How Trajectories of Depressive Symptoms and Perceived Stress Across a Semester Differ by Self-Selection of Lecture-Based and Physical Activity-Based Classes Among US Students

Background: US college general health and wellness classes (movement-based or lecture-based) are employed to increase physical activity (PA) levels among students; however, it is unclear whether mental health outcomes differ by class type across a semester. Purpose: This study explored perceived depressive and stress symptoms in PA-based classes and lecture-based classes across a semester. Methods: A volunteer sample of students enrolled in general health and wellness classes at a large northeastern US university completed an online survey. Demographics, class enrollment, depressive symptoms via Center for Epidemiological Studies Depression Scale short-form (CES-D-SF), and perceived stress via Perceived Stress Scale-10 (PSS-10) were self-reported. Results: Overall (n = 6327), both perceived depressive and stress symptoms increased significantly across the semester regardless of class type and gender identity. Mann–Whitney U tests demonstrated significantly higher depressive symptoms among both men and women enrolled in lecture-based classes at the end of the semester. This effect was not observed for perceived stress among men or women. Conclusion: PACs may be a viable component of US college health promotion initiatives to reduce later-life chronic mental illness. Translation to Health Education Practice: Colleges are uniquely positioned to advocate for PA-based courses for general education requirements to promote health and well-being.