Mental Health

Extracurricular Activities and Mental Health: Insights From Pharmacy Students in Saudi Arabia.

TL;DR

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

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)

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

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

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

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

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Citation

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