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Objective:  This three-wave longitudinal study tested the prospective relationships between college adjustment, self-esteem, and mental health status (ie, subjective well-being, anxiety, and depression).  Participants:  The study recruited 265 Chinese undergraduate students.  Methods:  Demographic, college adjustment, self-esteem, and mental health status data were collected.  Results:  College adjustment and self-esteem were moderate in magnitude and maintained a reasonable stability over time. College adjustment and self-esteem at Year 1 and Year 2, and mental health status at Year 3, were significantly correlated with each other. College adjustment at Year 1 and Year 2, and self-esteem at Year 1 significantly predicted mental health status at Year 3.  Conclusions:  Interventions to improve self-esteem and college adjustment may benefit long-term mental health outcomes.

Prospective relationships between college adjustment, self-esteem, and mental health status among Chinese undergraduates