Methods: This study utilized large-scale national survey data collected from 2022 to 2025. To ensure a robust comparison, Propensity Score Matching (PSM) was employed to create a balanced sample of international and domestic students based on age, sex at birth, race/ethnicity, degree level, and financial stressors. A Difference-in-Differences (DID) framework was applied to estimate the impact of macro-level socio-political volatility on mental health outcomes, including anxiety, depression, and loneliness. Furthermore, a Triple-difference (DDD) model examined the moderating role of help-seeking patterns. Help-seeking behaviors were categorized into four mutually exclusive types for both formal and informal sectors: No-request, Past-only, Latent (intent without experience), and Engaged (active use). All regression models utilized normalized sampling weights to enhance the national representativeness of the findings.
Results: Difference-in-differences (DID) analysis revealed a significant surge in anxiety among international students compared to their domestic peers during periods of socio-political volatility ($B = 0.56, p < .001$), while depression showed only marginal significance ($p = .058$). Descriptive statistics identified a notable "service gap": international students reported significantly lower formal service engagement (17.7%) than domestic students (24.2%), despite exhibiting nearly identical patterns of informal support seeking. Triple-difference (DDD) modeling further demonstrated a robust buffering effect of formal mental health services. International students who were actively engaged in professional counseling experienced a significantly lower increase in anxiety compared to those not seeking help ($B = -2.82, p = .011$). Conversely, informal support from friends or family yielded no significant protection against the psychological impact of socio-political shifts ($p > .40$). These findings indicate that while professional clinical interventions effectively mitigate the adverse effects of macro-level environmental stressors, international students face disproportionate barriers to accessing such protective resources.
Conclusion: Professional clinical services serve as a critical "psychological shield" for international students against macro-level stressors. Although informal networks provide daily support, they appear insufficient to buffer the psychological impact of structural volatility. This highlights a significant "service gap," where international students show lower formal engagement despite its proven efficacy. Social work practitioners and university administrators must prioritize proactive outreach to transition "latent" help-seekers—those with the intent but no experience—into active professional care. Reducing systemic barriers and strengthening formal support systems are essential to safeguard international students' well-being amidst ongoing socio-political uncertainty.
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