institutions In The United States. From the perspective of Office of International Students. College Student Journal, 43(4). 
Lee, R.B., Maria, M.S., Estanislao, S. & Rodriguez, C.2013. Factors Associated with Depressive Symptoms among Filipino University Students. PLoS ONE 8(11): e79825. 
OECD.2013. Education Indicators in focus. [Online] Available from: 2013--N°14%20(eng)-Final.pdf [Accessed on 17/06/2015] 
Owens, M., Stevenson, J., Hadwin, J.A. and Norgate, R.2012. Anxiety and depression in academic performance: An exploration of the mediating factors of worry and working memory. School Psychology International, 33(4), pp. 433–449. 
Sümer, S., Poyrazli,S., & Grahame, K.2008.Predictors of depression and anxiety among international students. Journal of Counselling and Development, 86; 429–437. 
Thakar, D.A., 2010. Trajectories of Mental Health and Acculturation among First Year International Graduate Students from India. ProQuest LLC. 
WHO. 2018. Fact sheet on Mental Disorders. [Online] Available from: [Accessed on 17/06/2018] 
Zhang, Y.2012. An examination of acculturative stress, perceived social support and depression among Chinese international students (Doctoral dissertation, Syracuse University).