Student mental health, development, and pain

Large-scale Chinese student cohorts for mental health and developmental research.

Pain Biobank is a cohort-based research platform focused primarily on student mental health, with pain, sleep, somatic symptoms, educational stress, social resources, and multimodal deep phenotyping measured as key developmental contexts.

32,296 freshman baseline students
10,113 matched freshman follow-up participants
22,570 COVID-era university survey wave 2
Multi-modal SCID, fMRI, actigraphy, PSG, EEG, microbiota, and related deep phenotyping

Research cohorts

Complementary datasets across student development.

The cohorts are presented as related resources, but each dataset has its own sampling frame, timing, and scientific use case.

Freshman Transition Cohort

A university-entry cohort with 32,296 baseline students and 10,113 matched follow-up participants. This cohort supports research on family background, home province, university transition, depression, anxiety, sleep, pain, and somatic symptoms.

  • University-entry baseline
  • Matched follow-up data
  • Annual recruitment and follow-up growth

COVID-era Multi-university Survey

A two-wave university student survey conducted during the COVID era. The survey includes 10,286 students in Wave 1 and 22,570 students in Wave 2, with 2,875 students observed in both waves.

  • Wave 1: July 2020
  • Wave 2: March to June 2021
  • Multi-university sample

School-age Student Cohorts

Child and adolescent student datasets are presented separately because developmental stage, family context, school environment, and educational pressure differ from university cohorts.

  • Child and adolescent development
  • School and family context
  • Early risk and resilience

Freshman cohort growth

An expanding annual cohort with new recruitment and repeated follow-up.

The freshman transition cohort is designed to grow each year. The next September wave is expected to include new entrants and multiple follow-up waves from previously enrolled students.

10,000+

New freshman enrollment

Expected new participants entering the cohort in September.

10,000+

First follow-up wave

Students from prior entry waves expected to complete their first follow-up.

10,000+

Second follow-up wave

Students expected to contribute repeated longitudinal measurements.

Baselineuniversity entry
Follow-up 1transition and adaptation
Follow-up 2longitudinal change
Annual expansionnew recruitment each year

Early data snapshots

Descriptive charts give an initial feel for the datasets.

These snapshots are intentionally descriptive and are meant to orient collaborators before formal adjusted analyses.

Sample scale

Freshman baseline
32,296
COVID-era Wave 2
22,570
Freshman follow-up
10,113
COVID-era Wave 1
10,286

Depression and anxiety burden

Freshman follow-up
6.2 / 4.0%
COVID-era Wave 1
38.9 / 29.8%
COVID-era Wave 2
35.5 / 27.0%

Blue = depression, orange = anxiety. Cohorts differ in sampling frame and timing.

Matched longitudinal change

COVID repeated Wave 1
36.8 / 27.2%
COVID repeated Wave 2
29.2 / 22.2%
Freshman baseline
7.5 / 5.0%
Freshman follow-up
6.2 / 4.0%

Sample composition

Basic source structure and follow-up status.

These tables summarize the first-pass sample composition used to orient collaborators before detailed modeling.

Freshman follow-up composition

ClassificationGroupN
Source areaCounty/banner5,058
Source areaUrban district3,129
Source areaCounty-level city1,887
Family SESQ1 lowest2,861
Family SESQ22,352
Family SESQ32,373
Family SESQ4 highest2,527
Household incomeIncome code 1-510,113

COVID-era Wave 2 composition

ClassificationGroupN
Source areaUrban district9,780
Source areaCounty/banner7,364
Source areaCounty-level city4,335
Household incomeIncome code 117,228
Household incomeIncome code 25,342
Campus residenceResidence code 122,261
Medical statusNon-medical students21,822
Medical statusMedical students748

Follow-up structure

DatasetSubsetN
Freshman cohortBaseline32,296
Freshman cohortMatched first follow-up10,113
Expected September waveNew enrollment10,000+
Expected September waveFirst follow-up10,000+
Expected September waveSecond follow-up10,000+
COVID-era surveyWave 110,286
COVID-era surveyWave 222,570
COVID-era surveyObserved in both waves2,875

Income and residence categories are currently displayed as codes until the codebook is finalized for public presentation.

Data explorer

More detailed descriptive views by subgroup.

These visualizations and tables summarize sample composition and longitudinal changes. They are exploratory and descriptive, intended to help collaborators understand the data structure before formal modeling.

Freshman source area

  • County/banner: 5,058
  • Urban district: 3,129
  • County-level city: 1,887

COVID-era Wave 2 source area

  • Urban district: 9,780
  • County/banner: 7,364
  • County-level city: 4,335

Household income code mix

Freshman follow-up

COVID-era Wave 2

Income code 1/2 dominant groups Higher codes where available
Freshman cohort: longitudinal change by SES and source area
GroupNDepression baselineDepression follow-upAnxiety baselineAnxiety follow-up
Q1 lowest SES2,8617.8%6.7%5.0%4.2%
Q22,3527.7%6.0%4.4%3.3%
Q32,3737.0%6.0%4.2%3.6%
Q4 highest SES2,5277.4%6.0%5.1%4.9%
County/banner5,0587.8%6.4%4.6%3.8%
Urban district3,1297.2%5.9%5.0%4.2%
County-level city1,8876.9%6.3%4.5%4.6%
Freshman cohort: longitudinal change by academic field
Academic fieldNDepression baselineDepression follow-upAnxiety baselineAnxiety follow-up
Management / business (code 10)3,3387.3%5.5%4.1%3.3%
Medicine / health sciences (code 12)3,0947.7%6.3%5.2%4.4%
Other / unspecified (code 14)1,1829.4%7.3%5.8%4.6%
Engineering (code 8)7475.9%5.4%4.0%3.3%
Education (code 4)6366.8%5.5%4.7%4.2%
Science (code 7)3795.3%3.7%4.5%3.2%
COVID-era matched subset: within-student change by university and academic field
GroupNDepression wave 1Depression wave 2Anxiety wave 1Anxiety wave 2
Wuhan Textile University1,81934.8%25.9%25.3%19.0%
Hankou University34640.8%37.9%33.5%29.2%
Wuhan City Polytechnic26541.1%33.6%28.7%27.2%
Education (code 4)68633.8%24.5%24.3%17.3%
Engineering (code 8)55635.8%27.0%25.9%20.1%
Law / social sciences (code 3)36239.5%31.2%33.4%22.7%
COVID-era Wave 2: descriptive rates by university, province, and academic field
GroupNDepressionAnxiety
Hankou University6,31931.9%23.2%
Wuhan Textile University2,63933.9%27.3%
Wuchang Shouyi University2,47741.5%31.6%
Hubei home province14,05135.9%27.3%
Henan home province98437.2%27.4%
Shandong home province79027.2%23.5%
Other / unspecified (code 14)4,61436.5%27.9%
Management / business (code 10)4,60335.7%26.7%
Engineering (code 8)2,78432.2%25.0%

Academic field labels are mapped from questionnaire major codes and should be finalized against the study codebook before publication.

Coverage and diversity

Samples include geographic, university, academic field, and socioeconomic variation.

31 home provinces represented in the freshman follow-up sample
33 universities represented in the COVID-era survey mapping table
2,875 students observed in both COVID-era waves
Multiple academic field categories, residence contexts, and household income codes

Residential context

Available variables include home province, city and county information, source-area type, and campus residence context.

Socioeconomic context

Available variables include family SES indicators, parental education, household income codes, and related background measures.

Educational context

Available variables include university, academic field category, medical student status, academic satisfaction, and school relationships.

Context variables available for stratified analyses

Home province City/county Source-area type Household income Family SES University Academic field Medical status Campus residence

Measures collected

Core domains for student pain and mental health research.

Mental health

PHQ-9 depression symptoms, GAD-7 anxiety symptoms, psychological stress, structured clinical interviews in subsamples, and related help-seeking indicators.

Pain and somatic symptoms

Pain presence, pain severity, pain interference, somatic symptoms, and functional impact.

Sleep and lifestyle

Sleep disturbance, insomnia-related measures, physical activity, smoking, alcohol use, and other lifestyle factors.

Developmental context

Family SES, home region, school environment, social support, resilience, and academic satisfaction.

Deep phenotyping

Nested multimodal data can connect symptoms to mechanisms.

Beyond survey follow-up, the platform includes or is developing deep phenotyping modules in selected subsamples to support mechanistic studies of mental health, sleep, pain, and somatic distress.

Clinical assessment

SCID and structured clinical characterization for psychiatric phenotyping.

Neuroimaging

fMRI and related brain measures for neural correlates of symptoms and resilience.

Objective activity

One-week actigraphy / physical activity data for sleep, rhythm, and daily functioning.

Sleep physiology

PSG and EEG modules for sleep architecture and neurophysiological profiles.

Microbiota

Microbiota data to explore gut-brain, inflammation, pain, and mental-health pathways.

Survey phenotyping

Repeated measures of mental health, sleep, pain, SES, school context, support, and resilience.

Research themes

Questions the platform is designed to support.

01

Mental health trajectories

How depression, anxiety, sleep, stress, and social context change across educational transitions.

02

Pain and somatic distress

How pain, somatic symptoms, depression, anxiety, and sleep problems cluster and change over time.

03

Educational stress and transition

How university entry, academic context, major satisfaction, and school belonging shape mental health risk.

04

Developmental and socioeconomic context

How family SES, home province, residential context, and social support interact with student well-being.

05

Multimodal mechanisms

How clinical interviews, fMRI, activity monitoring, PSG, EEG, and microbiota can deepen cohort findings.

Collaboration

Collaborative research under appropriate ethical approvals and data-use agreements.

We welcome collaborations on student mental health, pain and somatic symptoms, sleep, developmental context, educational stress, social support, resilience, and multimodal deep phenotyping. Detailed data access is handled through project-specific agreements.

Contact Pain Biobank