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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Educ.</journal-id>
<journal-title>Frontiers in Education</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Educ.</abbrev-journal-title>
<issn pub-type="epub">2504-284X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/feduc.2023.1293259</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Education</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Post-pandemic psychosocial variables affecting academic dropout in a sample of Chilean higher-education students</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mart&#x00ED;nez-L&#x00ED;bano</surname>
<given-names>Jonathan</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1176782/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yeomans-Cabrera</surname>
<given-names>Mar&#x00ED;a-Mercedes</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1363877/overview"/>
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<aff id="aff1"><sup>1</sup><institution>Facultad de Educaci&#x00F3;n y Ciencias Sociales, Universidad Andr&#x00E9;s Bello</institution>, <addr-line>Santiago</addr-line>, <country>Chile</country></aff>
<aff id="aff2"><sup>2</sup><institution>Facultad de Salud y Ciencias Sociales, Universidad de Las Am&#x00E9;ricas</institution>, <addr-line>Santiago</addr-line>, <country>Chile</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Carlos Laranjeira, Polytechnic Institute of Leiria, Portugal</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Christopher Sewell, Talladega College, United States; Dennis Arias-Ch&#x00E1;vez, Continental University, Peru</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Mar&#x00ED;a-Mercedes Yeomans-Cabrera, <email>mmyeomans@outlook.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>8</volume>
<elocation-id>1293259</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>09</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>11</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Mart&#x00ED;nez-L&#x00ED;bano and Yeomans-Cabrera.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Mart&#x00ED;nez-L&#x00ED;bano and Yeomans-Cabrera</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Introduction</title>
<p>University dropouts are a problem in the Chilean higher education system, which causes psychosocial and economic damage and requires further studies to understand it comprehensively. This study aimed to determine the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of Chilean university students post-pandemic.</p>
</sec>
<sec id="sec2">
<title>Methods</title>
<p>With a sample of 655 students from the Chilean higher education system and with a cross-sectional study design taken in November 2022, a questionnaire was applied with sociodemographic and other variables of interest, the Depression, Anxiety and Stress Scale DASS-21, the EAC-19 Coronavirus Affect Scale, the ECE Emotional Exhaustion Scale; the Okasha Suicide Scale, and the Insomnia Severity Index (ISI). We performed descriptive, bivariate, and multiple logistic regression analyses through SPSS version 25. Variables with a value of <italic>p</italic> &#x003C;0.05 in the final model were declared statistically significant. Odds ratios (OR) were adjusted to 95% confidence intervals (95% CI), which were used to determine the independent predictor variables.</p>
</sec>
<sec id="sec3">
<title>Results</title>
<p>Significant variables for the risk of dropping out of higher education were: failing four or more courses [AOR&#x2009;=&#x2009;3.434; 95% CI: 1.272, 9.269], having depressive symptoms [AOR&#x2009;=&#x2009;1.857; 95% CI: 1.214, 2.839], having suicidal ideation and thoughts [AOR&#x2009;=&#x2009;2.169; 95% CI: 1.509, 3.118], having clinical insomnia [AOR&#x2009;=&#x2009;2.024; 95% CI: 1.400, 2.927], low parental support [AOR&#x2009;=&#x2009;1.459; 95% CI: 1.029, 2.069], impaired performance during the pandemic [AOR&#x2009;=&#x2009;1.882; 95% CI: 1.317, 2.690], and impaired socioeconomic status during the pandemic [AOR&#x2009;=&#x2009;1.649; 95% CI: 1.153, 2.357].</p>
</sec>
<sec id="sec4">
<title>Conclusion</title>
<p>Chilean higher education institutions should pay attention to the risk factors resulting from this research, such as students with more than four failed courses during their career, depressive symptoms, suicidal thoughts, clinical insomnia, low parental support, and affectation in performance and socioeconomic level during the pandemic, which could contribute to improving academic retention indicators.</p>
</sec>
</abstract>
<kwd-group>
<kwd>dropout</kwd>
<kwd>psychosocial factors</kwd>
<kwd>mental Mealth</kwd>
<kwd>Chilean students</kwd>
<kwd>higher education</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="94"/>
<page-count count="12"/>
<word-count count="9183"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Higher Education</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec5">
<label>1</label>
<title>Introduction</title>
<p>In recent decades, university student dropout causes and implications have been studied. However, its risk factors have not yet been established (<xref ref-type="bibr" rid="ref12">Bardach et al., 2020</xref>), even less so in the Chilean higher education system and with students with a high prevalence of symptoms connected to anxiety, depression, and post-pandemic stress (<xref ref-type="bibr" rid="ref56">Mart&#x00ED;nez-L&#x00ED;bano et al., 2023</xref>). Consequently, this study aimed to determine the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of post-pandemic Chilean university students.</p>
<p>Dropout can be understood as the definitive termination of the higher education system without obtaining an academic degree (<xref ref-type="bibr" rid="ref35">Heublein, 2014</xref>). It can also be considered students dropping out of higher education before completing their academic program (<xref ref-type="bibr" rid="ref26">Croninger and Lee, 2001</xref>). More specific definitions explain that dropping out can be understood as &#x201C;a student who is enrolled in public school, does not return to public school the following fall, is not expelled, and does not graduate, receive a General Educational Development (GED) certificate, continue school outside the public school system, begin college, or die&#x201D; (<xref ref-type="bibr" rid="ref83">Texas Education Agency, 2023</xref>). Therefore, a standard definition encompassing different educational systems, public and private, and at different educational levels would define dropout as the voluntary act of a student not returning to the educational system before completing their academic program.</p>
<p>In 2020, more than 300,000 university students worldwide dropped out of school. The university dropout rate reached 18.6% in 2020, an indicator six points higher than that recorded in 2019, equivalent to 12% (<xref ref-type="bibr" rid="ref87">Vega et al., 2022</xref>). The dropout rate in some studies in the first and second year reaches 44.8, 15.9% in the third year, and 15.9% in the fourth year (<xref ref-type="bibr" rid="ref3">Alban and Mauricio, 2019</xref>). A university dropout rate of over 40% in Latin America has been observed (<xref ref-type="bibr" rid="ref29">Fonseca-Grand&#x00F3;n, 2018</xref>). Attrition results from the interaction of factors that negatively influence students not completing their university studies (<xref ref-type="bibr" rid="ref20">Casanova et al., 2023</xref>).</p>
<p>University dropouts in Chile present a series of indicators and problems that reflect the complexity of this phenomenon. In some studies in Chile that account for that in regular undergraduate programs, the dropout rate before the social outbreak in the first semester of 2019 was 3.97%, a reduction of 0.14% compared to the second semester of 2018. However, during the second semester of 2019, the attrition rate increased by 0.55%, ending the year at 4.52% (<xref ref-type="bibr" rid="ref82">Tercera, 2023</xref>). A crucial aspect is the difference in dropout rates between public and private universities, which is higher in the former (<xref ref-type="bibr" rid="ref33">Guti&#x00E9;rrez et al., 2021</xref>)). This indicator suggests challenges inherent to the management and resources of state institutions. In addition, dropout affects students and their families and significantly impacts the educational system and society in general, as it limits the development of qualified human capital and increases inequity in access to higher education.</p>
<p>Several key elements have been identified regarding the specific factors of university dropout in Chile. Academic performance is a cross-cutting factor, particularly critical during the first year of studies (<xref ref-type="bibr" rid="ref30">Gallegos et al., 2018</xref>). Other factors include region of origin, age, year of entry, and education funding, which play an essential role in student retention (<xref ref-type="bibr" rid="ref13">Barrios, 2011</xref>). These results underscore the importance of effective university management and well-targeted funding policies to reduce dropout and promote equity in higher education.</p>
<p>The decision to drop out of the current curriculum can best be understood as a protracted, complex, and multifaceted process in which different influencing factors accumulate to create a constellation of problems that makes dropping out seem inevitable (<xref ref-type="bibr" rid="ref12">Bardach et al., 2020</xref>). Specifically, researchers often distinguish between students&#x2019; structural and individual characteristics (<xref ref-type="bibr" rid="ref35">Heublein, 2014</xref>).</p>
<p>Possible college dropout factors include incompatibility between work and study time (<xref ref-type="bibr" rid="ref70">Quinn, 2004</xref>; <xref ref-type="bibr" rid="ref15">Behr et al., 2021</xref>), economic factors (<xref ref-type="bibr" rid="ref22">Casanova et al., 2021</xref>; <xref ref-type="bibr" rid="ref2">Aina et al., 2022</xref>), personal factors (<xref ref-type="bibr" rid="ref41">Kemper et al., 2020</xref>; <xref ref-type="bibr" rid="ref85">Tsai et al., 2020</xref>), vocational orientation (<xref ref-type="bibr" rid="ref75">Schnettler et al., 2020</xref>; <xref ref-type="bibr" rid="ref22">Casanova et al., 2021</xref>), motivational factors (<xref ref-type="bibr" rid="ref37">Jiang et al., 2020</xref>; <xref ref-type="bibr" rid="ref43">Kryshko et al., 2020</xref>), unmet expectations (<xref ref-type="bibr" rid="ref51">Mar&#x00F4;co et al., 2020</xref>; <xref ref-type="bibr" rid="ref2">Aina et al., 2022</xref>), course quality (<xref ref-type="bibr" rid="ref68">Perez et al., 2018</xref>; <xref ref-type="bibr" rid="ref27">Del Bonifro et al., 2020</xref>), university environment (<xref ref-type="bibr" rid="ref81">Suhlmann et al., 2018</xref>; <xref ref-type="bibr" rid="ref61">Nicoletti and do Carmo., 2019</xref>) and absence of university services to solve problems in the course process (<xref ref-type="bibr" rid="ref25">Coppari et al., 2019</xref>).</p>
<p>From an educational approach, according to the results of empirical studies, the inability to cope with the performance-related demands of the higher education institution, false expectations, and lower identification with the course, as well as problems in financing the studies, are considered the most important reasons for dropout (<xref ref-type="bibr" rid="ref35">Heublein, 2014</xref>). Likewise, in online university education, dropout is due to previous academic performance, age, gender, personal circumstances, and self-learning and online learning skills (<xref ref-type="bibr" rid="ref65">Orellana et al., 2020</xref>). In addition, the lack of technological tools, such as online support tools for students, both academic and psychological, and everything related to the digital environment, generates helplessness in students, becoming a key dropout factor (<xref ref-type="bibr" rid="ref72">Saldarriaga et al., 2021</xref>).</p>
<p>On the other hand, other factors relevant to a student&#x2019;s tendency to drop out are the historical weighted average of their grades, the weighted average of their grades in the last cycle, or the number of credits passed in their courses (<xref ref-type="bibr" rid="ref87">Vega et al., 2022</xref>). The critical problem for many tertiary-level students is learning how to learn. Learning can and should be learned, and the way to learn it is through guided-conscious learning (<xref ref-type="bibr" rid="ref40">Kaschek, 2020</xref>).</p>
<p>In addition, the results show that the cost and burden on students, financial resources, qualitative and quantitative teacher characteristics, and university type/size significantly affect college dropout (<xref ref-type="bibr" rid="ref42">Kim and Kim, 2018</xref>). From a social approach, other results indicate that graduates from more disadvantaged socioeconomic backgrounds experience difficulties completing their studies on time despite controlling for academic performance, educational behaviors, program characteristics, and institutional characteristics (<xref ref-type="bibr" rid="ref93">Zarifa et al., 2018</xref>). Family situation and peer relationships correspond with students&#x2019; dropout intentions; three main findings are revealed: (1) parents&#x2019; educational aspirations negatively influence dropout tendency, (2) in general, students living in a couple have shown lower dropout intentions. However, a new association favors the tendency to drop out, and (3) the presence of close friends decreases students&#x2019; dropout intentions (<xref ref-type="bibr" rid="ref8">Baalmann et al., 2022</xref>).</p>
<p>Equally important is the fact that students face a variety of stressors, such as independent living, adapting to a new social environment, and academic pressure, making them particularly susceptible to mental health problems (<xref ref-type="bibr" rid="ref77">Shu et al., 2022</xref>).</p>
<p>From a mental approach, epidemiological studies have indicated that one in three college students has experienced at least one mental disorder in the past twelve months, with anxiety and depression being the most frequent diagnoses. Depressive and anxiety symptoms burden students and society considerably because of their association with strained interpersonal relationships and poor functioning (<xref ref-type="bibr" rid="ref6">Auerbach et al., 2018</xref>).</p>
<p>Common mental disorders, such as depression and anxiety, often appear in college students during the transition to early adulthood. Mental health problems can severely affect students&#x2019; functioning, interpersonal relationships, and academic performance (<xref ref-type="bibr" rid="ref39">Karyotaki et al., 2022</xref>).</p>
<p>College students experience higher rates of depression than the general population. Depression in students is often associated with risky behaviors, such as suicidal thoughts and attempts, non-suicidal self-injury, and substance abuse (<xref ref-type="bibr" rid="ref34">Halicka and Kiejna, 2018</xref>; <xref ref-type="bibr" rid="ref52">Mars et al., 2019</xref>). Early identification and treatment can improve depressive symptoms, increase academic performance, and prevent school dropout (<xref ref-type="bibr" rid="ref90">Wang et al., 2021</xref>). However, most college students with mental health problems do not receive psychological care despite the counseling services available at many universities (<xref ref-type="bibr" rid="ref77">Shu et al., 2022</xref>). If professionals could become familiar with the unique problems characteristic of the developmental stage and environment in which college students find themselves, they could better serve them, using technology to increase adherence (<xref ref-type="bibr" rid="ref39">Karyotaki et al., 2022</xref>). As a result, students who drop out of college can suffer economic and psychological consequences if they do not complete a study program, affecting future job skills.</p>
<p>The current global higher education scenario reveals a complex interplay of challenges and developments, in which student dropout emerges as a critical problem, aggravated by the COVID-19 pandemic and exacerbated by pre-existing inequalities (<xref ref-type="bibr" rid="ref4">Anders et al., 2021</xref>; <xref ref-type="bibr" rid="ref28">Farcnik et al., 2022</xref>). With approximately 235 million students enrolled in universities, there is a wide disparity in enrollment rates, representing only 40% of the college-age population, evidencing significant differences across regions and countries (<xref ref-type="bibr" rid="ref66">&#x00D6;zt&#x00FC;rk and Day&#x0131;o&#x011F;lu, 2023</xref>). The pandemic has disproportionately affected the most vulnerable (<xref ref-type="bibr" rid="ref31">Gaynor and Wilson, 2020</xref>; <xref ref-type="bibr" rid="ref19">Yeomans Cabrera and Silva Fuentes, 2022</xref>), forcing a rapid transition to online education, a modality for which many institutions were not adequately prepared, leading to a deterioration in the quality of teaching and learning (<xref ref-type="bibr" rid="ref11">Barbour et al., 2020</xref>). This scenario reflects an urgent need for reform and adaptation in higher education to address both dropout rates and intrinsic inequalities in access and quality of education globally (<xref ref-type="bibr" rid="ref88">Vidal et al., 2022</xref>). Therefore, a better understanding of dropout factors in higher education can contribute to the well-being of individual students and is essential to reducing college dropout rates and improving job skills for future generations (<xref ref-type="bibr" rid="ref12">Bardach et al., 2020</xref>).</p>
<p>The hypotheses of this study are:</p>
<disp-quote>
<p><italic>H1</italic>: Students with high mental health problems are likelier to drop out.</p>
</disp-quote>
<disp-quote>
<p><italic>H2</italic>: Students with low levels of personal and family support are likelier to drop out.</p>
</disp-quote>
<disp-quote>
<p><italic>H3</italic>: Students with higher involvement rates in the COVID-19 pandemic are likelier to drop out.</p>
</disp-quote>
</sec>
<sec sec-type="materials|methods" id="sec6">
<label>2</label>
<title>Materials and methods</title>
<p>The present study was a cross-sectional descriptive study with a sample of 655 Chilean higher education students, with a maximum error of 3.8% for a 95% confidence interval, using the STROBE cross-sectional reporting guidelines (<xref ref-type="bibr" rid="ref89">Von Elm et al., 2007</xref>). This study aimed to determine the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of post-pandemic Chilean university students.</p>
<p>The inclusion criteria for participants in the study included being of legal age, studying in a higher education institution when answering the survey, having internet access, answering in the survey language (Spanish), and approving informed consent before beginning to answer the questionnaires. The exclusion criteria were incomplete questionnaires. There were two cases where participants answered the whole questionnaire but did not approve the informed consent. Those cases were not included in the data analysis.</p>
<sec id="sec7">
<label>2.1</label>
<title>Sample</title>
<p>This study used a probability sample of higher education students from different institutions and disciplines. The selected sample consisted of 655 students&#x2014;according to data from the Ministry of Education, in 2021, there were 1,204,414 students enrolled in Chilean universities (<xref ref-type="bibr" rid="ref80">Subsecretar&#x00ED;a de Educaci&#x00F3;n Superior, and Servicio de Informaci&#x00F3;n de Educaci&#x00F3;n Superior, 2021</xref>). The sample size was associated with a maximum observed error of &#x00B1;3.8%, assuming maximum variance and a 95% confidence level. Finally, a bivariate analysis and multiple logistic regression were performed to confirm what was identified in the descriptive analysis.</p>
<p>A snowball sampling approach was adopted for this study; the questionnaire was distributed between October 2022 and November 2022 using social networking platforms, and we had the collaboration of volunteers from several Chilean universities. These initial participants helped us to recruit more participants among their networks. This methodology was chosen due to its effectiveness in reaching specific populations that are difficult to access using conventional sampling methods (<xref ref-type="bibr" rid="ref38">Johnston and Sabin, 2010</xref>). Only one response was allowed per email account to avoid response duplication or fraud. Although this method may introduce selection and non-response bias and does not guarantee a random sample, it is useful in exploratory research where access to the target population is limited (<xref ref-type="bibr" rid="ref84">Trotter, 2012</xref>). Regarding early vs. late bias, it is not possible to analyze it since, for the nature of the snowball method, we cannot know how long it took for someone to decide to answer the questionnaire (e.g., someone might have received the link to the last day that the questionnaire was available and decided to respond immediately).</p>
<p>The sample consisted of higher education students in Chile, selected initially through direct contacts and then through their networks. This approach allowed for a wide dissemination of the study questionnaire. Calculating the response rate in a study using the snowball method is not feasible because of the unknown total population reached, the continuous and nonlinear recruitment process, the lack of a clear starting point, and the voluntary and self-selected participation (<xref ref-type="bibr" rid="ref67">Parker et al., 2020</xref>).</p>
</sec>
<sec id="sec8">
<label>2.2</label>
<title>Data collection</title>
<p>A Google Form questionnaire was distributed among university students through the most popular social networks. In addition, respondents were asked if they could send the questionnaire to other co-workers who were also studying in higher education. Only questionnaires for which the student gave explicit and informed consent were considered, and all data were treated confidentially.</p>
</sec>
<sec id="sec9">
<label>2.3</label>
<title>Measures and instruments</title>
<p>The following instruments were selected for this study since their objectives align with the primary objective of this research and are already validated instruments for the Chilean population, with good reliability indicators.</p>
<sec id="sec10">
<label>2.3.1</label>
<title>The depression anxiety stress scale</title>
<p><xref ref-type="bibr" rid="ref48">Lovibond and Lovibond (1995)</xref>: the DASS-21 presents three subscales with self-report characteristics to assess the frequency and occurrence of symptoms. It has items for depression, anxiety, and stress (7 for each). Each item is scored from 0 (does not affect me at all) to 3 (affects me a lot or most of the time) during the previous week. The scale score is calculated by summing the scores of the relevant items, ranging from 0 to 21 (<xref ref-type="bibr" rid="ref67">Parker et al., 2020</xref>), which would present an Alpha of.85 for the Chilean population (<xref ref-type="bibr" rid="ref300">Ant&#x00FA;nez and Vinet, 2012</xref>). This study&#x2019;s reliability was &#x03B1;&#x2009;=&#x2009;0.950, and &#x03C9;&#x2009;=&#x2009;0.951.</p>
</sec>
<sec id="sec11">
<label>2.3.2</label>
<title>Okasha suicide scale</title>
<p><xref ref-type="bibr" rid="ref64">Okasha et al. (1981)</xref> this questionnaire consists of five items, with responses on a Likert scale. The first four items explore suicidal ideas of different intensities; the fifth item asks about attempted suicide. Each item has four possible answers: never, rarely, sometimes, and many times. The answers refer to the last 12&#x2009;months. This study&#x2019;s reliability was &#x03B1;&#x2009;=&#x2009;0.892, and &#x03C9;&#x2009;=&#x2009;0.905.</p>
</sec>
<sec id="sec12">
<label>2.3.3</label>
<title>Insomnia severity index</title>
<p><xref ref-type="bibr" rid="ref59">Morin (1993)</xref> is a brief self-report instrument that measures the perception of insomnia in terms of its nature, severity, and impact. It was developed to assess insomnia in the general population and is one of the most suitable instruments for clinical practice (<xref ref-type="bibr" rid="ref14">Bastien et al., 2001</xref>). Seven items provide information on three factors (severity, impact, and satisfaction). Each item is answered with a Likert scale ranging from 0 (no problem) to 4 (many problems), forming a total score ranging from 0 to 28 (the higher the score, the greater the severity of insomnia). This study&#x2019;s reliability was &#x03B1;&#x2009;=&#x2009;0.795, and &#x03C9;&#x2009;=&#x2009;0.743.</p>
</sec>
<sec id="sec13">
<label>2.3.4</label>
<title>COVID-19 scale of affectation (EAC-19)</title>
<p><xref ref-type="bibr" rid="ref54">Mart&#x00ED;nez-L&#x00ED;bano (2023b)</xref> this self-administered questionnaire measures the degree to which university students have been affected by the pandemic, with 10 Likert-formatted items. The scale measures various areas of impact on the lives of university students, such as emotional state, socioeconomic status, social life, family life, academic performance, and mental health, among others. This study&#x2019;s reliability was &#x03B1;&#x2009;=&#x2009;0.833 and &#x03C9;&#x2009;=&#x2009;0.831.</p>
</sec>
<sec id="sec14">
<label>2.3.5</label>
<title>Emotional exhaustion scale</title>
<p><xref ref-type="bibr" rid="ref71">Ramos et al. (2005)</xref>: this scale comprises 10 items in Likert format. The items are scored from 1 to 5 (rarely to always), considering the last 12&#x2009;months of the student&#x2019;s life. The score obtained in the ECE ranges from 10 to 50 points. This scale is validated for Chile (<xref ref-type="bibr" rid="ref57">Mart&#x00ED;nez-L&#x00ED;bano et al., 2022</xref>). This study&#x2019;s reliability was &#x03B1;&#x2009;=&#x2009;0.903, and &#x03C9;&#x2009;=&#x2009;0.905.</p>
</sec>
<sec id="sec15">
<label>2.3.6</label>
<title>Questionnaire on sociodemographic variables</title>
<p>This section comprises data such as age, sex, sexual orientation, marital status, children, academic program, and year of study.</p>
</sec>
<sec id="sec16">
<label>2.3.7</label>
<title>Questionnaire research related variables</title>
<p>Questions were asked about dropping out of studies and the perception of support from the different strata concerning the mental health of university students. All these variables were dichotomized into Yes/No. For example, &#x201C;I have thought about dropping out in the last few months&#x201D;; I have the support of my parents; I have the support of my teachers, among others, etc.</p>
</sec>
</sec>
<sec id="sec17">
<label>2.4</label>
<title>Statistical analysis</title>
<p>SPSS version 25 (IBM, 2017) was used for the statistical analysis of this study. The first step was descriptive analysis (frequency and percentage). Next, a bivariate analysis was performed with the <italic>X</italic><sup>2</sup> (Chi-square) test to determine the differences between the student&#x2019;s dropout risk and the independent variables. For variables with significant differences (less than 0.05), we applied a category analysis using 2 &#x00D7; 2 tables to determine <italic>X</italic><sup>2</sup> and Odds Ratios. Finally, we performed a binary logistic regression to identify the psychosocial variables at risk of dropping out of college.</p>
</sec>
<sec id="sec18">
<label>2.5</label>
<title>Ethics statement</title>
<p>This study was approved by the Central Bioethics Committee of the Universidad Andr&#x00E9;s Bello under registry 024/2022. It should be noted that no compromising information was requested that could identify the students who participated in the research. Finally, all participants approved the informed consent at the beginning of the questionnaire, and none were compensated for participation.</p>
</sec>
</sec>
<sec sec-type="results" id="sec19">
<label>3</label>
<title>Results</title>
<p>This study aimed to determine the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of post-pandemic Chilean university students. The present study sample consisted of 655 students from the Chilean educational system. The ages ranged from 18 to 62&#x2009;years with a mean of 22.12&#x2009;years (SD&#x2009;=&#x2009;3.25), 77.4% of the sample was female, 22.6% was male, 575 (87.8%) belonged to Chilean universities, and 80 (12.2%) belonged to Chilean institutes or technical training centers. The sample&#x2019;s characteristics and the description of the sociodemographic variables can be seen in <xref ref-type="table" rid="tab1">Table 1</xref>.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Sociodemographic variables.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variables</th>
<th align="left" valign="top">Category</th>
<th align="center" valign="top">Frequency (<italic>n</italic>)</th>
<th align="center" valign="top">Percent (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Sex</td>
<td align="left" valign="top">Woman</td>
<td align="center" valign="top">507</td>
<td align="center" valign="top">77.4</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">148</td>
<td align="center" valign="top">22.6</td>
</tr>
<tr>
<td align="left" valign="top">Age</td>
<td align="left" valign="top">Adolescent (18&#x2013;20&#x2009;years old)</td>
<td align="center" valign="top">181</td>
<td align="center" valign="top">27.6</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Young Adult (21&#x2013;40&#x2009;years old)</td>
<td align="center" valign="top">471</td>
<td align="center" valign="top">71.9</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Adult (41 or older)</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">0.5</td>
</tr>
<tr>
<td align="left" valign="top">Sexual preference</td>
<td align="left" valign="top">Heterosexual</td>
<td align="center" valign="top">441</td>
<td align="center" valign="top">67.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Sexual Minority</td>
<td align="center" valign="top">214</td>
<td align="center" valign="top">32.7</td>
</tr>
<tr>
<td align="left" valign="top">Couple</td>
<td align="left" valign="top">With Partner</td>
<td align="center" valign="top">40</td>
<td align="center" valign="top">6.1</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Without Partner</td>
<td align="center" valign="top">615</td>
<td align="center" valign="top">93.9</td>
</tr>
<tr>
<td align="left" valign="top">Children</td>
<td align="left" valign="top">Yes Children</td>
<td align="center" valign="top">28</td>
<td align="center" valign="top">4.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">No Children</td>
<td align="center" valign="top">627</td>
<td align="center" valign="top">95.7</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Large City</td>
<td align="center" valign="top">424</td>
<td align="center" valign="top">64.7</td>
</tr>
<tr>
<td align="left" valign="top">City</td>
<td align="left" valign="top">Small City</td>
<td align="center" valign="top">231</td>
<td align="center" valign="top">35.3</td>
</tr>
<tr>
<td align="left" valign="top">Nationality</td>
<td align="left" valign="top">Chilean</td>
<td align="center" valign="top">645</td>
<td align="center" valign="top">98.5</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Foreign</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">1.5</td>
</tr>
<tr>
<td align="left" valign="top">Study area</td>
<td align="left" valign="top">Arts and Communications</td>
<td align="center" valign="top">33</td>
<td align="center" valign="top">5.0</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Basic Sciences</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">4.7</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Social Sciences</td>
<td align="center" valign="top">195</td>
<td align="center" valign="top">29.8</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Education</td>
<td align="center" valign="top">54</td>
<td align="center" valign="top">8.2</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Engineering and Business</td>
<td align="center" valign="top">128</td>
<td align="center" valign="top">19.5</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Law</td>
<td align="center" valign="top">29</td>
<td align="center" valign="top">4.4</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Health</td>
<td align="center" valign="top">185</td>
<td align="center" valign="top">28.2</td>
</tr>
<tr>
<td align="left" valign="top">Student admission</td>
<td align="left" valign="top">Pre-Pandemic</td>
<td align="center" valign="top">275</td>
<td align="center" valign="top">42.0</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">In Pandemic</td>
<td align="center" valign="top">275</td>
<td align="center" valign="top">42.0</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Post Pandemic</td>
<td align="center" valign="top">105</td>
<td align="center" valign="top">16.0</td>
</tr>
<tr>
<td align="left" valign="top">Activity</td>
<td align="left" valign="top">Only Study</td>
<td align="center" valign="top">474</td>
<td align="center" valign="top">72.4</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Work and Study</td>
<td align="center" valign="top">181</td>
<td align="center" valign="top">27.6</td>
</tr>
<tr>
<td align="left" valign="top">Type of school</td>
<td align="left" valign="top">University</td>
<td align="center" valign="top">575</td>
<td align="center" valign="top">87.8</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Institute</td>
<td align="center" valign="top">80</td>
<td align="center" valign="top">12.2</td>
</tr>
<tr>
<td align="left" valign="top">Grades average (1&#x2013;7)</td>
<td align="left" valign="top">Less 5.0</td>
<td align="center" valign="top">120</td>
<td align="center" valign="top">18.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">5.1 to 5.5</td>
<td align="center" valign="top">150</td>
<td align="center" valign="top">22.9</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">5.6 to 6.0</td>
<td align="center" valign="top">342</td>
<td align="center" valign="top">52.2</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">6.1 to 6.5</td>
<td align="center" valign="top">109</td>
<td align="center" valign="top">16.6</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">6.6 to 7.0</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">2.9</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">I have never failed a course</td>
<td align="center" valign="top">391</td>
<td align="center" valign="top">59.7</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">I have failed one course</td>
<td align="center" valign="top">100</td>
<td align="center" valign="top">15.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">I failed two courses</td>
<td align="center" valign="top">50</td>
<td align="center" valign="top">7.6</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">I failed three courses</td>
<td align="center" valign="top">38</td>
<td align="center" valign="top">5.8</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">I failed four courses</td>
<td align="center" valign="top">76</td>
<td align="center" valign="top">11.6</td>
</tr>
<tr>
<td align="left" valign="top">Academic progress in years</td>
<td align="left" valign="top">First Year</td>
<td align="center" valign="top">127</td>
<td align="center" valign="top">19.4</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Second&#x2009;year</td>
<td align="center" valign="top">145</td>
<td align="center" valign="top">22.1</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Third Year</td>
<td align="center" valign="top">158</td>
<td align="center" valign="top">24.1</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Fourth Year</td>
<td align="center" valign="top">146</td>
<td align="center" valign="top">22.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Fifth Year</td>
<td align="center" valign="top">214</td>
<td align="center" valign="top">32.7</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">In the process of graduation</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">1.7</td>
</tr>
<tr>
<td align="left" valign="top">Monthly family income (in Chilean pesos)</td>
<td align="left" valign="top">300,000 or less per month</td>
<td align="center" valign="top">85</td>
<td align="center" valign="top">13.0</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">300,001 to 500,000 per month</td>
<td align="center" valign="top">125</td>
<td align="center" valign="top">19.1</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">500,001 to 800,000 per month</td>
<td align="center" valign="top">119</td>
<td align="center" valign="top">18.2</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">800,001 to 1,000,000 per month</td>
<td align="center" valign="top">93</td>
<td align="center" valign="top">14.2</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">1,000,001 to 1,500,000 per month</td>
<td align="center" valign="top">90</td>
<td align="center" valign="top">13.7</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">1,500,001 to 2,000,000 per month</td>
<td align="center" valign="top">38</td>
<td align="center" valign="top">5.8</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">2,000,001 to 2,500,000 per month</td>
<td align="center" valign="top">35</td>
<td align="center" valign="top">5.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">2.500.000 a 3.000.000</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">2.9</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">3,000,001 or more per month</td>
<td align="center" valign="top">48</td>
<td align="center" valign="top">7.3</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The statistical association of the variables and the risk of dropping out was possible by performing a comparative statistical analysis through X2 between the students at risk of dropping out and those who were not. The details can be seen in <xref ref-type="table" rid="tab2">Table 2</xref>.</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Analysis of psychosocial variables with contingency tables to determine statistically significant differences in the risk of academic attrition.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Measurement areas</th>
<th align="left" valign="top">Variables</th>
<th align="center" valign="top"><italic>X<sup>2</sup></italic></th>
<th align="center" valign="top">df</th>
<th align="center" valign="top"><italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="10">Sociodemographic variables</td>
<td align="left" valign="top">Sex</td>
<td align="center" valign="top">2.347</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.126</td>
</tr>
<tr>
<td align="left" valign="top">Sexual Tendency</td>
<td align="center" valign="top">5.214</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.022</bold></td>
</tr>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">15.792</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">0.729</td>
</tr>
<tr>
<td align="left" valign="top">Children</td>
<td align="center" valign="top">0.45</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.502</td>
</tr>
<tr>
<td align="left" valign="top">Relationship</td>
<td align="center" valign="top">3.115</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.078</td>
</tr>
<tr>
<td align="left" valign="top">City</td>
<td align="center" valign="top">0.154</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.695</td>
</tr>
<tr>
<td align="left" valign="top">Nationality</td>
<td align="center" valign="top">3.311</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.069</td>
</tr>
<tr>
<td align="left" valign="top">Only Studying/ Working and Studying</td>
<td align="center" valign="top">2.384</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.123</td>
</tr>
<tr>
<td align="left" valign="top">Program</td>
<td align="center" valign="top">6.626</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">0.578</td>
</tr>
<tr>
<td align="left" valign="top">Institution</td>
<td align="center" valign="top">0.376</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.540</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="9">Academic performance</td>
<td align="left" valign="top">Grade Point Average&#x2009;&#x003C;&#x2009;5,0</td>
<td align="center" valign="top">6.239</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.012</bold></td>
</tr>
<tr>
<td align="left" valign="top">Grade Point Average 51&#x2013;55</td>
<td align="center" valign="top">0.801</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.371</td>
</tr>
<tr>
<td align="left" valign="top">Grade Point Average 56&#x2013;60</td>
<td align="center" valign="top">0.925</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.336</td>
</tr>
<tr>
<td align="left" valign="top">Grade Point Average&#x2009;&#x003E;&#x2009;61</td>
<td align="center" valign="top">0.938</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.333</td>
</tr>
<tr>
<td align="left" valign="top">I have not failed courses</td>
<td align="center" valign="top">8.864</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.003</bold></td>
</tr>
<tr>
<td align="left" valign="top">I failed one course</td>
<td align="center" valign="top">0.389</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.533</td>
</tr>
<tr>
<td align="left" valign="top">I failed two courses</td>
<td align="center" valign="top">0.386</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.534</td>
</tr>
<tr>
<td align="left" valign="top">I failed three courses</td>
<td align="center" valign="top">1.743</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.187</td>
</tr>
<tr>
<td align="left" valign="top">I failed four or more courses</td>
<td align="center" valign="top">3.914</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.048</bold></td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="9">Monthly family income (in Chilean pesos)</td>
<td align="left" valign="top">300,000 or less per month</td>
<td align="center" valign="top">10.212</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.001</bold></td>
<td/>
</tr>
<tr>
<td align="left" valign="top">300,001 to 500,000 per month</td>
<td align="center" valign="top">0.44</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.507</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">500,001 to 800,000 per month</td>
<td align="center" valign="top">0.208</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.648</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">800,001 to 1,000,000 per month</td>
<td align="center" valign="top">0.226</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.634</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">1,000,001 to 1,500,000 per month</td>
<td align="center" valign="top">0.097</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.756</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">1,500,001 to 2,000,000 per month</td>
<td align="center" valign="top">0.413</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.521</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">2,000,001 to 2,500,000 per month</td>
<td align="center" valign="top">0.69</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.406</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">2.500.000 a 3.000.000</td>
<td align="center" valign="top">2.075</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.150</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">3.000.001 or more per month</td>
<td align="center" valign="top">4.425</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.035</bold></td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="6">Study year</td>
<td align="left" valign="top">First Year</td>
<td align="center" valign="top">1.385</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.239</td>
</tr>
<tr>
<td align="left" valign="top">Second&#x2009;Year</td>
<td align="center" valign="top">0.066</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.798</td>
</tr>
<tr>
<td align="left" valign="top">Third Year</td>
<td align="center" valign="top">0.15</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.698</td>
</tr>
<tr>
<td align="left" valign="top">Fourth Year</td>
<td align="center" valign="top">0.601</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.438</td>
</tr>
<tr>
<td align="left" valign="top">Fifth Year</td>
<td align="center" valign="top">1.613</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.204</td>
</tr>
<tr>
<td align="left" valign="top">In the process of graduation</td>
<td align="center" valign="top">2.186</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.139</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="5">Perceived support</td>
<td align="left" valign="top">Low support from university authorities</td>
<td align="center" valign="top">8.205</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.004</bold></td>
</tr>
<tr>
<td align="left" valign="top">Low teacher support</td>
<td align="center" valign="top">6.021</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.014</bold></td>
</tr>
<tr>
<td align="left" valign="top">Low parent support</td>
<td align="center" valign="top">11.523</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.001</bold></td>
</tr>
<tr>
<td align="left" valign="top">Low support from friends</td>
<td align="center" valign="top">1.753</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.185</td>
</tr>
<tr>
<td align="left" valign="top">Low support from university systems</td>
<td align="center" valign="top">6.739</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.009</bold></td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="7">Psychological variables measured</td>
<td align="left" valign="top">Emotional exhaustion</td>
<td align="center" valign="top">41.313</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Depression</td>
<td align="center" valign="top">53.292</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Anxiety</td>
<td align="center" valign="top">31.245</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Stress</td>
<td align="center" valign="top">32.923</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Suicide attempt</td>
<td align="center" valign="top">9.563</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.002</bold></td>
</tr>
<tr>
<td align="left" valign="top">Suicidal risk</td>
<td align="center" valign="top">46.312</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Clinical insomnia</td>
<td align="center" valign="top">42.529</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="9">COVID-19 pandemic affectedness level</td>
<td align="left" valign="top">Emotional state</td>
<td align="center" valign="top">22.719</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Relationship with partner</td>
<td align="center" valign="top">9.684</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.002</bold></td>
</tr>
<tr>
<td align="left" valign="top">Socioeconomic status</td>
<td align="center" valign="top">24.984</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Social life</td>
<td align="center" valign="top">15.724</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Physical health</td>
<td align="center" valign="top">29.779</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Family life</td>
<td align="center" valign="top">20.192</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Academic performance</td>
<td align="center" valign="top">50.746</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Sexual life</td>
<td align="center" valign="top">12.571</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
<tr>
<td align="left" valign="top">Mental health</td>
<td align="center" valign="top">44.322</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To determine odds ratios relative to variables associated with dropout in higher education students, significantly associated variables in the categorical analysis were subjected to category analysis using 2 &#x00D7; 2 tables. Details can be found in <xref ref-type="table" rid="tab3">Table 3</xref>.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Odds ratios by category for each variable associated with academic dropout.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variables</th>
<th align="center" valign="top">Category</th>
<th align="center" valign="top" colspan="2">Attrition risk</th>
<th align="center" valign="top">COR (95%CI)</th>
</tr>
</thead>
<tbody>
<tr>
<td/>
<td/>
<td align="center" valign="middle">Yes (%)</td>
<td align="center" valign="middle">No (%)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Sexual tendency</td>
<td align="center" valign="top">Heterosexual</td>
<td align="center" valign="middle">243 (63.8%)</td>
<td align="center" valign="middle">198 (72.3%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">Sexual minority</td>
<td align="center" valign="middle">138 (36.2%)</td>
<td align="center" valign="middle">76 (27.7%)</td>
<td align="center" valign="middle">1.480 (1.056, 2.073)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Grades &#x003C;5.0</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">82 (21.5%)</td>
<td align="center" valign="middle">38 (13.9%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">299 (78.5%)</td>
<td align="center" valign="middle">236 (86.1%)</td>
<td align="center" valign="middle">1.703 (1.118, 2.594)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">I have never failed a course</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">209 (54.9%)</td>
<td align="center" valign="middle">182 (66.4%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">172 (45.1%)</td>
<td align="center" valign="middle">92 (33.6%)</td>
<td align="center" valign="middle">0.614 (0.455, 0.847)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Failed more than four courses.</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">20 (5.2%)</td>
<td align="center" valign="middle">6 (2.2%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">361 (94.8%)</td>
<td align="center" valign="middle">268 (97.8%)</td>
<td align="center" valign="middle">2.475 (0.980, 6.246)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Income less than or equal to 300.000 monthly</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">63 (16.5%)</td>
<td align="center" valign="middle">22 (8%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">318 (83.5%)</td>
<td align="center" valign="middle">252 (92%)</td>
<td align="center" valign="middle">2.269 (1.359, 3.789)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">3,000,001 or more per month</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">21 (5.5%)</td>
<td align="center" valign="middle">360 (94.5%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">27 (9.9%)</td>
<td align="center" valign="middle">247 (90.1%)</td>
<td align="center" valign="middle">0.534 (0.295, 0.965)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Low support from university authorities</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">330 (86.6%)</td>
<td align="center" valign="middle">214 (78.1%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">51 (13.4%)</td>
<td align="center" valign="middle">60 (21.9%)</td>
<td align="center" valign="middle">1.814 (1.203, 2.736)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Low support from teachers</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">262 (68.8%)</td>
<td align="center" valign="middle">163 (59.5%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">119 (31.2%)</td>
<td align="center" valign="middle">111 (40.5%)</td>
<td align="center" valign="middle">1.499 (1.084, 2.073)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Low parental support</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">229 (60.1%)</td>
<td align="center" valign="middle">128 (46.7%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">152 (39.9%)</td>
<td align="center" valign="middle">146 (53.3%)</td>
<td align="center" valign="middle">1.718 (1.256, 2.352)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Low university support systems</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">313 (82.2%)</td>
<td align="center" valign="middle">202 (73.7%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">68 (17.8%)</td>
<td align="center" valign="middle">72 (26.3%)</td>
<td align="center" valign="middle">1.641 (1.127, 2.398)&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Emotional exhaustion</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">275 (72.2%)</td>
<td align="center" valign="middle">130 (47.4%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">106 (27.8%)</td>
<td align="center" valign="middle">144 (52.6%)</td>
<td align="center" valign="middle">2.874 (2.074, 3.982)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Depressive symptoms</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">321 (84,3%)</td>
<td align="center" valign="middle">161 (58.8%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">60 (15.7%)</td>
<td align="center" valign="middle">113 (41.2%)</td>
<td align="center" valign="middle">3.755 (2.604, 5.414)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Anxious symptoms</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">329 (86.4%)</td>
<td align="center" valign="middle">187 (68.2%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">52 (13.6%)</td>
<td align="center" valign="middle">87 (31.8%)</td>
<td align="center" valign="middle">2.944 (1.998, 4.337)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Stress</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">306 (80.3%)</td>
<td align="center" valign="bottom">164 (59.9%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">75 (19.7%)</td>
<td align="center" valign="middle">110 (40.1%)</td>
<td align="center" valign="middle">2,737 (1,929, 3.881)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Suicide attempt</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">116 (30.4%)</td>
<td align="center" valign="middle">54 (19.7%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="middle">265 (69.9%)</td>
<td align="center" valign="middle">220 (80.3%)</td>
<td align="center" valign="middle">1.783 (1.266, 2.579)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Suicidal risk</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="middle">243 (63.8%)</td>
<td align="center" valign="middle">101 (36.9%)</td>
<td align="center" valign="middle">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="bottom">138 (36.2%)</td>
<td align="center" valign="bottom">173 (63.1%)</td>
<td align="center" valign="bottom">3.016 (2.185, 4.163)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Clinical insomnia</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="bottom">203 (5.3.3%)</td>
<td align="center" valign="bottom">76 (27.7%)</td>
<td align="center" valign="bottom">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="bottom">178 (46.7%)</td>
<td align="center" valign="bottom">198 (72.3%)</td>
<td align="center" valign="bottom">2.971 (2.131, 4.142)&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">COVID-19 affect</td>
<td align="center" valign="top">YES</td>
<td align="center" valign="bottom">319 (83.7%)</td>
<td align="center" valign="bottom">164 (59.9%)</td>
<td align="center" valign="bottom">1</td>
</tr>
<tr>
<td align="center" valign="top">NO</td>
<td align="center" valign="bottom">62 (16.3%)</td>
<td align="center" valign="bottom">110 (40.1%)</td>
<td align="center" valign="bottom">0.290 (0.201, 0.417)&#x002A;&#x002A;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.005.</p>
<p>&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001 and 1: constant.</p>
</table-wrap-foot>
</table-wrap>
<p>From the logistic regression performed with the significant variables, we can see that the predictor variables of dropout risk in higher education students were failing four or more courses [AOR&#x2009;=&#x2009;3.434; 95% CI: 1.272, 9.269], presenting depressive symptoms [AOR&#x2009;=&#x2009;1.857; 95% CI: 1.214, 2.839], having suicidal ideation and thoughts [AOR&#x2009;=&#x2009;2. 169; 95% CI: 1.509, 3. 118], having clinical insomnia [AOR&#x2009;=&#x2009;2. 024; 95% CI: 1. 400, 2. 927], poor parental support [AOR&#x2009;=&#x2009;1. 459; 95% CI: 1. 029, 2. 069], impaired performance [AOR&#x2009;=&#x2009;1. 857; 95% CI: 1. 214, 2. 839], presenting suicidal ideation and thoughts [AOR&#x2009;=&#x2009;2. 069], impaired performance during the pandemic [AOR&#x2009;=&#x2009;1.882; 95% CI: 1.317, 2.690], and the impaired socioeconomic status during the pandemic [AOR&#x2009;=&#x2009;1.649; 95% CI: 1.153, 2.357]. Details can be found in <xref ref-type="table" rid="tab4">Table 4</xref>.</p>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>Odds ratios for predictors of academic dropout.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variables</th>
<th align="center" valign="top"><italic>B</italic></th>
<th align="center" valign="top">Standard error</th>
<th align="center" valign="top">Wald</th>
<th align="center" valign="top">gl</th>
<th align="center" valign="top">Sig.</th>
<th align="center" valign="top">Exp (B)</th>
<th align="center" valign="top" colspan="2">95% C.I. para EXP (B)</th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th/>
<th/>
<th/>
<th/>
<th align="center" valign="top">Inferior</th>
<th align="center" valign="top">Superior</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Failing four or more courses</td>
<td align="center" valign="top">1.234</td>
<td align="center" valign="top">0.507</td>
<td align="center" valign="top">5.928</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.015</bold></td>
<td align="center" valign="top">3.434</td>
<td align="center" valign="top">1.272</td>
<td align="center" valign="top">9.269</td>
</tr>
<tr>
<td align="left" valign="top">Depressive symptoms</td>
<td align="center" valign="top">0.619</td>
<td align="center" valign="top">0.217</td>
<td align="center" valign="top">8.160</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.004</bold></td>
<td align="center" valign="top">1.857</td>
<td align="center" valign="top">1.214</td>
<td align="center" valign="top">2.839</td>
</tr>
<tr>
<td align="left" valign="top">Suicidal risk</td>
<td align="center" valign="top">0.774</td>
<td align="center" valign="top">0.185</td>
<td align="center" valign="top">17.483</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
<td align="center" valign="top">2.169</td>
<td align="center" valign="top">1.509</td>
<td align="center" valign="top">3.118</td>
</tr>
<tr>
<td align="left" valign="top">Clinical insomnia</td>
<td align="center" valign="top">0.705</td>
<td align="center" valign="top">0.188</td>
<td align="center" valign="top">14.036</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.000</bold></td>
<td align="center" valign="top">2.024</td>
<td align="center" valign="top">1.400</td>
<td align="center" valign="top">2.927</td>
</tr>
<tr>
<td align="left" valign="top">Low parental support</td>
<td align="center" valign="top">0.378</td>
<td align="center" valign="top">0.178</td>
<td align="center" valign="top">4.506</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.034</bold></td>
<td align="center" valign="top">1.459</td>
<td align="center" valign="top">1.029</td>
<td align="center" valign="top">2.069</td>
</tr>
<tr>
<td align="left" valign="top">Academic performance affect</td>
<td align="center" valign="top">0.632</td>
<td align="center" valign="top">0.182</td>
<td align="center" valign="top">12.036</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.001</bold></td>
<td align="center" valign="top">1.882</td>
<td align="center" valign="top">1.317</td>
<td align="center" valign="top">2.690</td>
</tr>
<tr>
<td align="left" valign="top">Affecting socioeconomic status</td>
<td align="center" valign="top">0.500</td>
<td align="center" valign="top">0.182</td>
<td align="center" valign="top">7.517</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top"><bold>0.006</bold></td>
<td align="center" valign="top">1.649</td>
<td align="center" valign="top">1.153</td>
<td align="center" valign="top">2.357</td>
</tr>
<tr>
<td align="left" valign="top">Constant</td>
<td align="center" valign="top">&#x2212;1.598</td>
<td align="center" valign="top">0.216</td>
<td align="center" valign="top">54.590</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">0.202</td>
<td/>
<td/>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec sec-type="discussion" id="sec20">
<label>4</label>
<title>Discussion</title>
<p>This study aimed to determine the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of post-pandemic Chilean university students. The present investigation reported the main risk factors in Chilean higher education students. The discussion is divided into three macro sections corresponding to the study&#x2019;s hypotheses.</p>
<sec id="sec21">
<label>4.1</label>
<title>H1 Students with high mental health problems are likelier to drop out</title>
<p>Failing four or more courses was associated with the risk of dropping out. This can be understood given that students with low grades tend to have a higher tendency to drop out of college (<xref ref-type="bibr" rid="ref21">Casanova et al., 2018</xref>). By having low grades, they lose motivation (<xref ref-type="bibr" rid="ref24">Contini et al., 2018</xref>), mainly generating a lower tendency to self-efficacy (Diaz <xref ref-type="bibr" rid="ref60">Mujica et al., 2019</xref>; <xref ref-type="bibr" rid="ref32">Gorson and O&#x2019;Rourke, 2020</xref>) and lower frustration tolerance (<xref ref-type="bibr" rid="ref50">Marengo et al., 2019</xref>), triggering voluntary dropout from higher education.</p>
<sec id="sec22">
<label>4.1.1</label>
<title>Correlation between desertion and depression</title>
<p>Depressive symptoms have increased in Chilean higher education students after the pandemic (<xref ref-type="bibr" rid="ref56">Mart&#x00ED;nez-L&#x00ED;bano et al., 2023</xref>), which may be due to the stressful characteristics of the pandemic, restrictions and online study may have affected students (<xref ref-type="bibr" rid="ref76">Seetan et al., 2021</xref>). Depressive symptoms may affect higher education students, as low mood and loss of pleasure may affect students&#x2019; motivation (<xref ref-type="bibr" rid="ref74">Schmits et al., 2021</xref>). Similarly, depression affects students&#x2019; concentration (<xref ref-type="bibr" rid="ref47">Liu et al., 2021</xref>), as a lack of motivation can cause them to skip classes (<xref ref-type="bibr" rid="ref45">Lawrence et al., 2019</xref>) and lead to social isolation, leading to a lack of support networks within the place of study (<xref ref-type="bibr" rid="ref92">Xu and Webber, 2018</xref>).</p>
</sec>
<sec id="sec23">
<label>4.1.2</label>
<title>Correlation between desertion and suicidal thoughts</title>
<p>Depressive symptoms can lead to self-destructive behaviors in college youth, especially during the pandemic, where a systematic review found that about 20% of higher education students exhibited suicidal thoughts (<xref ref-type="bibr" rid="ref55">Mart&#x00ED;nez-L&#x00ED;bano and Cabrera, 2021</xref>) for such reasons that another risk found in this study of attrition was the incidence of suicidal ideation and thoughts. The presentation of suicidal ideation has been correlated with feelings of academic failure in students (<xref ref-type="bibr" rid="ref9">Bahmani et al., 2018</xref>; <xref ref-type="bibr" rid="ref10">Bakken, 2021</xref>). The above can be explained given that students may present low performance, difficulties in accomplishing tasks, and lack of motivation with studies (<xref ref-type="bibr" rid="ref44">Kwon et al., 2018</xref>; <xref ref-type="bibr" rid="ref69">Pitman et al., 2018</xref>), thus generating a sense of continuous hopelessness that leads them to produce more suicidal thoughts (<xref ref-type="bibr" rid="ref18">Burr et al., 2018</xref>; <xref ref-type="bibr" rid="ref86">Tucker et al., 2018</xref>).</p>
</sec>
<sec id="sec24">
<label>4.1.3</label>
<title>Correlation between attrition and insomnia</title>
<p>Insomnia is another risk factor. This can affect the ability to concentrate and the cognitive performance of university students (<xref ref-type="bibr" rid="ref17">Brownlow et al., 2020</xref>). The above can be explained given that people with sleep problems present concentration and information retention problems affecting their academic performance (<xref ref-type="bibr" rid="ref78">Son et al., 2020</xref>), given that lack of sleep can cause tiredness and chronic fatigue (<xref ref-type="bibr" rid="ref23">Chattu et al., 2018</xref>; <xref ref-type="bibr" rid="ref73">Sandler and Lloyd, 2020</xref>).</p>
<p>Based on the above, we can affirm that our first hypothesis was fulfilled, given that students with high mental health problems, such as depression, suicidal ideation, and clinical insomnia, tended to present a higher risk of dropping out.</p>
</sec>
</sec>
<sec id="sec25">
<label>4.2</label>
<title>H2 Students with low levels of personal and family support are likelier to drop out</title>
<p>Another risk factor found in our study was low parental support. The above can be explained given that emotional support from parental figures is fundamental and helps students feel secure to cope with university academic demands (<xref ref-type="bibr" rid="ref49">Lucas and James, 2018</xref>). Students may feel lonely and distressed when parental support is lacking (<xref ref-type="bibr" rid="ref62">O&#x2019;Sullivan et al., 2021</xref>; <xref ref-type="bibr" rid="ref53">Mart&#x00ED;nez-L&#x00ED;bano, 2023a</xref>). Likewise, it has been seen that the lack of family and parental support is reflected in the absence of economic support for students, generating financial pressure that impacts the need to work to stay in college (<xref ref-type="bibr" rid="ref7">Azevedo et al., 2021</xref>). Lack of parental support can make students feel isolated and unmotivated, increasing the likelihood of dropping out of college (<xref ref-type="bibr" rid="ref91">Wu et al., 2020</xref>).</p>
<p>Based on the above, we can affirm that our second hypothesis was fulfilled, given that students who perceived low parental support tended to present a higher risk of dropping out.</p>
</sec>
<sec id="sec26">
<label>4.3</label>
<title>H3 Students with higher involvement rates in the COVID-19 pandemic are likelier to drop out</title>
<p>College students with affected academic performance and socioeconomic status during the pandemic also appear as a possible risk factor for dropping out, which can be understood given that the pandemic generated problems in various domains of life for everyone worldwide (<xref ref-type="bibr" rid="ref58">McGorry et al., 2022</xref>). Concerning performance, several studies correlate the pandemic with poor academic performance during the pandemic (<xref ref-type="bibr" rid="ref63">Oducado and Estoque, 2021</xref>; <xref ref-type="bibr" rid="ref79">Spitzer et al., 2021</xref>), and students whose academic lives were affected had a higher prevalence of anxiety and depression (<xref ref-type="bibr" rid="ref46">Liu et al., 2022</xref>).</p>
<p>Finally, students whose socioeconomic status was affected during the pandemic also presented a high possibility of dropping out of college, which may be because economic hardship generates stress and uncertainty in university students (<xref ref-type="bibr" rid="ref36">Hung et al., 2021</xref>), causing distress and hopelessness (<xref ref-type="bibr" rid="ref5">Ara&#x00FA;jo et al., 2020</xref>). Likewise, economic difficulties do not allow for covering education-related expenses, generating a substantial psychological burden (<xref ref-type="bibr" rid="ref1">Achdut and Refaeli, 2020</xref>).</p>
<p>Therefore, we can state that our final hypothesis was confirmed since students with academic and socioeconomic problems during the COVID-19 pandemic presented higher risks of post-pandemic dropout.</p>
<p>These outcomes should draw the attention of academic and political authorities since, if dropout prevention strategies are not implemented, we could face severe psychosocial and economic problems, which could impact the indicators of higher education institutions and the country&#x2019;s economy.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="sec27">
<label>5</label>
<title>Conclusion</title>
<p>Regarding our first hypothesis (students with high mental health problems are likelier to drop out), we confirmed that students with high mental health problems, such as depression, suicidal ideation, and clinical insomnia, tended to present a higher risk of dropping out.</p>
<p>Regarding our second hypothesis (students with low levels of personal and family support are likelier to drop out), we confirmed that students who perceived low parental support tended to present a higher risk of dropping out.</p>
<p>Regarding our third hypothesis (students with higher involvement rates in the COVID-19 pandemic are likelier to drop out), we confirmed that students with academic and socioeconomic problems during the COVID-19 pandemic presented higher risks of post-pandemic dropout.</p>
<p>Finally, regarding our main objective, we can state that the psychosocial variables influencing the risk of dropping out of the higher education system in a sample of post-pandemic Chilean university students are failing four or more courses, having depressive symptoms, having suicidal ideation thoughts, having clinical insomnia, low parental support, impaired performance during the pandemic and impaired socioeconomic status during the pandemic.</p>
<sec id="sec28">
<label>5.1</label>
<title>Practical applications</title>
<p>The results of our research highlight the urgent need for academic and university authorities to adopt concrete measures to mitigate college dropout. Developing comprehensive support programs for students at risk of failing several courses is essential. These programs should include personalized tutoring, academic counseling, and specific psychological support tailored to the individual needs of each student. In addition, incorporating counseling services by more advanced students can provide a valuable, up-close perspective for students facing academic challenges.</p>
<p>Parallel to this, it is essential to implement student wellness workshops that address issues such as sleep hygiene and stress management, providing students with practical tools to improve their quality of life and academic performance. These workshops should be complemented by programs aimed at parents and guardians, offering them resources and strategies to support their children in the university environment effectively.</p>
<p>Financially, creating specific scholarships for students significantly affected by the pandemic is crucial. These scholarships can ease the financial burden and allow students to focus on their studies without additional financial worry.</p>
<p>In addition, educational institutions must develop flexible policies and practices capable of adapting to crises such as the pandemic. These policies should focus on minimizing the negative impact on students&#x2019; academic performance and well-being, ensuring continuity and quality of education in adverse circumstances.</p>
</sec>
<sec id="sec29">
<label>5.2</label>
<title>Limitations</title>
<p>It is essential to recognize that snowball sampling has limitations regarding representativeness and generalization of results (<xref ref-type="bibr" rid="ref16">Bengtsson, 2016</xref>). However, for this study, which focused on exploring specific psychosocial variables related to academic dropout, it provided valuable information.</p>
<p>Another limitation of this study is that the sample is small (655 students); however, the reliability criteria are met. Further progress is needed in studies with more extensive measures to achieve better reliability indicators. In addition, it is necessary to move forward with longitudinal studies to follow up with students at risk of dropping out and verify whether these factors were determinants in the dropout of these students.</p>
</sec>
</sec>
<sec sec-type="data-availability" id="sec30">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number (s) can be found at: <ext-link xlink:href="https://drive.google.com/drive/folders/1AbHPvEYNEq5oX5Q_dvWpQ7cf5VAupCFM?usp=sharing" ext-link-type="uri">https://drive.google.com/drive/folders/1AbHPvEYNEq5oX5Q_dvWpQ7cf5VAupCFM?usp=sharing</ext-link>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec31">
<title>Ethics statement</title>
<p>The studies involving humans were approved by Central Bioethics Committee of the Universidad Andr&#x00E9;s Bello, Registration No 024/2022. The studies were conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study. Written informed consent was obtained from the individual (s) for the publication of any potentially identifiable images or data included in this article.</p>
</sec>
<sec sec-type="author-contributions" id="sec32">
<title>Author contributions</title>
<p>JM-L: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Software, Validation, Writing &#x2013; original draft. M-MY-C: Conceptualization, Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Supervision, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
</body>
<back>
<sec sec-type="funding-information" id="sec33">
<title>Funding</title>
<p>The author (s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="sec34">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Achdut</surname> <given-names>N.</given-names></name> <name><surname>Refaeli</surname> <given-names>T.</given-names></name></person-group> (<year>2020</year>). <article-title>Unemployment and psychological distress among young people during the COVID-19 pandemic: psychological resources and risk factors</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>17</volume>:<fpage>7163</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph17197163</pub-id>, PMID: <pub-id pub-id-type="pmid">33007892</pub-id></citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aina</surname> <given-names>C.</given-names></name> <name><surname>Baici</surname> <given-names>E.</given-names></name> <name><surname>Casalone</surname> <given-names>G.</given-names></name> <name><surname>Pastore</surname> <given-names>F.</given-names></name></person-group> (<year>2022</year>). <article-title>The determinants of university dropout: a review of the socioeconomic literature</article-title>. <source>Socioeconomic Plan. Sci.</source> <volume>79</volume>:<fpage>101102</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.seps.2021.101102</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alban</surname> <given-names>M.</given-names></name> <name><surname>Mauricio</surname> <given-names>D.</given-names></name></person-group> (<year>2019</year>). <article-title>Neural networks to predict dropout at the universities</article-title>. <source>Int. J. Mach. Learn. Comput.</source> <volume>9</volume>, <fpage>149</fpage>&#x2013;<lpage>153</lpage>. doi: <pub-id pub-id-type="doi">10.18178/ijmlc.2019.9.2.779</pub-id></citation></ref>
<ref id="ref4"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Anders</surname> <given-names>J.</given-names></name> <name><surname>Macmillan</surname> <given-names>L.</given-names></name> <name><surname>Sturgis</surname> <given-names>P.</given-names></name> <name><surname>Wyness</surname> <given-names>G</given-names></name></person-group>. (<year>2021</year>). &#x201C;<source>Inequalities in young peoples&#x2019; educational experiences and wellbeing during the Covid-19 pandemic (CEPEO Working Paper No. 21-08)</source>.&#x201D; London: Centre for Education Policy and Equalising Opportunities. Available at: <ext-link xlink:href="https://EconPapers.repec.org/RePEc:ucl:cepeow:21-08" ext-link-type="uri">https://EconPapers.repec.org/RePEc:ucl:cepeow:21-08</ext-link></citation></ref>
<ref id="ref300"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ant&#x00FA;nez</surname> <given-names>Z.</given-names></name> <name><surname>Vinet</surname> <given-names>E. V.</given-names></name></person-group> (<year>2012</year>). <article-title>&#x201C;Escalas de Depresi&#x00F3;n, Ansiedad y Estr&#x00E9;s (DASS - 21): Validaci&#x00F3;n de La Versi&#x00F3;n Abreviada En Estudiantes Universitarios Chilenos.&#x201D;</article-title>  <source>Terapia Psicol&#x00F3;gica</source>  <volume>30</volume>, <fpage>49</fpage>&#x2013;<lpage>55</lpage>. doi: <pub-id pub-id-type="doi">10.4067/S0718-48082012000300005</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ara&#x00FA;jo</surname> <given-names>O.</given-names></name> <name><surname>Jonathan</surname> <given-names>F.</given-names></name> <name><surname>de Ligia</surname> <given-names>S.</given-names></name> <name><surname>de Lima</surname> <given-names>A.</given-names></name> <name><surname>Cidade</surname> <given-names>P. I. M.</given-names></name> <name><surname>Nobre</surname> <given-names>C. B.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Impact of Sars-Cov-2 and its reverberation in global higher education and mental health</article-title>. <source>Psychiatry Res.</source> <volume>288</volume>:<fpage>112977</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.psychres.2020.112977</pub-id>, PMID: <pub-id pub-id-type="pmid">32302818</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Auerbach</surname> <given-names>R. P.</given-names></name> <name><surname>Mortier</surname> <given-names>P.</given-names></name> <name><surname>Bruffaerts</surname> <given-names>R.</given-names></name> <name><surname>Alonso</surname> <given-names>J.</given-names></name> <name><surname>Benjet</surname> <given-names>C.</given-names></name> <name><surname>Cuijpers</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders</article-title>. <source>J. Abnorm. Psychol.</source> <volume>127</volume>, <fpage>623</fpage>&#x2013;<lpage>638</lpage>. doi: <pub-id pub-id-type="doi">10.1037/abn0000362</pub-id>, PMID: <pub-id pub-id-type="pmid">30211576</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Azevedo</surname> <given-names>J. P.</given-names></name> <name><surname>Hasan</surname> <given-names>A.</given-names></name> <name><surname>Goldemberg</surname> <given-names>D.</given-names></name> <name><surname>Geven</surname> <given-names>K.</given-names></name> <name><surname>Iqbal</surname> <given-names>S. A.</given-names></name></person-group> (<year>2021</year>). <article-title>Simulating the potential impacts of COVID-19 school closures on schooling and learning outcomes: a set of global estimates</article-title>. <source>World Bank Res. Obs.</source> <volume>36</volume>, <fpage>1</fpage>&#x2013;<lpage>40</lpage>. doi: <pub-id pub-id-type="doi">10.1596/40037</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baalmann</surname> <given-names>T.</given-names></name> <name><surname>Br&#x00F6;mmelhaus</surname> <given-names>A.</given-names></name> <name><surname>H&#x00FC;lsemann</surname> <given-names>J.</given-names></name> <name><surname>Feldhaus</surname> <given-names>M.</given-names></name> <name><surname>Speck</surname> <given-names>K.</given-names></name></person-group> (<year>2022</year>). <article-title>The impact of parents, intimate relationships, and friends on students&#x2019; dropout intentions</article-title>. <source>J. Coll. Stud. Retent. Res. Theory Pract..</source>:<fpage>333</fpage>. doi: <pub-id pub-id-type="doi">10.1177/15210251221133374</pub-id></citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bahmani</surname> <given-names>S.</given-names></name> <name><surname>Dena</surname> <given-names>P. F.</given-names></name> <name><surname>Faraji</surname> <given-names>R.</given-names></name> <name><surname>Lang</surname> <given-names>U. E.</given-names></name> <name><surname>Holsboer-Trachsler</surname> <given-names>E.</given-names></name> <name><surname>Brand</surname> <given-names>S.</given-names></name></person-group> (<year>2018</year>). <article-title>Is emotional functioning related to academic achievement among university students? Results from a cross-sectional Iranian sample</article-title>. <source>Braz. J. Psych.</source> <volume>40</volume>, <fpage>290</fpage>&#x2013;<lpage>295</lpage>. doi: <pub-id pub-id-type="doi">10.1590/1516-4446-2017-2434</pub-id>, PMID: <pub-id pub-id-type="pmid">29538489</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bakken</surname> <given-names>N. W.</given-names></name></person-group> (<year>2021</year>). <article-title>Risk factors and correlates of self-injurious behavior and suicidal ideation among college students</article-title>. <source>Deviant Behav.</source> <volume>42</volume>, <fpage>68</fpage>&#x2013;<lpage>79</lpage>. doi: <pub-id pub-id-type="doi">10.1080/01639625.2019.1651447</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Barbour</surname> <given-names>M. K</given-names></name> <name><surname>Labonte</surname> <given-names>R.</given-names></name> <name><surname>Kelly</surname> <given-names>K.</given-names></name> <name><surname>Hodges</surname> <given-names>C.</given-names></name> <name><surname>Moore</surname> <given-names>S.</given-names></name> <name><surname>Lockee</surname> <given-names>B.</given-names></name> <etal/></person-group>. (<year>2020</year>). &#x201C;<article-title>Understanding pandemic pedagogy: differences between emergency remote, remote, and online teaching a special report of the state of the nation: K-12 E-learning in Canada project</article-title>.&#x201D; Available at: <ext-link xlink:href="https://www.flickr.com/photos/51035597898@N01/544654854/" ext-link-type="uri">https://www.flickr.com/photos/51035597898@N01/544654854/</ext-link>.</citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bardach</surname> <given-names>L.</given-names></name> <name><surname>L&#x00FC;ftenegger</surname> <given-names>M.</given-names></name> <name><surname>Oczlon</surname> <given-names>S.</given-names></name> <name><surname>Spiel</surname> <given-names>C.</given-names></name> <name><surname>Schober</surname> <given-names>B.</given-names></name></person-group> (<year>2020</year>). <article-title>Context-related problems and university students&#x2019; dropout intentions&#x2014;the buffering effect of personal best goals</article-title>. <source>Eur. J. Psychol. Educ.</source> <volume>35</volume>, <fpage>477</fpage>&#x2013;<lpage>493</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10212-019-00433-9</pub-id></citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barrios</surname> <given-names>A.</given-names></name></person-group> (<year>2011</year>). <article-title>Deserci&#x00F3;n universitaria en chile: incidencia del financiamiento y factores asociados</article-title>. <source>Revista CIS</source> <volume>9</volume>, <fpage>59</fpage>&#x2013;<lpage>72</lpage>.</citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bastien</surname> <given-names>C. H.</given-names></name> <name><surname>Valli&#x00E8;res</surname> <given-names>A.</given-names></name> <name><surname>Morin</surname> <given-names>C. M.</given-names></name></person-group> (<year>2001</year>). <article-title>Validation of the insomnia severity index as an outcome measure for insomnia research</article-title>. <source>Sleep Med.</source> <volume>2</volume>, <fpage>297</fpage>&#x2013;<lpage>307</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1389-9457(00)00065-4</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Behr</surname> <given-names>A.</given-names></name> <name><surname>Giese</surname> <given-names>M.</given-names></name> <name><surname>Teguim Kamdjou</surname> <given-names>H. D.</given-names></name> <name><surname>Theune</surname> <given-names>K.</given-names></name></person-group> (<year>2021</year>). <article-title>Motives for dropping out from higher education&#x2014;an analysis of Bachelor&#x2019;s degree students in Germany</article-title>. <source>Eur. J. Educ.</source> <volume>56</volume>, <fpage>325</fpage>&#x2013;<lpage>343</lpage>. doi: <pub-id pub-id-type="doi">10.1111/ejed.12433</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bengtsson</surname> <given-names>M.</given-names></name></person-group> (<year>2016</year>). <article-title>How to plan and perform a qualitative study using content analysis</article-title>. <source>Nurs.Plus Open</source> <volume>2</volume>, <fpage>8</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.npls.2016.01.001</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brownlow</surname> <given-names>J. A.</given-names></name> <name><surname>Miller</surname> <given-names>K. E.</given-names></name> <name><surname>Gehrman</surname> <given-names>P. R.</given-names></name></person-group> (<year>2020</year>). <article-title>Insomnia and cognitive performance</article-title>. <source>Sleep Med. Clin.</source> <volume>15</volume>, <fpage>71</fpage>&#x2013;<lpage>76</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jsmc.2019.10.002</pub-id>, PMID: <pub-id pub-id-type="pmid">32005351</pub-id></citation></ref>
<ref id="ref18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Burr</surname> <given-names>E. M.</given-names></name> <name><surname>Rahm-Knigge</surname> <given-names>R. L.</given-names></name> <name><surname>Conner</surname> <given-names>B. T.</given-names></name></person-group> (<year>2018</year>). <article-title>The differentiating role of state and trait hopelessness in suicidal ideation and suicide attempt</article-title>. <source>Arch. Suicide Res.</source> <volume>22</volume>, <fpage>510</fpage>&#x2013;<lpage>517</lpage>. doi: <pub-id pub-id-type="doi">10.1080/13811118.2017.1366960</pub-id></citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Casanova</surname> <given-names>J. R.</given-names></name> <name><surname>Castro-L&#x00F3;pez</surname> <given-names>A.</given-names></name> <name><surname>Bernardo</surname> <given-names>A. B.</given-names></name> <name><surname>Almeida</surname> <given-names>L. S.</given-names></name></person-group> (<year>2023</year>). <article-title>The dropout of first-year STEM students: is it worth looking beyond academic achievement?</article-title> <source>Sustainability</source> <volume>15</volume>:<fpage>1253</fpage>. doi: <pub-id pub-id-type="doi">10.3390/su15021253</pub-id></citation></ref>
<ref id="ref21"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Casanova</surname> <given-names>J. R.</given-names></name> <name><surname>Fern&#x00E1;ndez-Casta&#x00F1;&#x00F3;n</surname> <given-names>A. C.</given-names></name> <name><surname>P&#x00E9;rez</surname> <given-names>J. C. N.</given-names></name> <name><surname>Almeida</surname> <given-names>L. S.</given-names></name> <name><surname>Guti&#x00E9;rrez</surname> <given-names>A. B. B.</given-names></name></person-group> (<year>2018</year>). &#x201C;<article-title>Factors that determine the persistence and dropout of university students</article-title>&#x201D; in <source>Psicothema</source>, vol. <volume>30</volume></citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Casanova</surname> <given-names>J. R.</given-names></name> <name><surname>Gomes</surname> <given-names>C. M. A.</given-names></name> <name><surname>Bernardo</surname> <given-names>A. B.</given-names></name> <name><surname>N&#x00FA;&#x00F1;ez</surname> <given-names>J. C.</given-names></name> <name><surname>Almeida</surname> <given-names>L. S.</given-names></name></person-group> (<year>2021</year>). <article-title>Dimensionality and reliability of a screening instrument for students at-risk of dropping out from higher education</article-title>. <source>Stud. Educ. Eval.</source> <volume>68</volume>:<fpage>100957</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.stueduc.2020.100957</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chattu</surname> <given-names>V. K.</given-names></name> <name><surname>Manzar</surname> <given-names>D.</given-names></name> <name><surname>Kumary</surname> <given-names>S.</given-names></name> <name><surname>Burman</surname> <given-names>D.</given-names></name> <name><surname>Spence</surname> <given-names>D. W.</given-names></name> <name><surname>Pandi-Perumal</surname> <given-names>S. R.</given-names></name></person-group> (<year>2018</year>). <article-title>The global problem of insufficient sleep and its serious public health implications</article-title>. <source>Healthcare</source> <volume>7</volume>:<fpage>1</fpage>. <comment>MDPI</comment></citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Contini</surname> <given-names>D.</given-names></name> <name><surname>Cugnata</surname> <given-names>F.</given-names></name> <name><surname>Scagni</surname> <given-names>A.</given-names></name></person-group> (<year>2018</year>). <article-title>Social selection in higher education. Enrolment, dropout and timely degree attainment in Italy</article-title>. <source>High. Educ.</source> <volume>75</volume>, <fpage>785</fpage>&#x2013;<lpage>808</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10734-017-0170-9</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Coppari</surname> <given-names>N.</given-names></name> <name><surname>Bagnoli</surname> <given-names>L.</given-names></name> <name><surname>Maidana</surname> <given-names>P.</given-names></name></person-group> (<year>2019</year>). <article-title>College dropout or forced abandonment? Theorical analysis and pilot instrument of evaluation in Paraguayan students</article-title>. <source>Eureka-Revista Cientifica De Psicologia</source> <volume>16</volume>, <fpage>73</fpage>&#x2013;<lpage>99</lpage>.</citation></ref>
<ref id="ref26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Croninger</surname> <given-names>R. G.</given-names></name> <name><surname>Lee</surname> <given-names>V. E.</given-names></name></person-group> (<year>2001</year>). <article-title>Social capital and dropping out of high school: benefits to at-risk students of teachers&#x2019; support and guidance</article-title>. <source>Teach. Coll. Rec.</source> <volume>103</volume>, <fpage>548</fpage>&#x2013;<lpage>581</lpage>. doi: <pub-id pub-id-type="doi">10.1177/016146810110300404</pub-id></citation></ref>
<ref id="ref27"><citation citation-type="confproc"><person-group person-group-type="author"><name><surname>Del Bonifro</surname> <given-names>F.</given-names></name> <name><surname>Gabbrielli</surname> <given-names>M.</given-names></name> <name><surname>Lisanti</surname> <given-names>G.</given-names></name> <name><surname>Zingaro</surname> <given-names>S. P.</given-names></name></person-group>. (<year>2020</year>). &#x201C;<article-title>Student dropout prediction</article-title>.&#x201D; In <conf-name>Proceedings in Artificial intelligence in education: 21st international conference, AIED 2020</conf-name>, <conf-loc>Ifrane, Morocco, July 6&#x2013;10, 2020</conf-loc>, <comment>part I 21</comment>, <publisher-name>Springer</publisher-name>.</citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Farcnik</surname> <given-names>D.</given-names></name> <name><surname>Muren</surname> <given-names>P. D.</given-names></name> <name><surname>Franca</surname> <given-names>V.</given-names></name></person-group> (<year>2022</year>). <article-title>Drop-out, stop-out or prolong? The effect of COVID-19 on students...: Ingenta connect</article-title>. <source>Int. J. Manpow.</source> <volume>43</volume>, <fpage>1700</fpage>&#x2013;<lpage>1718</lpage>. doi: <pub-id pub-id-type="doi">10.1108/IJM-06-2021-0353</pub-id></citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fonseca-Grand&#x00F3;n</surname> <given-names>G. R.</given-names></name></person-group> (<year>2018</year>). <article-title>Trayectorias de Permanencia y Abandono de Estudios Universitarios: Una Aproximaci&#x00F3;n Desde El Curr&#x00ED;culum y Otras Variables Predictoras</article-title>. <source>Educaci&#x00F3;n y Educadores</source> <volume>21</volume>, <fpage>239</fpage>&#x2013;<lpage>256</lpage>. doi: <pub-id pub-id-type="doi">10.5294/edu.2018.21.2.4</pub-id></citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gallegos</surname> <given-names>J. A.</given-names></name> <name><surname>Campos</surname> <given-names>N. A.</given-names></name> <name><surname>Canales</surname> <given-names>K. A.</given-names></name> <name><surname>Gonz&#x00E1;lez</surname> <given-names>E. N.</given-names></name></person-group> (<year>2018</year>). <article-title>Determining factors of university dropout. A case of the Faculty of Economy and Administration Sciences of the Catholic University of the Most Holy Conception (Chile)</article-title>. <source>Formacion Universitaria</source> <volume>11</volume>, <fpage>11</fpage>&#x2013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.4067/S0718-50062018000300011</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gaynor</surname> <given-names>T. S.</given-names></name> <name><surname>Wilson</surname> <given-names>M. E.</given-names></name></person-group> (<year>2020</year>). <article-title>Social vulnerability and equity: the disproportionate impact of COVID-19</article-title>. <source>Public Adm. Rev.</source> <volume>80</volume>, <fpage>832</fpage>&#x2013;<lpage>838</lpage>. doi: <pub-id pub-id-type="doi">10.1111/puar.13264</pub-id>, PMID: <pub-id pub-id-type="pmid">32836465</pub-id></citation></ref>
<ref id="ref32"><citation citation-type="confproc"><person-group person-group-type="author"><name><surname>Gorson</surname> <given-names>J.</given-names></name> <name><surname>O&#x2019;Rourke</surname> <given-names>E.</given-names></name></person-group>. (<year>2020</year>). &#x201C;<article-title>Why do Cs1 students think They&#x2019;re bad at programming? Investigating self-efficacy and self-assessments at three universities</article-title>.&#x201D; In <conf-name>Proceedings of the 2020 ACM Conference on International Computing Education Research</conf-name>, <fpage>170</fpage>&#x2013;<lpage>181</lpage>.</citation></ref>
<ref id="ref33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guti&#x00E9;rrez</surname> <given-names>S.</given-names></name> <name><surname>Daniela</surname> <given-names>A. K.-D.</given-names></name> <name><surname>Amestica-Rivas</surname> <given-names>L.</given-names></name></person-group> (<year>2021</year>). <article-title>Incidencia de La Gesti&#x00F3;n Universitaria En La Deserci&#x00F3;n Estudiantil de Las Universidades P&#x00FA;blicas En Chile</article-title>. <source>IE Revista de Investigaci&#x00F3;n Educativa de La REDIECH</source> <volume>12</volume>:<fpage>e1270</fpage>. doi: <pub-id pub-id-type="doi">10.33010/ie_rie_rediech.v12i0.1270</pub-id></citation></ref>
<ref id="ref34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Halicka</surname> <given-names>J.</given-names></name> <name><surname>Kiejna</surname> <given-names>A.</given-names></name></person-group> (<year>2018</year>). <article-title>Non-suicidal self-injury (NSSI) and suicidal: criteria differentiation</article-title>. <source>Adv. Clin. Exp. Med.</source> <volume>27</volume>, <fpage>257</fpage>&#x2013;<lpage>261</lpage>. doi: <pub-id pub-id-type="doi">10.17219/acem/66353</pub-id>, PMID: <pub-id pub-id-type="pmid">29521070</pub-id></citation></ref>
<ref id="ref35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Heublein</surname> <given-names>U.</given-names></name></person-group> (<year>2014</year>). <article-title>Student drop-out from German higher education institutions</article-title>. <source>Eur. J. Educ.</source> <volume>49</volume>, <fpage>497</fpage>&#x2013;<lpage>513</lpage>. doi: <pub-id pub-id-type="doi">10.1111/EJED.12097</pub-id></citation></ref>
<ref id="ref36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hung</surname> <given-names>M.</given-names></name> <name><surname>Licari</surname> <given-names>F. W.</given-names></name> <name><surname>Hon</surname> <given-names>E. S.</given-names></name> <name><surname>Lauren</surname> <given-names>E.</given-names></name> <name><surname>Sharon</surname> <given-names>S.</given-names></name> <name><surname>Birmingham</surname> <given-names>W. C.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>In an era of uncertainty: impact of COVID-19 on dental education</article-title>. <source>J. Dent. Educ.</source> <volume>85</volume>, <fpage>148</fpage>&#x2013;<lpage>156</lpage>. doi: <pub-id pub-id-type="doi">10.1002/jdd.12404</pub-id>, PMID: <pub-id pub-id-type="pmid">32920890</pub-id></citation></ref>
<ref id="ref37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname> <given-names>S.</given-names></name> <name><surname>Simpkins</surname> <given-names>S. D.</given-names></name> <name><surname>Eccles</surname> <given-names>J. S.</given-names></name></person-group> (<year>2020</year>). <article-title>Individuals&#x2019; math and science motivation and their subsequent STEM choices and achievement in high school and college: a longitudinal study of gender and college generation status differences</article-title>. <source>Dev. Psychol.</source> <volume>56</volume>, <fpage>2137</fpage>&#x2013;<lpage>2151</lpage>. doi: <pub-id pub-id-type="doi">10.1037/dev0001110</pub-id>, PMID: <pub-id pub-id-type="pmid">32915052</pub-id></citation></ref>
<ref id="ref38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Johnston</surname> <given-names>L. G.</given-names></name> <name><surname>Sabin</surname> <given-names>K.</given-names></name></person-group> (<year>2010</year>). <article-title>Sampling hard-to-reach populations with respondent driven sampling</article-title>. <source>Methodol. Innov.</source> <volume>5</volume>, <fpage>38.1</fpage>&#x2013;<lpage>38.48</lpage>. doi: <pub-id pub-id-type="doi">10.4256/mio.2010.0017</pub-id></citation></ref>
<ref id="ref39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Karyotaki</surname> <given-names>E.</given-names></name> <name><surname>Klein</surname> <given-names>A. M.</given-names></name> <name><surname>Ciharova</surname> <given-names>M.</given-names></name> <name><surname>Bolinski</surname> <given-names>F.</given-names></name> <name><surname>Krijnen</surname> <given-names>L.</given-names></name> <name><surname>de Koning</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Guided internet-based Transdiagnostic individually tailored cognitive behavioral therapy for symptoms of depression and/or anxiety in college students: a randomized controlled trial</article-title>. <source>Behav. Res. Ther.</source> <volume>150</volume>:<fpage>104028</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.brat.2021.104028</pub-id>, PMID: <pub-id pub-id-type="pmid">35066365</pub-id></citation></ref>
<ref id="ref40"><citation citation-type="confproc"><person-group person-group-type="author"><name><surname>Kaschek</surname> <given-names>R.</given-names></name></person-group> (<year>2020</year>). &#x201C;<article-title>Supporting individual study of higher mathematics</article-title>.&#x201D; In <conf-name>ACM International Conference Proceeding Series</conf-name>, <volume>1&#x2013;5</volume>. doi: <pub-id pub-id-type="doi">10.1145/3439147.3439150</pub-id></citation></ref>
<ref id="ref41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kemper</surname> <given-names>L.</given-names></name> <name><surname>Vorhoff</surname> <given-names>G.</given-names></name> <name><surname>Wigger</surname> <given-names>B. U.</given-names></name></person-group> (<year>2020</year>). <article-title>Predicting student dropout: a machine learning approach</article-title>. <source>Euro. J. High. Educ.</source> <volume>10</volume>, <fpage>28</fpage>&#x2013;<lpage>47</lpage>. doi: <pub-id pub-id-type="doi">10.1080/21568235.2020.1718520</pub-id></citation></ref>
<ref id="ref42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>D.</given-names></name> <name><surname>Kim</surname> <given-names>S.</given-names></name></person-group> (<year>2018</year>). <article-title>Sustainable education: analyzing the determinants of university student dropout by nonlinear panel data models</article-title>. <source>Sustainability (Switzerland)</source> <volume>10</volume>:954. doi: <pub-id pub-id-type="doi">10.3390/su10040954</pub-id></citation></ref>
<ref id="ref43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kryshko</surname> <given-names>O.</given-names></name> <name><surname>Fleischer</surname> <given-names>J.</given-names></name> <name><surname>Waldeyer</surname> <given-names>J.</given-names></name> <name><surname>Wirth</surname> <given-names>J.</given-names></name> <name><surname>Leutner</surname> <given-names>D.</given-names></name></person-group> (<year>2020</year>). <article-title>Do motivational regulation strategies contribute to university students&#x2019; academic success?</article-title> <source>Learn. Individ. Differ.</source> <volume>82</volume>:<fpage>101912</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.lindif.2020.101912</pub-id></citation></ref>
<ref id="ref44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kwon</surname> <given-names>S. J.</given-names></name> <name><surname>Kim</surname> <given-names>Y.</given-names></name> <name><surname>Kwak</surname> <given-names>Y.</given-names></name></person-group> (<year>2018</year>). <article-title>Difficulties faced by university students with self-reported symptoms of attention-deficit hyperactivity disorder: a qualitative study</article-title>. <source>Child Adolesc. Psychiatry Ment. Health</source> <volume>12</volume>, <fpage>12</fpage>&#x2013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.1186/s13034-018-0218-3</pub-id>, PMID: <pub-id pub-id-type="pmid">29434656</pub-id></citation></ref>
<ref id="ref45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lawrence</surname> <given-names>D.</given-names></name> <name><surname>Dawson</surname> <given-names>V.</given-names></name> <name><surname>Houghton</surname> <given-names>S.</given-names></name> <name><surname>Goodsell</surname> <given-names>B.</given-names></name> <name><surname>Sawyer</surname> <given-names>M. G.</given-names></name></person-group> (<year>2019</year>). <article-title>Impact of mental disorders on attendance at school</article-title>. <source>Aust. J. Educ.</source> <volume>63</volume>, <fpage>5</fpage>&#x2013;<lpage>21</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0004944118823576</pub-id></citation></ref>
<ref id="ref46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>F.</given-names></name> <name><surname>Dai</surname> <given-names>L.</given-names></name> <name><surname>Cai</surname> <given-names>Y.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>J.</given-names></name> <name><surname>Shi</surname> <given-names>L.</given-names></name></person-group> (<year>2022</year>). <article-title>Psychological state and its correlates of local college students in Wuhan during COVID-19 pandemic</article-title>. <source>Psychol. Sch.</source> <volume>60</volume>, <fpage>1477</fpage>&#x2013;<lpage>1487</lpage>. doi: <pub-id pub-id-type="doi">10.1002/pits.22699</pub-id>, PMID: <pub-id pub-id-type="pmid">35572182</pub-id></citation></ref>
<ref id="ref47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Y.</given-names></name> <name><surname>Yue</surname> <given-names>S.</given-names></name> <name><surname>Xiaoran</surname> <given-names>H.</given-names></name> <name><surname>Zhu</surname> <given-names>J.</given-names></name> <name><surname>Zifan</surname> <given-names>W.</given-names></name> <name><surname>Wang</surname> <given-names>J. L.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Associations between feelings/behaviors during COVID-19 pandemic lockdown and depression/anxiety after lockdown in a sample of Chinese children and adolescents</article-title>. <source>J. Affect. Disord.</source> <volume>284</volume>, <fpage>98</fpage>&#x2013;<lpage>103</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jad.2021.02.001</pub-id>, PMID: <pub-id pub-id-type="pmid">33592433</pub-id></citation></ref>
<ref id="ref48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lovibond</surname> <given-names>P. F.</given-names></name> <name><surname>Lovibond</surname> <given-names>S. H.</given-names></name></person-group> (<year>1995</year>). <article-title>The structure of negative emotional states: scales (DASS)</article-title>. <source>Behav. Res. Ther.</source> <volume>33</volume>, <fpage>335</fpage>&#x2013;<lpage>343</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0005-7967(94)00075-U</pub-id>, PMID: <pub-id pub-id-type="pmid">7726811</pub-id></citation></ref>
<ref id="ref49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lucas</surname> <given-names>R.</given-names></name> <name><surname>James</surname> <given-names>A. I.</given-names></name></person-group> (<year>2018</year>). <article-title>An Evaluation of specialist mentoring for university students with autism Spectrum disorders and mental health conditions</article-title>. <source>J. Autism Dev. Disord.</source> <volume>48</volume>, <fpage>694</fpage>&#x2013;<lpage>707</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10803-017-3303-1</pub-id>, PMID: <pub-id pub-id-type="pmid">28918532</pub-id></citation></ref>
<ref id="ref50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marengo</surname> <given-names>S. M.</given-names></name> <name><surname>Klibert</surname> <given-names>J.</given-names></name> <name><surname>Langhinrichsen-Rohling</surname> <given-names>J.</given-names></name> <name><surname>Warren</surname> <given-names>J.</given-names></name> <name><surname>Bryant</surname> <given-names>K.</given-names></name> <name><surname>Smalley</surname></name></person-group> (<year>2019</year>). <article-title>The relationship of early maladaptive schemas and anticipated risky behaviors in college students</article-title>. <source>J. Adult Dev.</source> <volume>26</volume>, <fpage>190</fpage>&#x2013;<lpage>200</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10804-018-9313-1</pub-id></citation></ref>
<ref id="ref51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mar&#x00F4;co</surname> <given-names>J.</given-names></name> <name><surname>Assun&#x00E7;&#x00E3;o</surname> <given-names>H.</given-names></name> <name><surname>Harju-Luukkainen</surname> <given-names>H.</given-names></name> <name><surname>Lin</surname> <given-names>S.-W.</given-names></name> <name><surname>Sit</surname> <given-names>P.-S.</given-names></name> <name><surname>Cheung</surname> <given-names>K.-c.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Predictors of academic efficacy and dropout intention in university students: can engagement suppress burnout?</article-title> <source>PLoS One</source> <volume>15</volume>:<fpage>e0239816</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0239816</pub-id>, PMID: <pub-id pub-id-type="pmid">33119598</pub-id></citation></ref>
<ref id="ref52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mars</surname> <given-names>B.</given-names></name> <name><surname>Jon Heron</surname> <given-names>E.</given-names></name> <name><surname>Klonsky</surname> <given-names>D.</given-names></name> <name><surname>Moran</surname> <given-names>P.</given-names></name> <name><surname>O&#x2019;Connor</surname> <given-names>R. C.</given-names></name> <name><surname>Tilling</surname> <given-names>K.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study</article-title>. <source>Lancet Psychiatry</source> <volume>6</volume>, <fpage>327</fpage>&#x2013;<lpage>337</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2215-0366(19)30030-6</pub-id>, PMID: <pub-id pub-id-type="pmid">30879972</pub-id></citation></ref>
<ref id="ref53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;nez-L&#x00ED;bano</surname> <given-names>J.</given-names></name></person-group> (<year>2023a</year>). <article-title>Family bonding in confinement of the COVID-19 pandemic: a systematic review</article-title>. <source>Ment. Health Glob. Chall.</source> <volume>6</volume>, <fpage>29</fpage>&#x2013;<lpage>38</lpage>. doi: <pub-id pub-id-type="doi">10.56508/mhgcj.v6i1.147</pub-id></citation></ref>
<ref id="ref54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;nez-L&#x00ED;bano</surname> <given-names>J.</given-names></name></person-group> (<year>2023b</year>). <article-title>Construcci&#x00F3;n y Validaci&#x00F3;n de La Escala de Afectaci&#x00F3;n Del COVID-19 (EAC-19) En Estudiantes Universitarios</article-title>. <source>Revista Educaci&#x00F3;n Las Am&#x00E9;ricas</source> <volume>12</volume>. doi: <pub-id pub-id-type="doi">10.35811/rea.v12i1.188</pub-id></citation></ref>
<ref id="ref55"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;nez-L&#x00ED;bano</surname> <given-names>J.</given-names></name> <name><surname>Cabrera</surname> <given-names>M. M. Y.</given-names></name></person-group> (<year>2021</year>). <article-title>Suicidal ideation and suicidal thoughts in university students during the COVID-19 pandemic: a systematic review</article-title>. <source>Revista Argentina de Clinica Psicologica</source> <volume>30</volume>, <fpage>390</fpage>&#x2013;<lpage>405</lpage>. doi: <pub-id pub-id-type="doi">10.24205/03276716.2020.40</pub-id></citation></ref>
<ref id="ref56"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;nez-L&#x00ED;bano</surname> <given-names>J.</given-names></name> <name><surname>Torres-Vallejos</surname> <given-names>J.</given-names></name> <name><surname>Oyanedel</surname> <given-names>J. C.</given-names></name> <name><surname>Gonz&#x00E1;lez-Campusano</surname> <given-names>N.</given-names></name> <name><surname>Calder&#x00F3;n-Herrera</surname> <given-names>G.</given-names></name> <name><surname>Yeomans-Cabrera</surname> <given-names>M. M.</given-names></name></person-group> (<year>2023</year>). <article-title>Prevalence and variables associated with depression, anxiety, and stress among Chilean higher education students, post-pandemic</article-title>. <source>Front. Psychol.</source> <volume>14</volume>:<fpage>946</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpsyt.2023.1139946</pub-id>, PMID: <pub-id pub-id-type="pmid">37065901</pub-id></citation></ref>
<ref id="ref57"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;nez-L&#x00ED;bano</surname> <given-names>J.</given-names></name> <name><surname>Yeomans</surname> <given-names>M.-M.</given-names></name> <name><surname>Oyanedel</surname> <given-names>J.-C.</given-names></name></person-group> (<year>2022</year>). <article-title>Psychometric properties of the emotional exhaustion scale (ECE) in Chilean higher education students</article-title>. <source>Euro. J. Invest. Health Psychol. Educ.</source> <volume>12</volume>, <fpage>50</fpage>&#x2013;<lpage>60</lpage>. doi: <pub-id pub-id-type="doi">10.3390/ejihpe12010005</pub-id>, PMID: <pub-id pub-id-type="pmid">35049534</pub-id></citation></ref>
<ref id="ref58"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>McGorry</surname> <given-names>P. D.</given-names></name> <name><surname>Mei</surname> <given-names>C.</given-names></name> <name><surname>Chanen</surname> <given-names>A.</given-names></name> <name><surname>Hodges</surname> <given-names>C.</given-names></name> <name><surname>Alvarez-Jimenez</surname> <given-names>M.</given-names></name> <name><surname>Killackey</surname> <given-names>E.</given-names></name></person-group> (<year>2022</year>). <article-title>Designing and scaling up integrated youth mental health care</article-title>. <source>World Psychiatry</source> <volume>21</volume>, <fpage>61</fpage>&#x2013;<lpage>76</lpage>. doi: <pub-id pub-id-type="doi">10.1002/wps.20938</pub-id>, PMID: <pub-id pub-id-type="pmid">35015367</pub-id></citation></ref>
<ref id="ref59"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Morin</surname> <given-names>C. M.</given-names></name></person-group>. (<year>1993</year>). &#x201C;<source>Insomnia severity index</source>.&#x201D;</citation></ref>
<ref id="ref60"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mujica</surname> <given-names>D.</given-names></name> <name><surname>Alejandro</surname> <given-names>M. V.</given-names></name> <name><surname>Villalobos</surname> <given-names>P.</given-names></name> <name><surname>Guti&#x00E9;rrez</surname> <given-names>A. B. B.</given-names></name> <name><surname>Fern&#x00E1;ndez-Casta&#x00F1;&#x00F3;n</surname> <given-names>A. C.</given-names></name> <name><surname>Garc&#x00ED;a</surname> <given-names>J. A. G.</given-names></name></person-group> (<year>2019</year>). <article-title>Affective and cognitive variables involved in structural prediction of university dropout</article-title>. <source>Psicothema</source> <volume>31</volume>, <fpage>429</fpage>&#x2013;<lpage>436</lpage>.</citation></ref>
<ref id="ref61"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nicoletti</surname> <given-names>M.</given-names></name> <name><surname>do Carmo</surname></name></person-group> (<year>2019</year>). <article-title>Revisiting the Tinto&#x2019;s theoretical dropout model</article-title>. <source>High. Educ. Stud.</source> <volume>9</volume>, <fpage>52</fpage>&#x2013;<lpage>64</lpage>. doi: <pub-id pub-id-type="doi">10.5539/hes.v9n3p52</pub-id></citation></ref>
<ref id="ref62"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>O&#x2019;Sullivan</surname> <given-names>K.</given-names></name> <name><surname>Clark</surname> <given-names>S.</given-names></name> <name><surname>McGrane</surname> <given-names>A.</given-names></name> <name><surname>Rock</surname> <given-names>N.</given-names></name> <name><surname>Burke</surname> <given-names>L.</given-names></name> <name><surname>Boyle</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>A qualitative study of child and adolescent mental health during the COVID-19 pandemic in Ireland</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>18</volume>:<fpage>1062</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph18031062</pub-id>, PMID: <pub-id pub-id-type="pmid">33504101</pub-id></citation></ref>
<ref id="ref63"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oducado</surname> <given-names>R. M.</given-names></name> <name><surname>Estoque</surname> <given-names>H.</given-names></name></person-group> (<year>2021</year>). <article-title>Online learning in nursing education during the COVID-19 pandemic: stress, satisfaction, and academic performance</article-title>. <source>J. Nurs. Pract.</source> <volume>4</volume>, <fpage>143</fpage>&#x2013;<lpage>153</lpage>. doi: <pub-id pub-id-type="doi">10.30994/jnp.v4i2.128</pub-id></citation></ref>
<ref id="ref64"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Okasha</surname> <given-names>A.</given-names></name> <name><surname>Lotaif</surname> <given-names>F.</given-names></name> <name><surname>Sadek</surname> <given-names>A.</given-names></name></person-group> (<year>1981</year>). <article-title>Prevalence of suicidal feelings in a sample of non-consulting medical students</article-title>. <source>Acta Psychiatr. Scand.</source> <volume>63</volume>, <fpage>409</fpage>&#x2013;<lpage>415</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1600-0447.1981.tb00690.x</pub-id>, PMID: <pub-id pub-id-type="pmid">7315487</pub-id></citation></ref>
<ref id="ref65"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Orellana</surname> <given-names>D.</given-names></name> <name><surname>Segovia</surname> <given-names>N.</given-names></name> <name><surname>C&#x00E1;novas</surname> <given-names>B. R.</given-names></name></person-group> (<year>2020</year>). <article-title>Student Dropout in Online Higher Education Programs: Literature Review [El Abandono Estudiantil En Programas de Educaci&#x00F3;n Superior Virtual: Revisi&#x00F3;n de Literatura]</article-title>. <source>Revista de La Educacion Superior</source> <volume>49</volume>, <fpage>45</fpage>&#x2013;<lpage>62</lpage>. doi: <pub-id pub-id-type="doi">10.36857/RESU.2020.194.1124</pub-id></citation></ref>
<ref id="ref66"><citation citation-type="other"><person-group person-group-type="author"><name><surname>&#x00D6;zt&#x00FC;rk</surname> <given-names>A.</given-names></name> <name><surname>Day&#x0131;o&#x011F;lu</surname> <given-names>M.</given-names></name></person-group> (<year>2023</year>). <article-title>Higher education expansion and Women&#x2019;s access to higher education and the labor market: Quasi-experimental evidence from Turkey</article-title>. doi: <pub-id pub-id-type="doi">10.1007/s10734-023-01122-9#citeas</pub-id>,</citation></ref>
<ref id="ref67"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Parker</surname> <given-names>C.</given-names></name> <name><surname>Scott</surname> <given-names>S.</given-names></name> <name><surname>Geddes</surname> <given-names>A.</given-names></name></person-group>. (<year>2020</year>). &#x201C;<article-title>Snowball sampling</article-title>.&#x201D; <comment>SAGE research methods foundations</comment>.</citation></ref>
<ref id="ref68"><citation citation-type="confproc"><person-group person-group-type="author"><name><surname>Perez</surname> <given-names>B.</given-names></name> <name><surname>Castellanos</surname> <given-names>C.</given-names></name> <name><surname>Correal</surname> <given-names>D.</given-names></name></person-group>. (<year>2018</year>). &#x201C;<article-title>Applying data mining techniques to predict student dropout: a case study</article-title>.&#x201D; <conf-name>In 2018 IEEE 1st Colombian Conference on Applications in Computational Intelligence (Colcaci)</conf-name>, <fpage>1</fpage>&#x2013;<lpage>6</lpage>. <publisher-name>IEEE</publisher-name>.</citation></ref>
<ref id="ref69"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pitman</surname> <given-names>A.</given-names></name> <name><surname>Putri</surname> <given-names>A. K.</given-names></name> <name><surname>De Souza</surname> <given-names>T.</given-names></name> <name><surname>Stevenson</surname> <given-names>F.</given-names></name> <name><surname>King</surname> <given-names>M.</given-names></name> <name><surname>Osborn</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>The impact of suicide bereavement on educational and occupational functioning: a qualitative study of 460 bereaved adults</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>15</volume>:<fpage>643</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph15040643</pub-id>, PMID: <pub-id pub-id-type="pmid">29614731</pub-id></citation></ref>
<ref id="ref70"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Quinn</surname> <given-names>J.</given-names></name></person-group> (<year>2004</year>). <article-title>Understanding working-class&#x2019; drop-out&#x2019;from higher education through a sociocultural Lens: cultural narratives and local contexts</article-title>. <source>Int. Stud. Sociol. Educ.</source> <volume>14</volume>, <fpage>57</fpage>&#x2013;<lpage>74</lpage>. doi: <pub-id pub-id-type="doi">10.1080/09620210400200119</pub-id></citation></ref>
<ref id="ref71"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ramos</surname> <given-names>F.</given-names></name> <name><surname>Manga</surname> <given-names>D.</given-names></name> <name><surname>Moran</surname> <given-names>C.</given-names></name></person-group> (<year>2005</year>). <article-title>Escala de Cansancio Emocional (ECE) Para Estudiantes Universitarios: Propiedades Psicom&#x00E9;tricas En Una Muestra de M&#x00E9;xico</article-title>. <source>Anales de Psicolog&#x00ED;a</source> <volume>23</volume>, <fpage>253</fpage>&#x2013;<lpage>257</lpage>.</citation></ref>
<ref id="ref72"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Saldarriaga</surname> <given-names>R.</given-names></name> <name><surname>Vega</surname> <given-names>H.</given-names></name> <name><surname>Rodriguez</surname> <given-names>C.</given-names></name> <name><surname>De La Cruz</surname> <given-names>P.</given-names></name></person-group>. (<year>2021</year>). &#x201C;<article-title>Academic approach about e-learning modules from the teacher/student perspective at the national university mayor de san MARCOS, LIMA-PER&#x00DA;</article-title>.&#x201D; Available at: <ext-link xlink:href="https://www.3ciencias.com/wp-content/uploads/2021/09/art.-5_3C_TIC_ed.38_vol.10_n3-1.pdf" ext-link-type="uri">https://www.3ciencias.com/wp-content/uploads/2021/09/art.-5_3C_TIC_ed.38_vol.10_n3-1.pdf</ext-link> (accessed 3 September 2021).</citation></ref>
<ref id="ref73"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sandler</surname> <given-names>C. X.</given-names></name> <name><surname>Lloyd</surname> <given-names>A. R.</given-names></name></person-group> (<year>2020</year>). <article-title>Chronic fatigue syndrome: Progress and possibilities</article-title>. <source>Med. J. Aust.</source> <volume>212</volume>, <fpage>428</fpage>&#x2013;<lpage>433</lpage>. doi: <pub-id pub-id-type="doi">10.5694/mja2.50553</pub-id></citation></ref>
<ref id="ref74"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schmits</surname> <given-names>E.</given-names></name> <name><surname>Dekeyser</surname> <given-names>S.</given-names></name> <name><surname>Klein</surname> <given-names>O.</given-names></name> <name><surname>Luminet</surname> <given-names>O.</given-names></name> <name><surname>Yzerbyt</surname> <given-names>V.</given-names></name> <name><surname>Glowacz</surname> <given-names>F.</given-names></name></person-group> (<year>2021</year>). <article-title>Psychological distress among students in higher education: one year after the beginning of the COVID-19 pandemic</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>18</volume>:<fpage>7445</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph18147445</pub-id>, PMID: <pub-id pub-id-type="pmid">34299896</pub-id></citation></ref>
<ref id="ref75"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schnettler</surname> <given-names>T.</given-names></name> <name><surname>Bobe</surname> <given-names>J.</given-names></name> <name><surname>Scheunemann</surname> <given-names>A.</given-names></name> <name><surname>Fries</surname> <given-names>S.</given-names></name> <name><surname>Grunschel</surname> <given-names>C.</given-names></name></person-group> (<year>2020</year>). <article-title>Is it still worth it? Applying expectancy-value theory to investigate the Intraindividual motivational process of forming intentions to drop out from university</article-title>. <source>Motiv. Emot.</source> <volume>44</volume>, <fpage>491</fpage>&#x2013;<lpage>507</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11031-020-09822-w</pub-id></citation></ref>
<ref id="ref76"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seetan</surname> <given-names>K.</given-names></name> <name><surname>Al-Zubi</surname> <given-names>M.</given-names></name> <name><surname>Rubbai</surname> <given-names>Y.</given-names></name> <name><surname>Athamneh</surname> <given-names>M.</given-names></name> <name><surname>Almu&#x2019;atasim</surname> <given-names>K.</given-names></name> <name><surname>Radaideh</surname> <given-names>T.</given-names></name></person-group> (<year>2021</year>). <article-title>Impact of COVID-19 on medical students&#x2019; mental wellbeing in Jordan</article-title>. <source>PLoS One</source> <volume>16</volume>:<fpage>e0253295</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0253295</pub-id>, PMID: <pub-id pub-id-type="pmid">34138964</pub-id></citation></ref>
<ref id="ref77"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shu</surname> <given-names>Y.</given-names></name> <name><surname>Nielsen</surname> <given-names>S. G.</given-names></name> <name><surname>Le Roux</surname> <given-names>V.</given-names></name> <name><surname>W&#x00F6;rner</surname> <given-names>G.</given-names></name> <name><surname>Blusztajn</surname> <given-names>J.</given-names></name> <name><surname>Auro</surname> <given-names>M.</given-names></name></person-group> (<year>2022</year>). <article-title>Sources of dehydration fluids underneath the Kamchatka arc</article-title>. <source>Nat. Commun.</source> <volume>13</volume>:4467. doi: <pub-id pub-id-type="doi">10.1038/s41467-022-32211-5</pub-id>, PMID: <pub-id pub-id-type="pmid">35918359</pub-id></citation></ref>
<ref id="ref78"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Son</surname> <given-names>C.</given-names></name> <name><surname>Hegde</surname> <given-names>S.</given-names></name> <name><surname>Smith</surname> <given-names>A.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name> <name><surname>Sasangohar</surname> <given-names>F.</given-names></name></person-group> (<year>2020</year>). <article-title>Effects of COVID-19 on college students&#x2019; mental health in the United States: interview survey study</article-title>. <source>J. Med. Internet Res.</source> <volume>22</volume>:<fpage>e21279</fpage>. doi: <pub-id pub-id-type="doi">10.2196/21279</pub-id>, PMID: <pub-id pub-id-type="pmid">32805704</pub-id></citation></ref>
<ref id="ref79"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Spitzer</surname> <given-names>M. W.</given-names></name> <name><surname>Hermann</surname></name> <name><surname>Musslick</surname> <given-names>S.</given-names></name></person-group> (<year>2021</year>). <article-title>Academic performance of K-12 students in an online-learning environment for mathematics increased during the shutdown of schools in wake of the COVID-19 pandemic</article-title>. <source>PloS One</source> <volume>16</volume>:<fpage>e0255629</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0255629</pub-id>, PMID: <pub-id pub-id-type="pmid">34343221</pub-id></citation></ref>
<ref id="ref80"><citation citation-type="other"><person-group person-group-type="author"><collab id="coll1">Subsecretar&#x00ED;a de Educaci&#x00F3;n Superior, and Servicio de Informaci&#x00F3;n de Educaci&#x00F3;n Superior</collab></person-group>. (<year>2021</year>). &#x201C;<article-title>Informe 2021. Matricula de Pregrado En Educaci&#x00F3;n Superior</article-title>.&#x201D; Available at: <ext-link xlink:href="https://www.mifuturo.cl/wp-content/uploads/2021/06/Informe-Matricula-Pregrado-2021_SIES.pdf" ext-link-type="uri">https://www.mifuturo.cl/wp-content/uploads/2021/06/Informe-Matricula-Pregrado-2021_SIES.pdf</ext-link>.</citation></ref>
<ref id="ref81"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suhlmann</surname> <given-names>M.</given-names></name> <name><surname>Sassenberg</surname> <given-names>K.</given-names></name> <name><surname>Nagengast</surname> <given-names>B.</given-names></name> <name><surname>Trautwein</surname> <given-names>U.</given-names></name></person-group> (<year>2018</year>). <article-title>Belonging mediates effects of student-university fit on well-being, motivation, and dropout intention</article-title>. <source>Soc. Psychol.</source> <volume>49</volume>, <fpage>16</fpage>&#x2013;<lpage>28</lpage>. doi: <pub-id pub-id-type="doi">10.1027/1864-9335/a000325</pub-id></citation></ref>
<ref id="ref82"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Tercera</surname> <given-names>L.</given-names></name></person-group>. (<year>2023</year>). &#x201C;<article-title>Salud Mental Impacta En La Deserci&#x00F3;n Universitaria</article-title>&#x201D;. <comment>Educa LT. Available at:</comment> <ext-link xlink:href="https://www.educalt.com/desercion-universitaria-salud-mental/#:~:text=No%20obstante%2C%20durante%20el%20segundo,del%204%2C6%25" ext-link-type="uri">https://www.educalt.com/desercion-universitaria-salud-mental/#:~:text=No%20obstante%2C%20durante%20el%20segundo,del%204%2C6%25</ext-link>&#x201D;.</citation></ref>
<ref id="ref83"><citation citation-type="other"><person-group person-group-type="author"><collab id="coll2">Texas Education Agency</collab></person-group>. (<year>2023</year>). &#x201C;<article-title>Dropout prevention frequently asked questions</article-title>.&#x201D; Available at: <ext-link xlink:href="https://tea.texas.gov/texas-schools/support-for-at-risk-schools-and-students/at-risk-schools-and-students-dropout-prevention/dropout-prevention-frequently-asked-questions#:~:text=singleschoolyeardropoutisdefinedasastudentwhoisenrolledbegincollegeordie" ext-link-type="uri">https://tea.texas.gov/texas-schools/support-for-at-risk-schools-and-students/at-risk-schools-and-students-dropout-prevention/dropout-prevention-frequently-asked-questions#:~:text=singleschoolyeardropoutisdefinedasastudentwhoisenrolledbegincollegeordie</ext-link> (accessed June 4, 2023).</citation></ref>
<ref id="ref84"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Trotter</surname> <given-names>R. T.</given-names></name></person-group> (<year>2012</year>). <article-title>Qualitative research sample design and sample size: resolving and unresolved issues and inferential imperatives</article-title>. <source>Prev. Med.</source> <volume>55</volume>, <fpage>398</fpage>&#x2013;<lpage>400</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ypmed.2012.07.003</pub-id>, PMID: <pub-id pub-id-type="pmid">22800684</pub-id></citation></ref>
<ref id="ref85"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tsai</surname> <given-names>S.-C.</given-names></name> <name><surname>Chen</surname> <given-names>C.-H.</given-names></name> <name><surname>Shiao</surname> <given-names>Y.-T.</given-names></name> <name><surname>Ciou</surname> <given-names>J.-S.</given-names></name> <name><surname>Trong-Neng</surname> <given-names>W.</given-names></name></person-group> (<year>2020</year>). <article-title>Precision education with statistical learning and deep learning: a case study in Taiwan</article-title>. <source>Int. J. Educ. Technol. High. Educ.</source> <volume>17</volume>, <fpage>1</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.1186/s41239-020-00186-2</pub-id></citation></ref>
<ref id="ref86"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tucker</surname> <given-names>R. P.</given-names></name> <name><surname>Hagan</surname> <given-names>C. R.</given-names></name> <name><surname>Hill</surname> <given-names>R. M.</given-names></name> <name><surname>Slish</surname> <given-names>M. L.</given-names></name> <name><surname>Bagge</surname> <given-names>C. L.</given-names></name> <name><surname>Joiner</surname> <given-names>T. E.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Empirical extension of the interpersonal theory of suicide: investigating the role of interpersonal hopelessness</article-title>. <source>Psychiatry Res.</source> <volume>259</volume>, <fpage>427</fpage>&#x2013;<lpage>432</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.psychres.2017.11.005</pub-id>, PMID: <pub-id pub-id-type="pmid">29128621</pub-id></citation></ref>
<ref id="ref87"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vega</surname> <given-names>H.</given-names></name> <name><surname>Sanez</surname> <given-names>E.</given-names></name> <name><surname>De La Cruz</surname> <given-names>P.</given-names></name> <name><surname>Moquillaza</surname> <given-names>S.</given-names></name> <name><surname>Pretell</surname> <given-names>J.</given-names></name></person-group> (<year>2022</year>). <article-title>Intelligent system to predict university students dropout</article-title>. <source>Int. J. Online Biomed. Eng.</source> <volume>18</volume>, <fpage>27</fpage>&#x2013;<lpage>43</lpage>. doi: <pub-id pub-id-type="doi">10.3991/ijoe.v18i07.30195</pub-id></citation></ref>
<ref id="ref88"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vidal</surname> <given-names>J.</given-names></name> <name><surname>Gilar-Corbi</surname> <given-names>R.</given-names></name> <name><surname>Pozo-Rico</surname> <given-names>T.</given-names></name> <name><surname>Castej&#x00F3;n</surname> <given-names>J. L.</given-names></name> <name><surname>S&#x00E1;nchez-Almeida</surname> <given-names>T.</given-names></name></person-group> (<year>2022</year>). <article-title>Predictors of university attrition: looking for an equitable and sustainable higher education</article-title>. <source>Sustainability (Switzerland)</source> <volume>14</volume>:10994. doi: <pub-id pub-id-type="doi">10.3390/su141710994</pub-id></citation></ref>
<ref id="ref89"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Von Elm</surname> <given-names>E.</given-names></name> <name><surname>Altman</surname> <given-names>D. G.</given-names></name> <name><surname>Egger</surname> <given-names>M.</given-names></name> <name><surname>Pocock</surname> <given-names>S. J.</given-names></name> <name><surname>G&#x00F8;tzsche</surname> <given-names>P. C.</given-names></name> <name><surname>Vandenbroucke</surname> <given-names>J. P.</given-names></name></person-group> (<year>2007</year>). <article-title>The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies</article-title>. <source>J Clin Epidemiol.</source>  <volume>370</volume>, <fpage>1453</fpage>&#x2013;<lpage>1457</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0140-6736(07)61602-X</pub-id></citation></ref>
<ref id="ref90"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Y.-P.</given-names></name> <name><surname>Gorenstein</surname> <given-names>C.</given-names></name> <name><surname>de S&#x00E1; Junior</surname> <given-names>A. R.</given-names></name></person-group> (<year>2021</year>). &#x201C;<article-title>The neuroscience of depression: mechanisms and treatments</article-title>&#x201D; in <source>The neuroscience of depression: features, diagnosis, and treatment</source>  Eds. <person-group person-group-type="editor"><name><surname>Martin</surname> <given-names>C. R.</given-names></name> <name><surname>Hunter</surname> <given-names>L. -A.</given-names></name> <name><surname>Patel</surname> <given-names>V. B.</given-names></name> <name><surname>Preedy</surname> <given-names>V. R.</given-names></name> <name><surname>Rajendram</surname> <given-names>R.</given-names></name></person-group> (<publisher-loc>Cambridge</publisher-loc>: <publisher-name>Academic Press</publisher-name>).</citation></ref>
<ref id="ref91"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>M.</given-names></name> <name><surname>Wenyan</surname> <given-names>X.</given-names></name> <name><surname>Yao</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>L.</given-names></name> <name><surname>Guo</surname> <given-names>L.</given-names></name> <name><surname>Fan</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Mental health status of students&#x2019; parents during COVID-19 pandemic and its influence factors</article-title>. <source>Gen. Psych.</source> <volume>33</volume>:<fpage>e100250</fpage>. doi: <pub-id pub-id-type="doi">10.1136/gpsych-2020-100250</pub-id>, PMID: <pub-id pub-id-type="pmid">34192232</pub-id></citation></ref>
<ref id="ref92"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Y. J.</given-names></name> <name><surname>Webber</surname> <given-names>K. L.</given-names></name></person-group> (<year>2018</year>). <article-title>College student retention on a racially diverse campus: a theoretically guided reality check</article-title>. <source>J. Coll. Stud. Retent. Res. Theory Pract.</source> <volume>20</volume>, <fpage>2</fpage>&#x2013;<lpage>28</lpage>. doi: <pub-id pub-id-type="doi">10.1177/1521025116643325</pub-id></citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yeomans Cabrera</surname> <given-names>M. M.</given-names></name> <name><surname>Silva Fuentes</surname> <given-names>A.</given-names></name></person-group> (<year>2022</year>). <article-title>&#x00AB;Non-Cost Proposal to Reduce Educational-Technological Inequity During Confinement in Chile&#x00BB;</article-title>. <source>REXE- Revista De Estudios Y Experiencias En Educaci&#x00F3;n</source>, vol. 21, n.&#x00BA; 45, abril de 2022, pp. 70&#x2013;86, doi: <pub-id pub-id-type="doi">10.21703/0718-5162.v21.n45.2022.004</pub-id></citation></ref>
<ref id="ref93"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zarifa</surname> <given-names>D.</given-names></name> <name><surname>Kim</surname> <given-names>J.</given-names></name> <name><surname>Seward</surname> <given-names>B.</given-names></name> <name><surname>Walters</surname> <given-names>D.</given-names></name></person-group> (<year>2018</year>). <article-title>What&#x2019;s taking you so long? Examining the effects of social class on completing a Bachelor&#x2019;s degree in four years</article-title>. <source>Sociol. Educ.</source> <volume>91</volume>, <fpage>290</fpage>&#x2013;<lpage>322</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0038040718802258</pub-id></citation></ref>
</ref-list>
</back>
</article>