Involvement in extracurricular activities, as currently structured, does not significantly impact depression, anxiety, or stress scores among pharmacy students at King Khalid University, with female gender and prior mental health diagnoses emerging as the strongest independent predictors of higher psychological distress.
Key Findings
Results
Clinically significant mental health symptoms were highly prevalent among pharmacy students at King Khalid University.
38% of students reported clinically significant depression symptoms
52% of students reported clinically significant anxiety symptoms
35% of students reported clinically significant stress symptoms
Symptoms were measured using the DASS-21 (Depression Anxiety Stress Scales-21)
Results
The majority of pharmacy students reported participation in extracurricular activities, primarily involving volunteering, social, cultural, and sports activities.
79% of the 220 pharmacy students reported extracurricular involvement
Activity types included volunteering, social, cultural, and sports activities
Data collected included type, frequency, and hours per week of participation
Study was cross-sectional in design with a sample of 220 pharmacy students
Results
Participation in extracurricular activities did not produce a statistically significant difference in DASS-21 scores compared to non-participation.
No statistically significant difference in DASS-21 scores between participants and non-participants (p > 0.05 for all subscales)
Neither the type nor the frequency of activities conferred a meaningful protective effect
Analytical methods included t-tests, ANOVA, and regression modelling
This finding held across depression, anxiety, and stress subscales
Results
Female gender and prior mental health diagnoses were the strongest independent predictors of higher psychological distress.
Female gender emerged as a strong independent predictor of higher psychological distress
Prior mental health diagnoses emerged as a strong independent predictor of higher psychological distress
These variables were identified through regression modelling
High psychological distress persisted especially among female students and those with prior diagnoses despite widespread extracurricular participation
Conclusions
The authors concluded that targeted, quality-focused mental health interventions are needed beyond simply encouraging extracurricular activity.
Despite 79% participation in extracurricular activities, high psychological distress persisted in the student population
Extracurricular activities as currently structured did not significantly impact depression, anxiety, or stress scores
The findings suggest the need for interventions specifically targeting high-risk groups such as female students and those with prior mental health diagnoses
The study was conducted at King Khalid University using a cross-sectional design
Khaled A, Alhajoj A, Orayj K, Alqahtani B, Alshahrani W, Asiri J. (2026). Extracurricular Activities and Mental Health: Insights From Pharmacy Students in Saudi Arabia.. Journal of evaluation in clinical practice. https://doi.org/10.1111/jep.70348