Abstract
India’s vast youth population offers a unique lens for exploring their emotional regulation and mental health, which remain underexplored despite their importance. This study, the first of its kind, examines post-COVID cognitive reappraisal (CR), expressive suppression (ES), and their broader mental health interconnections among 1628 young adult students (aged 18–29) from higher educational institutions in India’s Tier-1 cities using the Mental Health Inventory (MHI-38) and Emotion Regulation Questionnaire (ERQ). Variations in emotion regulation and mental health were analysed across gender, age groups, course categories, cities, and geographical zones using t-tests and ANOVA. Significant gender differences in emotion regulation and mental health were found. Cognitive reappraisal varied across gender, age groups, cities, and geographical zones. Females reported more usage of cognitive reappraisal and experienced greater distress compared to males. Cognitive reappraisal correlated with better psychological well-being, whereas expressive suppression correlated with psychological distress. Alarmingly, 42% of young adult participants exhibited medium to high levels of expressive suppression, indicating a pressing psychological crisis that could have devastating effects on the emotional well-being and mental health of young adults. Findings suggest that while pre-existing emotional regulation patterns have persisted, post-pandemic stress has intensified their impact, widening gender and regional disparities in mental health. These results underscore the need for Interventions promoting mental health awareness and emotion management techniques for the overall well-being of young adults, especially in higher educational landscapes.
Data availability
The Data collected from the participants and used for analysis in this study are available upon reasonable request from the corresponding author.
References
Employment opportunities for young people. UNICEF India. https://www.unicef.org/india/employment-opportunities-young-people (2024).
Liang, L. et al. The effect of COVID-19 on youth mental health. Psychiatr. Q. 91(3), 841–852. https://doi.org/10.1007/s11126-020-09744-3 (2020).
Bell, I. H. et al. The impact of COVID-19 on youth mental health: A mixed methods survey. Psychiatr. Res. 321, 115082. https://doi.org/10.1016/j.psychres.2023.115082 (2023).
Clemente-Suárez, V. J. et al. The impact of the COVID-19 pandemic on mental disorders A Critical review. Int. J. Environ. Res. Pub. Health https://doi.org/10.3390/ijerph181910041 (2021).
Hebbani, S., Ruben, J. P., Selvam, S. S. & Srinivasan, K. Influence of socio-cultural factors on the emotional problems among college going young-adult children of parents with alcoholism: A study from South India. Asian J. Psychiatr. 37, 26–31. https://doi.org/10.1016/j.ajp.2018.08.005 (2018).
Hen, M., Shenaar-Golan, V. & Yatzker, U. Children and Adolescents’ mental health following COVID-19: The possible role of difficulty in emotional regulation. Front Psychiatr https://doi.org/10.3389/fpsyt.2022.865435 (2022).
Menefee, D. S., Ledoux, T. & Johnston, C. A. The importance of emotional regulation in mental health. Am. J. Lifestyle Med. 16(1), 28–31. https://doi.org/10.1177/15598276211049771 (2022).
Bhola, P., Manjula, M., Rajappa, V. & Phillip, M. Predictors of non-suicidal and suicidal self-injurious behaviours, among adolescents and young adults in urban India. Asian J. Psychiatr. 29, 123–128. https://doi.org/10.1016/j.ajp.2017.04.024 (2017).
Cutuli, D. Cognitive reappraisal and expressive suppression strategies role in the emotion regulation: an overview on their modulatory effects and neural correlates. Front. Syst. Neurosci. https://doi.org/10.3389/fnsys.2014.00175 (2014).
Verzeletti, C., Zammuner, V. L., Galli, C. & Agnoli, S. Emotion regulation strategies and psychosocial well-being in adolescence. Cogent. Psychol. 3(1), 1199294. https://doi.org/10.1080/23311908.2016.1199294 (2016).
Moore, S. A., Zoellner, L. A. & Mollenholt, N. Are expressive suppression and cognitive reappraisal associated with stress-related symptoms?. Behav. Res. Ther. 46(9), 993–1000. https://doi.org/10.1016/j.brat.2008.05.001 (2008).
Walker, S. A. et al. Primary and secondary psychopathy relate to lower cognitive reappraisal: A meta-analysis of the Dark Triad and emotion regulation processes. Personal. Individ. Differ. 187, 111394. https://doi.org/10.1016/j.paid.2021.111394 (2021).
Gross, J. J. & John, O. P. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J. Personal. Soc. Psychol. 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348 (2003).
Restrepo, J. E., Cardona, E. Y. B., Montoya, G. P. C., De Los Milagros Cassaretto Bardales, M. & Alemán, Y. P. V. Academic stress and adaptation to university life: Mediation of cognitive-emotional regulation and social support. Anal. De Psicol. https://doi.org/10.6018/analesps.472201 (2023).
Cherian, A. V. et al. Mental health, suicidality, health, and social indicators among college students across nine states in India. Ind. J. Psychol. Med. https://doi.org/10.1177/02537176241244775 (2024).
Bonnie, R. J., Stroud, C., Breiner, H., & Families, B. O. C. Y. A. Young adults in the 21st century. Investing in the health and well-being of young adults - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK284782/ (2015).
Hellström, L. & Beckman, L. Life challenges and barriers to help seeking: Adolescents’ and young adults’ voices of mental health. Int. J. Environ. Res. Pub. Health 18(24), 13101. https://doi.org/10.3390/ijerph182413101 (2021).
Wood, D., Crapnell, T., Lau, L., Bennett, A., Lotstein, D., Ferris, M., & Kuo, A. Emerging adulthood as a critical stage in the life course. In Springer eBooks 123–143 https://doi.org/10.1007/978-3-319-47143-3_7 (2017).
Gk. Free online counselling and therapy in India. careme.health. https://careme.health/blog/family-pressure-and-mental-health-in-india (2024).
Suchday, S. Anger and globalization among young people in India. New Dir. Child Adolesc. Dev. 2015(147), 77–84. https://doi.org/10.1002/cad.20084 (2015).
Dillon, K. H., Van Voorhees, E. E. & Elbogen, E. B. Associations between anger and suicidal ideation and attempts: A prospective study using the national epidemiologic survey on alcohol and related conditions. J. Psychiatr. Res. 122, 17–21. https://doi.org/10.1016/j.jpsychires.2019.12.011 (2019).
About Emotional Well-Being. Emotional well-being. https://www.cdc.gov/emotional-well-being/about/index.html (2024).
Veit, C. T. & Ware, J. E. The structure of psychological distress and well-being in general populations. J. Consult. Clin. Psychol. 51(5), 730–742. https://doi.org/10.1037/0022-006x.51.5.730 (1983).
Curran, P. G. Methods for the detection of carelessly invalid responses in survey data. J. Experim. Soc. Psychol. 66, 4–19. https://doi.org/10.1016/j.jesp.2015.07.006 (2015).
Fruehwirth, J. C., Biswas, S. & Perreira, K. M. The Covid-19 pandemic and mental health of first-year college students: Examining the effect of Covid-19 stressors using longitudinal data. PLoS ONE 16(3), e0247999. https://doi.org/10.1371/journal.pone.0247999 (2021).
Mittal, R. Covid -19 & college students: A study on gender difference in college students self-efficacy, social support & meaning in life. Int. J. Indian Psychol. 9(1) (2021).
Santo, T. D. et al. Systematic review of mental health symptom changes by sex or gender in early-COVID-19 compared to pre-pandemic. Sci. Rep. https://doi.org/10.1038/s41598-022-14746-1 (2022).
Gulati, N., Nanda, C. & Hora, R. K. COVID-19 and its impact on mental health as a function of gender, age, and income. Discov. Mental Health https://doi.org/10.1007/s44192-022-00025-y (2023).
Flores-Torres, J., Gómez-Pérez, L. & McRae, K. Positive cognitive reappraisal is beneficial for women’s but not for men’s IGT decision-making. Motiv. Emot. 46(3), 350–365. https://doi.org/10.1007/s11031-022-09927-4 (2022).
Preston, T., Carr, D. C., Hajcak, G., Sheffler, J. & Sachs-Ericsson, N. Cognitive reappraisal, emotional suppression, and depressive and anxiety symptoms in later life: The moderating role of gender. Aging Mental Health 26(12), 2390–2398. https://doi.org/10.1080/13607863.2021.1998350 (2021).
Perchtold, C. M. et al. Gender differences in generating cognitive reappraisals for threatening situations: Reappraisal capacity shields against depressive symptoms in men, but not women. Front Psychol https://doi.org/10.3389/fpsyg.2019.00553 (2019).
Ferschmann, L. et al. Cognitive reappraisal and expressive suppression relate differentially to longitudinal structural brain development across adolescence. Cortex 136, 109–123. https://doi.org/10.1016/j.cortex.2020.11.022 (2021).
Bhola, P., Rekha, D. P., Sathyanarayanan, V., Daniel, S. & Thomas, T. Self-reported suicidality and its predictors among adolescents from a pre-university college in Bangalore, India. Asian J. Psychiatr. 7, 38–45. https://doi.org/10.1016/j.ajp.2013.10.003 (2013).
Opitz, P. C., Gross, J. J. & Urry, H. L. Emotion regulation and aging: A comparison of younger and older adults. J. Gerontol. : Psychol. Sci. 67(2), 185–193. https://doi.org/10.1093/geronb/gbr001 (2012).
Mehrotra, S. & Tripathi, R. Affect intensity and negative mood regulation (NMR) expectancies: A preliminary Indian study. Asian J. Psychiatr. 5(2), 137–143. https://doi.org/10.1016/j.ajp.2012.04.001 (2012).
Olderbak, S., Uusberg, A., MacCann, C., Pollak, K. M. & Gross, J. J. The process model of emotion regulation questionnaire: Assessing individual differences in strategy stage and orientation. Assessment 30(7), 2090–2114. https://doi.org/10.1177/10731911221134601 (2022).
Kelley, N. J., Glazer, J. E., Pornpattananangkul, N. & Nusslock, R. Reappraisal and suppression emotion-regulation tendencies differentially predict reward-responsivity and psychological well-being. Biol. Psychol. 140, 35–47. https://doi.org/10.1016/j.biopsycho.2018.11.005 (2018).
Bakul, F. & Heanoy, E. Z. Emotion regulation and psychological impact of COVID-19 among post-graduate university students. Int. J. Ind. Psychol. 10(25215/0904), 001 (2021).
Nakagawa, T., Gondo, Y., Ishioka, Y. & Masui, Y. Age, emotion regulation, and affect in adulthood: The mediating role of cognitive reappraisal. Japan. Psychol. Res. 59(4), 301–308. https://doi.org/10.1111/jpr.12159 (2017).
Ramzan, N. & Amjad, N. Cross cultural variation in emotion regulation: A systematic review. Annal. King Edward Med. Univ. https://doi.org/10.21649/akemu.v23i1.1512 (2017).
Kuppens, P. & Verduyn, P. Emotion dynamics. Curr. Opin. Psychol. 17, 22–26. https://doi.org/10.1016/j.copsyc.2017.06.004 (2017).
Haga, S. M., Kraft, P. & Corby, E. Emotion regulation: Antecedents and well-being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J. Happin. Stud. 10(3), 271–291. https://doi.org/10.1007/s10902-007-9080-3 (2007).
Liang, Y., Huo, M., Kennison, R. & Zhou, R. The role of cognitive control in older adult cognitive reappraisal: Detached and positive reappraisal. Front Behav. Neurosci. https://doi.org/10.3389/fnbeh.2017.00027 (2017).
Butler, E. A. et al. The social consequences of expressive suppression. Emotion 3(1), 48–67. https://doi.org/10.1037/1528-3542.3.1.48 (2003).
Ford, B. Q. & Mauss, I. B. Culture and emotion regulation. Curr. Opin. Psychol. 3, 1–5. https://doi.org/10.1016/j.copsyc.2014.12.004 (2015).
Liddell, B. J. & Williams, E. N. Cultural differences in interpersonal emotion regulation. Front. Psychol. https://doi.org/10.3389/fpsyg.2019.00999 (2019).
D’Arbeloff, T. C. et al. Emotion regulation and the experience of future negative mood: The importance of assessing social support. Front. Psychol. https://doi.org/10.3389/fpsyg.2018.02287 (2018).
Troy, A. S., Wilhelm, F. H., Shallcross, A. J. & Mauss, I. B. Seeing the silver lining: Cognitive reappraisal ability moderates the relationship between stress and depressive symptoms. Emotion 10(6), 783–795. https://doi.org/10.1037/a0020262 (2010).
Haver, A., Krampe, H., Danbolt, L. J., Stålsett, G. & Schnell, T. Emotion regulation moderates the association between COVID-19 stress and mental distress: Findings on buffering, exacerbation, and gender differences in a cross-sectional study from Norway. Front. Psychol. https://doi.org/10.3389/fpsyg.2023.1121986 (2023).
Xu, C. et al. Cognitive reappraisal and the association between perceived stress and anxiety symptoms in COVID-19 isolated people. Front. Psychiatr. https://doi.org/10.3389/fpsyt.2020.00858 (2020).
Hendricks, M. A. & Buchanan, T. W. Individual differences in cognitive control processes and their relationship to emotion regulation. Cognit. Emot. 30(5), 912–924. https://doi.org/10.1080/02699931.2015.1032893 (2015).
Lin, Z. Emotion regulation strategies and sense of life meaning: The chain-mediating role of gratitude and subjective wellbeing. Front. Psychol. https://doi.org/10.3389/fpsyg.2022.810591 (2022).
Niu, X. et al. Longitudinal relations between emotion regulation and internalizing symptoms in emerging adults during the COVID-19 pandemic. Cognit. Ther. Res. 47(3), 350–366. https://doi.org/10.1007/s10608-023-10366-9 (2023).
Dawel, A. et al. For whom and what does cognitive reappraisal help? A prospective study. Cogn. Ther. Res. 48(4), 687–703. https://doi.org/10.1007/s10608-023-10407-3 (2023).
Marciniak, M. A. et al. Positive cognitive reappraisal flexibility is associated with lower levels of perceived stress. Behav. Res. Ther. 183, 104653. https://doi.org/10.1016/j.brat.2024.104653 (2024).
Shum, C., Dockray, S. & McMahon, J. The relationship between cognitive reappraisal and psychological well-being during early adolescence: A scoping review. J. Early Adolesc. 45(1), 104–133. https://doi.org/10.1177/02724316241231918 (2024).
Xiao, M. et al. Emotion regulation strategies and mental wellbeing among Chinese college students during COVID-19: the moderating roles of confinement and attentional bias. Front. Psychol. https://doi.org/10.3389/fpsyg.2025.1571275 (2025).
Xiao, M. et al. The impact of emotion regulation strategies on anxiety and depression among college students in confinement situation due to COVID-19: A relevance model of goal focus as a moderator. BMC Psychiatr. https://doi.org/10.1186/s12888-025-07303-3 (2025).
Berro, J., Akel, M., Malaeb, D., Obeid, S. & Hallit, S. The moderating effect of emotion regulation between fear of COVID-19 and quality of life among Lebanese adults. Prima. Care. Comp. CNS Disord. https://doi.org/10.4088/pcc.23m03546 (2023).
Gutiérrez-Cobo, M. J., Megías-Robles, A., Gómez-Leal, R., Cabello, R. & Fernández-Berrocal, P. Is it possible to be happy during the COVID-19 Lockdown? A longitudinal study of the role of emotional regulation strategies and pleasant activities in happiness. Int. J. Environ. Res. Pub. Health 18(6), 3211. https://doi.org/10.3390/ijerph18063211 (2021).
Kornienko, D. S. & Rudnova, N. A. Exploring the associations between happiness, lifesatisfaction, anxiety, and emotional regulation among adults during the early stage of the COVID-19 pandemic in Russia. Psychol. Russia State Art. https://doi.org/10.11621/pir.2023.0106 (2023).
Murray, K. et al. Cognitive reappraisal moderates the protective effect of body satisfaction on mental health and wellbeing in adults: A prospective study during COVID-19 lockdown. J. Affect. Disorder. 351, 268–277. https://doi.org/10.1016/j.jad.2024.01.253 (2024).
Chen, S., Chen, T. & Bonanno, G. A. Expressive flexibility: Enhancement and suppression abilities differentially predict life satisfaction and psychopathology symptoms. Person. Individ. Differ. 126, 78–84. https://doi.org/10.1016/j.paid.2018.01.010 (2018).
Judah, M. R. et al. Cognitive reappraisal and expressive suppression moderate the association between social anxiety and depression. J. Psychopathol. Behav. Assess. 44(4), 984–991. https://doi.org/10.1007/s10862-022-09971-x (2022).
Larsen, J. K. et al. Emotion regulation in adolescence. J. Early Adolesc. 33(2), 184–200. https://doi.org/10.1177/0272431611432712 (2012).
Liang, S. et al. The relations between emotion regulation, depression and anxiety among medical staff during the late stage of COVID-19 pandemic: A network analysis. Psychiatr. Res. 317, 114863. https://doi.org/10.1016/j.psychres.2022.114863 (2022).
Öztekin, G. G., Gómez-Salgado, J. & Yıldırım, M. Future anxiety, depression and stress among undergraduate students: Psychological flexibility and emotion regulation as mediators. Front. Psychol. https://doi.org/10.3389/fpsyg.2025.1517441 (2025).
Su, J. C. et al. Differential links between expressive suppression and well-being among Chinese and Mexican American college students. Asian Am. J. Psychol. 6(1), 15–24. https://doi.org/10.1037/a0036116 (2014).
Yu, C. F., Haase, C. M. & Chang, J. Habitual expressive suppression of positive, but not negative, emotions consistently predicts lower well-being across two culturally distinct regions. Affect. Sci. 4(4), 684–701. https://doi.org/10.1007/s42761-023-00221-1 (2023).
Delgado-Herrera, M., Arce, B. I., Olalde-Mathieu, V. E., Licea-Haquet, G. L. & Reyes-Aguilar, A. Expressive suppression moderates the relationship between brain volume and mental health. Neuroscience https://doi.org/10.1016/j.neuroscience.2025.08.040 (2025).
Larionow, P., Ocalewski, J., Mudło-Głagolska, K., Michalak, M. & Mazur, M. The clinical significance of cognitive reappraisal and expressive suppression across positive and negative emotions: Evidence on the Polish version of the emotion regulation questionnaire – positive/negative (ERQ-PN). Front. Psychiatr. https://doi.org/10.3389/fpsyt.2025.1614234 (2025).
Acknowledgements
We extend our deepest gratitude to Prof. Vishnupad, Dean, Easwari School of Liberal Arts, SRM University AP, for trusting us and supporting us with this research. We sincerely thank Fr. Dean Filip Fernandes, a good friend, co-researcher, and brother, for arranging the accommodations across all the cities surveyed; this would not have been possible without his support. We extend our gratitude to the higher educational institute authorities of the Tier-1 Cities of India for permitting us to collect student data. We are also thankful to the students for their voluntary participation in the study.
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K.S. (Kakollu Suresh): Conceptualization, Methodology, Software, Data Curation, Investigation, Visualization, and Original Draft Preparation. A.P.H. (Ayesha Parveen Haroon) and S.D.J. (Salome Divya Joseph): Conceptualization, Methodology, Supervision, Software, Validation, and Reviewing and Editing.
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Kakollu, S., Haroon, A.P. & Joseph, S.D. Cross sectional analysis of emotion regulation, psychological distress and well being of emerging adult students in Urban India post COVID 19. Sci Rep (2026). https://doi.org/10.1038/s41598-026-36253-3
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DOI: https://doi.org/10.1038/s41598-026-36253-3