Environment and life experiences also impact students' risk of depression. College students are subject to many overwhelming challenges, often characterized by stress. (Depression and College Students, 2012) College students also likely adapt to homesickness by living alone for the first time, figuring out who they are and where they belong, worrying about finances, and experiencing conflict in relationships can lead students to feel isolated. All of these things are major triggers of contributory transitions and major life stressors. (Mayo Clinic Staff 2013) Anxiety often leads to depression among college students. In one study of 47% of 283 students identified as depressed, they also had high levels of anxiety. Females had higher anxiety scores than their male counterparts. Students with high scores on depression also had high scores on anxiety, intrusive thoughts, control of intrusive thoughts, and sleep disturbances. Controlling intrusive thoughts is known to lead to depression and insomnia. Sleep disorders (such as insomnia) are also known to trigger depression. Sleep disorders are a common dilemma among university students (Vazquez & Blanco, FIELD, TIFFANY, DIEGO, MIGUEL, PELAEZ, MARTHA, DEEDS, OSVELIA, DELGADO, JEANNETTE, 2012) Students' level of self-esteem and support from of friends and family were often found to trigger depression in college students, especially with the added stress of the transition to adulthood. (Lee, Dickson, Conley, and Holmbeck 2014) One study suggested that social pressure to be perfect was the leading stressor among college students. (Jeffrey Klibert, Dorian A. Lamis, Walt Collins, K. Bryant Smalley, Jacob C. Warren, C. Thresa Yancey and Carrie Winterowd,
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