ArticleDepression and anxiety2026
Preliminary Development of a Peer Willingness Scale for Depression and Analysis of Associated Factors Among Chinese College Students: A Cross-Sectional Study.
Article in Depression and anxiety, 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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Abstract
Background: While peer support can alleviate depressive symptoms of college students, peers' willingness to intervene and factors associated with this willingness remain understudied. This study aims to (1) develop and validate a Bystander Intervention Willingness for Depression (BIWD) scale for Chinese college students and (2) identify key sociodemographic and sociopsychological correlates of willingness. Methods: A cross-sectional study was conducted from May to June 2024. A 13-item BIWD scale based on the Bystander Intervention Model was assessed using exploratory ( Results: The BIWD scale comprised four dimensions: depression-related cognition, intervention responsibility, bystander effect resistance, and self-efficacy. Older age, higher socioeconomic status, stronger personal anti-stigma attitude, greater interpersonal closeness, and stronger social support were associated with higher BIWD scores. Students with depressive or anxiety symptoms showed higher depression-related cognition, but lower intervention responsibility, self-efficacy, and higher susceptibility to bystander effects. Conclusions: Findings support the BIWD scale as a useful tool for assessing peer intervention willingness. Initiatives to reduce personal stigma, family functioning enhancement, and targeted self-efficacy training, especially for students experiencing mental health symptoms, may strengthen peer-based support for depression.
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