Evidence map›Paper›PMID 42688255›Full record

ArticleFrontiers in psychiatry2026

Academic stress and employment anxiety among graduating students: intolerance of uncertainty and future-oriented repetitive negative thinking as sequential cognitive-affective pathways.

Mei Zhou, Na Ni

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing papers 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mei ZhouSchool of Foreign Studies, Ankang University, Ankang, Shaanxi, China.
Na NiFaculty of Education, Universiti Teknologi MARA, Shah Alam, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graduating students often face the dual challenge of completing academic requirements and entering an uncertain labor market, yet limited research has examined the cognitive-affective factors involved in the association between academic stress and later employment anxiety. This study examined whether the association between academic stress and later employment anxiety included indirect associations through intolerance of uncertainty and future-oriented repetitive negative thinking in a theoretically specified sequential model. A three-wave timelagged survey was conducted among 1,045 graduating students in China. Academic stress, baseline employment anxiety, and covariates were measured at Time 1; intolerance of uncertainty and future-oriented repetitive negative thinking were measured at Time 2; and employment anxiety was measured at Time 3. Structural equation modeling indicated that Time 1 academic stress was positively associated with Time 3 employment anxiety after adjustment for baseline employment anxiety and demographic covariates. Time 1 academic stress was also positively associated with both Time 2 cognitive variables. Time 2 intolerance of uncertainty was positively associated with Time 3 employment anxiety and Time 2 future-oriented repetitive negative thinking, while Time 2 future-oriented repetitive negative thinking was positively associated with Time 3 employment anxiety. Bootstrap analyses identified significant indirect associations through intolerance of uncertainty, through future-oriented repetitive negative thinking, and through the theoretically specified sequential pathway involving both variables. Because the two intermediate variables were measured at the same wave, their ordering was theoretically specified rather than temporally established. The estimated total indirect association accounted for more than half of the total association between academic stress and later employment anxiety. These findings suggest that the association between academic stress and later employment anxiety may involve both uncertainty-related cognitive vulnerability and persistent future-oriented negative thinking. These factors may be relevant considerations for university mental health and career-support services.

Indexed as

academic stressemployment anxietyfuture-oriented repetitive negative thinkinggraduating studentsintolerance of uncertaintymental health

Identifiers

PMID42688255
PMCPMC13533917

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.