Evidence map›Paper›PMID 42272720›Full record

ArticleFrontiers in psychology2026

Vocal education participation and psychological wellbeing among international students in China: mediating roles of emotion regulation and acculturative stress.

Chen Zejie, Saeed Ahmad, Wang Suyuhan, Abdul Rasool Khoso, Shahnaz Bhutto

Abstract read
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Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Chen ZejieSchool of Music and Dance, Northeast Normal University, Changchun, China.
Saeed AhmadDepartment of Sociology, School of Public Administration, Hohai University, Nanjing, China.
Wang SuyuhanDepartment of Sociology, School of Public Administration, Hohai University, Nanjing, China.
Abdul Rasool KhosoDepartment of Sociology, School of Public Administration, Hohai University, Nanjing, China.
Shahnaz BhuttoDepartment of Sociology, School of Public Administration, Hohai University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: International students in China often experience significant psychological challenges during cultural transition. This mixed-methods study investigated whether participation in vocal education programs is associated with psychological wellbeing and examined the statistical mediating roles of emotion regulation and acculturative stress. Methods: In the quantitative phase, 352 international students from three Nanjing universities completed measures of vocal education participation, psychological wellbeing (WHO-5), emotion regulation (DERS), and acculturative stress (ASSIS). Structural equation modelling was used to test the proposed mediation model. In the qualitative phase, semi-structured interviews were conducted with 22 purposively selected participants. Results: Vocal education participation was positively associated with psychological wellbeing. Emotion regulation and acculturative stress significantly statistically mediated this association, with indirect effects accounting for a substantial proportion of the total effect; the full model explained a meaningful share of the variance in psychological wellbeing. The final model demonstrated excellent fit. Qualitative themes elucidated three primary mechanisms: emotional expression and release, social connection and belonging, and cultural bridging through music, which enriched the quantitative mediation findings. Conclusion: Vocal education participation is associated with psychological wellbeing, and this association is statistically mediated by higher levels of emotion regulation and lower levels of acculturative stress. University-based vocal programs may represent accessible, culturally resonant activities that are associated with better mental health among international students in Chinese higher education.

Indexed as

acculturative stressemotionsinternational studentsmusicpsychological wellbeingvocal education

Identifiers

PMID42272720
PMCPMC13246694

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