Adapting to a New Environment: Mental Health Challenges Among South Asian International Students in Bangladesh

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Lofaz Shaikh
Md. Shariful Islam
Mamunor Rashid
Tajon Nasa Ritu

Abstract

The mental health of international students has become a pressing global concern, with significant implications for academic success and overall well‑being. This qualitative study explores the mental health challenges faced by international students at Khulna University, Bangladesh, focusing on stressors, coping strategies, and institutional support. Using in‑depth interviews, fourteen purposively sampled students were engaged until data saturation was reached. Thematic analysis conducted with NVivo 14 revealed multiple challenges, including academic pressure, language barriers, cultural adjustment difficulties, and limited access to mental health resources. Personal and social issues, such as isolation from family and changes in food habits, further intensified psychological stress. Despite these difficulties, students reported effective coping mechanisms, including leisure activities, supportive peer relationships, and regular communication with family. Participants also emphasized the importance of institutional support, particularly accessible mental health services and motivational interactions with faculty, in fostering resilience and well‑being. The findings underscore the need for universities to design tailored interventions and holistic support systems that address the unique challenges of international students. Future research should examine the perspectives of policymakers in international offices to identify service gaps and improve communication between institutions and international students.


 

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References

American College Health Association. (2020). University of Cincinnati executive summary spring 2020. ACHA-NCHA II Institutional Report. https://www.uc.edu/ content/dam/refresh/studentaffairs-62/student-wellness-center/20192020 documents/NCHA-II%20SPRING% 202020%20UNIVERSITY%20OF%20CINCINNATI%20INSTITUTIONAL%20EXECUTIVE%20SUMMARY%20(003)%20(1).pdf

Ansari Lari, S., Zumot, M. S., & Fredericks, S. (2025). Navigating mental health challenges in international university students: adapting to life transitions. Frontiers in Psychiatry, 16, Article 1574953. https://doi.org/10.3389/fpsyt.2025.1574953

Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety, and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672. https://doi.org/10.1007/s00127-008-0345-x

Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage.

Eisenberg, D., Golberstein, E., & Hunt, J. (2009). Mental health and academic success in college. The B.E. Journal of Economic Analysis & Policy, 9(1). https://doi.org/10.2202/1935-1682.2191

Forbes-Mewett, H., & Sawyer, A.-M. (2016). International students and mental health. Journal of International Students, 6(3), 661–677. https://doi.org/10.32674/jis.v6i3.348

Ginter, E. J., & Glauser, A. (1997). A developmental life skills model: A comprehensive approach for students [Conference presentation]. 22nd Annual University System of Georgia’s Learning Support/Developmental Studies Conference, Augusta, GA, U.S.A.

Hamamura, T., & Laird, P. G. (2014). The effects of perfectionism and acculturation stress on levels of depression experienced by East Asian international students. Journal of Multicultural Counseling and Development, 42(4), 205–217. https://doi.org/10.1002/j.2161-1912.2014.00055.x

Han, X., Luo, Q., Jacobs, S., & Jean-Baptiste, M. (2013). Report of a mental health survey among Chinese international students at Yale University. Journal of American College Health, 61(1), 1–8. https://doi.org/10.1080/07448481.2012.738267

Hasnat, M. A. (2017). Education destination: Bangladesh. https://www.dhakatribune.com/bangladesh/education/2017/06/19/education-destination-bangladesh

Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10. https://doi.org/10.1016/j.jadohealth.2009.08.008

Hyun, J., Quinn, B., Madon, T., & Lustig, S. (2007). Mental health need, awareness, and use of counseling services among international graduate students. Journal of American College Health, 56(2), 109–118. https://doi.org/10.3200/JACH.56.2.109-118

Kothari, C. R. (2004). Research methodology: Methods and techniques (2nd ed.). New Age International Publishers.

Lian, Z., & Wallace, B. C. (2020). Prevalence of past-year mental disorders and its correlates among Chinese international students in US higher education. Journal of American College Health, 68(2), 176–184. https://doi.org/10.1080/07448481.2018.1538147

Macaskill, A. (2013). The mental health of university students in the United Kingdom. British Journal of Guidance & Counselling, 41(4), 426–441. https://doi.org/10.1080/03069885.2012.743110

Mamun, M. A., Hossain, M. S., & Griffiths, M. D. (2019). Mental health problems and associated predictors among Bangladeshi students. International Journal of Mental Health and Addiction, 20, 657-671. https://doi.org/10.1007/s11469-019-00144-8

Marginson, S., Nyland, C., Sawir, E., & Forbes-Mewett, H. (2010). International student security. Cambridge University Press. https://doi.org/10.1017/CBO9780511751011

Mori, S. C. (2000). Addressing the mental health concerns of international students. Journal of Counseling & Development, 78(2), 137–144. https://doi.org/10.1002/j.1556-6676.2000.tb02571.x

Nasrin, N., Shohel, T. A., Shovo, T.-E.-A., Farjana, F., Nizam, H., Heme, M. A., Islam, A., Paul, P., & Hossain, M. T. (2023). A qualitative investigation of stressful life events and mental health disorders: The views of patients and caregivers in Bangladesh. Plos One, 18(2), Article e0281649. https://doi.org/10.1371/journal.pone.0281649

Nilsson, J. E., Berkel, L. A., Flores, L. Y., & Lucas, M. S. (2004). Utilization rate and presenting concerns of international students at a university counseling center: Implications for outreach programming. Journal of College Student Psychotherapy, 19(2), 49–59. https://doi.org/10.1300/ J035v19n02_05

Poyrazli, S. (2015). Psychological symptoms and concerns experienced by international students: Outreach implications for counseling centers. Journal of International Students, 5(3), 306–312. https://doi.org/10.32674/jis.v5i3.424

Rai, G. S. (2002). Meeting the educational needs of international students: A perspective from U.S. schools. International Social Work, 45(1), 21–33. https://doi.org/10.1177/0020872802045001312

Saeed, H., Saleem, Z., Ashraf, M., Razzaq, N., Akhtar, K., Maryam, A., Abbas, N., Akhtar, A., Khan, K., & Rasool, F. (2018). Determinants of anxiety and depression among university students of Lahore. International Journal of Mental Health and Addiction, 16(3), 1283–1298. https://doi.org/10.1007/s11469-017-9859-3

Storrie, K., Ahern, K., & Tuckett, A. (2010). A systematic review: Students with mental health problems--A growing problem. International Journal of Nursing Practice, 16(1), 1–6. https://doi.org/10.1111/j.1440-172X.2009.01813.x

Taneja, N., Sachdeva, S., & Dwivedi, N. (2018). Assessment of depression, anxiety, and stress among medical students enrolled in a medical college of New Delhi, India. Indian Journal of Social Psychiatry, 34(2), 157–162. https://doi.org/10.4103/ ijsp.ijsp_114_17

Yi, J. K., Lin, J. G., & Kishimoto, Y. (2003). Utilization of counseling services by international students. Journal of Instructional Psychology, 30(4), 333–342.

Zhai, Y., Xiong, Y., Almaawali, M., Tian, X., & Du, X. (2025). National trends of mental health and service utilization among international students in the USA, 2015-2024. General Psychiatry, 38(5), Article e102124. https://doi.org/10.1136/gpsych-2025-102124

Zhu S., Cheng, S., Liu, W., Ma, J., Sun, W., Xiao, W., Liu, J., Thai, T. T., Al Shawi, A. .F., Zhang, D., Ortega, I., Kim, Y. H., & Song, P. (2025). Gender differences in the associations of adverse childhood experiences with depression and anxiety: A systematic review and meta-analysis. Journal of Affective Disorders, 378(1), :47-57. https://doi.org/10.1016/j.jad.2025.02.074