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Published Jan 27, 2025

Xuan Chen  

Abstract

The issue of left-behind children in China has been a consequence of its accelerated economic development in the past few decades. While there is a large body of literature on the physical and mental health states of this group, research on the impact of their early left-behind life on their future development, particularly on their future mental well-being, has been inadequate. This article is a literature review based on 40 prior studies of the mental health states of college students as former left-behind children in China. It encapsulates research topics, methodologies, and tools of these studies and draws the conclusion that these college students’ past experiences as left-behind children have long-term impacts, primarily unfavorable ones, on their mental well-being. Also, the study summarizes the factors that possibly affect mental health in this group and proposes certain intervention suggestions.

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Keywords

Left-Behind Children, College Student, Mental Health, Literature Review

Supporting Agencies

No funding sources declared.

References
(The 40 Studies included in the literature review are marked with asterisks)

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*Chen, X., Sheng, R., Zhang, C., & Xu, W. (2022). Self-care, anxiety, and aggressive behavior of college students as former left-behind children: The mediating effect of mental resilience. China Journal of Health Psychology, 30(2), 243-247. DOI: https://doi.org/10.13342/j.cnki.cjhp.2022.02.017

*Cheng, Y. & Jiang, J. (2021). The mental health states of college freshmen as former left-behind children. China Journal of Health Psychology, 29(2), 293-296. DOI: https://doi.org/10.13342/j.cnki.cjhp.2021.02.028

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*Han, Li., Wang, Z., Zhang, J., Lyu, L., Wang, J., & Liao, C. (2017). The relationship between negative life events and depression among college students as former left-behind children. Chinese Journal of Mental Health, 31(4),326-332. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyRvOnN5DExKIeMQL1eGxhExNHoIoTU80Lr4LqxLcE5Jqa_O7yq_2B8sO8ejehlkCNSGOWPocXwEVE8kChmXSzCFVmCDDCGkJgkAh3wRPRPZFQEgRZVGN72SwE6FDt6ulZEyrJxWsWYf9WMpjqb2wCKXSqIVZnkWuFnpQ_CO6VSU4A==&uniplatform=NZKPT&language=CHS

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*He, D. (2013). The relationship between social support and subjective well-being in college students as former left-behind children. Chinese Journal of School Health, 34(8),952-954. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2013.08.021

*He, H., Zeng, Q., & Wanghe, S. (2018). The relationship between the early left-behind life and depression in college students from rural China. Chinese Journal of Health Education, 34(11),973-978. DOI: https://doi.org/10.16168/j.cnki.issn.1002-9982.2018.11.003

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*Ji, C. & Han, L. (2023). The gaps in social development in rural left-behind children: An analysis based on the life history method. Journal of Guizhou Normal University (Social Sciences Edition), 2023(4),105-115. DOI: https://doi.org/10.16614/j.gznuj.skb.2023.04.009

*Jin, T., Zhang, L., Wu, Y., Yang, H., Liu, Z., & Huang, M. (2019). The relationship between social traumas and aggressive behavior in college students as former left-behind children: An analysis of the mediating effect of affective disorders. Chinese Journal of Special Education, 2019(6),91-96. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyTe7DihwnJsRcEDblNGwGUECQR3UqfuoIDrMHF5icqN8pwDvGCSCnIBFvkqTdeDVMNxS3SPtkBQg9KIq4-6kYSrtcpN7DF76tx5Zc5dHe-pCSxNvdGEsPiQyFc8pIbA7O-9yFlNUEN1Nfm4wFTz2n1gl2juG3g1_kuxY1GHMDRc0w==&uniplatform=NZKPT&language=CHS

*Li, X., Dai, J., Wei, C., Xin, T., Yang, G., & Liu, H. (2017). The relationship between life events and depression in college students as former rural left-behind children in Hebei Province. Journal of Hygiene Research, 46(1),57-61+69. DOI: https://doi.org/10.19813/j.cnki.weishengyanjiu.2017.01.009

*Li, Y., Liu, L., & Yang, J. (2019). The relationships between problematic behaviors, negative emotions, and positive personality traits in college students as former left-behind children. Chinese Mental Health Journal, 33(4),318-320. Available at: https://link.cnki.net/urlid/11.1873.R.20190226.0906.030

*Liang, J., Zhang, S., & Wu, Z. (2019). The relationships between social anxiety, emotional abuse, and psychological resilience in college students as former rural left-behind children. Chinese Mental Health Journal, 33(1),64-69. Available at: https://link.cnki.net/urlid/11.1873.r.20181220.1030.024

*Liu, H. & Wang, W. (2017). The relationship between family upbringing and suicidal ideation in college students as former left-behind children: Chain mediating effects of neuroticism and interpersonal sensitivity. Chinese Mental Health Journal, 31(10),830-832. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewySacXjmWMCysAtLb_Arak-ETlv6PU3BawHkAnK5whEYbgGZyozqvwkESWAlbrUiG1E2gLSso_IgnEWJwWRofidcVH9hQER3pchJi6sBBcFzUS7e3J1sfGbyDZ9nyI4Lp-LU-TF1VywjNMoI16t6UsUUdsiv7kE5KcYcQgQTTRsTzg==&uniplatform=NZKPT&language=CHS

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*Liu, W., Li, J., Yu, B., Qin, R., & Cao, X. (2019). Obsessive-compulsive disorders in college students as former left-behind children: Symptoms and influencing factors. Chinese Journal of Disease Control and Prevention, 23(5),597-601. DOI: https://doi.org/10.16462/j.cnki.zhjbkz.2019.05.021

*Luo, S. & Zhou, B. (2017). The relationship between mental health and subjective well-being in college students as former left-behind children: The mediating effect of mental resilience. Journal of Southwest Jiao Tong University (Social Sciences Edition), 2017(1),72-78. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyQvQP_RR4x-WGPNwsCphnyuIQo5esoJenbiIwDe9-YQtEw6dGWrK_a7VHCC8DcVGOXh6Fy6qOUoJya9HiOA_8-5SooKWMDc9HQQ8r68x6iPwRsLW7W-2cgXn-p_UGsSIvGd8XZBn4kC5dBck8d6ZPe5TVnlfKfIrf4Ith00liiIPg==&uniplatform=NZKPT&language=CHS

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*Pan, G., Li, B., Wang, J., Zhang, G., Mo, Y., & Tao, X. (2019). The relationship between childhood abuse and the mental health state in college students as former left-behind children. Chinese Journal of Disease Control and Prevention, 23(7), 840-844. DOI: https://doi.org/10.16462/j.cnki.zhjbkz.2019.07.019

*Qin, H., Xu, Y., Yang, Y., & Jiang, J. (2019). The relationship between childhood traumas and depression in college students as former left-behind children: The chain mediating effects of separation and rejection schemas and interpersonal sensitivity. Chinese Journal of Special Education, 2019(12),55-62. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewySqaHQleKEGS9VIeznR80sSEdJw4V-31fzeELWy3gMwbDKOmELNwGHipaQKKW-AEK89hFfDSVVeZ_ZUnMf_hQEeCqkkxNhUNOCpqYQe7eBppf5oC3Fxv16dqXSe_4wNmJnIs61Zifhim9HBb-OCj27QTOH2GsvL6XcSTc_QWS2BRw==&uniplatform=NZKPT&language=CHS

*Song, S., Xu, X., & You, J. (2020). The relationships between the childhood left-behind life, mental resilience, and attitudes towards adversities in college students from rural China. Chinese Mental Health Journal, 34(4),373-378. Available at: https://link.cnki.net/urlid/11.1873.R.20200326.1459.018

*Sun, R, Li, Y., Tian, Z., & Yan, X. (2023). Comparison of mental health levels, social traumas, and social adaptability between college students as former rural left-behind and non-left-behind children. Chinese Journal of Health Psychology, 31(9),1326-1331. DOI: https://doi.org/10.13342/j.cnki.cjhp.2023.09.009

*Wang, Y. & Xu, K. (2023). The relationship between social support and subjective well-being in college freshmen as former left-behind children. Chinese Journal of Health Statistics, 40(4),608-610. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyTXDcjDN_fkbpo441DOc33BYUGu-1EAwM-ud4eT3_s5WmYbsvbnA_aOAzeGRRpSpr1BOcOU0zdRl4uRK2MOw7PHcMRx6JKOmwzTgrDJ2huWqD-Oh-vgcmbun6F58y9_VbY9fC4daMVM_T6XpKCyovEQaTrekeWuKpGzuRZjCTHlfQ==&uniplatform=NZKPT&language=CHS

*Wen, H. & Ma, H. (2021). The relationship between personality traits and the mental health state in college students as former left-behind children: A canonical correlation analysis. Chinese Journal of Health Statistics, 38(3),419-421. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyQB7C6bcxUwJfz-8C6yR3DAPw1ZhNDU_TkFdqIS0_CyS7QRMjzk3tqbnSVe2uW1we3PebcsLoTgJpcKD81wven0q-tLYFVS4fkb9mDwu_eS6XUpBjuJGvvgjnHQT8H63cXJfP3wSJmFt9aUPSRGWWe3dtW-M9ggnS5XGE_lovnX8Q==&uniplatform=NZKPT&language=CHS

*Wen, Y. & Zeng, J. (2012). The relationships between social support, coping strategies, and social adaptation in college students as former left-behind children. Chinese Journal of Public Health, 28(5),719-720. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyRKr8fVzYb4ATV0pY-ZglwBXfVa1tumaRAFMgoAh4Dglxn6_Uqyr2VywOKCsw4J0v7oNqm_nKvxp0b0Z6wE3moRc9EhSxILdu_yEx8Vvo_DnGMyxQg32H7CA-SY216WsmqbBf1-EUoyaNxrfudP_dc-xOKYQYwhfm-7_G496Xp4lA==&uniplatform=NZKPT&language=CHS

*Xie, Q. (2015). The relationships between social support, personal beliefs about adversity, and loneliness in college students as former rural left-behind children. Chinese Journal of School Health, 36(1),84-86. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2015.01.025

*Xie, X., Lang, F., Zheng, D., Wang, Y., & Zhang, Z. (2021). The effects of coping strategies and senses of security on the relationship between self-efficacy and mental health in college students as former left-behind children in Shandong Province. Medicine and Society, 34(08):98-102. DOI: https://doi.org/10.13723/j.yxysh.2021.08.020
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*Yang, X., Ding, K., Huang, K., Cheng, X., Zhang, K., Hu, C., & Zhang, X. (2021). The effect of rejection sensitivity on the relationship between mental resilience and social adaptability in university students as former left-behind children. Chinese Journal of School Health, 42(6),867-871. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2021.06.016

*Yang, X., Feng, X., & Cui, Z. (2014). The early left-behind life, psychological resilience, and pathological symptoms of college students. Chinese Mental Health Journal, 28(3),227-233. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyTmYYErcmhmTzwDXLNjH0RGPCiZjtOHFuFMkjMkS6tUugegZK9ty5FWq7AYWB2u-idiHJS2vTk7O7OW90cWmdx1NYk8ZeFu7DxAgUSy5hi_ulQZGFLtKOCxlchoyPn6lnaTvlyXBRegjvmcXNfBEDYChmEuRra-F8NLW-tbd3shYw==&uniplatform=NZKPT&language=CHS

*Yi, S. & Zhang, S. (2018). The relationship between childhood abuse and anxiety/depression in college students as former left-behind children: The mediating effect of emotional regulation. Chinese Journal of Health Education, 34(10),920-923+951. DOI: https://doi.org/10.16168/j.cnki.issn.1002-9982.2018.10.014

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*Yue, P., Hu, H., & Fang, Y. (2019). The relationships between the early left-behind life, mental resilience, and emotional recognition. Chinese Journal of Special Education, 2019(6),72-77. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyQdE9D9ZT_U1h4ejnsMbUpmx4hLPJgqNYcVdVXplZPrR6t-E4hymYRriyBNwQz5iZhECfsR-HtR12jKv6DstLgja8R5xgO7vSLpjs9m547iOcQ0rsIHlsMqMCKOYqzC9_vAQF30MXT2cdpOgKviZEwNTM7Dbz-9oLWz1QaKoGINrQ==&uniplatform=NZKPT&language=CHS

*Zang, H., Zheng, D., Lang, F., Liu, J., Zhang, Z., & Zhu, L. (2018). The relationship between perceived social support and mental health in college students as former left-behind children: The mediating role of self-efficacy and self-esteem. Chinese Journal of School Health, 39(9),1332-1335. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2018.09.015

*Zhan, L., Lian, Q. & Wang, F. (2016). The correlation between self-efficacy, social support, and mental health in college freshmen as former left-behind children. Chinese Journal of School Health, 37(4),614-617. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2016.04.042

*Zhang, C. & Xu, W. (2022). Childhood traumas and negative emotions in college students as former left-behind children: the moderating effect of psychological resilience. Psychological Development and Education, 38(4),584-591. DOI: https://doi.org/10.16187/j.cnki.issn1001-4918.2022.04.15

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*Zhang, L. (2018). The effects of Naikan cognitive therapy as an intervention on mental health of college students as former left-behind children. Chinese Journal of School Health, 39(9),1407-1409. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2018.09.038

*Zhang, M., Zhao, J., Hou, Y., & Zhao, J. (2017). The reasons for living in college freshmen as former left-behind children in X University and their influencing factors. Chinese Journal of School Health, 38(7),1026-1029. DOI: https://doi.org/10.16835/j.cnki.1000-9817.2017.07.019

*Zhang, S., Chen, X., Luo, F., Yang, Y., & Yang, Z. (2022). The relationship between childhood emotional abuse and adulthood social anxiety in college students as former rural left-behind children: The effects of self-acceptance and self-esteem. Chinese Journal of Clinical Psychology, 30(3),630-634+639. DOI: https://doi.org/10.16128/j.cnki.1005-3611.2022.03.026

*Zhao, G., Zhang, L., Zeng, L., Dan, J., & Ding, W. (2013). The relationship between the childhood left-behind life, coping strategies, and senses of well-being in college students. Chinese Journal of Disease Control & Prevention, 17(7),636-638. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewySN7Tv7wHbV6hryMGd5-rp8KeF19SQJoKMwenSaHQLqzBxRb4b6Zu-2lvEgTD_a45U1Zyehnsf7TWIzty2zvJZSM50lllWmZAM2Y9MtDIxagkJ1q5ZIzU023ry4R6O4nJxgtoNP0BbskSwBq4MHbzf65QWtwbWtV2vQ4URd6m36yw==&uniplatform=NZKPT&language=CHS

*Zheng, M. (2021). The relationship between cumulative risks in childhood and suicidal ideation in college students as former left-behind children: A moderated mediation test. Chinese Journal of Special Education, 2021(11),74-82. Available at: https://kns.cnki.net/kcms2/article/abstract?v=Ep7N7zfewyTwqEfz8hXsDzniyjhU3NyVsxiaUcs_ATxAkLbFk9CW0L0QnwNSZEDAaGMuT6ww6TD7reQHNEtLRMkIPZkLiryh3m2zBmzvZalj7b96DXb8VLmhToM1uA5oUcFjkJrtx0tT28Bup57a0GxjV6W79egBd_jwmJGkQ5WUzmDTujLaNA==&uniplatform=NZKPT&language=CHS

*Zhou, C., Huang, H., Liu, C., & Wu, H. (2014). The impact of the childhood left-behind life on subjective well-being in college students: The role of parental emotional warmth. Chinese Journal of Clinical Psychology, 22(5),893-896. DOI: https://doi.org/10.16128/j.cnki.1005-3611.2014.05.077
How to Cite
Chen, X. (2025). Mental Health Issues in Chinese College Students as Former Left-Behind Children: A Literature Review. Science Insights Education Frontiers, 26(1), 4261–4280. https://doi.org/10.15354/sief.25.re449
Section
Review